• Title/Summary/Keyword: visual analog score

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A Case Report of Korean Medicine Treatment for Post-Lumbar Puncture Headache (요추천자 후 발생한 두통 치험 1례)

  • Oh, Seo-hye;Park, Eun-su;Kim, Won-young;Kim, Dong-young;Park, Eun-young
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.115-121
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    • 2022
  • Lumbar puncture is an essential procedure for obtaining fluid from spinal meningeal spaces, and post-lumbar puncture headache is the most frequent adverse event. This case report evaluates the effects of treatment with traditional Korean medicine on a patient suffering post-lumbar puncture headache using the Headache Disability Inventory (HDI) and the visual analog scale (VAS). The patient's HDI score decreased from 46 to 6 after treatment, and the VAS score decreased from 62 to 5. The results suggest that traditional Korean medicine can be helpful in managing post-lumbar puncture headache.

The Clinical Study on the Effect of Acupotomy in Shoulder Disease (침도침 시술이 견관절 질환에 미치는 영향에 관한 임상적 고찰)

  • Kim, Yeon-Mi;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.141-148
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    • 2008
  • Objectives : The purpose of this study is to report the effect of acupotomy for patients with shoulder disease. Methods : We treated Five patients who have shoulder disease with acupotomy. To check the effect and satisfaction of acupotomy we used visual analog scale(VAS) and Five-point Likert scale. At the same time, we measured Change of shoulder range of motion(ROM). Results : After treatment pain were improved, VAS score decreased significantly to 2.5. The Likert scale point were checked 4.4, the patients were satisfied with the effect of acupotomy. Conclusions : This study shows acupotomy has useful effect on shoulder disease. An acupotomy is an alternative effective treatment modality for shoulder disease.

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The Clinical Study on the Effect of Acupotomy on Chronic Arthritis of Ankle (침도침 시술을 시행한 만성 족관절 염좌 환자 2례에 대한 증례보고)

  • Kim, Min-Jung;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.157-162
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    • 2008
  • Objectives : The purpose of this study is to report the effect of acupotomy for patients with chronic arthritis of ankle. Methods : We treated Two patients who have chronic arthritis of ankle with acupotomy. To check the effect and satisfaction of acupotomy we used visual analog scale(VAS) and Five-point Likert scale. At the same time, we measured Change of ankle range of motion(ROM). Results : As a result of evaluation by using VAS, after treatment VAS score decreased(VAS3, VAS5). ROM of ankle widened. And the Likert scale point were checked 3 and 4. Conclusions : This study shows acupotomy has useful effect on chronic arthritis of ankle. An acupotomy is an alternative effective treatment modality for chronic arthritis of ankle.

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Effect of Bee venom-Acupuncture Therapy on Patients with Sprain of the Wrist Joint (수근관절(手根關節) 염좌(捻挫)의 봉약침(峰藥鍼) 치료(治療) 효과(效果))

  • An, Byeong-Jun;Song, Ho-Sueb
    • Journal of Pharmacopuncture
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    • v.9 no.2
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    • pp.167-171
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    • 2006
  • Objective : This study was to evaluate the effect of Bee venom-Acupuncture therapy on patients with sprain of the wrist. Methods : We investigated 31 cases of patients with sprain of the wrist. We flip a coin and divide patients into two groups. Bee venom-Acupuncture was performed at on group, and the other group we didn't do it. We evaluated the treatment effect of each group by using the visual analog scale(VAS). Results : 1. As a result of evaluation by using the VAS, the score after treatment was marked lower than that before treatment within each group. 2. After treatment, Bee venom-Acupuncture therapy group showed significant difference on visual analog scale(VAS) compared with acupuncture therapy group. Conclusion : These results suggested that Bee venom-Acupuncture treatment should be more effective in the patient with sprain of the Wrist joint.

A Study of Gamitonggyung-tang's Clinical Effects on Primary Dysmenorrhea: A Retrospective Chart Review (가미통경탕(加味通經湯)의 원발성 월경통에 관한 임상적 효과 : 후향적 차트 리뷰)

  • Kim, Ha-Neul;Kim, Min-Ji;Yoo, Yeong-Jae;Kim, Seo-Young;Lim, Young-Woo;Park, Young-Bae
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.3
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    • pp.116-127
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    • 2019
  • Objectives: The purpose of this study is to evaluate the effects of Gamitonggyung-tang on Primary Dysmenorrhea. Methods: We treated 33 cases of primary dysmenorrhea patients with Gamitonggyung-tang for three menstrual cycles. We estimated the effects by Visual Analog Scale (VAS), Menstrual Distress Questionnaire (MDQ) and checked amount of the analgesics taken during menstrual phase. Results: After treatment, the mean of VAS, MDQ Score and amount of the analgesics taken were decreased. Conclusions: This case shows that Gamitonggyung-tang is effective in treating primary dysmenorrhea patients.

Efficacy of rhomboid intercostal block for analgesia after thoracotomy

  • Okmen, Korgun
    • The Korean Journal of Pain
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    • v.32 no.2
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    • pp.129-132
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    • 2019
  • Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly performed by injection to the upper intercostal muscle plane below the rhomboid muscle. It has been reported to provide analgesia at the T3-T9 levels. The RIB was performed on 5 patients who had been scheduled for thoracotomy. The catheter was advanced in the area under the rhomboid muscle between the intercostal muscles. Postoperative visual analog scale (VAS) scores were observed and each patient's resting VAS score remained below 3 for 48 hours. The RIB has been observed to be a convenient plane block for post-thoracotomy analgesia. We believe that further information from detailed studies is required.

A Clinical Case of a Recurrent Polyarticular Gout Patient Treated with Gyeji-tang-gami and Soshiho-tang-gami (계지탕과 소시호탕의 가감방으로 호전된 만성 재발성 다관절 통풍 환자 1례)

  • Kim, Bo-sung;Ahn, Seon-ju;Lee, Young-su
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.1006-1017
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    • 2022
  • Objectives: This study examined a clinical case of a recurrent polyarticular gout patient treated with Korean medicine. Methods: The patient was treated with Korean medicine (Gyejigagye-tang, Soshiho-tang-gami, Gyejigajakyak-tang, acupuncture, and moxibustion), Western medicine, and rehabilitative therapy. Their effects were evaluated using the Visual Analog Scale. Results: After receiving Korean medical treatment for two admission periods, the Visual Analog Scale score for joint pain improved or disappeared. Moreover, Korean medicine was able to manage the symptoms of the gout patient. Conclusions: Proper Korean medicine treatment could be effective in improving the symptoms of recurrent polyarticular gout pain.

Research on the Effect and Satisfaction between Independenced and Parallelism Treatment of Acupuncture and Physical of Lumbago Patients (요통환자에 대한 침치료와 물리치료의 단독 및 병행치료의 효과와 만족도 조사)

  • Yoo, Sang-Min;Bae, Kyeong-Yeon;Lee, Yong-Hyun;Jung, Jae-Joong;Lim, Se-Young
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.75-84
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    • 2005
  • Objectives : Research on the effect and satisfaction between Acupuncture Treatment, Physical Treatment and contemporary Treatments of Acupuncture and Physical of lumbago patients Methods : We separated lumbago patients into three groups. A group with only Acupuncture Treatment and a group with only Physical Treatment and a group with contemporary treatments of Acupuncture and Physical. Questionnaire survey and score of Visual Analog Scale(VAS) and Oswestry Disability Index(ODI) were examined for comparison. Results & Conclusion : 1. Of the 54 patients Acupuncture Teatment group had 17 patients with similar ratio of gender and the average age was 39.5 years old. For the Physical Treatment group the ratio of male was 75% of the 8 patients and had the youngest average age which was 29.1 years old and the group with contemporary Treatments the ratio of female was 62% of 29 patients and had the oldest average age which was 46.7 years old. 2. The Acupuncture Treatment group had the shortest treatment period because of many acute stage caused by lumber sprain and the improvement score was the best. The group of contemporary treatments had the longest history day and treatment period by serious disease like HIVD and spinal stenosis but the improvement score of VAS and ODI was good similar to the Acupuncture Treatment group. For the Physical Treatment group there was many patients with degenerative change but not severe pain. The VAS, ODI and the improvement score was the lowest before and after the treatment.

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Evaluation of efficacy of Valsalva maneuver for attenuating propofol injection pain: a prospective, randomized, single blind, placebo controlled study

  • Kumar, Sanjay;Khuba, Sandeep;Agarwal, Anil;Gautam, Sujeet;Yadav, Madhulika;Dixit, Aanchal
    • Korean Journal of Anesthesiology
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    • v.71 no.6
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    • pp.453-458
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    • 2018
  • Background: Pain on injection is a limitation with propofol use. The effect of the Valsalva maneuver on pain during propofol injection has not been studied. This maneuver reduces pain through the sinoaortic baroreceptor reflex arc and by distraction. We aimed to assess the efficacy of the Valsalva maneuver in reducing pain during propofol injection. Methods: Eighty American Society of Anesthesiologists class I adult patients undergoing general anesthesia were enrolled and divided into two groups of 40 each. Group I (Valsalva) patients blew into a sphygmomanometer tube raising the mercury column up to 30 mmHg for 20 seconds, while Group II (Control) patients did not. Anesthesia was induced with 1% propofol immediately afterwards. Pain was assessed on a 10-point visual analog scale (VAS), where 0 represented no pain, and 10, the worst imaginable pain, and a 4-point withdrawal response score, where 0 represented no pain, and 3, the worst imaginable pain. Scores were presented as median (interquartile range). Results: We analyzed the data of 70 patients. The incidence of pain was significantly lower in the Valsalva than in the control group (53% vs. 78%, P = 0.029). The withdrawal response score was significantly lower in the Valsalva group (1.00 [0.00-1.00] vs. 2.00 [2.00-3.00], P < 0.001). The VAS score was significantly lower in the Valsalva group (1.00 [0.00-4.00] vs. 7.00 [6.25-8.00], P < 0.001). Conclusions: A prior Valsalva maneuver is effective in attenuating injection pain due to propofol; it is advantageous in being a non-pharmacological, safe, easy, and time-effective technique.

Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

  • Bisla, Suman;Gupta, Ambika;Agarwal, Shalini;Singh, Harneet;Sehrawat, Ankita;Singh, Aarti
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.6
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    • pp.565-574
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    • 2021
  • Background: Trigeminal neuralgia (TN) is a severe form of pain that affects the daily activities of a patient. Transcutaneous electrical nerve stimulation (TENS) therapy is an emerging option for the treatment of acute and chronic pain. The aim of this study was to evaluate the effect of TENS therapy as an adjunct to drug therapy for the treatment of TN. Methods: A total of 52 patients diagnosed with TN according to the International Classification of Headache Disorders (version 3) were included. Each patient was randomized to either the TENS or placebo TENS groups. Intervention was given in continuous mode and 100-Hz frequency for 20 mins biweekly for 6 weeks. Parameters were measured at baseline, TENS completion and 3 months, 6 months, and 1 year of follow up. The parameters observed were mean carbamazepine dose, mean visual analog scale (VAS) score, mean present pain intensity (PPI) score, and functional outcome. Non-parametric analyses, one-way ANOVA and the Kruskal-Wallis test were applied for intragroup comparisons, while the Mann-Whitney U test and independent t-test were used for intergroup comparisons of variables. The chi-square test was applied to analyze categorical data. Results: Compared to the placebo TENS group, the mean dose of carbamazepine in the TENS group was significantly reduced at TENS completion, as well as at 6 months and 1 year follow up. Changes in mean VAS score, mean PPI score, and functional outcome did not show significant differences between the groups (P>0.05). Conclusion: TENS therapy does not lead to any changes in pain levels but it may reduce the mean dose of carbamazepine when used as an adjunct treatment in patients with TN.