• 제목/요약/키워드: Numerical rating scale

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열다한소탕으로 호전된 태음인 호산구성대장염 환자 1례 (A Case Study of Taeumin Patient with Eosinophilic Colitis Treated with Yeoldahanso-tang)

  • 이지원;김진영;오혜원;이의주;고병희;이준희
    • 사상체질의학회지
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    • 제27권4호
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    • pp.436-443
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    • 2015
  • Objectives The aim of this study was to report an improvement on the symptoms of Eosinophilic Colitis (EC) by Yeoldahanso-tang.Methods The patient was diagnosed with Taeumin Ganyeol-paeJo Symptomatology and treated with Yeoldahanso-tang. The gastroendoscopy and eosinophilic infitration of mucosa of colitis are investigated. Also patient's subjective symptom of abdominal pain was scored using the Numerical Rating Scale(NRS) during the treatment period. And the number of defecation in a day is also used to decide the degree of colitis.Results and Conclusions The patient had been treated from December 13, 2014 to August 8, 2015. Eosinophilic infiltration of colon was disappeared after the treatment although chronic inflammation still existed. Subjective pain of abdominal pain was measured as NRS 6~8 at the beginning of the remedy, but diminished through the treatment sessions and became NRS 0 in the end. The number of defecation was in average 3, and at the endpoint it became 1. In conclusion, this study suggests that Sasang constitutional Medicine used for treating EC of Taeumin may be effective.

도침(刀鍼) 및 관침(管鍼)을 이용한 심부혈맥 자락술이 급성 요추 추간판탈출증에 미치는 영향 (Case Study of with Dochim(刀鍼) & Gwanchim(管鍼) Therapy Combined with Korean Medicine Treatment of Herniated Lumbar Intervertebral Disc Patients)

  • 성인수;육동일;송다형;김민정;홍권의
    • Journal of Acupuncture Research
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    • 제30권4호
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    • pp.169-173
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    • 2013
  • Objectives : The purpose of this study is to report the effect of Dochim & Gwanchim therapy combined with Korean medicine treatment in patients of herniated lumbar disc. Methods : Clinical study was conducted to 103 patients who were treated in Department of Acupuncture and Moxibustion Medicine, Korean Medicine Hospital, Daejeon University from 1st september, 2011 th 31th July, 2013. We divided into two groups. The group A(n=80) was treated with Gwanchim therapy combined with Korean medicine treatment, and the group B(n=23) was treated only Korean medicine treatment. We evaluated the treatment effect with the verbal numerical rating scale(VNRS), and compared admission day and one day after admission. Results : 1. In both two groups VNRS was decreased and this therapy is safety. 2. In group A, VNRS was decreased 10 to 5.68 and in group B, VNRS was decreased 10 to 8.7 Conclusion : This study demonstrates that Gwan acupuncture therapy has significant effect reducing pain for HIVD(herniated lumbar intervertebral disc) patients.

신바로3 약침시술을 병행한 한방치료로 호전된 극상근건염 및 삼각근하 점액낭염 환자 치험 1례 (A Case Report of Supraspinatus Tendinitis and Subdeltoid Bursitis Patient Improved by Korean Medicine Treatment with Shinbaro3 Pharmacopuncture)

  • 윤영웅;정재현;정승현;문병헌;최영준;유수빈;이정훈;신동재
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.161-167
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    • 2015
  • Objectives The objective of this study is to report the improved case of Korean medicine treatment with Shinbaro3 pharmacopuncture for supraspinatus tendinitis and subdeltoid bursitis. Methods We used Shinbaro3 pharmacopuncture with other Korean medicine treatment (acupuncture, herbal medicine, cupping and chuna) for this patient. This case is measured and assessed by Numerical Rating Scale (NRS), shoulder range of motion (ROM) and shoulder physical examination. Results The NRS decreased from 10 to 2 and the patient showed nearly full shoulder range of motion. Also physical examination of shoulder was improved. Conclusions Korean medicine treatment with Shinbaro3 pharmacopuncture is proved to be helpful to relieve pain and recover function on shoulder joint.

척추관 협착증 환자의 보행능력과 요추 주변 근육 단면적의 상관관계 연구 (The Correlation between Cross-sectional Area of Lumbar Paraspinal Muscles and Walking Ability in the Patients with Lumbar Spinal Stenosis)

  • 김민철;서영훈;이상민;김유종;홍제락;유도현;김지수;김태규;최재영;김태훈
    • 한방재활의학과학회지
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    • 제26권3호
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    • pp.109-117
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    • 2016
  • Objectives The purpose of this study was to investigate the correlation between walking ability of lumbar spinal stenosis patients and the cross-sectional area (CSA) of lumbar paraspinal muscles. Methods This study was carried out on 62 lumbar spinal stenosis patients who had limited walking abilities because of neurogenic claudication (NC). All patients received more than 2 weeks of complex treatment at Mokhuri Neck&Back Hospital. CSA of lumbar paraspinal muscles was measured from axial T2-weighted MRI and divided by CSA of adjacent vertebral body to avoid influence of body statues (RCSA-Relative CSA). Pain Free Walking Distance and Numerical Rating Scale (NRS) was measured before and after treatment. Results The Pain Free Walking Distance had significantly increased in patients who had bigger RCSA of psoas muscle (r=0.313, p<0.05). Conclusions The psoas muscle can be a predictive factor for restoring walking ability of lumbar spinal stenosis patients who have limitations walking.

요추 추간판 탈출증과 신경초종을 동반한 요각통 환자를 대상으로 한 한방 보존적 치료 치험 1례 (The Clinical Case Report on a Patient with HIVD(Herniated Intervertebral Disc) and Schwannoma, Treated by Conservative Oriental Medical Treatment)

  • 우재혁;이한;정호석;김은석;한경완;이준석;김창연
    • 척추신경추나의학회지
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    • 제5권1호
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    • pp.111-124
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    • 2010
  • Objectives: The purpose of this study is to report clinical effects of oriental medicine w~h conservative treatments including acupuncture, Chuna treatment and herbal medicine on a patient with low back pain and lower limb numbness caused by HIVD and schwannoma. Methods: The patient was diagnosed with HIVD and schwannoma through the MRI scan. This case was treated with acupuncture, Chuna treatment and herbal medicine during the whole admission period. We evaluated the progress of the symptoms with objective criteria such as NRS(Numerical Rating Scale), SLRT(Straight Leg Raising Test), ODI(Oswestry Disability Index) score and MMT(Manual Muscle Testing). Results and Conclusions: After weeks of conducting conservative treatment on patient with low back pain and lower limb numbness caused by HIVD and schwannoma occurred at the lumbar spine, significant improvements of the symptoms were seen. These results suggest that in the case of low back pain and lower limb numbness caused by HIVD and schwannoma, conservative treatments can be considered as one of the options of treating the symptoms beside surgical way.

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요추 추간판 탈출증을 동반한 척추전방전위증의 한방치료에 관한 임상적 고찰 (Clinical Study of the Treatment of Spondylolisthesis with Lumbar Herniated Intervertebral Disc)

  • 김태호;윤태경;윤영웅;정선영;이차로
    • 척추신경추나의학회지
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    • 제9권1호
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    • pp.15-26
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    • 2014
  • Objectives : The purpose of this study was to evaluate the effect of Korean medicicine treatment in patients with Spondylolisthesis and Lumbar Herniated Intervertebral Disc(HIVD). Methods : This clinical study was carried out on 62 patients who were diagnosed as spondylolisthesis and lumbar herniated intervertebral disc(HIVD) on L-spine X-ray and L-spine magnetic resonance imaging(MRI), who had been admitted from Feb. 2013 to Apr. 2014. All of 62 patients were treated with acupuncture, chuna treatment and herbal medicine during the whole admission period. Numerical rating scale(NRS) was used to evaluated the effectiveness of the oriental medical treatment. Results : 1. Distribution showed female predominance in general. 2. Degenerative type is the most common in this study. 3. In the duration of symptoms, the largest group was" Subacute"(32.26%). 4. Almost of patients had radiation pain, but in SLR test and valsalva test, more patients had no significant sign. 5. Spondylolytic type involved the 5th lumbar vertebra in 80% and degenerative type involved the 4th lumbar vertebra in 53.84%. 6. Most of case were grade 1(93.54%) in degree of slipping. 7. By the oriental medical treatment, NRS reduction in spondylolytic spondylolisthesis, was better than degenerative spondylolisthesis. Conclusions : The result of treatment by Korean medical is satisfactory for the tretment of spondylolisthesis.

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족저부 통증 및 비증을 호소하는 측만증 동반 환자에게 족부 보조기와 추나 치료를 포함한 한의학적 치료를 병행한 증례보고 (A Clinical Case Report Treated with Foot Orthosis and Korean Medicine therapy including Chuna for the Patient Suffer Sole Pain and Numbness that Accompany Scoliosis)

  • 이현호;정성현;최지훈;이기언;조경상;변다영
    • 척추신경추나의학회지
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    • 제12권2호
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    • pp.53-62
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    • 2017
  • Objectives : The purpose of this study is to report the effect of foot orthosis and Korean Medicine therapy including Chuna on symptom that accompany scoliosis by observing one clinical case study. Methods : One patient suffer sole pain and numbness that accompany scoliosis who received outpatient treatment was investigated for the changes in numerical rating scale(NRS), pelvic height and pelvic angle. Pelvic height and angle were checked by using Whole spine X-ray. During outpatient treatment, patient treated by foot orthosis and Korean Medicine therapy including Chuna. Results : After 7 times treatment, NRS showed a remarkable difference, which decreased from 7 to 1. Pelvic height decreased from 11.16mm to 8.58mm and pelvic angle decreased from $5.03^{\circ}$ to $3.16^{\circ}$. They showed a slight difference. Conclusions : Foot orthosis and Korean Medicine therapy including Chuna might be effective in the patient that showed symptoms which is caused by scoliosis.

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우울 및 불안장애 환자에서 신체 통증과 관련된 인지정서조절전략 (The Relationship Between Somatic Pain and Cognitive Emotion Regulation Strategies in Patients with Depression and Anxiety Disorder)

  • 태혜진;허휴정;권예지;황지현;채정호
    • 대한불안의학회지
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    • 제12권1호
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    • pp.34-41
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    • 2016
  • Objective : Emotional state and emotion regulation strategies are considered to be important factors influencing the pattern and severity of somatic pain. The aim of this study is to investigate the relationship between cognitive emotional regulation strategies and somatic pain in patients with depression and/or anxiety disorders. Methods : A total of 140 outpatients, diagnosed with depression and/or anxiety disorders according to DSM-IV-TR, were evaluated using the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Numerical Rating Scale (NRS) for somatic pain. Pearson correlations and independent t-tests were performed to analyze the relationship between somatic pain, the severity of depression and/or anxiety and cognitive emotion regulation strategies. Results : The severity of pain was significantly correlated with depressive symptoms, but not with anxiety. Patients with somatic pain tend to use maladaptive cognitive emotion regulating strategies more frequently, especially rumination and catastrophizing. Conclusion : These findings suggest that somatic pain correlates with maladaptive cognitive emotional regulating strategies. Interventions which modulate these non-productive strategies, especially rumination and catastrophizing, would be a new approach for managing patients with depressive and/or anxiety disorders who are suffering from somatic pain.

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요추 추간판 탈출증에 도침치료를 병행한 한의학적 복합치료 효과에 대한 후향적 연구 (The Effects of Korean Medical Treatment Combined with Acupotomy on Patients with a Herniated Intervertebral Disc of the Lumbar Spine: a Retrospective Study)

  • 김재홍;장여진;박주형;유영님
    • Journal of Acupuncture Research
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    • 제32권1호
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    • pp.119-126
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    • 2015
  • Objectives : The purpose of this study was to investigate the clinical effects of Korean medical treatments combined with acupotomy on patients diagnosed with a herniated intervertebral disc of the lumbar spine. Methods : We reviewed the medical records of twenty in patients diagnosed with a herniated intervertebral disc of the lumbar spine. They had received Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle at Gwangju Korean Medicine Hospital of Dong-Shin University from April, 2014 to December, 2014. To evaluate the efficacy of the treatments, the twenty in patients were asked to complete the Numerical Rating Scale(NRS) and the Oswestry Disability Index(ODI) before acupotomy, the first day after acupotomy, the third day after acupotomy, and the fifth day after acupotomy. Results : 1. NRS significantly decreased from $6.15{\pm}1.27$ to $3.90{\pm}1.45$. 2. ODI significantly decreased from $23.64{\pm}8.76$ to $15.95{\pm}7.35$. Conclusions : Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle might be effective in reducing pain and improving the life quality of patients with a herniated intervertebral disc of the lumbar spine. We hope that further studies will be done to produce more clinical data and ensure effective application of these results.

오수혈의 화(火)혈과 수(水)혈의 운용을 통한 CRPS 제1형 환자 치험 1례 (Treatment of CRPS Type-I with Fire and Water Acupoints: A Case Report)

  • 김종한;유제혁;박지민;이승민;임세훈;이상훈;이재동;남동우
    • Journal of Acupuncture Research
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    • 제30권3호
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    • pp.165-171
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    • 2013
  • Objectives : The purpose of this study is to investigate the effect of acupuncture treatment on a patient suffering from CRPS Type 1. Methods : A 30-year-old female patient suffering from CRPS Type 1 with symptoms of intense burning pain, joint stiffness, restricted mobility, rapid hair and nail growth, allodynia, hyperalgesia and coldness of the right leg was treated with acupuncture on six acupuncture points on the leg from 13 July to 18 July of 2011. Improvement of the patient's symptoms was evaluated by Numerical Rating Scale(NRS), Digital Infrared Thermographic Image(DITI). Results : After 6 days of treatment, NRS score decreased significantly and the DITI results showed moderate improvement in temperature. Conclusions : The results suggest that acupuncture may be an effective in reducing the symptoms of CRPS. Further study is needed to evaluate the significancy of this report.