• Title/Summary/Keyword: 두통

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A proposal for management of migraine in dental clinic (치과임상에서 편두통 치료에 대한 제안)

  • Park, YounJung;Lee, Hye-Jin;Kim, Seong Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.4
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    • pp.199-205
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    • 2019
  • Management of migraine, one of common primary headache disorders, involves the diverse strategies non-pharmacological treatment, such as headache diary, lifestyle modification, regular exercise and relaxation, cognitive behavioral therapy and neurostimulation, and pharmacological treatment. Among the treatments, this review described a pharmacologic treatment of migraine, classified into acute and preventive treatment based on the severity and the frequency of headache. It introduced the way to optimize pharmacological treatment and updated the latest treatment for migraine.

Effects of Auricular Acupressure on Headache and Its Impact on Daily Activities of Nurses (귀 지압이 간호사의 두통과 일상생활 두통 영향에 미치는 영향)

  • Kang, Hye-Won;Kim, Ja-Woon;Kim, Eun-Mi;Moon, Bo-bae;Jung, Jin-Young;Lee, Eun-Jin
    • Journal of East-West Nursing Research
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    • v.29 no.1
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    • pp.86-94
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    • 2023
  • Purpose: The purpose of this study was to examine the effects of auricular acupressure on headaches and its impact on daily activities in nurses. Methods: The design of this study was a randomized controlled trial. Data were collected from April 1 to April 14, 2022. Nurses suffering from headaches were recruited from a hospital in a city. Twenty nurses were assigned to the experimental group and 20 nurses to the control group. The experimental group received auricular acupressure for 2 weeks, and the control group was put on the waiting list. Results: Auricular acupressure reduced headache over 2 weeks compared to the control group. Auricular acupressure reduced the effect of headache on daily activities compared to control group. Headache effect on daily activities in the control group did not change. Conclusion: Based on the results of this study, it is suggested to repeat the study using various combinations of acupressure points other than the acupressure points used in this study or to use participants other than nurses.

Comparison of Alexithymia among Patients with Psychosomatic Disorders, Anxiety Disorders and Depressive Disorders (정신신체장애, 불안장애 및 우울장애 환자들 간의 Alexithymia의 비교)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.59-68
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    • 1994
  • A comparison was made regarding the degree of alexithymia among patients with psychosomatic disorders, anxiety disorders and depressive disorders. The author examined the degree of alexithymia in three groups : 100 psychosomatic patients(including 47 patients with tension headache), 52 outpatients with anxiety disorden, and 50 outpatients with depressive disorders. Alexithymia was assessed by Alexithymia provoked Response Questionnaires(APRQ) developed as a semi-structured interview form. No significant difference was found in the degree of alexithymia among Patients with Psychosomatic disorders, anxiety disorders, and depressive disorders. On the other hand, patients with tension headache were significantly more alexithymic than patients with anxiety disorders and depressive disorders, respectively. However, there was no significant difference in degree of alexithymia between patients with anxiety disorders and those with depressive disorders. Multiple regression analysis revealed that demographic variables such as set age, education level, and marital status did not make a significant influence on alexithymia scores. These results suggest a greater degree of alexithymia in patients with a specific group of psychosomiatic disorders such as tension headache than in patients with emotional disorders, unlike the previous report that in general, psychosomatic patients are alexithymic. Thus, it is necessary to develop special forms of interview which can induce and encourage expression of emotion as a therapeutic strategy for patients with tension headache.

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Psychosomatic Symptoms of Rotating Shift and Daytime Working Nurses in a General Hospital (일 병원의 순환교대근무와 주간고정근무 여성 간호사의 근무형태에 따른 정신신체 증상)

  • Kim, Byoung-Jo;Choi, Mal-Rye;Kim, Tae-Hyung;Kim, Hyeong-Wook;Eun, Hun-Jeong
    • Korean Journal of Psychosomatic Medicine
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    • v.22 no.2
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    • pp.79-86
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    • 2014
  • Objectives : Shift work disorder occurs when you have difficulties adjusting to a work schedule that takes place during a time which most people sleep. Some people may have diverse psychosomatic symptoms, such as sleep problems, depression, anxiety, and headaches even after the shift work schedule ends. The aims of this study are to compare difference of psychosomatic symptoms between rotating shift and daytime working nurse groups. Methods : Volunteer nurses working in a general hospital were recruited in a general hospital. We collected sociodemographic data. We used questionnaires for headache type, headache frequency, and VAS(Visual Analog Scale) for headache intensity, BDI(Beck depression Inventory) and GSAQ(Global Sleep Assessment Questionnaire). We used Mann-Whitney test and Chi-square test for hypothesis testing. Results : Data collected from 84 women nurses. Rotating shift(N=37) working nurses showed younger, more unmarried, and shorter work periods than daytime working nurses (N=47). Also rotating shift group showed more problems of headache, insomnia, excessive daytime sleepiness, depression and anxiety than daytime group. The above results were statistically significant. Conclusions : The rotating shift work women nurses produced more headache, insomnia, excessive daytime sleepiness, depression, and anxiety than daytime working ones.

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Survey of Pain to Palpation of the Occipitofrontalis Muscle in Patients with Temporomandibular Disorders (측두하악장애 환자에서의 뒤통수이마근의 촉진 통증 양태)

  • Im, Yeong-Gwan;Kim, Byung-Gook
    • Journal of Oral Medicine and Pain
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    • v.35 no.3
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    • pp.213-219
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    • 2010
  • Aim: The aims of this study were to survey the frequency of pain to palpation of the occipitofrontalis muscle in a TMD patient group, and to identify patients showing pain to palpation of the occipitofrontalis muscle that is also consistent with patients' headache symptom. Methods: A total of 218 TMD patients ($32.0{\pm}13.1$ years) participated in this study. Patients' symptoms, including headache, were surveyed by questionnaire. Temporomandibular joints, jaw muscles, and pericranial muscles including the occipitofrontalis muscle were examined with digital palpation. Pain to palpation (i.e. tenderness) was scored from 0 to 3 according to the patients' response, and frequencies were calculated of pain to palpation scores for each site of the pericranial muscles. Results: Twelve patients among 218 TMD patients (5.5%) showed pain to palpation (scores of 1, 2) on the occipitalis or frontalis sites, and seven patients (3.2%) had moderate pain (a score of 2) to palpation. Among 218 TMD patients, there was only one patient whose primary symptomatic site of headache corresponded with the result of pain to palpation of the occipitofrontalis muscle. Conclusion: It can be concluded that examination with palpation of the occipitofrontalis muscle could be considered in the evaluation of TMD patients' headache symptom when other factors have been ruled out.

An Convergence Analysis of Muscle Characteristics, Muscle Activity and Posture in Patients with Cervicogenic Headache (경추성 두통 환자의 근육 특성과 자세 및 근활성도의 융복합적 분석)

  • Yoon, Jong-Hyuk
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.265-271
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    • 2021
  • This study aimed to define the diagnostic criteria for cervicogenic headache and propose an efficient method of clinical evaluation and physical therapy. Fifteen patients with cervicogenic headache and 15 healthy individuals were recruited and categorized into the test group and the control group, respectively. The groups were compared in terms of muscle characteristics, muscle activity and posture, and the intervariable correlations were analyzed for the test group. A significant between-group difference was found in the stiffness of the suboccipital muscle and the tone and stiffness of the upper trapezius muscle (p<.001). In posture comparison, a significant difference was noted in neck tilt angle and the T1 slope angle (p<.05). The activity of the sternocleidomastoid muscle was also significantly different between the groups (p<.001). When the correlations among the muscle characteristics, the posture, and the activity of the sternocleidomastoid muscle were analyzed for the test group, a positive correlation was found between the tone and the stiffness of the suboccipital muscle (p<.001) and between the tone and the stiffness of the upper trapezius muscle (p<.001). The findings of this study suggest a more efficient approach for the assessment and treatment of cervicogenic headache patients. It is considered that, further studies including more subjects of various job categories and comparing the outcomes.