• 제목/요약/키워드: Pain Control

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크로커다일 호흡 운동이 비특이성 요통을 가진 환자들의 통증과 체간 근긴장도 및 근경직도에 미치는 영향 (Effects of Crocodile Breathing Exercise on Pain, Muscle Tone, and Muscle Stiffness in Patients with Non-specific Low Back Pain)

  • 조용호
    • 대한물리의학회지
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    • 제14권2호
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    • pp.117-124
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    • 2019
  • PURPOSE: This study was to investigate the effects of crocodile breathing exercise on pain, muscle tone, and muscle stiffness of non-specific low back pain patients. METHODS: The subjects were 37 patients with nonspecific low back pain. The patients were divided into two groups. The experimental group (EG) performed crocodile breathing exercise and the control group (CG) performed chest expansion breathing exercise. The intervention was conducted for 10 minutes every day for a total of eight weeks. Pain was measured using a VAS. Muscle tone and stiffness were measured using Myoton PRO. Two points were measured for muscle tone and muscle stiffness. They were measured at 30mm from the spinous process of the L1 and T10 vertebra. RESULTS: Pain, muscle tone and muscle stiffness at the T10 level showed a significant decrease in both EG and CG. Muscle tone and muscle stiffness in the L1 level area decreased significantly in the experimental group but the control group did not show any difference. The only statistically significant difference was observed in the L1 muscle tone between the pre and post intervention values. CONCLUSION: This study suggests that Crocodile breathing is a good method for managing pain, muscle tone, and muscle stiffness in non-specific low back pain patients.

만성 역학적 목 통증을 가진 환자에게 도수치료만 적용할 때와 도수치료와 안정화운동을 함께 적용할 때 목 통증과 신체기능에 미치는 효과 비교 (A Comparison of The Effects of Manual Therapy Plus Stabilization Exercise with Manual Therapy Alone in Patients with Chronic Mechanical Neck Pain)

  • 이남용
    • 대한물리의학회지
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    • 제17권1호
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    • pp.63-74
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    • 2022
  • PURPOSE: This study aimed to compare the effects of manual therapy with stabilization exercises to manual therapy alone, on neck pain and body functions in patients with chronic mechanical neck pain. METHODS: Twenty patients with chronic mechanical neck pain were recruited and randomly allocated into two groups. A control group(n = 10) was given the manual therapy alone and an experimental group(n = 10) was given the manual therapy with stabilization exercises. The intervention was carried out 3 days per week for 4 weeks. The cervical resting pain, the most painful motion pain, craniocervical flexor endurance, forward head posture and neck disability index were used to assess participants at baseline and after 4 weeks. RESULTS: A comparison of the parameters before and after the intervention showed that both groups experienced significant improvements in the resting pain, the most painful motion pain, craniocervical flexor endurance, and forward head posture except for the forward head posture in the control group. A comparison of the parameters between the groups did not show a significant difference. CONCLUSION: The results of this study suggest that the combined intervention of manual therapy with stabilization exercise does not seem to be more effective than manual therapy alone for improving neck pain, craniocervical flexor endurance, forward head posture, and the neck disability index in patients with chronic mechanical neck pain.

제 12흉추부위에서 시행한 내장신경차단 (Splanchnic Nerve Block at T12 Level)

  • 박정현;윤덕미;오흥근
    • The Korean Journal of Pain
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    • 제5권1호
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    • pp.17-22
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    • 1992
  • Splanchnic nerve block(SNP) is performed to relieve intractable upper abdominal cancer pain. Boas, in a technique using fluoroscopy, was the first to note the difference between transcrural celiac plexus block and retrocrural splanchnic nerve block(SNB). We have experienced 10 cases of SNB at the T12 level under control of fluoroscopy. Our results support this approach as an effective method for upper abdominal cancer pain control.

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이압요법이 여대생의 복부통증 및 월경곤란증에 미치는 효과 (The Effects of Auricular Acupressure Therapy on Abdominal Pain and Dysmenorrhea in Female University Students)

  • 차남현
    • 지역사회간호학회지
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    • 제19권2호
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    • pp.280-289
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    • 2008
  • Purpose: This study was carried out to investigate the effects of auricular acupressure therapy on the relief of dysmenorrhea and abdominal pain in female university students. Method: This study was designed as non-equivalent control group research. Data were collected from 44 of the female university students(Exp.: 22, Cont. : 22) from October, 2007 to December, 2007. Collected data were analysed through $x^2test$. Fisher's exact test, Mann-Whitney U test and Wilcoxon signed rank test. Result: Abdominal pain was significantly decreased partially in the experimental group compared to that of the control group(p=.008). Dysmenorrhea was significantly decreased in the experimental group compared to that of the control group(p=.000). Conclusion: It was proven that auricular acupressure therapy was effective for abdominal pain and dysmenorrhea.

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요통치료에서 보법의 영향 (The Influence of Walking on Low Back Pain)

  • 박서희;장상철;나삼식;안훈모
    • 대한의료기공학회지
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    • 제14권1호
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    • pp.63-82
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    • 2014
  • This study is aimed to verify effects of Walking in treating hospitalized patients with low back pain in the Korean medicine hospital. The method of this study is choosing patients whose chief complaints were low back pain in the Korean medicine hospital in Gyeonggi Province. People who agreed to take Walking treatment were classified into experimental group and control group. Both experimental group and control group were treated with Korean medicine. In addition, experimental group performed Walking program more often. Changes of temperature difference taken by digital infrared thermal imaging(DITI) were used as measuring tools. The summary of this study's result is as in the following. There was significant difference in the experimental group which performed Walking treatments but not in the control group resulting from examining the change of temperature difference between left and right Yongchon. As known from the results above, Walking program is meaningful in curing the low back pain.

밸런스 테이핑 요법이 노인의 다리통증에 미치는 효과 (Effects of Balance Taping Therapy for Elders with Leg Pain)

  • 박경숙;박가윤;류언나
    • 기본간호학회지
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    • 제15권1호
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    • pp.45-52
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    • 2008
  • Purpose: The purpose of this study was to examine the effects of balance taping for elders suffering from leg pain. Method: This study was a nonequivalent pretest-posttest design, quasi-experimental study. There were 25 elders in the experimental group and 25 in the control group. The degree of leg pain was measured three times. Results: In the experimental group, the leg pain score before taping was 6.28, but 1 hour after the taping was applied it was 3.24, and at 24 hours after the taping was applied, 2.16. The leg pain score for elders in the experimental group decreased significantly but for those in the control group, it hardly changed. Conclusion: The findings of this study support the conclusion that balance taping may benefit individuals with leg pain. Also, balance taping therapy can be used as an independent nursing intervention.

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만성 경부통 환자를 위한 복합운동프로그램의 효과 (The Effects of Combined Exercise Program for Patients with Chronic Neck Pain)

  • 장현정;김현희;송창호
    • 대한물리의학회지
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    • 제6권1호
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    • pp.81-92
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    • 2011
  • Purpose : The purpose of this study was to compare combined exercise program group to conventional physiotherapy for patients with chronic neck pain. Methods : Participants were randomly allocated to two groups by experimental(n=17) and control(n=17). Combined exercise program group involved stretching, stability, strengthening and endurance, proprioceptive exercises along with an educational programme. Patient attended for 60min, three times a weeks. Control group was treated as conventional physiotherapy on 40 min, three times a weeks. Outcome variables included pain, disability, range of motion, fatigability at 0 and 6 weeks. Results : Pain, Disability Index, Fatigability significantly decreased(p<.05) and Range of motion improved significantly after active exercise program(p<.05). In conclusion. Combined exercise program improves pain and disability, range of motion, fatigability. Conclusion : These results suggest that combined exercise program is suitable for chronic neck pain.

요통환자의 기립시 하지체중 지지특성에 관한 연구 (A Study on the Characteristics of Lower Extremity Weight Bearing in Patients with Low Back Pain)

  • 윤홍일;배수찬
    • 대한정형도수물리치료학회지
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    • 제5권1호
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    • pp.59-74
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    • 1999
  • 66 patients with low back pain were evaluated to determine if any differences of weight bearing were existed between the same side leg that feel pain(pain side leg) and that without pain (non-pain side leg) of lower extremities while weight bearing. 66 patients were divided into 3 groups according to pain pattern such as low back pain only(26), radiating pain only(21) and low back pain with radiating pain (19). Control group were 28 normal persons. The weight bearing was rated by Limloader(Model LLD-2000, Ver 1.2) and analyzed by paired and independent t-test, one-way ANOVA, Dunan's analaysis and Pearson's correlation analysis. The results of this study were as follows : 1. In patient group, significant difference of weight bearing rating between pain side leg and non-pain side leg was found. There was borne significantly less weight bearing rating(14.68%) on the pain side leg(P<.001). 2. In normal group, there was no significant difference between left and right leg(P>.05). But there was significant difference(3.21%) in absolute difference of both leg(p<.001). 3. The difference of 1 and 2 was 11.47% : more difference of weight bearing rating between both legs in patient group than that of the control group(p<.001). 4. There were significant differences of weight bearing rating in those 3 groups : low back pain group(10.30%), radiating pain group (17.90%) and low back pain with radiating pain group (17.10%) (p<.001). 5. There was significant correlation between pain intensity and difference of weight bearing rating(p<.05). The severer pain intensity. the more difference of weight bearing rating was found. 6. There was no significant correlation between the age, height and duration of symptom, etc(p>.05).

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Clinical Features of the Persistent Idiopathic Dentoalveolar Pain Compared with Inflammatory Dental Pain

  • Jang, Ji Hee;Chung, Jin Woo
    • Journal of Oral Medicine and Pain
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    • 제47권2호
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    • pp.87-94
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    • 2022
  • Purpose: This study aimed to evaluate the differences between clinical and quantitative sensory testing (QST) results among persistent idiopathic dentoalveolar pain (PIDP), inflammatory dental pain, and control group subjects to identify discriminative clinical features for differential diagnosis. Methods: Thirty-three patients (5 PIDP-a without surgical procedures 10 PIDP-b with surgical procedures, 8 dental pain patients, and 10 controls) were evaluated for clinical features and QST results. Cold pain threshold, heat pain threshold, mechanical pain threshold (MPT), mechanical pain sensitivity, and pressure pain threshold (PPT) were performed. Psychological factors were assessed using Symptom Checklist-90-Revision (SCL-90-R) and a chart review was conducted to evaluate additional discriminative clinical features such as pain quality and treatment prognosis. Results: The dental pain group had lower PPT than the PIDP-b and the control group. The PIDP-a group showed higher MPT and PPT than the PIDP-b and dental pain group but the difference was not statistically significant. Differences in SCL-90-R SOM (Somatization), O-C (obsessive-compulsive), ANX (anxiety), and PSY (Psychoticism) values were statistically significant among groups. PIDP-a and PIDP-b groups showed remaining symptoms after treatment and the pain tended to spread widely, whereas, in toothache patients, symptoms disappeared after treatment. However, factors that confound the diagnosis, such as an increase in pain during chewing and a decrease in the pain threshold at the affected site, could also be identified. Conclusions: PIDP and dental pain groups have distinct clinical symptoms, but there are also factors that cause confusing in diagnosis. Therefore, various clinical examination results should be carefully reviewed and comprehensively evaluated in the differential diagnosis process.

Effects of Pain Neuroscience Education on Pain, Body Function, Activity Disorders, and Depression in Patients with Chronic low back Pain: Randomized Controlled Trail

  • Kyoung-Gon Oh;Min-Ji Lee;Byoung-Hee Lee
    • 대한물리치료과학회지
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    • 제31권2호
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    • pp.1-14
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    • 2024
  • Background: Many patients with chronic low back pain have reduced movement due to pain. For that reason, muscle strength weakens, which leads to pain again. The pain caused by such a vicious circle is not only caused by structural problems, but also by physical function, activity disorder, or psychological depression due to biopsychosocial approaches and pain neuroscience education was applied as an intervention to find out its effect. Therefore, this study was experimented with to find out the effects of pain neuroscience education on pain, physical function, activity disorder, and depression in patients with chronic low back pain. Design: Randomized control trial Method: The study subjects were 39 patients with chronic low back pain, and the study subjects were randomized through computers to the experimental group applying pain neuroscience education and the control group applying only general physical therapy and myofascial release techniques, and the experiment was conducted for 4 weeks. Pressure Pain Threshold , Schober test, Korean Roland-Morris Disability Questionnaire, Korean Oswestry Disability Index, and Korean Depression Screening Assessment were measured. Results: As a result of the study, there was no significant difference in pain neuroscience education compared to the group that applied only general physical therapy and myofascial release techniques in both lumbar pressure pain thresholds, Schober test, Korean Roland-Morris disability questionnaire, and Korean Oswestry disability questionnaire. However, the Korean Depression Screening Assessment which is the result of measuring depression, showed significant results(p<0.05). Conclusion: Therefore, it is believed that it can be a way to mediate the psychological part through pain neuroscience education for patients with chronic low back pain in the future.