• Title/Summary/Keyword: verbal numerical rating scale

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A Case Report on HIVD-Cervical Spine Failed Back Surgery Syndrome Applied Chuna Treatment (추나 요법을 적용한 경추 추간판 탈출증 척추 수술 실패 증후군 환자의 경과관찰 1례)

  • Jeong, Si-Yeong;Lee, Jin-Bok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.105-111
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    • 2011
  • Objects : This study was to report a clinical effect of Chuna Treatment for HIVD-cervical spine Failed Back Surgery Syndrome(FBSS) patient. Methods : In order to alleviate both arm tingling, numbness and neck stiffness, the patient was treated by acupuncture therapy, cervical traction technique of Chuna treatment and conservative managements. To evaluate the effect of the treatment, Recovery rate of Hirabayashi, Verbal Numerical Rating Scale(VNRS) and Neck Disability Index(NDI) score were used. Results : VNRS and NDI were improved and Recovery rate was 100%. Conclusions : Korean Treatment can be effectively used for a patient with HIVD-cervical spine FBSS patient. Further clinical studies are needed to verify the findings.

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The Effectiveness of Ultrasound-Guided Thoracic Paravertebral Block for Percutaneous Radiofrequency Ablation of Hepatic Tumors: A Pilot Study (간종양의 경피적 고주파 열치료에서 초음파 유도하 흉부 방척추블록의 효용성: 예비 연구)

  • Kim, Hyungtae;Kim, Youngjun;Kim, Beum Jin;Shin, Sung In;Yim, So Mang;Lee, Ju-Hyung
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.323-331
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    • 2018
  • Purpose: The purpose of this study was to evaluate the effectiveness of thoracic paravertebral block (TPVB) for management of pain during and after percutaneous radiofrequency ablation (RFA) of hepatic tumor. Materials and Methods: All patients were divided into non-TPVB (4 patients, 4 sessions of RFA for 4 tumors) and TPVB group (5 patients, 7 sessions of RFAs for 7 tumors). Ultrasound (US)-guided TPVB was performed at T7 level. The 15 mL of 0.375% ropivacaine was injected into right paravertebral space before RFA. If patients complained pain and asked analgesics or experienced pain with verbal numerical rating scale (VNRS) of more than 4, fentanyl $25{\mu}g$ (up to $100{\mu}g$), pethidine 25 mg, and midazolam 0.05 mg/kg (up to 5 mg) were sequentially given intravenously during RFA. Results: Total intravenous morphine equivalence of analgesics before, during, and after RFA was 129.1 mg and 0.0 mg in non-TPVB and TPVB group, respectively. Conclusion: US-guided TPVB may be an effective and safe anesthetic method for decreasing or eliminating pain during and after RFA for hepatic tumor and helpful in decreasing the usage of opioids.

Effectiveness of Therapeutic Sports Massage in Delayed Onset Muscle Soreness (지발성근육통에 있어서 치료적 스포츠 마사지의 유효성)

  • Chang, Chung-Hoon;Jeong, Dong-Hyeog
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.359-371
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    • 2001
  • The purpose of this study is to find out the effectiveness of the therapeutic sports massage(TSM) applied to the patients with delayed onset muscle soreness(DOMS) by measuring, assessing and analyzing the changes in intensity and unpleasantness of muscle pains before and after TSM. In the therapeutic sports massage program, such methods as effleurage, petrissage and deep transverse friction were selected as traditional massage treatments frequently used for muscles with pain and spasm. Effleurage and petrissage were applied for 20 minutes in total before and after deep transverse friction treatment. After TSM, the McGill pain questionnaire word list(MPQWL), verbal rating scale(VRS), visual analogue scale(VAS) were used to measure the degree of the pain on the patients. The major findings from this study are as follows; 1. The surveyed patients range from 15 to 63 in age, with highest numbers of 18(37.50%) registered in the twenties and next ones of 14(29.17%) in the thirties. Divided by sex, 27 are men and 21 are women totalling 48 with average age of 25.7. 2. There was significant decrease in the numerical values of VAS & VRS and MPQWL immediately after TSM(p<.05). There was also significant decrease in the numerical values of MPQWL, VRS and VAS after the 2nd, 3rd, 4th, 5th TSM(p<.05). 3. There was significant decrease in the intensity and unpleasantness of pains after TSM(p<.05). 4. From the analysis into chronological changes in the intensity and unpleasantness of pains before and after TSM with ANOVA, it became evident that the longer the period of treatment was, the higher the pains decreases drastically, while significant difference was shown in the intensity and unpleasantness of pains(p<.05). Summed up, it can be generally concluded that TSM is an effective treatment to rid the patients with DOMS of pains safely and promptly.

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봉독약침을 이용한 반사성 교감신경 이영양증의 치료 -치료 전후 적외선체열영상 비교-

  • Lim, Myung-Jang;Kang, In;Song, Joo-Hyun;An, Keon-Sang;Jang, Hyoung-Seok
    • Journal of Pharmacopuncture
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    • v.9 no.3 s.21
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    • pp.139-145
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    • 2006
  • Objectives : The purpose of this case in so report the patient with Reflex sympathetic dystrophy, who is improved by Bee venom. Method : We treated the patient with Bee venom who was suffering from Reflex sympathetic dystrophy, using Digital Infrared Thermographic Imaging and Verbal Numerical Rating Scale(VNRS) to evaluate the therapeutic effects. We compared the temperature of the patient body before and after treatment. Result and Conclusion : We found that Bee venom had excellent outcome to relieve pain, atrophy and ankle joint ROM, and that Bee venom also had clinical effect on hypothermia on the Digital Infrared Thermographic Imaging.

A Case Report of a Patient with Suspected Secondary Raynaud Phenomenon Managed with Danggwisaeyeok-tang (이차성 레이노 현상 의심소견에 대한 당귀사역탕 투여 경과 : 증례보고)

  • Jeong, Sin-yeong;Kang, Su-woo;Jo, Hee-geun
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.846-852
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    • 2018
  • Objective: The aim of this report is to report the effects of Danggwisaeyeok-tang (當歸四逆湯) on Raynaud phenomenon in a patient. Methods: A 57-year-old male diagnosed in 2016 with Raynaud's phenomenon complained of pain, digital ulceration, and discoloration of his fingers. He underwent acupuncture and electroacupuncture treatment, but the symptoms gradually worsened, so we administered herbal medicine, Danggwisaeyeok-tang (當歸四逆湯). Visual observation of the affected part, changes in subjective symptoms, and a verbal numerical rating scale (VNAS) were used to assess the clinical response. Results: After treatment with Danggwisaeyeok-tang, the patient reported improvement in his symptoms of cold sensation, ulceration, and sclerosis of his digits. Furthermore, the patient exhibited no general adverse effects. Conclusions: Danggwisaeyeok-tang (當歸四逆湯) significantly improved the patient's clinical symptoms. This case suggests that Danggwisaeyeok-tang (當歸四逆湯) may represent a good option for the treatment of Raynaud's phenomenon.

The Effects of Taping Treatment on Sports Injury of Knee, Three Case Reports (첩대요법으로 호전된 스포츠 슬관절 손상 환자 3례)

  • Ahn, Hee-Bin;Kim, Ji-Young;Kim, Soon-Joong;Jeong, Su-Hyeon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.1-11
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    • 2011
  • Objectives : The purpose of this study is to access the taping treatment in patients with sports injury of knee. Methods : Three patients were treated by taping to evaluate the effect of the treatment. The patient's symptoms were assessed by range of motion(ROM), verbal numerical rating scale(VNRS), knee injury and osteoarthritis outcome score(KOOS) and physical examinations. Results : In all case, the pain was reduced according to VNRS score. ROM and KOOS of two cases were improved. Conclusion : These results suggest that taping might be an effective method to treat patients with sports injury of knee. But, it's necessary to have more observations and experiment with taping.

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Herbal Medicine and Local Acupuncture Point Stimulation Administration and Their Clinical Effect on Quality of Life for Cervicogenic Dizziness (CGD) Patient: A CARE Guideline Compliant Case Report (경추성 현훈 환자의 복합 한의진료 경과 및 삶의 질 변화 : CARE 가이드라인에 따른 증례보고)

  • Kim, Eunmi;Jo, Hee-Geun
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.414-423
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    • 2020
  • Background: This study examines the clinical effect on quality of life of herbal medicine and local acupuncture point stimulation administration for a cervicogenic dizziness (CGD) patient. This case report was described in accordance with CARE guidelines. Case Report: A 25 year-old female patient suspected to be suffering from CGD was examined. The patient was treated with herbal medicine and local acupuncture point stimulation. We used the Headache Impact Test-6 (HIT-6), Dizziness Handicap Inventory (DHI), Pittsburgh Sleep Quality Index (PSQI), 36-Item Short Form Health Survey Version 2 (SF-36v2), and verbal numerical rating scale (VNRS) to assess the patient's symptoms. As new herbal medicine and local acupuncture point stimulation were applied, dizziness, headache, and neck pain symptoms improved. Quality of life affected by the symptoms significantly improved. Adverse effects were not observed. Conclusions: This study may suggest that herbal medicine and local acupuncture point stimulation may be effective therapy for the treatment of typical symptoms in patients with CGD.

Treatment of Chronic Cough in an Upper Airway Cough Syndrome (UACS)-Suspected Patient with Local Acupuncture Points Stimulation and Application of Topical Herbal Mixed Heating Cream : A Case Report (상기도기침증후군으로 의심되는 만성기침 환자에 대한 인후부 근위취혈 침치료 및 한약 온열크림 도포 경과 : 증례보고)

  • Kim, Eunmi;Jo, Hee-geun
    • The Journal of Internal Korean Medicine
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    • v.40 no.3
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    • pp.557-565
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    • 2019
  • Objectives: This study investigated the effect of local acupuncture point stimulation and the application of a topical herbal mixed heating cream in a chronic cough patient who had not responded to various medications for more than a few months. Methods: An 81 year-old female patient who was suspected to be suffered from Upper Airway Cough Syndrome (UACS) was examined. The patient was treated with local acupuncture point stimulation and the application of a topical herbal mixed heating cream. We used the Leicester Cough Questionnaire, Cough-Specific Quality-of-Life Questionnaire, and Verbal Numerical Rating Scale to assess the patient's respiratory symptoms. Results: Local acupuncture point stimulation and the application of a topical herbal mixed heating cream resulted in the improvement of cough symptoms. The quality of life due to the alleviation of symptoms also significantly improved. Adverse effects were not observed. Conclusions: This study suggests that local acupuncture point stimulation and the application of a topical herbal mixed heating cream may be an effective therapy for the treatment of chronic cough in patients with UACS.

A Case Report of Thoracic Outlet Syndrome Improved by Integrated Korean Medical Treatment (흉곽출구증후군 환자에 대한 한의학적 통합치료 증례보고 1례)

  • Lee, Dong Geun;Lee, Ook Jae;Lee, Ju Hee;Lee, Sang Hyun;Lee, Jung Hun;Cheong, Min Seong;Kim, Jae Hong
    • Journal of Acupuncture Research
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    • v.31 no.2
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    • pp.173-182
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    • 2014
  • Objectives : There are few reports on treatment of thoracic outlet syndrome in the field of traditional Korean medicine. The aim of this study is to report a case of a 29-year-old male patient diagnosed with thoracic outlet syndrome, whose symptoms were relieved after 3-week integrated Korean medical treatment. Methods : A patient diagnosed with thoracic outlet syndrome was admitted into the Korean medicine hospital. The patient had left shoulder pain and left arm numbness. The pain was worse if it had become cold. The patient was treated using Sa-am acupuncture(Daejangseunggyeok), sweet bee venom acupuncture, herbal medicine and other treatment including physical therapy from September 7th to 27th of 2012. Improvement of the patient's symptoms was evaluated by verbal numerical rating scale(VNRS), skin surface temperature difference between the left and right symmetric part of digital infrared thermographic image(DITI). Results : After 3-weeks of treatment, VNRS decreased and skin surface temperature difference between the left and right symmetric part of DITI showed moderate improvement. Conclusions : The results suggest that integrated Korean medical treatment may affect to reduce the symptoms of thoracic outlet syndrome. Further study is needed to evaluate the importance of this report.

Clinical Observation on 119 Patients with Lumbar Spinal Stenosis Treated with Bee Venom Pharmacopuncture Therapy (봉약침 병행치료한 요추관 협착증 환자 119례에 대한 임상고찰)

  • Han, Kyung-Wan;Kim, Eun-Seok;Woo, Jae-Hyuk;Lee, Seul-Ji;Lee, Joon-Seok;Nam, Ji-Hwan;Kim, Kie-Won;Koh, Kang-Hoon;Yoo, In-Sik
    • Journal of Acupuncture Research
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    • v.28 no.3
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    • pp.21-31
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    • 2011
  • Objectives : The purpose of this study was to evaluate the effect of bee venom pharmacopuncture therapy in patients with lumbar spinal stenosis. Methods : This clinical study was carried out on 119 patients with lumbar spinal stenosis, who had been admitted from May, 2009 to March, 2011. Patients were sorted into two groups ; One group(bee venom pharmacopuncture group) was treated with bee venom pharmacopuncture and acupuncture therapy, the other(non-bee venom pharmacopuncture group) with acupuncture therapy only. Verbal numerical rating scale(VNRS) and Oswestry disability index(ODI) were used to evaluate the effectiveness of the treatment in both groups. VNRS and ODI scores of the two groups were statistically compared. Results : The bee venom pharmacopuncture group demonstrated a more significant improvement than non-bee venom pharmacopuncture group when evaluated with VNRS and ODI. Conclusions : In the case of the patients with spinal stenosis, it was found that treatment with combination of bee venom pharmacopuncture and acupuncture was more effective in improving the conditions of the patients (subsidence of the symptoms) than the acupuncture treatment only.