• Title/Summary/Keyword: Numerical rating scale

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Pain measurement in oral and maxillofacial surgery

  • Sirintawat, Nattapong;Sawang, Kamonpun;Chaiyasamut, Teeranut;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.4
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    • pp.253-263
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    • 2017
  • Regardless of whether it is acute or chronic, the assessment of pain should be simple and practical. Since the intensity of pain is thought to be one of the primary factors that determine its effect on a human's overall function and sense, there are many scales to assess pain. The aim of the current article was to review pain intensity scales that are commonly used in dental and oral and maxillofacial surgery (OMFS). Previous studies demonstrated that multidimensional scales, such as the McGill Pain Questionnaire, Short form of the McGill Pain Questionnaire, and Wisconsin Brief Pain Questionnaire were suitable for assessing chronic pain, while unidimensional scales, like the Visual Analogue Scales (VAS), Verbal descriptor scale, Verbal rating scale, Numerical rating Scale, Faces Pain Scale, Wong-Baker Faces Pain Rating Scale (WBS), and Full Cup Test, were used to evaluate acute pain. The WBS is widely used to assess pain in children and elderly because other scales are often difficult to understand, which could consequently lead to an overestimation of the pain intensity. In dental or OMFS research, the use of the VAS is more common because it is more reliable, valid, sensitive, and appropriate. However, some researchers use NRS to evaluate OMFS pain in adults because this scale is easier to use than VAS and yields relatively similar pain scores. This review only assessed pain scales used for post-operative OMFS or dental pain.

Effect of Complex Korean Medicine Treatment on Sacral Insufficiency Fracture: A Case Report

  • Jung, Ga Hyeon;Lee, Hyun;Ryu, Hwa Yeon;Kang, Jae Hui
    • Journal of Acupuncture Research
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    • v.37 no.3
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    • pp.187-192
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    • 2020
  • Sacral insufficiency fractures (SIF) are a common, but often underdiagnosed source of lower back pain without apparent trauma. This report presents the clinical outcome of a 75-year-old female with SIF, and an underlying medical history of osteoporosis and rheumatoid arthritis. She was treated non-operatively, in-hospital, with Korean medicine. Patient progress was assessed using the numerical rating scale and self-reported symptoms. Post-treatment, the numerical rating scale score for pain in her hip decreased from 7 to 2. At admission, the patient was unable to sit, and could only walk 3 m with assistance. At discharge, she could sit for longer than 1 hour and walk further than 200 m unassisted. On the follow-up visit, the patient was asymptomatic, and x-ray scans showed ossification of the sacral and pubic fractures. These results suggest that, Korean medicine can effectively reduce pain and aid rehabilitation in patients with SIF, without the need for surgery.

Effects of a Taping Method on Pain and ROM of the Knee Joint in the Elderly (테이핑 요법이 노인의 무릎 통증과 관절가동범위에 미치는 영향)

  • Park Yeong-Sook;Kim Hyun-Jung
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.372-381
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    • 2005
  • Purpose: This study was to investigate the effects of a taping method on pain and ROM of the knee joint in the elderly. Method: The subjects were seniors registered in a senior welfare center in D city. An experimental group of 30 persons and acontrol group of 33 persons were chosen and according to the proper conditions and a knee pain score was marked from 1-5 on a Numerical Pain Rating Scale. For the experimental group, the taping method was conducted three times a week for four weeks (twelve times in all) but the control group did not receive taping.. The measuring instrument of knee pain was a numerical pain rating scale from 0 to 10 and the ROM score was the average value of three measured values with a goniometer. The data was analyzed with SPSS WIN 10.0 using an $x^2-test$, t-test, repeated measures ANOVA, and time contrast. Result: Knee joint pain was significantly decreased in the experimental group over that of the control group (p=.001). In addition, knee joint ROM of the experimental group was significantly improved over that of the control group (p=.001). Conclusion: It was proven that the taping method was effective for pain relief and increasing ROM of the knee joint in the elderly.

Three cases meniscus injury treated with Shinbaro pharmacopuncture therapy

  • Lee, So Jin;Yoon, Tae Kyung;Shin, Soo Ji;Ahn, Sang Min;Lee, Seong Jin;Won, Jeong Yoon;Jang, Yeo Jin
    • Journal of Acupuncture Research
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    • v.34 no.3
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    • pp.109-119
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    • 2017
  • Objectives : The purpose of this report was to show that oriental therapy, specifically Shinbaro pharmacopuncture is effective for improvement of symptoms and and range of motion (ROM) in patients diagnosed with meniscus tears in the knee. Methods : Three patients were treated with herbal medicine, acupuncture, cupping, Shinbaro pharmacopuncture. The efficacies of the treatments in the three cases were assessed and the progress of the three cases were measured Numerical Rating Scale (NRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), European Quality of Life five dimensions dimensions (EQ-5D), and range of motion (ROM) measurements. Results : After all the treatments, NRS, WOMAC, and EQ-5D decreased. Active and passive ROM of the knee increased. Conclusion : These reports show the effect of Shinbaro pharmacopucture on a meniscus tear. Due to the small number of cases in this study, further case reports are needed.

The Effect of Burning Acupuncture Therapy on the External Epicondylitis: Report of Six Cases (주관절 외측상과염에 대한 가열식 화침(火鍼) 치험 6례)

  • Park, Min-Kyu;Kang, Il-A;Shin, Min-Geun;Kim, Hyo-Sub;Sim, Young-Ho;Lee, Jun-Hwan;Lee, Jae-Min
    • Journal of Acupuncture Research
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    • v.29 no.4
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    • pp.113-121
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    • 2012
  • Objectives : The purpose of this study is to observe the effect of burning acupuncture therapy on the external epicondylitis. Methods : 6 patients were treated by burning acupuncture therapy to recover from external epicondylitis. The symtoms were evaluated by Numerical Rating Scale(NRS), grip strength, ROM of elbow. Results : ROM & grip strength were increased and NRS decreased in all cases. Conclusions : Burning acupuncture therapy is effective to external epicondylitis.

The Clinical Report on 2 cases of Meniscal Injury patients with Knee Pain improved by Motion Style Treatment (슬관절 M.S.T.(Motion Style Treatment)를 이용한 반월상 연골판 손상으로 진단받은 슬통 환자 치험 2례)

  • Choi, Young-Il;Kim, Min-Yeong;Choi, Hee-Seung;Shin, Dong-Jae;Choo, Won-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.97-107
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    • 2011
  • Objectives : The purpose of this study is to report two cases of improvement in meniscal injury induced knee pain after M.S.T(Motion Style Treatment). Methods : Two patients diagnosed as meniscal injury were improved by M.S.T(Motion Style Treatment). This study was measured by Numerical Rating Scale(NRS) score and physical examination. Results : In this study, in the end of continuous M.S.T(Motion Style Treatment), patient's knee pain had improved. Numerical Rating Scale(NRS) were also decreased. Conclusions : As seen in this two cases of patients of knee pain who were diagnosed as meniscal injury, M.S.T(Motion Style Treatment) has a positive effect to control pain with knee pain who are diagnosed as meniscal injury.

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10 Cases of Patients with Lumbar Disc Herniation Improved after Oriental Intensive Therapy (한방 집중 치료 후 호전된 요추 추간판 탈출증 환자 10례)

  • Lee, Sang-Young;Cheong, Pil-Sun;Han, Se-Hyuk;Hwang, Choon-Ho;Yoon, Young-Jeoi;Kim, Hyung-Seok;Kim, Hyung-Woo;Jeong, Hyun-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.4
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    • pp.702-707
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    • 2011
  • Patients with lumbar disc herniation are faced with lowered quality of life. For this reason, we investigated the effects of Oriental Intensive Therapy (OIT) including acupuncture, pharmacopuncture, manual therapy and herbal medicine on patients with lumbar disc herniation. Ten patients, diagnosed with lumbar disc herniation by MRI in hospital, were treated with OIT for 12 weeks. Symptoms of the patients were assessed using Verbal Numerical Rating Scale (VNRS) and Oswestry Disability Index (ODI). All patients were investigated every a week. In our results, intensity of pain was reduced after 4 weeks treatment significantly by VNRS, Quality of life has also improved after 4 weeks treatment by ODI. In conclusion, this study suggests that OIT may be effective to treat patients with lumbar disc herniation.

Study and three Cases Report for Lumbar Spinal Stenosis Treatment Using a Combination of Acupotomy and Existing Treatments (기존치료법과 침도침 시술을 병행한 요추관협착증의 증례보고 및 분석)

  • Jung, Ki-Yong;Sur, Young-Chan;Jang, Woo-Soon;Lee, Ji-Eun;Kim, Kyoung-Hoon;Shin, Gwang-Soon;Han, You-Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.1
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    • pp.120-127
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    • 2012
  • This study reports the effect of acupotomy for patients diagnosed with lumbar spinal stenosis(LSS). We treated three patients diagnosed with LSS using acupotomy. We measured the Numerical Rating Scale(NRS), Oswestry Disability Index(ODI) scores and Odom's criteria before and after treatment to assess improvements in symptoms and functions. In all patients, NRS, ODI scores and Odom's criteria were improved. We found a beneficial effect with acupotomy for three patients diagnosed with LSS. Thus, these data suggest LSS may be treated successfully with acupotomy.

Treatment of Ramsay Hunt Syndrome Using Korean Medicine including Sinbaro3 Pharmacopuncture: A Case Report

  • Shin, Won Bin;Park, Ji Won;Choi, Hyo Jung;Namgoong, Jin;Kim, Sang Gyun;Min, Baek Ki
    • Journal of Acupuncture Research
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    • v.36 no.3
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    • pp.161-165
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    • 2019
  • This study was conducted to investigate whether treatment with Korean medicine might help to improve symptoms of patients diagnosed with Ramsay Hunt Syndrome. A patient diagnosed with Ramsay Hunt Syndrome was hospitalized for 15 days from October 4, 2018 to October 18, 2018 and treated using Korean medicine (Sinbaro3 pharmacopuncture, acupuncture, electroacupuncture, and herbal medicine). Therapeutic effects were evaluated using the Numerical Rating Scale (NRS), House-Brackmann grade, Yanagihara's score survey, and Digital Infrared Thermographic Imaging (DITI). After treatment, the Numerical Rating Scale score (6 at admission down to 2 points at discharge), House-Brackmann grade (Grade V down to Grade II), Yanagihara's score (6.0 up to 22.0), and Digital Infrared Thermographic Imaging showed improvement from admission to discharge. Treatment with traditional Korean medicine, may help improve symptoms of Ramsay Hunt Syndrome such as facial nerve paralysis, neuralgia after paraplegia, hearing difficulties, and dizziness.

Cervical and Lumbar Herniated Nucleus Pulposus Resorption after Acupotomy with Integrative Korean Medicine Treatment: A Case Series of Two Patients

  • Lee, Ye Ji;Kim, Jae Ik;Kim, Hyo Bin;Jeon, Ju Hyun;Kim, Eunseok;Kim, Young Il
    • Journal of Acupuncture Research
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    • v.36 no.2
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    • pp.107-112
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    • 2019
  • The aim of this study was to report on the resorption of herniated nucleus pulposus following acupotomy treatment. Two patients were treated with acupotomy which included integrative Korean Medicine treatment, for either cervical, or lumbar herniated nucleus pulposus. Magnetic Resonance Imaging was used to produce images before and after (several months) treatment. The Numerical Rating Scale scores and Range of Motion were used to assess the patients at admission and discharge. In both cases, substantial resorption of the respective herniated disc was observed in the magnetic resonance images, with a decrease in the Numerical Rating Scale score. Range of Motion improved in 1 case. This study shows that acupotomy treatment may be a clinically effective treatment for herniated nucleus pulposus resorption and pain relief.