• 제목/요약/키워드: visual analog scale (VAS)

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Jaw Tremors with Agitation : Two Cases Report (번조(煩躁)를 동반한 턱떨림 환자 2례에 대한 증례 보고)

  • Han, In Sik;Sun, Seung Ho;Oh, Hyun Suk;Lee, Deuk Soo;Lee, Yong Hyun;Jeong, Jong Jin;Lee, Won Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.1
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    • pp.142-147
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    • 2013
  • The purpose of this study was to report the effect of Korean medicine and acupuncture in jaw tremor with Agitation. We studied two inpatients who had jaw tremor with agitation in the OO University Korean medicine hospital. They was treated with acupuncture (LU8, LR4, HT3, LR2) and herbal medicine. The effect of treatment was evaluated by Visual Analog Scale(VAS) and motor examination of Unified Parkinson's Disease Rating Scale(UPDRSIII). Both VAS of jaw tremor symptom and agitation and UPDRSIII score of tremor were decreased. The result suggest the combination treatment of herbal medicine and acupuncture might be effective for the jaw tremor with agitation.

Two Case Reports of different chief complaints combined with Sleep Disorder treated by Gamchogungang-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 감초건강탕(甘草乾薑湯) 투여 후 호전된 수면 장애 관련 증례 2례)

  • Park, Seo-Yeon;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.11 no.1
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    • pp.113-123
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    • 2019
  • Objective : The purpose of this study was to report the improvement in two patients with different complaints of sleep disorder treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system (DPIDS), and hypothesize the meaning of word '更'. Methods : According to DPIDS, patients were diagnosed with Taeyang-byung no. 29 provision, and took Gamchogungang-tang herb medication 15 or 90days. The results of administration were evaluated by the hyperhidrosis disease severity scale (HDSS) and the visual analog scale (VAS). Results : After administration of Gamchogungang-tang 15 or 90days, based on 29 provision of Gamchogungang-tang diagnosed according to Shanghanlun provisions, in one case the HDSS decreased from 3 to 1 and the VAS decreased from 10 to 1. In the other case, the VAS decreased from 10 to 1. Conclusions : Each patient not only recovered from symptoms of hyperhidrosis and alopecia areata, but also from sleep disorders following administration of a single medication of Gamchogungang-tang. This case report suggests that the word '更' in the 29 provisions of Shanghanlun means sleep disorder in this case.

Cumulative Therapeutic Effect of High-Voltage Microcurrent Therapy in Patients with Herniated Lumbar Disc (요추부 추간판 탈출증 환자에 대한 고전압 미세전류치료의 누적치료효과)

  • Yun, Wang Hyeon;Park, Jinyoung;Kim, Doyoung;Park, Jung Hyun
    • Clinical Pain
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    • v.18 no.2
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    • pp.65-69
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    • 2019
  • Objective: This study aims to evaluate the efficacy of high-voltage microcurrent therapy in patients with herniated lumbar disc (HLD) presenting radicular or back pain. Method: This is a retrospective study with 33 patients who are complaining pain with HLD findings on magnetic resonance image. Microcurrent therapy was applied to leg or paralumbar area. Treatment was conducted for seven minutes with 250~1000 uA intensity as high as the patients could tolerate via stimulating probe with roller type and the frequency was 60 Hz with a sine wave pulse. The visual analogue scale (VAS) was measured just before and after the treatment. Results: The degree of pain reduction (△VAS) was 1.6 points after treatment on average. The △VAS according to the diagnosis, stenosis, dermatome area, medication, pain site and caudal epidural block was not statistically significant. However, the △VAS according to the number of treatments (< 3, ≥ 3 times) showed a statistically significant difference (p=0.04). Conclusion: High-voltage microcurrent therapy may help reduce lumbar or lumbosacral radiating pain after the procedure. The effect was better when microcurrent was applied three times or more. This result suggests that the microcurrent would have cumulative effect on reducing radicular or back pain in patients with HLD.

Difference of Improvement according to Hospitalization Time after Traffic Accident: A Retrospective Study (교통사고 후 입원 시기에 따른 호전도 차이에 대한 후향적 연구)

  • Lee, Jeong-Ryol;Kim, Yang-sun;Kim, Tae-Gyu;Park, Han-Sol;Yoo, Do-Hyun;Lee, Sang-won;Choi, In-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.3
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    • pp.79-85
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    • 2018
  • Objectives The purpose of this study is to find a relation between hospitalization time and the overall outcome of treatment, and suggest an optimal hospitalization date. Methods We analyzed the medical records of patients who received admission treatment at Mokhuri Neck and Back Hospital in April, 2018. Results By analyzing the difference in visual analog scale (VAS) scores according to the hospitalization date, it was shown in this study that when hospitalization was held out by the fourth day of accident there was a significant difference in the improvement of symptoms than any other day. There were no statistically significant differences in initial VAS scores and admission periods. Conclusions It is the most effective for a traffic accident patient to receive hospitalization within the first four days of accident for the most effective reduction in overall pain.

Massage Therapy of Electrical Chair-Massager Effects on EEG Patterns (체어형 전동 안마기의 마사지가 뇌파 패턴에 미치는 영향)

  • Kim, Yong-Dae;Choi, Dong-Hyuk;Chang, Yun-Seung;Lee, Hyun-Ju;Tae, Ki-Sik
    • The Journal of the Korea Contents Association
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    • v.10 no.6
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    • pp.364-372
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    • 2010
  • The aim of this study was to evaluate effects of EEG patterns induced by three types ((1) resting mode(control group), (2) light massage mode, (3) strong massage mode in the electrical chair-massager for 15 minutes) in a sample of 16 healthy adults. Changes in anxiety and stress were assessed, and electroencephalogram was recorded. Anxiety scores(STAI: State Anxiety Inventory, VAS: Visual Analog Scale) decreased in all groups. For anxiety scores, the strong massage group showed the greatest decrease in stress. All groups also showed an increase in delta and theta activity, but only strong massage group showed a signigicant difference. All groups showed a decrease in alpha activity. Also, EEG changes in two groups except a control group showed a decrease in beta activity.

Decreased post-operative pain using a sublingual injection of dexamethasone (8 mg) in lower third molar surgery

  • Gozali, Peiter;Boonsiriseth, Kiatanant;Kiattavornchareon, Sirichai;Khanijou, Manop;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.1
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    • pp.47-53
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    • 2017
  • Background: Every patient who undergoes mandibular third molar surgery is concerned about post-operative pain. Indeed, previous researchers have used various methods to treat such pain. This study aimed to assess the effectiveness of sublingual injection of dexamethasone (8 mg) to treat post-operative pain after mandibular third molar surgery. Method: This was a randomized, double-blind, split-mouth, clinical trial, involving 48 healthy patients who required surgical removal of two mandibular third molars with similar bilateral positions. All operations were performed by the same experienced surgeon. The patients were randomized into a study group (8 mg dexamethasone injection) and a placebo group (normal saline injection). Both interventions were injected into the sublingual space immediately after local anesthesia, 30 min before the first incision. The study group received an 8 mg dexamethasone injection, while the placebo group received a normal saline injection. The wash period between the patients' two operations was 3 to 4 weeks. Pain was assessed by recording the number of analgesic tablets (rescue drug) consumed, as well as by noting the patients' responses to the visual analog scale (VAS) on the first, second, and third days after surgery. Results: The study group differed significantly from the placebo group in terms of VAS score and analgesic consumption. Conclusion: Dexamethasone (8 mg), injected sublingually, significantly eased post-operative pain after surgical removal of the mandibular third molar.

The Effects of Lumbar Stabilization Exercise on Pain-related Functions of Industrial Workers with Chronic Low Back Pain and Lumbar Instability (요부안정화운동이 요부불안정성을 가진 산업체 만성요통환자의 통증관련 기능에 미치는 효과)

  • Jung, Dae-In;Ko, Dae-Sik
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.479-486
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    • 2017
  • The purpose of this study is to investigate the effects of lumbar stabilization exercise on pain-related function of industrial workers with chronic low back pain and lumbar instability. 20 industrial workers with chronic low back pain were divided into two groups, control group(n=10) and experimental group(n=10). Back muscle strength, flexibility, and balance ability were measured to assess physical functions, and visual analog scale(VAS) was used to evaluate pain levels. In both groups, back muscle strength and balance ability increased significantly, and pain levels decreased significantly. In comparison between the groups, the experimental group compared to the control group showed significant improvement in balance ability and significant diminishment in pain levels. In conclusion, the lumbar stabilization exercise has positive effects on industrial workers with lumbar instability and chronic low back pain by improving balance ability and reducing pain.

Two Clinical Cases of Active Release Technique with Koeran Medicine Treatment for Supraspinatus Tendon Partial Tear (능동이완기법(active release technique)을 병행한 한방치료로 호전된 극상근건 부분 파열 호전 2례)

  • Lee, Sung-Joon;Park, Jae-Hyun;Nam, Su-Hyeon;Kang, Jun-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.89-101
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Korean medicine treatment combined with active release technique on supraspinatus tendon partial tear. Methods : Two patients with supraspinatus tendon partial tear were treated by Korean medicine treatment in combination with active release technique. Visual analog scale(VAS), range of motion(ROM) were used to measure changes during treatment. Results : After treatment, shoulder pain and limited range of motion were improved significantly. Conclusions : Korean medicine treatment in combination with active release technique is proved to be helpful to improve the symptoms of the supraspinatus tendon partial tear patients. And, further studies will be needed.

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Is Extracorporeal Shock Wave Therapy Effective in the Treatment of Myofascial Pain Syndrome?

  • Kim, Jong-Ick;Lee, Hyo-Jin;Park, Hyung-Youl;Lee, Won-Hee;Kim, Yang-Soo
    • Clinics in Shoulder and Elbow
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    • v.19 no.1
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    • pp.20-24
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    • 2016
  • Background: Extracorporeal shock wave therapy (ESWT) is one of the treatment options used for patients with myofascial pain syndrome (MPS), although its effectiveness is controversial. The purpose of this study was to evaluate the effectiveness of ESWT in the treatment of MPS in terms of pain relief and functional improvements. Methods: We assessed 93 patients with MPS who underwent ESWT from March 2009 to July 2014. After exclusion of 25 patients with shoulder diseases, 68 patients were enrolled in the study. The mean follow-up period was 7.5 months (${\pm}4.2weeks$), and the average duration of symptoms was 5 months (range, 2-16 months). ESWT was applied to intramuscular taut bands and referred pain areas once a week for 3 weeks. Visual analog scale (VAS) pain scores and American Shoulder and Elbow Surgeons (ASES) scores were obtained at an initial assessment and at the 6-week, 3-month, and 6-month follow-up assessments. Results: VAS pain scores and ASES scores improved significantly after 3 sessions of ESWT (p<0.05). Both scores were improved, although not significantly, after 6 weeks (p>0.05). Conclusions: ESWT is an effective treatment option for patients with MPS.

Effect of Whole Body Horizontal Vibration Exercise in Chronic Low Back Pain Patients: Vertical Versus Horizontal Vibration Exercise

  • Kim, Heejae;Kwon, Bum Sun;Park, Jin-Woo;Lee, Hojun;Nam, Kiyeun;Park, Taejune;Cho, Yongjin;Kim, Taeyeon
    • Annals of Rehabilitation Medicine
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    • v.42 no.6
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    • pp.804-813
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    • 2018
  • Objective To elucidate the effect of a 12-week horizontal vibration exercise (HVE) in chronic low back pain (CLBP) patients as compared to vertical vibration exercise (VVE). Methods Twenty-eight CLBP patients were randomly assigned to either the HVE or VVE group. All participants performed the exercise for 30 minutes each day, three times a week, for a total of 12 weeks. Altered pain and functional ability were evaluated using the visual analog scale (VAS) and Oswestry Disability Index (ODI), respectively. Changes in lumbar muscle strength, transverse abdominis (TrA) and multifidus muscle thicknesses, and standing balance were measured using an isokinetic dynamometer, ultrasonography, and balance parameters, respectively. These assessments were evaluated prior to treatment, 6 weeks and 12 weeks after the first treatment, and 4 weeks after the end of treatment (that is, 16 weeks after the first treatment). Results According to the repeated-measures analysis of variance, there were significant improvements with time on VAS, ODI, standing balance score, lumbar flexor, and extensor muscle strength (all p<0.001 in both groups) without any significant changes in TrA (p=0.153 in HVE, p=0.561 in VVE group) or multifidus (p=0.737 in HVE, p=0.380 in VVE group) muscle thickness. Further, there were no significant differences between groups according to time in any of the assessments. No adverse events were noticed during treatment in either group. Conclusion HVE is as effective as VVE in reducing pain, strengthening the lumbar muscle, and improving the balance and functional abilities of CLBP patients. Vibrational exercise increases muscle strength without inducing muscle hypertrophy.