• 제목/요약/키워드: fibromyalgia

검색결과 85건 처리시간 0.024초

섬유조직염 환자의 질병 특성과 치료행태 (Disease Characteristics and Behavior Pattern of Treatment for Patient with Fibromyalgia)

  • 한상숙;강현숙
    • 근관절건강학회지
    • /
    • 제6권1호
    • /
    • pp.22-36
    • /
    • 1999
  • The purpose of the study was to identify disease characteristics and behavior pattern of treatment for patients with Fibromyalgia. This study was carried out between May to Aug. in 1998 through direct interview in Rheumatism clinic at H. University Hospital and subject in this study were 125 outpatients diagnosed with Fibromyalgia. Collected data were analyzed by descriptive statistics and t-test, ANOVA using SPSS Window program. The results of this study are as follows. 1. General Characteristics : All of the persons with Fibromyalgia were female who were mostly in their forties(37.5%). A third of them(38.4%) were graduated from high school. The greatest part of them(54.4%) were christians but little part of them(16.8%) were employed 2. Disease Characteristics : They have struggled with Fibromyalgia for 10 years on an average. About half of them(56.9%) suffered from Fibromyalgia only but the others had another diseases which were in greatest part occupied by Osteoarthritis. The number of tender point which is a feature of Fibromyalgia differed according to measuring criteria. Yunus criteria. however, was proved to be the most proper measuring criteria than any other method as it showed high correlations between symptoms and physical activities. The most serious symptoms that complained the patients among subjective symptoms are pain, sleep disorder, and fatigue in sequence, and activities most hard to do among physical activities are washing by hand, scrubbing by hand, and shopping in sequence. 3. Behavior Pattern of Treatment : The largest part of them(42.4%) had received medical treatment after they were determined to have the disease and most of them were taking medicine as prescribed by physician(88.8%) or other medicines(16.8%), Of them, two thirds stated that the medicine they took were effective. Around a third of them took exercises mostly composed of swimming. The medical institution they visited in the past were orthopedic surgical department, Oriental hospital, physical therapy department in sequence and, in a slight percent(11.4%), psychiatric department. 4. Relations between Disease Characteristics and Behavior pattern of Treatment : It shows that number of tender point and level of symptom are significantly different according to duration of disease and medical intervention. As a results, it can be suggest that persons with Fibromyalgia need to take exercises and medicine continually regardless of medical treatment as it is a chronic disease whose symptoms are hardly mitigated.

  • PDF

섬유근통 자조관리 프로그램이 여성 섬유근통 증후군에 미치는 영향 (Impact of a Cryotherapy and Tai Chi Self-help Program on Women with Fibromyalgia Syndrome)

  • 이혜영;박원숙;최정현;이순희;엄애용
    • 성인간호학회지
    • /
    • 제23권1호
    • /
    • pp.10-19
    • /
    • 2011
  • Purpose: The purpose of this study was to evaluate the impact of a protocol of cryotherapy and Tai Chi on women with Fibrolmyalgia Syndrome. Methods: The study design was a pretest and posttest quasi-experimental, nonrandom assignment. The subjects were 48 outpatients with a diagnosis of fibromyalgia based on the American College of Rheumatology Standards. The setting was a University Medical Center in S city. The protocol was self administered ten times a week, for a two week period resulting in twenty treatments. Results: A protocol of cryotherapy and Tai Chi self-help program showed significant improvement in the fibromyalgia impact as measured by reports of physical impairment, feeing good, number of missed work days, ability to perform work, reports of pain, fatigue, rest, stiffness, anxiety and depression as reported by the comparison group (p<.001). No significant differences between the two regarding in reports of the tender points (p=.062). Conclusion: The results suggested that a protocol of cryotherapy and Tai Chi self-help program may be a promising multidisciplinary strategy for fibromyalgia patients.

섬유근통 환자의 한의학적 치료 효과 증례보고 (The Clinical Study on a Case of Fibromyalgia Syndrome Patient by Korean Medicine Treatment)

  • 이지영;김민수;염승룡;권영달
    • 한방재활의학과학회지
    • /
    • 제26권4호
    • /
    • pp.127-136
    • /
    • 2016
  • The purpose of this study is to report a clinical progress of fibromyalgia syndrom patient treated by Korean Medicine treatment. The patient was treated with acupuncture, acupotomy, pharmacopuncture (Bee venom, Hwangryun, Hominis Placental), herbal medicine, moxibustion, cupping treatment. We measured Visual Analogue Scale (VAS), American College of Rheumatology Preliminary Diagnostic Criteria (ACR, 2010), Fibromyalgia Impact Qustionnaire (FIQ), and observed the change in body temperature using Digital Infrared Thermal Imaging (DITI). After Korean Medicine treatment, pain was controlled and VAS, ACR, FIQ were decreased. The result showed that Korean Medicine treatment is effective in fibromyalgia syndrome.

소화기증상을 동반한 섬유근육통 환자에 대한 오두탕 치험 1례 (A Case Report on a Fibromyalgia Patient with Gastrointestinal Symptoms Treated with Odu-tang)

  • 장혜연;유상구;김도형;이영수
    • 대한한방내과학회지
    • /
    • 제42권5호
    • /
    • pp.863-871
    • /
    • 2021
  • Objective: The purpose of this study was to investigate the effects of Korean medical treatment on a fibromyalgia patient with gastrointestinal symptoms, using herbal medicines selected according to new rather than existing standards. Method: A 52-year-old female patient with fibromyalgia was treated with Odu-tang and acupuncture, cupping, and moxibustion for 22 days. To evaluate the treatment, we used the Numerical Rating Scale (NRS), American College of Rheumatology's Preliminary Diagnostic Criteria (ACR), and Korean Gastrointestinal Symptom Rating Scale (KGSRS). Result: Following treatment, pantalgia diminished, NRS, and ACR scores improved, and the GSRS score decreased from 29 to 11. Conclusion: This study suggests that Korean medical treatment could effectively reduce pain and improve digestive symptoms in patients with fibromyalgia. It also presents a new method that considers individual characteristics when choosing herbal medicine.

두통, 현훈을 동반한 섬유근통 태음인 환자 치험 1례 (A Clinical Case Report of Taeeumin Patient Diagnosed as Fibromyalgia with Headache and Dizziness)

  • 박민영;이민정;황민우
    • 사상체질의학회지
    • /
    • 제32권4호
    • /
    • pp.129-140
    • /
    • 2020
  • Objectives This study aimed to report significant improvement of fibromyalgia patient who was diagnosed with 'Taeeumin esophagus-cold lung-dry symptomatology' based on Sasang Constitutional Medicine. Methods The patient was treated with herbal medicine. To evaluate the results of this treatment, the patient assessed pain of Fibromyalgia by using the Numeral Rating Scale (NRS) and American College of Rheumatology Preliminary Diagnostic Criteria (ACR, 2010). Results After 64 days of treatment, the NRS of pain reduced from 6 to 2. There was no difference before and after treatment with Widespread Pain Index 7, but Symptom Severity scale score decreased from 8 to 4. Headache, dizziness, and chilling symptoms were also improved. Conclusions The patient showed a significant improvement of Fibromyalgia and accessory symptoms without any side effects, who was treated with herbal medicine.

귀비온담탕가감(歸脾溫膽湯加減)을 포함한 한방치료로 호전된 섬유근육통 환자의 불면 및 구강건조 치험 1례 (A Case Study of Fibromyalgia with Insomnia and Dry Mouth Treated with Korean Medicine including Guibiondam-tang-gagam)

  • 양지수;이수정;조은채;유재환
    • 대한한방내과학회지
    • /
    • 제43권2호
    • /
    • pp.152-158
    • /
    • 2022
  • Objective: This study addresses a case of fibromyalgia with insomnia and dry mouth. Methods: A patient diagnosed with fibromyalgia was treated with Korean medicine including herbal therapy with Guibiondam-tang-gagam, acupuncture, pharmacopuncture, moxibustion, and chuna for 16 days. To evaluate the therapeutic effects, sleeping hours, time taken to fall asleep, and surprise on waking were assessed, and a numeric rating scale (NRS) was used to monitor dry mouth. Results: After treatment, the patient's sleeping hours increased, time taken to fall asleep decreased, and the patient woke up surprised less often. The NRS score for dry mouth also decreased. Conclusion: These results suggest that Korean medicine therapies with Guibiondam-tang-gagam have a beneficial effect on insomnia and dry mouth as additional symptoms of fibromyalgia.

섬유근통증후군 환자의 질병관련 특성과 일상생활장애의 상관관계 (Correlations between Disease Related Factors and Disturbance of Daily Living in Patients with Fibromyalgia)

  • 이명수;황은희
    • 한국콘텐츠학회논문지
    • /
    • 제11권7호
    • /
    • pp.239-247
    • /
    • 2011
  • 본 연구는 섬유근통증후군 환자의 질병관련 특성과 일상생활 장애의 정도를 파악하고, 그 상관관계를 확인하기 위하여 시도되었다. 대상자는 I시에 소재한 1개 대학병원 류마티스 내과 외래 방문 환자 중 섬유근통증후군 진단을 받은 45명으로, 구조화된 설문지를 이용하여 자료를 수집하였다. 대상자의 압통점은 평균 15.00, 피로는 8.67, 수면의 질은 12.94, 우울은 23.70점이었고, 이들은 평균 대략 6년간의 유병기간을 가지고 있었다. 42.2%의 대상자들이 질병으로 인해 직업이나 학업을 중단하였으며, 지난 3개월동안 평균 41.79일 일상생활 장애를 경험하였다. 일상생활 장애 정도는 압통점, 우울과 양의 상관관계가 있었고, 피로와 우울, 수면의 질과 양의 상관관계가, 수면의 질은 우울과 양의 상관관계가 있었다. 결론적으로 섬유근통 증후군 환자들은 질병과 관련한 다양한 증상을 동반하며, 이로 인한 일상생활 장애를 경험하고 있었다. 따라서 이들이 일상생활을 유지하면서 보다 나은 삶을 유지할 수 있도록 관련 요인을 반영한 중재프로그램을 개발할 필요가 있다.

요가자조관리 프로그램이 섬유근통증후군환자의 건강상태와 우울에 미치는 영향 (Yoga Self-help Management Program for the Patients with Fibromyalgia syndrome Effect on Health status and Depression)

  • 임경숙
    • 디지털융복합연구
    • /
    • 제16권3호
    • /
    • pp.457-468
    • /
    • 2018
  • 본 연구는 섬유근통증후군환자를 대상으로 요가자조관리프로그램을 실시하여 대상자의 건강상태와 우울에 미치는 효과를 규명하고자 시도하였다. 연구에 참여한 대상자는 G시에 소재한 일개 대학병원에서 섬유근통증후군으로 진단받은 환자이다. 참여자 수는 총 43명으로, 실험군 21명과 대조군 22명이다. 실험군에게는 8주간 주 2회 총 16회의 요가자조관리프로그램을 요가센터에서 실시하였고, 가정에서도 시행 할 수 있도록 개발한 요가DVD와 사진자료, 교육용 책자를 제공하였다. 대조군에게는 중재 없이 사전검사와 사후검사를 실시하였다. 자료의 분석은 SPSS 18.0 Program을 이용하였다. 연구의 결과, 실험군이 대조군보다 유의미하게 건강 상태(압통점, 섬유근통증후군영향척도)가 향상되었고, 우울은 감소하여 섬유근통증후군 환자의 중재전략에 효과가 있음을 확인하였다.

섬유근육통으로 의심되는 다발성 통증 및 신체기능장애를 호소하는 환자의 한방치험 1례 (A Case of Traditional Korean Medicine Patients Who Suffer from Multiple Pain and Physical Disorders Suspected of Fibromyalgia)

  • 강아현;정유진;최아련;한동근;서혜진;성재연;이형철;엄국현;송우섭
    • 대한한방내과학회지
    • /
    • 제38권3호
    • /
    • pp.376-382
    • /
    • 2017
  • Objective: The cause of fibromyalgia is not defined precisely. Fibromyalgia has numerous symptoms that tend to vary from person-to-person. Several different treatments have emerged in recent times. This case will report on traditional Korean medicine patients who suffer from multiple pain and physical disorders when fibromyalgia is suspected. Method: During a hospitalization period, a patient was given a combination of traditional Korean medicine therapy (such as herbal medicine and acupuncture) and analgesic drugs. We measured the state and progress of this case using Numeric rating scale and EuroQol-5D. Results: After the treatments, the patient's pain was controlled and the NRS score decreased. The overall symptoms of the patient and the EQ-5D both improved positively. Conclusion: Traditional Korean medicine treatment helps to relieve the symptoms of fibromyalgia.

섬유근통 환자의 추나요법 및 한의약치료 증례보고 (A Clinical Study on One Case of a Patient with Fibromyalgia by Chuna Therapy and Traditional Korean Medicine Treatment)

  • 이은지;방성필;조현정;김기역;김성태;박재석;최영민;김민성;황춘호;강수우
    • 척추신경추나의학회지
    • /
    • 제9권1호
    • /
    • pp.67-75
    • /
    • 2014
  • Objectives : The purpose of this study is to report a clinical progress of treatment of fibromyalgia through Traditional Korean medicine treatment. A patient was diagnosed with fibromyalgia by clinical correlation on 2009 in Jeonnam university hospital, he had multi sited pain and severe muscle spasm. Methods : Between 27th march 2014 and 15th April 2014, he was treated with acupuncture, cupping, electro-acupuncture and chuna therapy every day and observed by visual analogue scale and assessment about number of pain site and square of pain. Results : After treated by using above treatment, VAS and assessment about number of pain site and square of pain were improved. Conclusions : Chuna therapy and other Traditional Korean medicine treatment are estimated to be good for fibromyalgia. But more cases are required to prove the effectiveness of chuna therapy on fibromyalgia.

  • PDF