• Journal of Oral Medicine and Pain
• /
• 제48권3호
• /
• pp.106-111
• /
• 2023

Purpose: In this study, we evaluate the potential of the relative ratio of capsular width (RCW) between the affected side (Aff) and non-affected side (Non-aff) in patients with temporomandibular joint (TMJ) arthralgia. We assessed whether RCW may hold greater diagnostic significance than the objective capsular width (CW) reported in previous studies when diagnosing arthralgia using ultrasonography (US). Methods: Forty-nine patients were assessed using US, excluding four patients with bilateral arthralgia. The patients were divided into two groups: 40 with unilateral arthralgia (UA), and nine without arthralgia (NA). We measured CW and masseter muscle thickness using US. Moreover, we employed RCW to analyze the variances between the groups. The numerical rating scale (NRS) and RCW were compared before and after dexamethasone injection in 10 patients who underwent follow-up evaluations. Results: Within the UA group, CW on the Aff was found to be significantly larger compared to the Non-aff (p<0.001). Additionally, RCW in the UA group was greater than that in the NA group (p<0.01). Furthermore, after dexamethasone injection, a reduction in the NRS and RCW values was observed in the 10 patients who were followed up. Conclusions: While previous studies have suggested a link between arthralgia and TMJ effusion, making CW a possible indirect diagnostic indicator for arthralgia, our findings propose that RCW could hold more diagnostic value than objective CW. However, additional studies are required to standardize the protocols for interpreting US results and determining the cutoff value of RCW in diagnosing TMJ arthralgia.

• 대한한의학회지
• /
• 제16권1호통권29호
• /
• pp.9-20
• /
• 1995

I would like to state my own opinion on arthralgia syndrome(痺病) through the literatural studies. First of all, arthralgia symdrome(痺病) must be classified into six type basically, which are migratory arthralgia(痺病(行痺)), arthritis of heat type(濕痺), arthritis due to blood stasis(瘀血痺) and deficient rheumatism(虛痺), and then could be considered to try the compound names of arthralgia syndrome. These can come from according to the rise and decline of causes in wind(風), cold(寒), damp(濕), heat(熱), blood stasis(瘀血) and qi-blood(氣血). For example, it would be possible to apply the wind-dampness rheymatism(風濕痺) of damp-heat rheumatism(濕熱痺) in terminology of arthralgia syndrome(痺病). As rheumatoid arthritis(歷節風), rheumatoid arthritis like white tiger bite (白虎歷節風) and gout (痛風) not to mean the gout in western medicine have been announced a kind of arthralgia syndromes(痺病) by many doctors since Ming dynasty(明代) and proved it to be true, it is reasonabie not to try it any longer. And tingling and deficiency of sensation(廢木 不仁) is a symptome showing the decline of muscle power including mainly the abnormal sensation of skin, it would be recommended to be classified into fliaccidity syndrome(?痺). And then the names rheumatism invoiving lendon and ligament(筋痺), rheumatism involving blood vessels(脈痺), rheumatism involving muscle(肌痺), numbness of skin (皮痺) and rheumatism involving bone(骨痺), which have been used as the classification title with the season be received bad-qi(邪氣), must be classlfied to the location appearing aymptomes. Though obstruction of the liver-qi(肝痺), obstruction of the heart-qi(心痺), stagnation of the spleen-qi(脾痺), stagnation of the lung-qi(肺痺), stagnation of the kidney-qi(腎痺) and dysfunction of the bladder(胞痺) that used visceral and bladder name, that stated a kind of arthralgia syndrome(痺病), but it must be classified into a different diseases from arthragia syndrome.

• 지역사회간호학회지
• /
• 제25권3호
• /
• pp.207-216
• /
• 2014

Purpose: This study was conducted to examine the effects of foot reflexology on arthralgia, ankylosis, depression and sleep in community-dwelling elderly women with osteoarthritis. Methods: The research adopted a non-equivalent control group pretest-posttest design. Participants were 47 elderly women: 22 in the experimental group and 25 in the control group. The experimental group received foot reflexology twice a week for 4 weeks. The results were analyzed using $x^2$-test, t-test, and ANCOVA with the SPSS/WIN 21.0 program. Results: The results showed that foot reflexology was statistically significantly effective in reducing arthralgia, ankylosis, and depression and in improving the quality of sleep as evidenced by differences between two groups. Conclusion: The results of this study indicated that foot reflexology is an effective nursing intervention in reducing arthralgia, ankylosis, and depression, and improving the quality of sleep. Therefore, it is necessary to develop foot reflexology as an independent nursing intervention for elderly women with osteoarthritis in community.

• Journal of Korean Biological Nursing Science
• /
• 제17권2호
• /
• pp.123-131
• /
• 2015

Purpose: The purpose of this study was to examine the effect of laughter therapy on arthralgia, ankylosis, depression and sleep of elderly housebound women suffering from osteoarthritis. Methods: The study used a nonequivalent control group pretest-posttest design. The participants were 48 elderly women: 23 in the experimental group and 25 in the control group. The experimental group received laughter therapy twice a week for 4 weeks. The results were analyzed by using $X^2$-test, ANCOVA, and t-test with the SPSS/WIN 21.0 program. Results: The results showed that laughter therapy had a significant statistical effective in reducing arthralgia, ankylosis, and depression and improving the quality of sleep as evidenced by the differences between the two groups. Conclusion: The results of this study indicated that laughter therapy is an effective nursing intervention reducing arthralgia, ankylosis, and depression and improving the quality of sleep in these women. Therefore, it is necessary to develop laughter therapy as an independent nursing intervention for elderly women with osteoarthritis who are housebound.

• 제어로봇시스템학회:학술대회논문집
• /
• 제어로봇시스템학회 2004년도 ICCAS
• /
• pp.1892-1894
• /
• 2004

We have suggested the moxa-pad cauterizer especially for knee arthralgia. We have researched the variation on knee heat generating by the moxa-pad moxibustion cauterizer. The experimental demonstrations have been made by the stimulating the spots which are G-34(Gall-bladder Meridian 34), Sp-9(Spleen Meridian 9), and Liv-3(Liver Meridian 3) acupuncture points. And stimulating time was one hour with moxa-pad cauterizer.

• 한방안이비인후피부과학회지
• /
• 제24권2호
• /
• pp.104-110
• /
• 2011

Objectives : We report a case of Erythema Nodosum on lower extremities which was by acupuncture and herbal medicine treatment. Methods : We treated a female patient who has erythema nodosom, edema at lower extremities and arthralgia with acupuncture and Moktongdaean-tang.. To evaluate the results of this treatment, we observed shape and number of Erythema Nodosum. We measured circumference of left ankle. We used visual analogue scale(VAS) of arthralgia. Results : Erythema Nodosum on lower extremities, Edema of both ankle were subsided. Arthralgia was gradually disappered. Conclusions : Acupuncture and Moktongdaean-tang have improved the signs and symptoms of Erythema Nodosum case. It is concluded that acupuncture, herbal medicine treatment is considerably effective on Erythema Nodosum.

• Journal of Oral Medicine and Pain
• /
• 제32권1호
• /
• pp.113-120
• /
• 2007

일반적으로 긴장성 두통환자는 측두하악부위의 관절통 보다는 근육통을 호소하는 경우가 많지만, 관절통과 근육통이 함께 나타나는 관절근육통을 호소하는 환자도 있다. 따라서 긴장성 두통 환자에서 측두하악부의 관절통과 근육통의 임상양상을 알아보기 위하여 일정기간 내원한 환자 중 국제두통학회에서 제시한 긴장성 두통 진단기준에 따라 긴장성 두통으로 진단된 167명 중 관절통 환자 18명, 근육통 환자 50명 그리고 관절통과 근육통이 함께 있는 관절근육통 환자 99명을 대상으로 설문조사 후, 이를 통계처리 하여 다음과 같은 결과를 얻었다. 1. 관절통군, 근육통군 그리고 관절근육통군 모두에서 연령증가에 따른 발현 증가율은 통계학적으로 유의하였다(p=0.02). 2. 관절통군, 근육통군 그리고 관절근육통군 모두에서 성별과 구강악습관에 따른 발현 증가율은 통계학적으로 유의하지 않았다. 3. 연령이 증가됨에 따라 관절근육통군의 증가율에 비해서 근육통군의 증가율이 통계학적으로 유의하였다(p<0.03). 이상의 연구로 긴장성 두통환자의 임상양상 중 관절통, 근육통 그리고 관절근육통은 성별과의 관계와 구강악습관과의 관계에서는 통계학적인 유의성이 없었으나, 나이와의 관계에서는 통계적인 유의성이 있었다. 특히 관절근육통군과 근육통군에서 통계학적으로 주목할 만한 차이를 보여 연령이 증가될수록 근육통이 증가됨을 알 수 있었는데, 이는 향후 긴장성 두통의 진단과 치료에 많은 도움이 되리라고 생각된다.

• 대한치과의사협회지
• /
• 제58권6호
• /
• pp.354-363
• /
• 2020

Patients often seek consultation with dentists for their temporomandibular disorders (TMD), especially for pain. Acute pains refer to pains that are of short duration. Common acute TMD are arthralgia and local myalgia. Diagnosis should be made based on careful history taking and clinical examination. Most acute TMD are well controlled by education, cognitive awareness training, and conservative treatment. The aggressive and irreversible treatments should not be applied. Acute TMD should be controlled in the early phase so as not to be proceed to chronic pain.

• 대한예방한의학회지
• /
• 제18권2호
• /
• pp.69-80
• /
• 2014

Objective : The purpose of this study was to investigate the effects of Intensive management program of home visiting health service for community dwelling Clients with Arthralgia. Method : A nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to an experimental group (n=30) or a control group (n=30). For an experimental group, The Intensive Management program was given as a home visiting health service once a week for 8 weeks. Study outcomes were measured by structured questionnaires from August, 2013 to october. For data analysis, Chi-square test, Fisher's exact probability test, independent t-test, and paired t-test were performed using SPSS version 17.0. Results : Changes in pain, fatigue, medical service utilization and self management compliance were significantly different between the two groups in pretest and posttest(t=-4.828, p < .001), (t=-4.944, p =.001), (t=2.176, p =.039), (t=3.141, p =.003). And there were significant difference between the two groups in left extension and flexion of knee(t=-2.241, p < .031), (t=2.166, p < .037). Conclusion : The intensive management program was effective on decreasing pain, fatigue, medical service utilization, and increasing flexibility of knee joint and self-management compliance of community dwelling clients with arthralgia.

• Pediatric Infection and Vaccine
• /
• 제11권2호
• /
• pp.208-211
• /
• 2004

임상적으로 급성 류마티스 열을 진단할 때 Jones 진단기준에 맞지 않는 경우, 특히 관절염이 있고, 이하학적 검사상 A군 베타 용혈성 연구균감염과 관련이 있을 때, 급성 류마티스 열과 연구균 감염성 반응성 관절염의 구분은 치료나 예후를 결정하는데 중요하다. 지금까지의 문헌을 참고한 결과, 연구균 감염성 반응성 관절염으로 진단된 환아 중 소수에서도 심염이 발생했음을 알 수 있고, 따라서 예방적 항생제 요법을 시행함에 있어 1년간 매달 페니실린 예방요법을 시행하고 심염이 발생한 경우에는 급성 류마티스 열로 재분류 후 이에 준해 치료하여야 하겠다. 저자들의 증례는 고열과 왼쪽 무릎 관절통을 주소로 내원한 연구균 감염성 반응성 관절염 환아 1례를 경험하였기에 보고하는 바이다.