경견부 근막통증증후군에 대한 침치료 효과와 압통역치의 변화

Effects of Acupuncture on Upper Back Myofascial Pain and Pain Pressure Threshold

  • 조성규 (경희대학교 한의과대학 침구학교실) ;
  • 서정철 (동의대학교 한의과대학 침구경혈학교실) ;
  • 최도영 (경희대학교 한의과대학 침구학교실) ;
  • 김용석 (경희대학교 한의과대학 침구학교실)
  • Cho, Seong-Gyu (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung-Hee University) ;
  • Seo, Jung-Chul (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Dong-Eui University) ;
  • Choi, Do-Young (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Yong-Suk (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung-Hee University)
  • 투고 : 2001.08.13
  • 심사 : 2001.08.25
  • 발행 : 2001.10.20

초록

Objective : This study was performed to confirm the effects of acupuncture on myofascial pain syndrome(MPS) through the change of visual analogue scale(VAS) and pain pressure threshold(PPT) and the usefulness of pressure algometer on the evaluation of pain. Methods : We perfomed this study with 20 outpatients complaining of upper back pain. Before acupuncture therapy(AT), immediately after AT and 2-3 days after AT, we respectively checked visual analogue scale(VAS) and pain pressure threshold(PPT) through pressure algometer, with patients seated and relaxed. The PPT was checked at major trigger point of upper trapezius, levator scapulae, supraspinatus, infraspinatus, rhomboideus minor. and the patients were needled at the same points and maintained for 15 minutes. Results : VAS of immediately after AT was mild higher than that of before AT, but not significantly different. and VAS of 2-3 days after AT was significantly lower than before AT and immediately after AT. PPT of immediately after AT was lower than before PT, but not significantly different. PPT of 2-3 days after AT was significantly higher than that of before AT and immediately after AT. Also PPT was significantly correlated with VAS. Conclusion : PPT of omen was signicantly lower than that of men. and there was no significant difference by age. PPT was increased according to pain duration. Effectiveness of acupuncture on myofascial pain syndrome through PPT and VAS is showed at 2-3 days after AT rather than immediatly after AT. and pressure algometer is useful for the evaluation of Acupuncture therapy on myofascial pain syndrome.

키워드

참고문헌

  1. Classification of chronic pain Merskey, H.;Bogduk, N.(Eds.)
  2. The Trigger Points manual v.1 M¬yofascial Pain and Dysfunction Simons, D.G.;Travell, J.G.;Simons, L.S.
  3. 대한통증학회지 v.1 no.2 통증의 평가 김태헌
  4. 대한재활의학회지 v.26 no.3 한국인에게 적용시킨 통증평가의 유용성에 대한 비교연구 김철;전세일;신정순;심재호
  5. The Clinical Journal of Pain. v.2 Pressure thereshold measurement for diagnosis of myofascial pain and evaluation of treatment results. Fisher, A.A.
  6. 통증 v.5 통증에 대한 동양의학적 접근 민병일
  7. 대한침구학회지 v.8 no.1 경근이론의 임상응용을 위한 문헌적 고찰II-상지 부분- 유태성;고형균;김창환
  8. 대한신경과학회 춘계보수교육 침술요법과 통증 조절 김용석
  9. Pain. v.30 Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Fisher, A.A.
  10. Pain. v.38 Measurements of human pressure-pain thresholds on fingers and toes. Brennum, J.;Kjeldson, M.;Jensen, K.;Jensen, T.S.
  11. Arch Phys Med Rehabil. v.67 Pressure Threshold Meter Its Use for Quantification of Tender Spots. Fisher, A.A.
  12. 대한재활의학회지 v.21 전화교환원에서의 골격근 압통 역치와 Grip 및 Pinch Strenth 이규한;박시복;이상건;이강목;노상철;송재철
  13. 대한재활의학회지 v.18 no.2 정상 한국 청년군의 골격근 압통 역치에 관한 연구 한태륜;김진호;전민호;최경효
  14. Spine. v.5 Dry needling of muscle motor points for chronic back pain, a randomized clinical trial with long term follow up Gunn, C.C.;Milbrandt, W.E.;Little, A.S.;Mason, K.E.
  15. Pain. v.6 The needle effect in the relief of myofascial pain. Lewit, K.
  16. Am J Phys Med Rehabil. v.73 Lidocaine injection versus dry needling. Hong, C.Z.
  17. 대한재활의학회지 v.19 no.3 동통유발점에 대한 Lidocaine주사법과 Dry needling의 치료효과 비교 박미연;최선미;전평식;오승현
  18. Pain. v.32 The effect of Myofascial trigger point injections are naloxone reversible. Fine, P.G.
  19. Arch Phys Med Rehabil. v.62 Myofascial trigger points. Relation to acupuncture and mechanism of pain. Melzack, R.
  20. Acupuncture Elecctother Res. v.22 no.2 Increased pain threshold following electroacupuncture: analgesia is induced mainly in meridian acupuncture points Farber, P.L.;Tachibana, A.;Campiglia, H.M.
  21. Int Anesthesiol Clinics. v.26 no.3 The effects of acupuncture on operative pain and the hormonal response to stress Leong, R.J.;Chernow, B.
  22. Pain. v.88 Pressure pain threshold and needle acupuncture in chronic tension-type headache-a double-blind placebo-controlled study Karst, M.;Rollnik, JD.;Fink, M.;Reinhard, M.;Piepenbrok, S.
  23. 대한재활의학회지 v.15 동통유발점 주사요법후 골격근 압통역치의 변화에 대한 고찰 박시운;김연희;장순자;최영태
  24. Pain. v.27 Quantification of changes in myofascial trigger point sensitivity with the pressure algometer following passive stretch Jaeger, S.;Reeves, J.L.
  25. 중앙의학 v.55 no.10 Pressure Algometer를 이용한 정상 한국인의 골격근 압통역치에 관한 연구 김연희