• Title/Summary/Keyword: pain intervention

Search Result 1,398, Processing Time 0.032 seconds

Changes in pain, swelling, and range of motion according to physical therapy intervention after total knee arthroplasty in elderly patients

  • Noh, Eun-Kyung;An, Chang-Sik
    • Physical Therapy Rehabilitation Science
    • /
    • v.4 no.2
    • /
    • pp.79-86
    • /
    • 2015
  • Objective: This study was carried out to compare changes in pain, swelling and range of motion (ROM) between the two groups according to physical therapy intervention. Design: Randomized controlled trial. Methods: There were a total of 20 elderly subjects ages 65-75 years old who have been admitted to the hospital for a total knee arthroplasty. After surgery, the experimental group (n=10) carried out quadriceps femoris muscle strengthening exercise, hamstring stretching exercises and gastrocnemius stretching exercise with a physical therapist for 30 minutes and additionally, received ice pack therapy for 20 minutes once a day. The control group (n=10) carried out continuous passive motion for 30 minutes and received ice pack therapy for 20 minutes once a day. The experimental group and control group carried out each intervention program for 2 weeks 3 times a week. The Visual Analogue Scale was used to assess pain, tape measurements were taken to assess swelling, and a steel goniometer was used to assess knee joint ROM. Results: As a result, the experimental group showed a statistically significant decrease in the pain and swelling, and a significant increase in knee flexion ROM after the intervention, compared to the control group (p<0.05). There was a significant improvement in pain, edema, and knee flexion and extension ROM in all subjects after intervention (p<0.05). Conclusions: According the results of this study, exercise in the experimental group is effect on the pain, swelling and ROM for total knee arthroplasty.

Analysis of Research Related to the Neonatal Pain Relief Intervention in Korea (신생아 통증완화 중재 관련 국내 연구분석)

  • Oh, Jin-A;Noh, In-Suk
    • Korean Parent-Child Health Journal
    • /
    • v.12 no.2
    • /
    • pp.160-176
    • /
    • 2009
  • Purpose: The purpose of this study was to identify patterns and trends of studies, analyze the research, and improve direction of nursing research related to the neonatal pain relief intervention in Korea. Method: The studies were selected from dissertation, nursing journals and others in Korea. Result: Until 1995, there were no studies related to the neonatal pain relief intervention. The most studies have been increased rapidly after 2005. Pure of true experimental design of research design was used 5, Quasi experimental design was 7, preexperimental design was 7. Participants were preterm baby was 8, full-term baby was 9, and preterm and full-term baby was 2. Utilization of instruments as follows: NIPS, PIPP, ABSS, NFCS, pulse oximeter, EKG monitoring, and stethoscope. Contents of the research studies were classified 4 different types, such as studies of about the effect of auditory stimulation, taste stimulation, tactile stimulation, and topical anesthetic cream. The results of 25 studies were effective for the neonatal pain relief, but the results of 5 studies weren't. Conclusion: In the future studies need to develop the various instrument which is assessment of neonatal pain. It is important to the integrated by meta analysis. Additionally, we should develop protocol nursing intervention for the effective pain release.

  • PDF

Effect of Taping on a Home Program of Hip Abductor Exercise on Pain and Quadriceps Muscle Strength in Elderly Women with Knee Osteoarthritis (무릎 골관절염이 있는 여성 노인들에게 테이핑을 적용한 엉덩관절 벌리기 운동 홈 프로그램이 통증과 대퇴사두근 근력에 미치는 영향)

  • Choi, Jin-Ho
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.13 no.3
    • /
    • pp.61-66
    • /
    • 2018
  • PURPOSE: This study was conducted to determine the effects of taping on a home program of hip abductor exercise on pain and quadriceps muscle strength during knee joint osteoarthritis. METHODS: The subjects were 24 elderly women aged over 65 years with knee joint osteoarthritis. Twenty-four subjects were divided into two groups of 12. The intervention was conducted three times a week for six weeks. The control group underwent a home program of hip abductor exercise, while the experimental group underwent taping applied to a home program of hip abductor exercise. The measurement factors were knee joint pain and quadriceps muscle strength. Knee joint pain was measured using the VAS, while quadriceps muscle strength was measured using the 1RM method. RESULTS: Changes in pain following intervention were significantly reduced from $4.83{\pm}.72$ to $3.92{\pm}.67$ in the control group. In the experimental group, changes in pain following intervention were reduced significantly from $4.67{\pm}.78$ to $3.25{\pm}.45$. In the experimental group, the pain decreased significantly, while muscle strength increased significantly as in the control group. However, there were significant differences in pain and muscle strength between groups post intervention (p<.05). CONCLUSION: In the elderly women with knee osteoarthritis, the home program of hip abductor exercise will be a good intervention, and taping will be applied as an intervention program for better osteoarthritis.

An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children (입원 소아환자에서 정맥주사 시 통증 및 불안을 경감시키기 위한 중재연구)

  • Kim, Myo-Jin;Bak, Joung-Hae;Seo, Won-Seok;Kim, Mi-Young;Park, Sun-Kyoung;Park, Jai-Soung
    • Quality Improvement in Health Care
    • /
    • v.12 no.1
    • /
    • pp.92-102
    • /
    • 2006
  • Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxiety and fear of pediatric patients and their parents who do not have understanding logical of their disease and hospitalization. This study attempted to identify pain reduction in related to therapeutic intervention by age and environmental improvement. Methods : A total of 194 hospitalized children and their parents were investigated. Data collection period was 3 months from March to May 2004. Four instruments were used to collect the data : Faces Pain Rating Scale(FPRS), Heart rate, Oxygen saturation and Pain behavioral check list. The data were analyzed by a SPSS program and tested x2-test, t-test, ANCOVA. Results : 1. Age from 0 to 3, the Heart rate, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. 2. Age from 4 to 6, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. But the heart rate were not significantly different when compare to control group. 3. Age from 7 to 9, FPRS and Pain behavioral check list were significantly lower in therapeutic intervention group when compare to control group but Heart rate and Oxygen saturation were not significantly different when compare to control group. Conclusion : The results of this study concludes that most children experience acute pain during IV therapy and it can be reduced by age specific therapeutic intervention and by change of surrounding environment.

  • PDF

A Case Report of Intervention Strategy Applied ICF Tool on Patient with Low Back Pain (요통환자에 대한 ICF Tool을 적용한 중재전략의 증례)

  • Kang, Tae-Woo;Song, Myung-Soo;Kim, Chang-Heon
    • PNF and Movement
    • /
    • v.10 no.2
    • /
    • pp.17-24
    • /
    • 2012
  • Purpose : The purpose of this study was to describe the Intervention strategy applied ICF Tool on patient with low back pain. Methods : The data was collected by low back pain patient. We applied the ICF Tool for low back pain patient. Parameters of result were collected for using the VAS, 6 minute walk test and ICF assessment sheet. Results : Significant differences were observed the low back pain patient for VAS, 6 minute walk test and ICF assessment sheet. low back pain patient improved all test. Conclusion : ICF Tool applied Intervention about low back pain patient is very useful and effective. It is effective in clinical practice.

Comparison of Lumbar Stabilization Exercises and Gluteal Strengthening Exercises on Pain, Disability and Psychosocial Factors in Low Back Pain Patients with Lumbar Instability (요추부 불안정성을 가진 요통환자의 요추부 안정화 운동과 둔근 강화 운동이 통증, 기능장애 및 심리사회수준에 미치는 효과 비교연구)

  • Jeon, Ji-hye;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.23 no.2
    • /
    • pp.33-44
    • /
    • 2017
  • Background: Lumbar stabilization exercise and gluteal muscle strengthening exercises are widely used to treat for lower back pain patient. The present study aimed to compare the effects of lumbar stabilization exercise and gluteal muscle strengthening exercises on chronic lower back pain with lumbar spine instability, with regard to pain intensity, disability, and psychosocial factors. Methods: Among 53 patients with chronic lower back pain, those with spine instability were selected using 5 examination tests. The selected 28 patients were randomly assigned to lumbar stabilization exercise group (LSE, n=15) and gluteal strengthening exercise group (GSE, n=13). Each group performed the corresponding exercise for 40 minutes, twice a week for 4 weeks. To analyze and compare the effects, pain intensity, the level of low back disability, and psychosocial factors were assessed before and after intervention. Results: There was significant difference in lower back pain intensity between the two groups before and after intervention. The change in low back disability was significant in the GSE group alone following intervention (p<.05), but no other significant difference was found between the groups. Among psychosocial factors, the changes in the fear-avoidance beliefs questionnaire (FABQ)-physical activity and FABQ-total were significant in the LSE group alone following intervention (p<.05). However, no significant difference were found in these factors between the two groups before and after intervention. Conclusions: LSE and GSE for lower back pain with lumbar spine instability showed no significant difference for pain intensity, physical disability, or psychosocial functioning.

  • PDF

The Effect of Lower Trapezius Strengthening Exercise Using PNF on Pain, Range of Motion, and Disability in Patients with Chronic Neck Pain (PNF를 이용한 아래등세모근 강화 운동이 만성 목 통증 환자의 통증, 관절가동범위, 장애에 미치는 영향)

  • Song, Min-Jeong;Kang, Tae-Woo;Kim, Beom-Ryong
    • PNF and Movement
    • /
    • v.19 no.1
    • /
    • pp.137-146
    • /
    • 2021
  • Purpose: The study aimed to determine the effect of proprioceptive neuromuscular facilitation (PNF) lower trapezius muscle strengthening exercise on pain, cervical range of motion (ROM), and neck disability index (NDI) in patients with chronic neck pain. Methods: Following baseline measurements, the subjects (n = 30) with chronic neck pain were randomized into two groups: the PNF group (n = 15) that received PNF strength training of the lower trapezius muscles or a control group (n = 15) that received gentle palpation of the skin. Each group participated in the intervention for 30 min, three times per week for six weeks. The visual analogue scale for pain, ROM, and NDI of both groups were recorded at both pre- and post-intervention. Paired t-tests were used to determine significant changes in the post-intervention compared with pre-intervention, and independent t-tests were used to analyze differences in the dependent variables between the two groups. Results: After the six-week intervention, both groups experienced significantly decreased pain and NDI (p < 0.05) and significantly increased cervical flexion, extension, lateral flexion, and rotation ROM (p < 0.05). The PNF group that received PNF strength exercise of the lower trapezius muscles showed greater improvements in pain and NDI and cervical rotation of ROM than those of the control group (p < 0.05). Conclusion: These results suggest that the PNF lower trapezius strengthening exercise reduces neck pain and disability level and enhances cervical ROM in patients with chronic neck pain.

Effects of the Instrument Pilates Exercise Based on the Schroth Exercise on the Cobb's Angle, Angle of Trunk Rotation and Low Back Pain in Patients with Idiopathic Scoliosis: A Single Subject Study

  • Song, Ki Yeon;Baek, Ki Hyun;Lim, Mi Soo;Lim, Hyoung-won
    • The Journal of Korean Physical Therapy
    • /
    • v.33 no.2
    • /
    • pp.97-105
    • /
    • 2021
  • Purpose: This study examined the effects of the application of Schroth exercise-based instrument Pilates exercise on the Cobb's angle, angle of trunk rotation, and low back pain of female patients with idiopathic scoliosis. Methods: Three patients with idiopathic scoliosis at a Cobb's angle of 20° or more participated in this study. Among the single-subject experimental research designs, a reversal (ABA) design was performed. In particular, Schroth exercise-based instrument, Pilates exercise, was performed for 10 weeks, consisting of five weeks between the baseline and intervention one period and five weeks between the intervention 1 and intervention 2 periods, and then followed up for five weeks. Results: After the Schroth exercise-based instrument, Pilates exercise, was applied, the Cobb's angle and the angle of trunk rotation decreased compared to the baseline in all subjects, and the follow-up period also showed a continuous decline. After Pilates exercise was performed, low back pain in subjects 1 and 2 was decreased in the intervention 1 period compared to the baseline. The level of low back pain in the intervention 2 period increased compared to the intervention 1 period, but a reduction was noted in the follow-up period. The low back pain in the subject was decreased in all intervention periods and the follow-up period. Conclusion: Schroth exercise-based Pilates exercise improves the Cobb's angle and the angle of trunk rotation for female patients with idiopathic scoliosis in their teens and 20s, and an effective intervention method is proposed for low back pain.

Changes of Maximum Inspiratory Pressure, Maximum Expiratory Pressure, Back Mobility by Diaphragm Stretching Technique in Patients with Low Back Pain (가로막 스트레칭 기법에 의한 허리통증 환자의 최대들숨압력과 최대날숨압력, 허리 가동성 변화 )

  • In-young Kong
    • PNF and Movement
    • /
    • v.21 no.2
    • /
    • pp.185-192
    • /
    • 2023
  • Purpose: This study aimed to confirm the effectiveness of the diaphragm stretching technique as a treatment method for low back pain by evaluating maximum inspiratory pressure, maximum expiratory pressure, and changes in back mobility in patients with low back pain. Methods: Thirty-four patients with low back pain were randomly divided into two groups: an experimental group and a control group. The diaphragm stretching technique was conducted in the experimental group, and the placebo intervention was conducted in the control group. The diaphragm stretching technique was conducted once, maintaining tension for 7 min. The placebo intervention was conducted in the same position as the diaphragm stretching technique, but with only light contact maintained without pressure. Maximum inspiratory pressure, maximum expiratory pressure, and back mobility were measured before and after the intervention, and the changes were compared and analyzed. A paired sample t-test was used to compare measurements within the group before and after the intervention. An independent t-test was used to compare the experimental and control groups. Statistical significance (α) was set at 0.05. Results: In the experimental group, maximum inspiratory pressure, maximum expiratory pressure, and back mobility increased significantly after the intervention (p < 0.05). However, there was no significant difference in the changes in all areas of the control (p > 0.05). As a result of comparative analysis of changes before and after the intervention, there were significant differences in maximum inspiratory pressure, maximum expiratory pressure, and back mobility only in the experimental group (p < 0.05). Conclusion: The diaphragm stretching technique improved maximum inspiratory pressure, maximum expiratory pressure, and back mobility compared to the placebo intervention. Therefore, the diaphragm stretching technique can be recommended as a physical therapy intervention to improve pain in patients with LBP.

Effect of Music Therapy as Intervention on Peripheral Neuropathic Pain and Anxiety of Gynecologic Cancer Patients Undergoing Paclitaxel Chemotherapy (음악치료가 Paclitaxel 항암화학요법을 받는 부인암 환자의 말초 신경병성 통증 및 불안에 미치는 효과)

  • Noh, Gie-Ok;Hwang, Moon-Sook;Cho, Keum-Sook;Lim, Joung-Ah;Kang, Mi-Kyung;Kim, Hyo-Jin;Kim, Ji-Youn
    • Women's Health Nursing
    • /
    • v.17 no.3
    • /
    • pp.215-224
    • /
    • 2011
  • Purpose: This study was to investigate the effect of music therapy as intervention on peripheral neuropathic pain and anxiety of gynecologic cancer patients who were undergoing paclitaxel chemotherapy. Methods: Hospitalized 62 patients were assigned to an experimental group (n=30) and a control group (n=33) in this quasi-experimental study. The experimental group participated in music therapy that includes listening, singing and song writing during 1 hour. The peripheral neuropathic pain, anxiety and depression were examined as pre-intervention evaluation by using pain scale, anxiety scale (20 questions) and depression scale (20 questions) in both groups. There were no further treatments for the control group while the experimental group involved in music therapy. The peripheral neuropathic pain and anxiety were evaluated in both groups as post-intervention evaluation. Results: Outcomes were verified through hypothesis testing. The level of peripheral neuropathic pain and anxiety in the experimental group was decreased, compared to the control group. Conclusion: According to the study, music therapy is a beneficial intervention that reduces peripheral neuropathic pain and anxiety in gynecologic cancer patients. These findings are encouraging and suggest that music therapy can be applied as an effective intervention for minimizing chemotherapy related symptoms.