• Title/Summary/Keyword: Joint pain

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Study of Strain/Counterstrain Technique (좌상/역좌상기법에 대한 고찰)

  • Song, Yun-Kyung;Lim, Hyung-Ho;Park, Sung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.99-109
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    • 2003
  • Dr. Lawrence H Jones developed innovative approach for the treatment of neuromuscular and musculo-skeletal disorders such as fibromyalgia, myofacial pain syndrome, any other muscle pain. This technique is called Strain/Counterstrain technique which uses effect of neuromuscular reflex for treatment of strain. First, Relieving spinal or other joint pain by passively putting the joint into its position of greatest comfort; secondly relieving pain by reduction and arrest of the continuing inappropriate proprioceptor activity. This was accomplished by markedly shortening the muscle that contains the malfunctioning muscle spindle by applying. mild strain to its antagonists. In other words, the inappropriate strain reflex is inhibited by application of counterstrain. Many other techniques have been developed for treating of muscle pain due to somatic dysfunction, but we want to introduce you to strain/counterstrain technique because this is basic concept and theory of Chum therapy for controling motor system.

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A Study of Relationship of Pain and Fatigue in Elderly Women with Osteoarthritis (골관절염을 가진 여성노인의 통증과 피로의 관계)

  • Kim, Sun-Ae;Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.70-76
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    • 2007
  • Purpose: The purpose of this study was to identify the relationship of pain, fatigue, and illness duration in elderly women with osteoarthritis. Methods: The subjects of the study were one hundred and thirty five elderly women (age over 65years) who have an osteoarthritis. Data were gathered from September 2002 to June 2005 using a questionnaire. Data were analyzed with the SPSS Win 11.0 using descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results: Pain in the elderly women with osteoarthritis correlated with fatigue (r= .447, p= .00). Pain showed a significantly positive correlation to illness duration (r= .197, p= .02). Fatigue showed a significantly positive correlation to illness duration (r= .213, p= .01). Conclusion: It is suggested that we need to develop the pain and fatigue control program considering illness duration should be provided for elderly women with osteoarthritis.

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Ultrasound-guided interventions for controlling the thoracic spine and chest wall pain: a narrative review

  • Park, Donghwi;Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • v.39 no.3
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    • pp.190-199
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    • 2022
  • Ultrasound-guided injection is useful for managing thoracic spine and chest wall pain. With ultrasound, pain physicians perform the injection with real-time viewing of major structures, such as the pleura, vasculature, and nerves. Therefore, the ultrasound-guided injection procedure not only prevents procedure-related adverse events but also increases the accuracy of the procedure. Here, ultrasound-guided interventions that could be applied for thoracic spine and chest wall pain were described. We presented ultrasound-guided thoracic facet joint and costotransverse joint injections and thoracic paravertebral, intercostal nerve, erector spinae plane, and pectoralis and serratus plane blocks. The indication, anatomy, Sonoanatomy, and technique for each procedure were also described. We believe that our article is helpful for clinicians to conduct ultrasound-guided injections for controlling thoracic spine and chest wall pain precisely and safely.

Effects of the Progressive Exercise Program on Flexibility, Grip Strength, Pain, and Fatigue for Osteoarthritis Patients (점진적 운동강화 자조관리프로그램이 골관절염 환자의 유연성과 악력, 통증 및 피로에 미치는 효과)

  • Kim, Sam-Sook;Lee, Eun-Nam
    • Journal of muscle and joint health
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    • v.16 no.2
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    • pp.184-192
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of a progressive exercise program for osteoarthritis patients. Methods: This study was performed from 24th March. to 7th July. 2009. Thirty six osteoarthritis patients were participated in the progressive exercise program. Outcome measures were shoulder flexibility, knee flexibility, grip strength, pain intensity, number of pain site and fatigue. SPSS/WIN Version 14.0 was used for the data analysis. Results: At the completion of 6 weeks of progressive exercise program, there were statistically significant differences in shoulder flexibility and knee flexibility. But no significant differences were found in grip strength, pain, number of pain site and fatigue between pretest and posttest. Conclusion: Progressive exercise program was proved to be an effective nursing intervention for improving the shoulder and knee flexibility. However, progressive exercise program did not increase pain & fatigue.

Improvement of symptoms in patients with rheumatoid arthritis using ortho-cellular nutrition therapy (세포교정영양요법(OCNT)을 이용한 류마티스 관절염 개선 사례)

  • Boram Kim
    • CELLMED
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    • v.14 no.4
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    • pp.72.1-72.3
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    • 2024
  • Objective: Improvement of symptoms in patients with rheumatoid arthritis using OCNT Methods: The patient was a Korean woman in her 50s who was experiencing foot pain due to rheumatoid arthritis and was experiencing discomfort in her daily life. OCNT was applied to the patient for approximately 6 months. Results: After starting OCNT, the patient's joint pain and chest pain gradually decreased, and after about six months, she no longer felt discomfort due to these symptoms. Conclusion: For rheumatoid arthritis patients suffering from joint pain and chest pain, OCNT can help relieve symptoms.

A Study on Low Back Pain Prevalence Rate and Related Factors among Emergency Medical Technicians Working at Fire Stations (소방서에 근무하는 응급의료종사자의 요통 유병 실태 및 관련 요인 분석)

  • Ham, Young-Lim;Ahn, Yang-Heui
    • Journal of muscle and joint health
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    • v.15 no.2
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    • pp.175-182
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    • 2008
  • Purpose: The purpose of the study was to identify low pain prevalence rate and factors affecting low back pain in emergency medical technicians. Method: A descriptive relationship research design was utilized. The participants were 74 emergency medical technicians who worked at fire stations in W and J city and agreed to participate in this study. Data were collected between April and August 2008 using a questionnaire, which included demographic factors, severity of low back pain using a visual analog scale, factors related to low back pain and health behavior, and BMI. Descriptive statistics and multiple regression were performed for data analysis. Results: 85.1% of emergency medical technicians experienced low back pain. The mean score of low back pain was relatively low (M=4.0, SD=2.33). Significant factors affecting low back pain were found to be age, marital status, exercise, hours of standing work, and BMI. These variables explained 35.1% of variance in low back pain (F=8.45, p<.001). Conclusion: These results suggest that further research is needed to develop interventions for prevention and management of low back pain among emergency medical technicians.

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The Effects of Tai Chi for Arthritis on Chronic Arthritic Pain of Senior Female : A Pilot Study (만성 관절 통증 여성 노인환자에 있어 관절염 태극권의 효과에 대한 pilot study)

  • Hwang, Eui-Hyoung;Kim, Jung-Hwan;Jang, In-Soo;Yang, Chang-Sop;Kang, Jun-Won
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.1
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    • pp.79-90
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    • 2010
  • Objectives : Tai Chi for arthritis was developed in 1997 by Paul Lam, M.D. of family medicine in Australia. It is an exercise treatment program and a good approaching method for arthritis. However its application is limited to arthritis of knee joint only. Even there have been no clinical study in korean traditional medical society. The aim of this study is to investigate effect of the Tai Chi for arthritis on chronic pain of body. Methods : We designed this trial as objectives were (1) senior female over 60 years, (2) suffering for osteoarthritis and chronic body pain, (3) have no physical or mental dysfunctions (4) able to walk and exercise alone. Objectives mactched these criteria had been trained the Tai Chi for arthritis 2 hours a day for 21 weeks. Before and after training, pain of 8 joints (neck, shoulder, elbow, wrist, waist, hip, knee, ankle) were estimated with the VAS(Visual Analog Scale). Results : Training the Tai Chi for arthritis relieved multiple joint pain(especially neck, lower back, shoulder, wrist and knee) and these were statistically significant. Conclusions : This study is a pilot study to investigate effect of the Tai Chi for arthritis on chronic pain of whole body. Absence of control group, and other scale to test joint function except VAS were limitations of this study. It is the first clinical approach about Tai Chi in korean medicine field, also the first study of Tai Chi for pain of the whole body.

The Effects of Joint Mobolization on Neck Myofacial Pain Syndrome (경부근막동통증후군 환자의 가동범위에 대한 연구)

  • Jeon, Ho-Young;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.1
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    • pp.1-10
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    • 2007
  • Purpose : To identify the effects of Hold-Relax of proprioceptive neuromuscular facilitation (PNF) on the functional improvement of patients with neck myofascial pain syndrome. Methode : The present research investigated 60 patients with neck myofascial syndrome, dividing them into a group doing Hold-Relax of proprioceptive neuromuscular facilitation and a group doing Stretching, This study examined degree of recovery from neck pain by comparing their neck myofascial pain syndrome before and after the treatment, and compared two groups to find difference in the degree of recovery from myofascial pain syndrome. Results : 1. For Hold-Relax of proprioceptive neuromuscular facilitation group, the pain rating score (PRS) were significantly decreased for six weeks treatment. 2. For Stretching group, the pain rating score (PRS) did not indicate significant decrease for six weeks treatment. 3. For Hold-Relax of proprioceptive neuromuscular facilitation group, range of motion of flexion, left rotation, right rotation indicated significant difference after pre test and after two week but no significant difference after four week. 4. For Stretching group, range of motion of flexion, left rotation, and right rotation except extension indicated significant difference after pre test and after two week but no significant difference after four week. Conclusion : The Hold-Relax of proprioceptive neuromuscular facilitation is considered to be effective in increasing joint range of motion of patient and decreasing pain. Accordingly physical therapists has to learn a wide range of patterns and to develop various treatment techniques.

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The Effect of Thoracic Joint Mobilization on Pain, Proprioception and Static Balance in Patients With Chronic Low Back Pain (흉추 관절가동술이 만성요통환자의 통증, 고유수용감각 및 균형수준에 미치는 효과)

  • Yang, Jin-mo;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.22 no.3
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    • pp.1-11
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    • 2015
  • The purpose of this study was to investigate the effect of lumbar stabilization training and additional thoracic mobilization on pain, proprioception and static balance in patients with chronic low back pain. The subjects of this study were 48 chronic low back pain patients who were randomly allocated to an experimental group 1 ($n_1=16$, lumbar stabilization and thoracic mobilization, thoracic hypomobility), experimental group 2 ($n_2=16$, lumbar stabilization and thoracic mobilization, thoracic normal mobility), and a control group ($n_3=16$, lumbar stabilization, thoracic hypomobility) after a thoracic mobility test. Both experimental groups underwent lumbar stabilization training and additional thoracic mobilization. The control group underwent only lumbar stabilization training. The intervention was performed 3 times per week, 30 minutes each time, for a total of 6 weeks. Thoraco-lumbar joint reposition error was measured using an electrogoniometer and static balance ability was measured using the Tetrax posture analysis system. Subjects' pain level was measured using a 100 mm visual analogue scale. Statistical analyses were performed using a one-way analysis of variance and a paired t-test. Post-hoc testing was carried out with a Bonferroni test. The pain level was significantly lower in both experimental groups compared to the control group. Both experimental groups showed significant reductions in joint reposition error angle (flexion, extension, and side bending) compared to the control group. The static balance level was significantly lower in both experimental groups than in the control group. In summary, lumbar stabilization exercises and additional thoracic mobilization significantly improved the pain level, proprioception, and static balance in patients with chronic low back pain.

The Effect of Therapeutic Massage and Mckenzie Exercise on Pain and Range of Motion in Chronic Neck Pain Patient: a Case Study (치료적 마사지와 맥켄지 운동이 만성 경부통 환자의 통증과 관절가동범위에 미치는 영향: 단일사례연구)

  • Lee, Seong-Jin;Oh, Hwan-Hee;Chae, Ji-Su;Kwon, Nam-Il;Park, Do-Yeon;Kwon, Hyo-Joo;Chung, Eun-Jung
    • Journal of Korean Physical Therapy Science
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    • v.24 no.2
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    • pp.61-70
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    • 2017
  • Purpose : The purpose of this study was to examine the effect of therapeutic massage and Mckenzie exercise on pain and range of motion in chronic neck pain patient: a case study. Method : A Twenty-year old female subject with chronic neck pain was selected, she received therapeutic massage and Mckenzie exercise for 30 minutes a day, three days a week for five weeks. Pain was measured visual analog scale(VAS), neck disability index(NDI) and the Copenhagen neck functional disability scale (CNFDS). Range of motion was measured using a goniometer(shoulder joint) and the CROM Deluxe(cervical range of motion instrument). Result : VAS, NDI and CNFDS were decreased 3 score, 4 score and 6 score(respectively) than before the training. The range of motion was increased in shoulder joint and neck movement than before the training. Conclusion : The massage and Mckenzie exercise increased range of motion in shoulder joint and neck movement, and decreased neck pain in chronic neck pain patient. Additional research on therapeutic massage and Mckenzie exercise for improving pain and range of motion is need.