• 제목/요약/키워드: 0-10 Visual Analogue Scale(VAS)

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Do Severity Score and Skin Temperature Asymmetry Correlate with the Subjective Pain Score in the Patients with Complex Regional Pain Syndrome?

  • Jeon, Seung Gyu;Choi, Eun Joo;Lee, Pyung Bok;Lee, Young Jae;Kim, Min Soo;Seo, Joung Hwa;Nahm, Francis Sahngun
    • The Korean Journal of Pain
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    • 제27권4호
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    • pp.339-344
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    • 2014
  • Background: The diagnostic criteria of complex regional pain syndrome (CRPS) have mainly focused on dichotomous (yes/no) categorization, which makes it difficult to compare the inter-patient's condition and to evaluate the intra-patient's subtle severity over the course of time. To overcome this limitation, many efforts have been made to create laboratory methods or scoring systems to reflect the severity of CRPS; measurement of the skin temperature asymmetry is one of the former, and the CRPS severity score (CSS) is one of the latter. However, there has been no study on the correlations among the CSS, temperature asymmetry and subjective pain score. The purpose of this study was to evaluate whether there is any correlation between the CSS, skin temperature asymmetry and subjective pain score. Methods: Patients affected with CRPS in a unilateral limb were included in this study. After making a diagnosis of CRPS according to the Budapest criteria, the CSS and skin temperature difference between the affected and unaffected limb (${\Delta}T$) was measured in each patient. Finally, we conducted a correlation analysis among the CSS, ${\Delta}T$ and visual analogue scale (VAS) score of the patients. Results: A total of 42 patients were included in this study. There was no significant correlation between the ${\Delta}T$ and VAS score (Spearman's rho = 0.066, P = 0.677). Also, the CSS and VAS score showed no significant correlation (Spearman's rho = 0.163, P = 0.303). Conclusions: The ${\Delta}T$ and CSS do not seem to reflect the degree of subjective pain in CRPS patients.

청소년기 월경통 환자에 대한 이침치료(耳鍼治療)의 임상적(臨床的) 연구(硏究) (A Clinical Study on the Effect of Auricular Acupuncture Treatment for Adolescent Dysmenorrheic women)

  • 주병주;김형준;이동녕;이정현;이은용;정학수
    • 대한한방부인과학회지
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    • 제15권4호
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    • pp.183-192
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    • 2002
  • Objectives The Objective was to evaluate the efficacy of auricular acupuncture treatment for adolescent dysmenorrheic women. Method This study was carried out to the 25 adolescent dysmenorrheic women without pelvic or other systemic disease and its history who visited outpatient department of Oriental Hospital, Semyung, univ. from June, 2002 to September, 2002. We investigated general characteristics, menstrual and dysmenorrheic characteristics through out the patient's note and comparison of before and after auricular acupuncture treatment by using a 10cm Visual Analogue Scale(VAS) for sample patients. Results The $mean{\pm}Standard$ Error of mean(S.E) of VAS score on before and after auricular acupuncture treatment were $6.36{\pm}0.49$ and $2.24{\pm}0.35$. The $mean{\pm}S.E$ of VAS score of after auricular acupuncture treatment was decreased significantly compared with that of before(p<0.01). Conclusion The auricular acupuncture treatment will be efficacious against adolescent dysmenorrhea

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산욕기 산모의 부종감각과 Inbody 부종지수, 출산 전후 체중변화의 상관성 분석 (Correlation Analysis of Edema Sensation in Postpartum Mothers, Inbody Edema Index, and Weight Change before and after Childbirth)

  • 김영은;김안나;서수민;김평화;손미주;이은희;장현철
    • 대한한방부인과학회지
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    • 제35권1호
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    • pp.1-11
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    • 2022
  • Objectives: Management of the postpartum period is important for the health of mothers, and postpartum edema is one of the management targets. In this study, the relationship between the value measured by the device and the postpartum edema sensation was examined to explain the subjective sensation of the mother as an objective value. Methods: Data from 54 cases provided by 24 mothers within 6 weeks postpartum were used in the study. The degree of postpartum edema sensation was measured using a visual analog scale (VAS), and the effect of VAS changes on the body edema index and weight change before and after childbirth was estimated through linear regression analysis. Results: As a result of the regression analysis, when the edema sensation of the mothers VAS increased by 1 point, the Inbody edema index increased by 0.002 points (p=0.000, R2=0.272), and when the VAS increased by 1 point, the weight gain increased by 0.99 kg compared to before pregnancy (p=0.000, R2=0.243), and when VAS increased by 1 point, weight loss decreased by 0.56 kg compared to just before childbirth (p=0.004, R2=0.136). Conclusions: The results of this study, in which the edema sensation of postpartum mothers was statistically significantly related to the edema index and weight change before and after childbirth, showed that the edema sensation complained by the mother could be used as an evaluation index for postpartum edema management in the future.

요각통환자(腰脚痛患者)의 동씨침(董氏鍼) 병행시술(竝行施術)이 통증감소(痛症減少)에 미치는 영향(影響)에 대한 임상고찰(臨床考察) (A Clinical Study on the Effects of Pain control of Dong-Si acupunture therapy for the patients with lumbago)

  • 하치홍;한상균;박춘하;조명래;배은정;신영일;양기영;황규정;이현;이병렬
    • Journal of Acupuncture Research
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    • 제19권1호
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    • pp.92-100
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    • 2002
  • Objective : I planned to write this paper to use more Dong-Si acupunture treatment clinically by comparing Dong-Si acupunture with common acupunture for lumbago. Methods : This study was carried out on 56 patients with lumbago who were hospitalized in Dongshin Univ. Oriental Hospital from 1st, April, 2001 to 31st, Octover, 2001. Group A of 28 patients were taken both common acupunture and Dong-Si acupunture. And Group B of 28 patients were only taken common acupunture. And after 10 days of admission, I checked and compared VAS(Visual Analogue Scale) and improvement index out of these two groups. Results : In improvement index, Group A is $0.3932{\pm}0.1073$ and Group B is $0.2793{\pm}0.1080$. So Group A is thought to be significant(P=0.000). In VAS(Visual Analogue Scale), Group A is $6.9286{\pm}1.4889$ and Group B is $5.0000{\pm}1.4142$. So Group A is also thought to be significant(P=0.0000). Conclusion : The group with both Dong-Si acupunture and common acupunture treatment is more effective than the group with common acupunture treatment.

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교통사고로 유발된 급성 경추통 환자의 경추 후관절에 시행한 초음파 유도하 치료군과 비유도 치료군의 소염 약침 치료 효과 비교: 후향적 관찰 연구 (Comparison of Ultrasound Guided Soyeom Pharmacopuncture Therapy Effect and Unguided Soyeom Pharmacopuncture Therapy Effect on Cervical Facet Joint of Acute Cervical Pain Patient Caused by Traffic Accidents: A Retrospective Study)

  • 양재은;오민석
    • 한방재활의학과학회지
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    • 제32권3호
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    • pp.109-117
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    • 2022
  • Objectives To compare the therapeutic effect of ultrasound guided soyeom pharmacopuncture therapy and unguided soyeom pharmacopuncture therapy on cervical facet joint of patient who have cervical pain caused by traffic accidents. Methods The study was planned as a retrospective study that analyzes the patient's medical records. We analyzed medical records of 20 patients with acute cervical pain caused by traffic accidents from April 1, 2022 to May 31, 2022. 10 patients (Group A) were treated ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint, 10 patients (Group B) were treated unguided soyeom pharmacopuncture therapy on cervical facet joint. We used visual analogue scale (VAS) and neck disability index (NDI) to evaluate improvements in cervical functions and pain, five point Likert scale to estimate patient's satisfaction. We used the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA) for statistical analysis. Results Group A showed a significant decrease in the VAS on the 5th day of the soyeom pharmacopuncture therapy (p=0.001). However, there was no statistically significant difference of VAS between two groups (p=0.142). Group A showed significant decrease in the NDI on the 5th day of the therapy (p=0.002). Also, there was statistically significant difference on NDI between two groups (p=0.018). Difference of five point Likert scale between two groups was not statistically significant (p=0.407). Conclusions In patients of acute cervical pain caused by traffic accidents, ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint showed significant efficacy on reduction of neck disability compared with unguided therapy.

Efficacy of extracorporeal shock wave therapy for pillar pain after open carpal tunnel release: a double-blind, randomized, sham-controlled study

  • Turgut, Mehmet Cenk;Saglam, Gonca;Toy, Serdar
    • The Korean Journal of Pain
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    • 제34권3호
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    • pp.315-321
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    • 2021
  • Background: Pillar pain may develop after carpal tunnel release surgery (CTRS). This prospective double-blinded randomized trial investigated the effectiveness of extracorporeal shock wave therapy (ESWT) in pillar pain relief and hand function improvement. Methods: The sample consisted of 60 patients with post-CTRS pillar pain, randomized into two groups. The ESWT group (experimental) received three sessions of ESWT, while the control group received three sessions of sham ESWT, one session per week. Participants were evaluated before treatment, and three weeks, three months, and six months after treatment. The pain was assessed using the visual analogue scale (VAS). Hand functions were assessed using the Michigan hand outcomes questionnaire (MHQ). Results: The ESWT group showed significant improvement in VAS and MHQ scores after treatment at all time points compared to the control group (P < 0.001). Before treatment, the ESWT and control groups had a VAS score of 6.8 ± 1.3 and 6.7 ± 1.0, respectively. Three weeks after treatment, they had a VAS score of 2.8 ± 1.1 and 6.1 ± 1.0, respectively. Six months after treatment, the VAS score was reduced to 1.9 ± 0.9 and 5.1 ± 1.0, respectively. The ESWT group had a MHQ score of 54.4 ± 7.7 before treatment and 73.3 ± 6.8 six months after. The control group had a MHQ score of 54.2 ± 7.1 before treatment and 57.8 ± 4.4 six months after. Conclusions: ESWT is an effective and a safe non-invasive treatment option for pain management and hand functionality in pillar pain.

전신 원적외선 조사요법(온통요법(溫通療法))의 치료 효과에 대한 적외선 체열 분포와 심박변이도 검사 분석 (Analysis of DITI, HRV about the Effect of Far Infrared Radiation Applied to Whole Body('On-tong Therapy'))

  • 김민영;안지윤;최석영;황덕상;이진무;장준복;이경섭;이창훈
    • 대한한방부인과학회지
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    • 제26권4호
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    • pp.94-106
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    • 2013
  • Objectives: The purpose of this study is to find the effect of Far Infrared Radiation (FIR) about improvement of chief complaints and health state. Methods: For this study we evaluated thermographic images, heart rate variability (HRV), visual analogue scale (VAS) score of 34 patients with various diseases. Tests were done two times, before and after treatments and we compared the test results. We used the temperature difference between CV12 and CV4, both sides of PC8, LR3 for recognizing improvement of blood circulation. We analyzed the change of complexity, stability of autonomic nervous system (ANS) by HRV test. The patients were asked to fill out questionnaire about the severity of symptoms by VAS score. Analyses were undertaken using SPSS ver.12.0.1 and p-value of < 0.05 was considered significant. Results: Statistical analysis shows that Far Infrared Radiation (FIR) had significant efficiency in increasing surface temperature and reducing VAS pain scores. In heart rate variability (HRV) test, LF/HF ratio showed tends to improve. Conclusions: The application of an FIR to whole body appears to alleviate various complaints of patients.

부착형 치주 창상 피복재가 치주수술 후 동통 및 치유에 미치는 효과에 관한 임상 연구 (A clinical study on the effect of attachable periodontal wound dressing on postoperative pain and healing)

  • 민한슬;강대영;이성조;윤세영;박정철;조인우
    • 구강회복응용과학지
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    • 제36권1호
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    • pp.21-28
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    • 2020
  • 목적: 치주포대는 감염 위험을 줄이고 치유를 증대 시킨다는 연구들이 있다. 본 연구는 치주 수술 후 부착형 창상 피복재의 사용이 치유 및 수술 만족도에 미치는 영향을 평가하고자 하였다. 연구 재료 및 방법: 치주 수술이 필요한 환자 28명을 대상으로 상악 또는 하악의 양측 사분면에 치주 수술을 시행하였다. Visual Analogue Scale (VAS)를 이용해 술 후 동통, 출혈, 식이 불편감, 지각 과민을 평가하고 추가적으로 작열감과 수술 만족도에 관해 평가하였다. 결과: 수술 후 동통, 출혈, 식이 불편감에 관한 VAS 평균 값은 창상 피복재 유무에 따라 각각; 동통: 2.82, 3.96 (P = 0.002), 출혈: 1.61, 2.54 (P = 0.008), 식이 불편감: 2.82, 4.18 (P < 0.001)로 창상 피복재를 적용한 그룹에서 불편감이 적었으며, 통계적으로 유의하였다. 작열감, 지각 과민과 창상 피복재 적용 유무 사이에 유의한 차이는 없었다. 수술 만족도는 75%에서 창상 피복재를 사용한 경우 높았다. 결론: 본 연구의 결과에 따르면, 창상 피복재의 사용유무와 작열감, 지각 과민과의 통계적 유의성은 없었으나 창상 피복재를 사용한 경우 술 후 동통, 출혈, 식이 불편감이 적었다.

항암화학요법 후 발생한 구내염에 대한 침 치료 치험 1례 (A Case Report of Chemotherapy-induced Stomatitis Clinically Improved by Acupuncture Treatment)

  • 조나경;이유리;최홍식;김경순;김승모
    • 대한암한의학회지
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    • 제22권2호
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    • pp.25-31
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    • 2017
  • Objectives: This case report presents improvement after receiving acupuncture treatment for a chemotherapy-induced stomatitis. Methods: The patient was treated for 6 times with acupuncture. And effects of treatments were measured with the World Health Organization (WHO) oral toxicity scale and Visual Analogue Scale (VAS). Results: The clinical symptoms of the stomatitis were improved that WHO oral toxicity scale decreased from grade 4 to grade 0 and Visual Analogue Scale decreased from 7 to 2 after treated with acupuncture. Conclusions: In this study, acupuncture might be effective way to cure the cancer patient suffering from chemotherapy-induced stomatitis.

EFFICACY OF HAMῡL OF MARHAME DAKHILYUN AND ROGHANE SAUSAN IN CERVICITIS (ILTIHAB-E-UNUQ-UL- REHAM)- AN OPEN OBSERVATIONAL CLINICAL STUDY

  • HUMA;PROF WAJEEHA BEGUM;KOUSER FATHIMA FIRDOSE
    • 셀메드
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    • 제13권6호
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    • pp.4.1-4.10
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    • 2023
  • Background and objective: Cervicitis are an inflammatory condition of the cervix. This may be acute, chronic, active & specific or non-specific, which may cause various sign & symptoms. Abnormal vaginal discharge, lower abdominal pain, lower backache, post coital bleeding. If not treated timely it causes various complications viz PID, infertility, endometritis, ectopic pregnancy etc. Hence it has been decided to conduct a clinical trial for its management. Method: This study was an open observational study. The entire patients were allocated by considering the criteria of inclusion & exclusion. Marhame dakhilyun with roghane sausan is given 10 mg as ḥamūl at bed time, after menses for 21 days. All the patients were assessed by primary outcome of abnormal vaginal discharge, lower abdominal pain, lower backache, post coital bleeding & secondary outcomes of vaginal symptoms scale score (VSS) which score the vaginal discharge with QOL in cervicitis patients and vaginal analogue scale (VAS) for pain. Result: In this present study, marked improvement is observed in cervicitis. The mean ± SD of vaginal discharge before & after treatment is 2.57±0.050, 0.33±0.48 respectively which is highly significant with p value of<0.0001**. VSS score before & after treatment is 21.27±6.12, 7.47±2.48 respectively with p<0.0001** which is highly significant. VAS score used for LAB & LPA before & after treatment is 6.63±1.09, 1.90±1.29 respectively with p<0.0001** which is highly significant. Interpretation & Conclusion: The study revealed that the formulation has been found effective in healing congestion, hypertrophied of the cervix and discharge and relieving the others associated symptoms of cervicitis. It is useful and provided immediate and effective treatment for cervicitis. Hence, the trial drug can be recommended for its management.