• 제목/요약/키워드: 긴장성두통

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체침(體鍼)과 이침(耳鍼)을 병용(倂用)하여 치료(治療)한 긴장성(緊張性) 두통(頭痛)에 관(關)한 임상적(臨床的) 고찰(考察) (A clinical review on the effect of Acupuncture(body and ears) treatment for strained head-ache)

  • 김양식;김성현
    • 대한한의학회지
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    • 제17권1호
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    • pp.433-446
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    • 1996
  • From September 1990 to December 1994, author had treated by acupuncture for 75 cases of strained headache. The results were as follows. 1. There were some kind of head-ache, posterior head-ache( 32.0 % ), lateral head-ache( 28 % ), whole head-ache( 25.3 % ), floating head-ache(8.0%), upper head-ache( 4.0 % ), front head-ache( 2.7 % ). 2. The causes of head-ache were indistinctness ( 34.7 % ), sensibility ( 53.3 % ), indigestion( 12.9 % ), ect. 3. The combined symptoms were indigestion, constipation, sensibility, hypertention, muscle-ache, ect. 4. There were effects of acupuncture treatment, unavailability (25.3 %), availability (74.7 %). 5. There were availability in according with increasing treatment.

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스마트 폰 사용에 따른 경추부 근육의 생체역학성 (Biomechanical Properties of the Cervical Muscles Depending on Using of a Smartphone)

  • 김용우;김맹규
    • 한국체육학회지인문사회과학편
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    • 제55권3호
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    • pp.543-551
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    • 2016
  • 본 연구는 스마트 폰을 사용(≥ 60분/일)하는 건강한 20대 남성 50명을 대상으로 두부의 움직임에 직접 관여하는 경추부 근육(두판상근, 흉쇄유돌근, 상부승모근)에 연부조직 측정기 Myoton을 이용하여 스마트 폰 사용정도와 경추부 근육의 기계적 속성의 관련성을 규명하려는 목적으로 수행되었다. 스마트 폰 사용정도는 전용의 중독 척도설문지를 이용하였다. 경추부 근육의 기계적 속성은 Myoton을 이용하여 근 긴장도(frequency), 동강성(stiffness), 점탄성(decrement), 근변형률(creep) 및 회복시간(relaxation)의 반영지표를 각각 산출하였다. 스마트 폰 사용에 의한 중독 점수와 경추부 근육의 기계적 속성을 반영하는 각 지표와의 관련성을 평가하기 위해 상관분석을 실시하였다. 연구 결과 기계적 속성을 반영한 모든 parameters의 변동계수는 각각 2% 미만이었으며, 측정자 신뢰도인 급내상관계수 역시 높은 신뢰성이 도출되었다(ICC>.9, p<.01). 스마트 폰 중독점수는 상부승모근의 근 긴장도(r=.353, p<.05)와 동강성(r=.346, p<.05), 흉쇄유돌근의 점탄성(r=-.284, p<.05)과 근 변형률(r=.288, p<.05)과의 유의미한 상관이 나타났고, 특히 두부 통증과 관련된 두판상근의 근 긴장도(r=-.368, p<.01), 점탄성(r=-.405, p<.01), 동강성(r=-.424, p<.01)과의 높은 상관계수로 스마트 폰 과사용과 밀접한 관련성을 나타내었다. 결론적으로 젊은 남성들에 있어서 스마트 폰 과사용은 경추부 근 손상과 통증 및 두통에 유의미한 관련성이 있음을 간접적으로 시사하며, Myoton은 경추부 근육 성질을 예측 및 평가할 수 있는 유용한 기기임을 알 수 있었다.

슬링 운동 시 착용한 목보조기가 긴장성 두통을 가진 전방 머리 자세가 있는 성인의 근긴장도와 두통에 미치는 영향: 무작위 대조 예비연구 (Effect of Sling Exercise Wearing a Neck Orthosis on Muscle Tension and Headache in Adults with Forward Head Posture and Tension Headache: A Randomized, Controlled, Preliminary Study)

  • 오은별;김태우;홍유진;류전남;박상영;차용준
    • 대한물리의학회지
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    • 제18권4호
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    • pp.145-154
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    • 2023
  • PURPOSE: This study was conducted to investigate the effect of the sling exercise wearing a neck orthosis on the craniovertebral angle, muscle tension, and headaches in adults with a forward head posture and tension headache. METHODS: In this single-blinded, randomized, controlled, comparative study, a total of 22 adults with forward head postures and tension headaches were randomly assigned to the experimental group (sling exercise wearing a neck orthosis, n = 11) or the control group (sling exercise without a neck orthosis, n = 11). All participants undertook the sling exercise program (3×/week for 4 weeks). The craniovertebral angle, muscle tension, and headache were measured before and after the 4-week training. RESULTS: Significant improvements were observed in the craniovertebral angle, muscle tension, and headache in the experimental group (p < .05). This group also showed a larger decrease in the muscle tension and headache (upper trapezius, -4.97 Hz vs -1.70 Hz, p < .05; splenius capitis, -5.44 Hz vs -2.54 Hz, p < .05; headache, -19.73 score vs -14.64 score, p < .05, respectively). CONCLUSION: The sling exercise wearing a neck orthosis could be an effective way to relieve the symptoms caused by a forward head posture. It could also be a more effective way of decreasing muscle tension and headaches than the sling exercise without wearing a neck orthosis.

대학생에서의 만성 및 특발성 긴장성 두통이 두부전방자세와 경추가동범위에 미치는 영향 (The Effect of Forward Head Posture and Cervical ROM on Chronic and Episodic Tension-Type Headache in University Students)

  • 채윤원
    • The Journal of Korean Physical Therapy
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    • 제21권2호
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    • pp.71-77
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    • 2009
  • Purpose: This study assessed the differences in the forward head posture (FHP), cervical range of motion, and headache clinical parameters in episodic tension-type headache (ETTH) subjects, chronic tension-type headache (CTTH) subjects, and healthy controls (university students). Methods: Fifteen CTTH subjects, 15 ETTH subjects and 15 controls without headache were examined. Side-view images of each group were taken in both the sitting and standing positions, in order to assess the FHP by measuring the craniovertebral angle. The CROM was used to measure the cervical range of motion. A headache diary was kept for 4 weeks to assess the headache intensity, frequency, and duration. Results: The craniovertebral angle was smaller, ie, there was a greater FHP, in the CTTH and ETTH subjects than in the healthy controls in both the sitting and standing positions (p<0.05). The CTTH and ETTH subjects showed a lower cervical range of motion than the healthy controls in the total range of motion as well as in the half-cycles (p<0.05). Conclusion: The increased FHP and decreased cervical range of motion might be a contributing factor in the initiation of tension-type headache.

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성인의 긴장성 두통에 에어견인요법이 앞쪽머리자세와 ROM 및 통증에 미치는 영향 (The Effects of Air-Pressure Cervical Traction Treatment on Forward Head Posture, ROM and Pain in the Tension Headache in the Adults)

  • 조남정;이솔재
    • 대한통합의학회지
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    • 제2권4호
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    • pp.9-17
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    • 2014
  • Purpose : The purpose of this study was to ascertain the effects of air-pressure cervical traction on the tension headache in the adults. Method : All subjects were treated with air-pressure cervical traction while 15 minutes a day, 3 times per week, for 4 weeks. The effects of air-pressure cervical traction were evaluated by HIT-6(headache impact test), VAS, and flexion, extension, left right flexion, left right rotation of cervical ROM. The measured data were analyzed by using repeated ANOVA. Especially in order to investigate the effect of air-pressure cervical traction. The comparison with among three measurement time. Results : The results of this study were as follows; 1) Prior and two weeks measurement did not show significant differences. The head forward posture than before the experiment, each experimental group was significantly increased(p<.05). 2) Prior and two weeks measurement did not show significant differences. The experimental group than ever cervical ROM of the movable range increased significantly(p<.05). 3) The experimental group was significantly lower than before the VAS(p<.05). 4) HIT score of the experimental group was significantly lower than before(p<.05). Conclusion : These findings suggest that air-pressure cervical traction had effect on the tension headache in the adults.

긴장성 두통에 대한 동통유발점 자침과 원위취혈 자침의 치료효과에 대한 임상적 비교 연구 (Clinical Study of Different Effect between Trigger Point Needling and Remote Acupuncture Point Needling on Tension-type Headache)

  • 이상무;황규선;한희철;정형섭
    • Journal of Acupuncture Research
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    • 제18권1호
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    • pp.14-20
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    • 2001
  • Purpose ; Iension-type headache is the most common headache. The effect of acupuncture for headache is already known, but the methods and technique of acupuncture is varied. Choice of acupuncture points is mostly relied on experience. Moreover, objective evaluation of acupuncture effects is lacking. Objective ; The objective of this study is to assess the difference of effects between dry needling on trigger point and dry needling on remote acupuncture point. The patients who were diagnosed as tension-type headache and administrated herb-medication were divided into two groups: Trigger point dry needling group and remote acupuncture point dry needling group, matching in sex, age. The degree of pain was measured by visual analogue scale(VAS) two times, before and after dry needling. Conclusion ; VAS showed significant decrement after dry needling on tension-type headache in both groups, but there was no statistically significant difference between two groups according to sex, age and duration. In addition, it is not statistically approved that there exists the difference of VAS between two groups about the treatment effects.

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긴장성 두통환자에 대한 관절가동기법이 통증회복에 미치는 영향 (The Effect of Joint Mobilization Therapy on Pain Recovery for patients with Tension-type Headache)

  • 박경리;이인학;구창회;배성수
    • The Journal of Korean Physical Therapy
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    • 제18권1호
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    • pp.33-40
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of cervical mobilization on the tension type headache recovery. : The subjects were consisted of 70 patients with tension type headache. All subjects randomly assigned to cervical mobilization group and massage group. The mobilization group received cervical mobilization with modality treatment and massage group received cervical massage with modality treatment. Visual analogue scala(VAS) was used to daily headache hours and patient's pain level. Results: The results of this study were summarized as follows: 1. The Visual Analogue Scale(VAS) was mobilization group showed significant1y decreased more than massage group(p<.01). 2. The daily headache was mobilization group showed significantly decreased more than massage group(p<.01). Conclusion: mobilization is beneficial treatment for tension type headache.

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긴장성 두통에 대한 추나요법 치험 3례 (3 Case Reports on Tension-type Headache Treated by Chuna manipulative Therapy)

  • 원제훈;김영준;안희덕;우창훈
    • 척추신경추나의학회지
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    • 제10권1호
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    • pp.97-106
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    • 2015
  • Objectives: The Purpose of this study is to report three cases on tension-type headache treated by Chuna manipulative therapy. Methods: Three patients diagnosed tension-type headache were treated with Chuna manipulative therapy only. To evaluate effect of treatment, visual analogue scale(VAS) and headache impact test(HIT) were used. We checked VAS and HIT score three times(pretreatment, post-treatment, follow-up). An interval among each evaluation time is 4 weeks. Results: At post-treatment evaluation, VAS and HIT score declined significantly compared with pre-treatment. At follow-up evaluation, the pain did not increased. Conclusions: These results suggests that Chuna manipulative therapy may be effective for tension-type headache.

긴장성 두통환자의 두경부 압력통각 역치에 관한 연구 (Pressure-Pain Thresholds(PPT) of Head and Neck Muscles in Tension-type Headache Patients)

  • Hyung-Suk Kim;Keun-Kook Lee;Sung-Chang Chung
    • Journal of Oral Medicine and Pain
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    • 제17권2호
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    • pp.19-25
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    • 1992
  • The pressure pain thresholds of head and neck muscles of patients suffering from tensiontype headache220, all female, ages ranged from 13 to 50 years (28.4$\pm$9.6) and 39 healthy controls, all female, ages ranged from 14 to 46 years (24.4$\pm$9.2) were recorded by the electronic algometer (Electyronic Algometer Type I, Somedic, Stockholm, Sweden). And the obtained results were as follows : 1. The pressure pain thresholds of patient group were lower than those of controls in superior sternocleidomastoid muscle, middle sternocleidomastoid muscle, and trapezius insertion muscle (P<0.001) 2. The pressure pain thresholds of patient group were not different from those of controls in anterior temporal, middle temporal, posterior temporal, deep masseter, anterior masseter, inferior masseter, medial pterygoid, posterior digastric, splenius capitus and upper trapezius muscle (P>0.05). 3. Seventy-one percent of tension-type headache patients had more than one muscle, of whicb pressure pain threshold was lowered significantly (less than mean of control - 1.5SD). 4. The pressure pain thresholds of head and neck muscles should be considered as a criterion for the diagnosis of tension-type headache.

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긴장성 두통에 대한 두개경부 운동의 효과 (The Effect of Craniocervical Exercise on Tension-Type Headache)

  • 채윤원;이현민
    • The Journal of Korean Physical Therapy
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    • 제21권4호
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    • pp.9-16
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    • 2009
  • Purpose: This study was done to assess the effect of changes in forward head posture (FHP), neck mobility and headache clinical parameters on episodic tension-type headache (ETTH) and chronic tension-type headache (CTTH) who did craniocervial exercises. Methods: Twelve CTTH subjects and twelve ETTH subjects were studied. Side-view pictures of subjects were taken in both sitting and standing positions, in order to assess FHP by measuring the craniovertebral angle. Cervical range of motion (CROM) was employed to measure cervical mobility. A headache diary was kept to assess headache intensity, frequency, and duration. All subjects did three types of craniocervical exercise over 8 weeks. Measurements were done at pre-treatment, and at 4 and 8 weeks post-treatment. Results: Forward head posture and headache-related clinical parameters showed a significant improvement after craniocervical exercise (p<0.05). Flexion/extension and left/right rotation of CROM was significantly increased after the intervention (p<0.05), whereas changes in left/right bending did not reach statistical significance. Conclusion: This study indicates that craniocervical exercise may be effective in the management of tension-type headache.

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