• Journal of Oriental Neuropsychiatry
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• v.11 no.2
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• pp.103-111
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• 2000

Objectives : We studied the aspects of headache in the patients with stroke. We compared character of headache on stroke with functional one. Methods : The subject of this study was based on 63 patients with headache who were admitted to the oriental hospital after stroke. We analyzed patients into sex & age, month, severity of headache on stroke type & lesion, site & character of headache. associated symptoms & signs on headache state.Results : The age of headache with stroke is higher than general headache. There was significant differences between general headache and headache with stroke. The cerebral hemorrhage is severer than cerebral infaction in th pain of headache. The most frequently appeared site of headache is temporal area and associated symptoms is vertigo & nausea.Conclusions : The headache of stroke patient is different form functional headache. because of cerebral vascular accident influence on inducing headache. Therefore we should study different methods between the headache of stroke patient and the others in medical treatment.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.3
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• pp.43-50
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• 2020

PURPOSE: To investigate the correlation between sleep quality, neck and shoulder pain, neck and shoulder disability, headache, and smartphone addiction in adults, as well as factors affecting sleep disorders in adults. METHODS: A total of 112 adults in their 20s were recruited for participation in this study. This study measured Pearson's correlation of sleep quality, neck and shoulder pain, neck and shoulder disability, headache and smartphone addiction. Logistic regression analysis (sleep disorder, without sleep disorder adults), was performed to analyze factors affecting sleep disorders. RESULTS: Sleep quality index was positively correlated with shoulder pain and disability index(SPADI)-pain score, SPADI-global score and smartphone addiction score. There was a significant difference in SPADI-pain score between the group with sleep disorders and the group without sleep disorders. Shoulder pain and disability were identified as factors affecting sleep disorders. The group with sleep disorders showed 1.088 times more shoulder pain than the group without sleep disorders, and the group with sleep disorders showed 1.006 times higher frequency of shoulder disorders than the group without sleep disorders. CONCLUSION: The results of the present study indicate that as sleep quality worsens, shoulder pain, disability, and smartphone addiction get worse. The group with sleep disorders had significantly increased shoulder pain compared to the group without sleep disorders. We also found that shoulder pain and disability were factors affecting sleep quality. Comparison between intervention method is warranted to better understand adults with sleep disorders.

• Journal of Korean Neurosurgical Society
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• v.50 no.6
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• pp.507-511
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• 2011

Objective : Cervicogenic headache (CGH) is known to be mainly related with upper cervical problems. In this study, the effect of radiofrequency neurotomy (RFN) for lower cervical (C4-7) medial branches on CGH was evaluated. Methods : Eleven patients with neck pain and headache, who were treated with lower cervical RFN due to supposed lower cervical zygapophysial joint pain without symptomatic intervertebral disc problem or stenosis, were enrolled in this study. CGH was diagnosed according to the diagnostic criteria of the cervicogenic headache international study group. Visual analogue scale (VAS) score and degree of VAS improvement (VASi) (%) were checked for evaluation of the effect of lower cervical RFN on CGH. Results : The VAS score at 6 months after RFN was $2.7{\pm}1.3$, which were significantly decreased comparing to the VAS score before RFN, $8.1{\pm}1.1$ ($p$<0.001). The VASi at 6 months after RFN was $63.8{\pm}17.1%$. There was no serious complication. Conclusion : Our data suggest that lower cervical disorders can play a role in the genesis of headache in addition to the upper cervical disorders or independently.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.3
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• pp.1564-1570
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• 2018

The International Headache Society (IHS) has validated cervicogenic headache (CGH) as a secondary headache type that is hypothesized to originate due to nociception in the cervical area. CGH is a common form of headache and accounts for 15% to 20% of all chronic and recurrent headaches. CGH is commonly treated with manual and exercise therapy. To date, no studies have isolated only one manual intervention in an attempt to determine its effectiveness. In this case study we present a 28-year-old patient with right upper cervical (UC) and occipital pain who responded well to a single manual intervention technique. This technique was applied in isolation for the first three visits and two therapeutic exercises prescribed on the fourth and fifth visit. In total, manual and exercise intervention occurred over 8 visits at which point in time the patient was discharged with no UC motion impairments, an NPRS rating of 0, a NDI and HDI demonstrating a 100% improvement and a 37% improvement in FOTO score. The traction based manual intervention and two therapeutic exercises prescribed for this patient were successful in relieving UC pain and CGH. At six months follow up, the patient was still symptom free.

• Journal of Dental Rehabilitation and Applied Science
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• v.22 no.1
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• pp.29-36
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• 2006

As migraine pain represents a substantial personal and social burden worldwide, there has been a great deal of effort in developing a screening instrument for migraine. Lipton et al(2003) developed and validated the ID Migraine questionnaire, which is a self-administered screener for migraine in primary care, and it is brief and easy to use for a primary care provider. The aim of this study was to determine if the ID Migraine questionnaire could be applied successfully to assess the headache patients with temporomandibular disorders(TMD) and orofacial pain. This study found that nausea, photophobia and headache-related disability had the highest individual sensitivities and specificities, and the performance of the three-item screener was equivalent to that reported in a previous study. Although the sensitivity of the three-item screener in this study (0.58) was lower than in a previous study (0.81), the specificity (0.98) was higher and the positive predictive value was 93.9%. This suggest that the ID Migraine questionnaire is very efficient in this setting. In conclusion, the ID Migraine questionnaire, which is a three-item screener consisting of nausea, photophobia and headache-related disability, is effective as a self-administered report for detecting migraine headaches in patients with temporomandibular disorders(TMD) and orofacial pain.

• Clinical Pain
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• v.18 no.1
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• pp.24-30
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• 2019

Objective: Greater occipital nerve block (GONB) is a widely accepted treatment of primary headaches. Two ultrasound (US)-guided blockade techniques exist: 1) the classical distal nerve block technique performed medial to the occipital artery at the superior nuchal line, and 2) the new proximal nerve block technique performed at the obliquus capitis inferior muscle at the level of C2. Our study aim was to perform a head-to-head comparative study of these two US-guided techniques. Method: Forty-nine patients with primary headache treated in our university hospital were recruited. Patients were randomized into two groups of the classical nerve block and the new proximal nerve block techniques. The headache questionnaire was made to assess the intensity of the pain of headache attacks, number of days they experience headache, duration of headache, and amount of pain medication they consumed. Results: In both groups, a decrease in the severity and frequency of the headache was observed. There was no measurable difference in outcome between the two groups. Conclusion: Our study showed that the classic and new proximal techniques are equally effective in decreasing the headache severity and frequency.

• Journal of Acupuncture Research
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• v.30 no.2
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• pp.17-24
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• 2013

Objectives : To broaden understanding about meridian tendino-musculature acupuncture on headache and to evaluate the effect of meridian tendino-musculature acupuncture on headache. Methods and Results : From Feb. 2012 to Jan. 2013, the 64 patients were outpatients for treatment of headache in Department of Acupuncture and Moxibustion Medicine, Traditional Korean Medical Hospital, Semyung University and treated with meridian tendino-musculature acupuncture. To evaluate the effect of meridian tendino-musculature acupuncture, we devide 3groups(21 occipital-headache patients, 27 temporal-headache patients, 16 frontal-headache patients) upon pain area and search pain intensity(VAS were used), different frequency, duration time. As a result, headache are improved remarkably within two weeks. Conclusions : Meridian tendino-musculature acupuncture was found to be helpful to patients who wish to recover from headache. In order to make this meridian tendino-musculature acupuncture more available, we should pay more attention to improving treatment appliance and acupuncture techniwue.

• The Korean Journal of Pain
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• v.21 no.1
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• pp.80-83
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• 2008

Local infiltration in surgical wounds can reduce postoperative pain with very few side effects. We experienced two cases of chronic pain after forehead lift surgery. A 41-year-old male patient was suffering from a headache at the crown of the head and pain from the posterior neck. A 54-year-old female patient had pain around the forehead, worsened by psychological stress. They underwent forehead lift surgery 10 years and 8 months ago, respectively. Conservative treatments such as medication and physical therapy were not effective. After wound infiltration with 1% lidocaine more than ten times, pain significantly resolved in both patients.

• The Korean Journal of Pain
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• v.2 no.1
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• pp.89-93
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• 1989

We performed the autologous epidural blood patch (AEBP) for the relief of headache and other related symptoms following dural punctures of the lumbar region during 8 years from 1981 to 1988. The total of 37 patients with the patching consisted of 9 cases in 3007 of spinal anesthesia, 12 accidental dural punctures in 4283 cases of lumbar epidural anesthesia, 12 cases in 4747 of epidural analgesia for back pain control, 3 cases of myelography and a case of diagnostic lumbar puncture. The headaches were relieved completely in 35 cases following the first AEBP and the remaining two were also relieved following the second AEBP. We think that the AEBP for postdural-puncture headache is the treatment of choice.

• The Korean Journal of Physiology and Pharmacology
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• v.13 no.6
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• pp.425-429
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• 2009

Intracranial headaches, including migraines, are mediated by nociceptive activation of the trigeminal nucleus caudalis (TNC), but the precise mechanisms are poorly understood. We previously demonstrated that selective blockage of spinal sigma-1 receptors (Sig-1R) produces a prominent antinociceptive effect in several types of pain models. This study evaluates whether the Sig-1R antagonist (BD1047) has an antinociceptive effect on capsaicin (a potent C-fiber activator) induced headache models in rats. Intracisternal infusion of capsaicin evoked pain behavior (face grooming), which was significantly attenuated by BD1047 pretreatment. BD1047 consistently reduced capsaicin-induced Fos-like immunoreactivity (Fos-LI), a neuronal activator, in the TNC in a dose-dependent manner. Moreover, capsaicininduced phosphorylation of N-methyl-D-aspartate receptor subunit 1 was reversed by BD1047 pretreatment in the TNC. These results indicate that the Sig-1R antagonist has an inhibitory effect on nociceptive activation of the TNC in the capsaicin-induced headache animal model.