• Title/Summary/Keyword: BACKPAIN

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Evaluation of Backpain after Continuous Epidural Analgesia by Pressure Algometer (지속적 경막외진통법후 Pressure Algometer에 의한 요통의 평가)

  • Kwon, Young-Eun;Park, Seong-Hee;Kim, In-Ryeong;Lee, Jun-Hak;Lee, Ki-Nam;Moon, Jun-Il
    • The Korean Journal of Pain
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    • v.9 no.2
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    • pp.363-367
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    • 1996
  • Background: Recently postoperative pain control with continuous epidural analgesia has been increased. This study aimes to evaluate backpain following continuous epidural analgesia by pressure threshold meter (algometer). Methods: After informed consent, 50 ASA physical status I or II patients undergoing elective gynecologic surgery were selected. After placing epidural catheter, patients received morphine 0.05mg/kg with 0.25% bupivacaine 5 ml followed by continuous infusion of 0.125% bupivacaine 100 ml with morphine 4 mg for 48 hours. backpain was measured by pressure algometer over lumbar paraspinalis at the L4 level, 5 and 7 cm from the midline on preoperative, operation day, 1st, 2nd, 3rd, and 4th postoperative days. Results: Postoperative mean pressure thresholds of were higher than preoperative value (p<0.05). Conclusion: The continuous epidural analgesia dose not provide or aggravate postoperative backpain, but it must be evaluated for long term follow-up.

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Development of Inversion Machine Using Wabble Mechanism (워블메커니즘을 이용한 인버젼 기구의 개발)

  • Kim, Hyoung-Jun
    • Archives of design research
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    • v.19 no.6 s.68
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    • pp.5-8
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    • 2006
  • Inversion therapy has been used to relieve backpain, decrease pressure on the discs between vertebrae and stretch musdes as early as 400 BC. Gravity Guidance Inversion Table was introduced in 1960's and has been commercialized mostly for relieving backpain. in United States. But this machine needs to adjusted and possible sudden movement can cause severe injury to the users. In the 1990's, motor assisted inversion cram was introduced in Germany. But this inversion cram is too heavy and inconvenient to be used at home. In these days, the inversion machine become popular equipment in fitness clubs and health care places for relieving backpain as well as stretching muscles. And there is a growing need for home use version of motorized inversion machine. In this study, the motorized inversion machine was developed to be used for stretching exercise at home. The design became compact, simple and foldable as the results of adapting the wabble mechanism. And the machines are optimally designed by analyzing the torques applied to the machine by diverse physical size of users.

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A Clinical Study on Relationship of Surgical Glove and Back Pain after Lumbar Puncture in Children (소아에서 요추천자 후 발생하는 요통과 수술용 장갑과의 관계에 대한 임상적 연구)

  • Han, Sung Ryoung;Choi, Wan Suk;Lee, Hae Jeong;Kim, Hyun Seok;Lee, Ju Suk;Cho, Kyung Lae
    • Clinical and Experimental Pediatrics
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    • v.48 no.3
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    • pp.310-314
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    • 2005
  • Propose : In this study, we evaluated whether powder on surgical gloves is a cause of postpuncture backpain in children. Mothods : In 164 children with meningitis between July and September 1997, we did not remove powder from surgical gloves. However, in 149 children with menigitis between May and October 2001 the powder was removed from the surgical gloves. Results : Out of the 164 patients in 1997, 41 cases(25.00%) were found to have postdural puncture backpain. On the other hand, out of 149 patients in 2001, with whom we used gloves from which the powder was removed, we found only 8 patients(5.36%) with postdural puncture backpain. Conclusion : We conclude that the powder on surgical gloves is one of the main causes of postdural puncture backpain in children.

The Effectiveness of Selected Stretching Exercise by Surface EMG on Backpain Patients (EMG 분석을 통한 요통환자의 스트레칭운동 프로그램 효과)

  • Park, Jung-Sik;Lee, Kyoung-Il;Lee, Chul-Gab
    • Korean Journal of Applied Biomechanics
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    • v.15 no.2
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    • pp.139-146
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    • 2005
  • We selected six kinds of stretching exercises that can be easily acquired and put to practical use by back pain patients and arranged the practicing order of the exercising method after measuring the % MlVC of the muscle power when a normal person was exercising with a surface EMG. Among the patients complaining of back pain, 20 case groups were given the selected exercise and physical therapy, and 20 control groups were only given a physical therapy. Before and 2 weeks, 4weeks, 6 weeks and 8 weeks after the exercise therapy, a muscle power was measured with a fitness machine and the effectiveness of the exercise was compared. After six weeks difference of the muscle power between the case group and control group was shown, and after 8weeks the case group manifested the stronger muscle power than that of the control group in both male and female. Exercising therapy clearly seems to be helpful in strengthening the muscle power of the back pain patients.

A Clinical Case Report of a Tinnitus Patient in Pregnancy (임신 중 발생한 이명 환자 치험 1례)

  • Choi, Won-Jin;Kim, Myung-Dong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.23 no.2
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    • pp.218-223
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    • 2010
  • The above patient of this case is outpatient on April 18, 2007 who visited my office with tinnitus, headache, dizziness, and backpain, and, she was in pregnancy 14 weeks. Her symptoms were diagnosed as tinnitus from kidney meridian weakness due to pregnancy. After she was administered with Yukmijihwnagtang, her tinnitus disappeared and her other symptoms became better. So this result suggests that herbal administration of Yukmijihwangtang was effective on tinnitus due to pregnancy.

Effects of Unstable Surface Core Exercise on Functional Movement, Balance and Pain in Sedentary Female Workers with Low Back Pain

  • Shin, Yang-Ho;Lee, Jin-Wook;Byun, Yong-Hyun
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.6
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    • pp.157-165
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    • 2022
  • The purpose of this study was to determine whether unstable surface core exercise is more effective than stable surface core exercise on improving functional movement and balance and reducing pain in sedentary female workers with backpain. Participants were randomly assigned to an unstable surface core exercise(UEG; n=10) or a stable surface core exercise(SEG; n=10) group. They participated in the given exercise for 8 weeks. FMS, Y-Balance and VAS were measured before and after the participation in exercise, which were subjected to a repeated-measures ANOVA. In the case of a significant interaction between time and group, paired sample t-tests were conducted for a post hoc analysis within each subject group. Results indicated that FMS of the UEG had a significant effect on HS (p<.01), ASLR (p<.05) and TS(p<.001), but not for other variables. YBT did not show a significant effect for any variable (AT, PL, PM, TS), although the main effect of time was significant in both subject groups. VAS had a significant effect only in the UEG(p<.001). Our findings indicate that compared to SEG, UEG is more effective for improving functional movement and reducing pain, but not for improving balance, in sedentary female workers with backpain.

L2 Root Block in Failed Back Surgery Syndrome -A case report- (Failed Back Surgery Syndrome 환자에서 시행한 제2 요추 신경근 차단술 -증례 보고-)

  • Han, Soung-Moon;Kim, Tae-Hyeong;Lim, Young-Jin;Lee, Sang-Chul
    • The Korean Journal of Pain
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    • v.13 no.2
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    • pp.247-250
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    • 2000
  • Recently, some authors reported that discogenic low back pain should be regarded as a referred pain in respect of neural pathway. The afferent pathways of discogenic low back pain is transmitted mainly by sympathetic afferent fibres from the sinuvertebral nerves in the second lumbar nerve root. This pain arises from the lumbar intervertebral discs, and it had been transmitted mainly through the sympathetic afferent fibres contained in the second lumbar spinal nerve root. Second lumbar dermatome corresponds to the low back area. We experienced a case of low back pain which could not be controlled by conventional therapy and progressed wax and wane. The CT finding showed bulging disc between $L_4$ and $L_5$ and spinal stenosis in $L_4$ area. And epiduroscopic feature showed severe adhesion in $L_4$, $L_5$ and $S_1$. After we blocked $L_2$ root, pain score decreased 10 to 2. Therefore, the $L_2$ root block may be a useful diagnostic procedure as well as provide therapeutic value.

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Effect on the Balance Ability after Four Week Training Using the System for 3-D Dynamic Exercise Equipment (3차원 동적 운동기기를 이용한 4주간의 운동 시 균형 능력에 미치는 효과)

  • Shin, S.H.;Yu, M.;Jeong, G.Y.;Yu, C.H.;Kim, K.;Jeong, H.C.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.2
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    • pp.1-8
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    • 2012
  • In previous studies, the dynamic exercise equipment just focused on the trunk stabilization exercise. However, our study is targeted at evaluation for the impact on the postural balance of those researches. Twelve male and twelve female subjects were volunteered for the balance training using this system. They had no medical history of backpain for the past six months. Trunk Stability and postural balance training was performed for 15 minutes a day, three times a week duing four weeks. To evaluate characterization of the postural balance using Balance System SD, Evaluation consist of the postural stability test and the postural limit test. As a result, this training with 3D dynamic exercise equipment help subjects improve the postural balance. These results are expected for using basic materials to the elderly with a high risk of falling and trained athletes needed to be a postural control.

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The Serverith Leverls and Patterns of Perimenstrual symptoms among Korean Women in relation to their Ages (여성의 연령과월경 전후기 증상 정도 및 유형에 관한 연구)

  • Park, Young-Joo
    • Women's Health Nursing
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    • v.5 no.2
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    • pp.162-175
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    • 1999
  • The study was intended to investigate and explore the preimenstrual symptoms, their severity levels, their patterns and the relationships of the age to those symptoms and patterns among Korean women. The data were collected from 844 women in one highschool, one Nursing college and one Korea National Open University in Seoul, from Nov, 1997 to Jun. 1998. The instruments were the Menstrual Symptoms Questionnaire developed by Chesney and the Center for Epidemiologic studies Depression scale developed by Radloff. the data were analyzed by descriptive statistics, ANOVA, Duncan's multiple comparison test, $X^2$-test, simple regression analysis and logistic regression analysis using pc-SAS program. The results were as follows ; 1. Korean women had more symptoms of abdominal bloating, fatigue, abdominal discomfort and backache in perimenstrual period. There Teenages had more symptoms of depression and uterine cramps in the day before or the first day of menstruation. Women in their twenties had more symptoms of abdominal pain or abdominal discomfort, backache, abdominal bloating and the sensitiveness /discomforts in the lower back, abdomen and inner part of thighs. women in their thirties had more symptoms of abdominal bloating, fatigue, tension and nervousness before the menstruation, abdominal discomfort and backpain in the first day of menstruation. Women in their forties had more symptoms of backache, breast discomforts, abdominal pain and discomforts. 2. The severity levels of the perimenstrual symptoms showed the highest score(mean=2.73) in twenties and the lowest score)mean=1.96) in forties The perimenstrual symptom patterns were prevailed the spasmodic menstrual symptoms in teenage and twenties and the congestive menstrual symptoms in thirties and forties. The age was a determinant of perimenstrual symptom patterns and the precipitative equation was log[p(age)/(1-p(age)]=2.7356-0.0982 age. 3. The relationship of the age to perimenstrual symptoms was vanished or lessened, controlling for parity as a test factor. this finding supports the notion that parity is an extraneous variable.

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Effective Dosage of Intrathecal Morphine for Postoperative Pain Control of Perianal Surgery (항문 주위 수술후 통증관리를 위한 지주막하강내 Morphine의 유효량)

  • Won, Jong-In;Cho, In-Chan;Park, Young-Chul
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.59-63
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    • 1999
  • Background: Contraction of anal sphincter muscle produces severe pain in perianal surgery postoperatively. Recent reports have indicated that effective and prolonged pain relief can be obtained by the injection of small doses of morphine into the subarachnoid space. We attempted to use this technique for perianal surgery and investigated postoperative pain control and its side effects. Methods: Forty five patients scheduled for hemorrhoidectomy and anal fistulectomy were studied to determine the minimal effective dose of intrathecal morphine for postoperative analgesia. In order to control the pain, 7 mg of 0.5% hyperbaric bupivacaine with 0.05 mg (group I), 0.1 mg (group II) and 0.15 mg (group III) of morphine hydrochloride was injected with a 25 gauge spinal needle into the subarachnoid space. We estimated the duration of analgesia until the pain score attained to above 3 in 10 cm VAS (visual analogue scale) and incidence of itching, nausea and vomiting by percentage, headache, backpain and respiratory depression by positive and negative. We also checked the time of self-voiding. Results: The mean time of analgesia was $10.3{\pm}1.54$, $19.7{\pm}2.22$ and $20.3{\pm}2.29$ hours in group I, II and III respectively. Urinary retention of group I, II and III after block persisted for an average of $20.3{\pm}2.31$, $21.2{\pm}2.51$ and $23.3{\pm}3.74$ hours. Nausea and vomiting were observed 33%, 53%, 67% and itching was observed 53%, 67%, 80% in group I, II and III respectively and respiratory depression did not occur in all groups. Conclusions: It is not necessary to use more than 0.1mg of intrathecal morphine in perianal surgery because analgesia is not prolonged and side effects are increased.

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