• Title/Summary/Keyword: neck-shoulder pain

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Effects on Sight, Quickness, Balance, Pain of Normal Human Body with Using Portable Mobile Phone (스마트폰 사용이 정상인의 시력, 순발력, 균형능력, 통증에 미치는 영향)

  • Kang, Su-Jeong;Kim, Kyeong-Ha;Kim, Chi-Hyok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.2
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    • pp.95-102
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    • 2012
  • Background: The purpose of this study was to find out influence of using portable mobile devices in human body. Method: The subjects were consisted of the normal persons (19 males and 20 females). These subjects were consisted of three groups according to test time. The A group (12 persons - 6 males, 6 females) tests 5 minutes, the B group (14 persons - 7 males, 7 females) tests 10 minutes, and the C group (13 persons - 6 males, 7 females) tests 15 minutes. Before test, sight, quickness and balance were measured, after test revision, quickness, balance were measured and checked pain scale. Results: The results were as follows. 1. Sight, quickness and balance were decreased and pains were increased after using portable mobile devices than before using these. 2. According to duration of using the portable mobile devices, sight, quickness and balance was not a statistically significant difference, the entire upper body pain was a statistically significant difference. When viewed as part of the pain, shoulder, lower back, and wrist pain were a statistically significant difference, but the neck and elbow were not a statistically significant difference. 3. The influence of vision according to distance of using Portable mobile devices was no statistically significant difference. In addition, less than 20cm distance using equipment group ("Ga") and the group ("Na") which exceeded 20cm in between the sight were not statistically significant difference, Influence of pain according to distance of using Portable mobile devices we-re no statistically significant differences. Conclusion: Using portable mobile devices affect human body on the elements of the biomechanics.

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Clinical study of 1 case of patient with Hypothyroidism (갑상선(甲狀腺) 기능저하증(機能低下症) 환자(患者) 1례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Kim, Yong-Sung;Kim, Kyung-Su
    • Herbal Formula Science
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    • v.9 no.1
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    • pp.397-403
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    • 2001
  • Tyroid gland is the biggist endocrine organ which is located in front of trochea. The role of the thyroid gland in the total body economy comprises the synthesis, storage, and secretion of thyroid hormones, which are necessary to growth, development, and normal bodymetabolism. Hypothyroidism is the state of a dificiency in the secretion of Thyroid hormone. This may result from idiopathic myxedema, or distruction or removal of thyroid, or goiter, or thyroid adenomas. Hypothyroidism corresponds to thick lips, dry skin, puffy eyelids, coars hair, megaloglossia, and pudgy hands etc. On one case of Hypothyroidism who was hospitalized for the chief complaints of fatigue, general weakness, coldness, edema in head, neck site, lumbago. I diagnosed this case as dificiency of Qi and blood(氣血兩虛) or dificiency of warm-Qi in spleen and kidney(脾腎陽虛). And then I used Moxa treatment to increase Qi and blood, and Acupuncture treatment to reduce shoulder and neck pain, lumbago. And Herb-med is used to increase Qi and blood, and recover of general condition. As a result, this patient got better more quickly.

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Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation : An Observational Study (경추 추간판 탈출증 입원 환자 102례에 관한 한의학적 복합치료 효과의 관찰 연구)

  • Choi, Ji Hoon;Lee, Sun Ho;Kim, Sang Min;Kim, Hyun Joong;Koo, Ja Sung;Lee, Hyun Ho;Jung, Seong Hyun;Youn, Deok Won
    • Journal of Acupuncture Research
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    • v.33 no.2
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    • pp.11-20
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    • 2016
  • Objectives : The purpose of this study is to investigate the clinical effectiveness of Korean medical combination treatment for cervical disc herniation. Methods : This is an observational study. 102 patients diagnosed with cervical disc herniation by MRI (Magnetic Resonance Imaging) were investigated from January, 2015 through to December, 2015 at Daejeon Jaseng Hospital of Korean Medicine. They were sorted according to the distribution of sex, age, causing factor, the period of disease, admission day and pain area. All patients were treated with acupuncture, Chuna treatment, and herbal therapy and physical therapy during the admission period. After treatment, NRS (Numeric Rating Scale), NDI (Neck Disability Index) and EQ-5D were assessed to evaluate the treatment efficacy. Results : There were more females than Males with a ratio of 1 : 1.37, the age of fifty was the most with 35.29 %, reason unknown was the most with 72.55 % and the subacute stage was the most with 38.24 %. According to disc herniation types, patients with protruded disc types were the most with 66.67 % and a lesion of C5/6 was the most with 41.18 %. For patients diagnosed with cervical disc herniation, neck and shoulder pain NRS decreased from $6.43{\pm}1.77$ to $3.96{\pm}1.96$(p<0.001) and radiating pain NRS decreased from $5.64{\pm}1.96$ to $3.57{\pm}1.88$ (p<0.001). NDI decreased from $41.72{\pm}14.04$ to $30.84{\pm}15.34$(p<0.001), and the EQ-5D index increased from $0.68{\pm}0.17$ to $0.79{\pm}0.14$(p<0.001) after treating cervical disc patients. Conclusion : Korean medical combination treatment might be effective in decreasing pain and raising the life quality of patients with cervical disc herniation.

Biomechanical Evaluation of the Neck and Shoulder When Using Pillows with Various Inner Materials

  • Kim, Jung-Yong;Park, Ji-Soo;Park, Dae-Eun
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.2
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    • pp.339-347
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    • 2011
  • Objective: The purpose of this study was to evaluate of various material of pillows by using biomechanical variables such as the cervical stability, head pressure distribution, and muscle activity. Method: Eight subjects participated in the experiment. Three different materials such as polyester sponge, memory foam and the buckwheat shell used for Korean traditional pillow were tested. Electro-goniometer, six channels of electromyography(EMG), ten channels of the head pressure sensors were used to measure the biomechanical responses. Surface electrodes were attached to the right/left semispinals capitis(RSC, LSC), the right/left sternocleidomastoid(RSM, LSM), the right/left upper trapezius(RUT, LUT). The cervical stability was evaluated by the angle deviated from the standing neck position. The head pressure distribution was evaluated by the pressure per unit area recorded on the sensors and the intensity of peak pressure. Electromyography(EMG) data were analyzed by using root mean square(RMS) and mean power frequency(MPF). Results: The buckwheat shell material showed a higher stability in the cervical spine then the other pillows during spine position. In terms of head pressure distribution, the memory form indicated the lowest pressure at supine position, buckwheat shell material indicated the lowest pressure during lying down to side, and polyester cushion recorded the highest pressure at all postures. Conclusion: The buckwheat shell material has a biomechanical advantage to maintain a healthy neck angle and reduce the pressure on the head, which means the buckwheat shell is a potential material for ergonomic pillow design. The pillow with memory form showed second best biomechanical performance in this study. Application: The shape of the buckwheat shell pillow and the characteristics of materials can be used to design the pillow preventing neck pain and cervical disk problems.

Difference of Pain Description According to Gender in the Elderly (노인의 성별 만성동통 호소의 차이에 대한 조사연구)

  • 김명애;박경민;김효정
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.369-379
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    • 1998
  • Despite acknowledgment that pain is likely to be a major problem for many older adults, it is difficult to estimate the frequency of pain problems for this population. The main purpose of this study was to identify the various characteristics of chronic pain in the elderly by gender. It examines by gender, pain frequency, pain intensity, number of chronic pain sites, localization of pain, impact on activities, methods of pain management, and effects of chronic pain management. The subjects were 189 elderly people(65 years and older) living in an urban area. They were surveyed at their homes. They were surveyed by interview using a closed-ended questionnaire. The survey was done from Nov. 6th. to Dec. 6th. 1997. Descriptive statistics were used to determine all of the reported pain variables. Chi-square tests were used to determine crude differences between pain intensity and gender. T-test was used to determine differences in number of pain sites between men and women. The findings are as follows ; Of the 189 subjects, 83.6% reported experiencing pain, and men reported a lower prevalence (69.5%) than women(89.2%). Women had significantly more severe pain than did men(p=.001). Lower back pain(20.2%) and leg pain(20.2%) were the most prevalent, followed by knee pain(17.4%), arm pain(13.3%), neck and shoulder pain(11.6%), and headache(9.9%). Women experienced more multiple localizations of pain(p=.0001), the greatest impact was on movement (83.5%) , followed by usual activities(60.8%), sleep(49.4%), visiting(29.1%), and hobbies and recreations(50.0%). No differences were observed between men and women in the proportion of subjects reporting a negative impact on each of these activities. The methods of pain management were hospital visit(70.9%), drug store medication(46.7%), oriental medicine clinic(32.9%), endurance(13.3%), self-management(6.3%). Drug therapy was the most effective pain management strategy(94%), followed by physical therapy(63%) and accupuncture.byssocausis(55%). The conclusion : Pain is a symptom of great clinical importance that is often associated with disability, loss of independence, and reduced quality of life. In this study chronic pain symptoms were common but unevenly distributed in men and women. The results further advance understanding of the experience and impact of pain by gender. Future studies should incorporate questions that gather systemic and more detailed information on the characteristics of pain, especially by gender and by age.

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Epidural Steroid Injection in the Treatment of Cervical Radiculopathy (Cervical Radiculopathy에 대한 경막외 Steroid 주입에 관하여)

  • Choe, Huhn;Han, Young-Jin;Baek, Hae-Jung;Kim, Dong-Chan
    • The Korean Journal of Pain
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    • v.4 no.2
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    • pp.152-156
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    • 1991
  • Cervical radiculopathy has been recognized as a common cause of neck, shoulder, and arm pain. It was conventionally treated with rest, traction, cervical collars, manipulation, transcutaneous electrical nerve stimulation, and nonsteroidal anti-inflammatory drugs with varying results. Surgery has not always been successful so the idea of epidural steroid injection was developed as in the case of lumbar epidural injections, for the treatment of low back pain and sciatica. Thirty one patients with evidence of cervical radiculopathy were treated with injections of triamcinolone acetate into the cervical epidural space. The effect of the steroid injection could be evaluated in twenty one patients who received epidural injections more than twice. No improvement was seen in 6 patients and 15 patients showed good to excellent pain relief for a week to over 6 months. Epidural steroid injection seems to have a positive role in the treatment of cervical radiculopathy.

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A Case Report on the Traumatic Pneumothorax associated with Acupuncture (자침과 관련된 외상성 기흉 1례)

  • Lee, Sang-Hoon;Choi, Do-Young;Lee, Yun-Ho
    • Journal of Acupuncture Research
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    • v.18 no.4
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    • pp.205-211
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    • 2001
  • Objective : There was no report on traumatic pneumothorax associated with acupuncture in korea yet, although many people guess at its possibility. In order to make known that acupuncture can cause pneumothorax in reality and to prevent more acupuncture-related adverse effect cases in future, this report was made. Methods : Close observation was done on clinical symptoms & radiologic examination of acupuncture-related traumatic pneumothorax patient. Results : During acupuncture therapy on neck stiffness & shoulder pain, a acupuncture needle was inserted too deeply into upper part of thorax unintentionally, patient showed dyspnea, chest pain & discomfort, cough, sweating and mild rupture of right lung in chest radiologic findings, and recovered after 2 weeks of conservative treatment. Conclusion : In order to prevent traumatic pneumothorax during acupuncture therapy, needling into thorax sometimes requires tilted acupuncture needle inserting under consideration of needle width & length. At least 0.40mm width of needle is generally considered appropriate in needling into taut band of thoracic muscles, because too thin and long needle sometimes can be bent and inserted into wrong way, which can cause adverse effects like pneumothorax.

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?A Case Study of One Taeeum-person Who Has Tinnitus That is Diagnosed as Cold Turbid Phlegm in Middle Cho (중초(中焦)의 한습담(寒濕痰)으로 인한 태음인형(太陰人型) 이명환자(耳鳴患者) 1례(例)에 대한 임상적(臨床的) 고찰(考察))

  • Park, Yong-Ho;Kim, Jong-Han;Park, Su-Yeon;Choi, Jung-Hwa;Yu, Mi-Kyoung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.18 no.2
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    • pp.99-103
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    • 2005
  • The tinnitus is a very common otorhinolaryngologic disease. But, we do not know the exact cause and the healing method of that. We have a case report of the patient who has both tinnitus during two years. He has also chest distress, chest pain, shoulder.neck pain, obesity. In Oriental Medicine, the cuases of tinnitus have diagnosed as the hepatic fire, phlegm-fire, heart fire, deficiency of the kidney, deficiency of vital energy and blood, and so on. In this study the patient classified by Sasang constitutional medicine, and the cuase of tinnitus diagnosed as cold turbid phlegm in Middle Cho, had a medical effects. And in the result, the other symptoms are reduced. So we report the healing process and result of this patient in this study.

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Unilateral Horner's Syndrome and Upper Extremity Paralysis following Lumbar Epidural Block in a Obstetric Patient (산모에서 요부 경막외 차단후 발생한 편측 호너 증후군과 상지마비 -증례 보고-)

  • Jang, Yeon;Cho, Eun-Chung;Kim, Jung-Tae;Park, Soo-Seog;Lee, Jae-Hee
    • The Korean Journal of Pain
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    • v.10 no.2
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    • pp.285-290
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    • 1997
  • Horner's syndrome is a well-recognized complication of regional analgesia of neck and shoulder region, and not often a complication of lumbar or low thoracic epidural block. Recently we experienced right Horner's syndrome accompanying paralysis of right upper extremity following lumbar epidural block in for an obstetric patient. Epidurography and MRI was performed to clarify the cause of unilateral high epidural block and cervical sympathetic block. Radiologic study demonstrated a loop formation of the epidural catheter and tip of catheter was located in right anterior epidural spaced(L1-2). The initial epidurogram revealed unilateral spreading of dye in the cervical region in right epidural space. A second epidurogram, 10 minutes following, showed dye filling in left epidural space, however spread of dye in left side was limited to lumbar and low thoracic region. We concluded the most probable cause of this unilateral high epidural block was due to misplacement of the catheter into the anterior epidural space.

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Effects of Aroma Therapy on Exam Syndromes and Fatigue in Grade 12 Students Preparing for College Entrance Exams (아로마 흡입이 고3수험생의 고3증후와 피로에 미치는 효과)

  • Kim Sook-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.3
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    • pp.344-352
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    • 2004
  • Purpose: The purpose of this study was to identify the effect of aroma therapy on exam syndromes and temporary fatigue of senior high school students who are preparing to take college entrance exams. Method: This study was a pre-experimental research using a one-group pre-post test design and was conducted between April and July 2003 with 35 high school students. A pre-post test was used to measure long-term exam syndromes and temporary fatigue during the first period of school. Paired t-test was used. Aromas were given using an aroma electrical lamp, aroma necklet with basic oils of rosemary and lemon. According to the condition of the students, one or two oils were added: peppermint, pine, eucalyptus and Clary-Sage. Results: After two months (May, June), the result of administering aroma therapy to senior high school students showed in June there was a decrease in principal exam syndromes such as eye fatigue, headache, shoulder pain, neck stiffness, back pain, and common cold, and there was an increase Un study concentration during the two months. However, in May, there were no significant effects. The reason may have been a strong extraneous factor from midterm exams that would affect their college entrance. Conclusion: According to these results, if we use aroma oil carefully, with evidence-based applications, aroma therapy can have a positive effect on senior high school students who are preparing for the college entrance exams.

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