• Title/Summary/Keyword: Pain Scale

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Bee Venom Acupuncture for Shoulder Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials

  • Shen, Lei;Lee, Jong Ha;Joo, Jong Cheon;Park, Soo Jung;Song, Yung Sun
    • Journal of Pharmacopuncture
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    • v.23 no.2
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    • pp.44-53
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    • 2020
  • Objectives: Our review aimed to summarize and evaluate evidence on the effectiveness of bee venom acupuncture (BVA) in the treatment of shoulder pain. Methods: Randomized controlled trials (RCTs) evaluating the effectiveness of BVA on shoulder pain were searched up to October 2019 in 11 electronic databases (Medline, Embase, CENTRAL, CiNii, CNKI, VIP, Wanfang, Kmbase, NDSL, RISS, OASIS). The methodological quality of the included RCTs were evaluated using Cochrane Risk of Bias tool and a meta-analysis was performed. Results: Seven studies were included in the review, and four studies were included in the meta-analysis. Comparing BVA plus conventional therapy (CT) with saline injection plus CT, it showed an effect in favor of BVA plus CT in visual analog scale (VAS) and pain rating scale (PRS) (p = 0.02, p = 0.009, respectively). Comparing BVA plus physiotherapy (PT) with saline injection plus PT, it showed that there was no significant difference in VAS and verbal rating scale (VRS) between the two groups. Conclusion: This systematic review and meta-analysis suggest that BVA could be beneficial as an adjuvant treatment for shoulder pain.

Effects of Active Vibration Exercise on Neck Pain, Disability Index, and Muscle Activity of Patients with Forward Head Posture

  • Kim, Yong Nam;Lee, Dong Kyu
    • The Journal of Korean Physical Therapy
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    • v.30 no.6
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    • pp.218-223
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    • 2018
  • Purpose: The purpose of this study was to evaluate the impact of active vibration exercise on the neck pain, disability index, and muscle activity of patients with forward head posture. Methods: A total of 24 patients were randomly assigned to an experimental group or a control group (n=12 each). The experimental group performed active vibration exercise using a flexi-bar for 20 minutes a day, five times a week for four weeks. The study measured patient neck pain using a visual analog scale, neck pain related disability using the neck disability index, and muscle activity using electromyography. Results: The intragroup comparison showed significant differences in the visual analog scale score, neck disability index score and upper trapezius, lower trapezius and serratus anterior muscle activity values among patients in the experimental group. The intergroup comparison showed that differences in the visual analog scale score, neck disability index score and upper trapezius, lower trapezius and serratus anterior muscle activity values in the control group. Conclusion: This study showed that active vibration exercise was effective in improving the neck pain, disability index, and muscle activity of patients with forward head posture.

A Clinical Study on the Case of Right Shoulder Pain occurred in Calclfic tendinitis (석회화건염(石灰華腱炎)으로 우견관절통증을 호소하는 여환 1례 임상경과 보고)

  • Kim, Nam-Hoon;Jang, Hee-Jae;Kim, Jin-Hwan;Hwang, Deok-Sang;Jang, Jun-Bock
    • Journal of Oriental Medical Thermology
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    • v.9 no.1
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    • pp.37-43
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    • 2011
  • Purpose : The purpose of this study is to know the therapeutic effect of herbal-acupuncture on shoulder pain from calcific tendinitis. Methods : The patient who have the calcific tendinitis was treated by herbal-acupunture on 6 acupoints around right shoulder. The shoulder pain and dysfunction was assessed by visual analogue scale(VAS). UCLA Shoulder rating Scale. and SPAI scale. Results : After treatment. all scales showed slightly improvement.. Conclusion : Herbal-acupuncture on shoulder joint was effective in short term study. We need more further study.

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An Open-Label Trial of the 5% Lidocaine Patches for the Treatment of Chronic Pain (다양한 만성 통증 질환에서 5% 리도카인 패치의 유용성 연구)

  • Moon, Jee Youn;Choi, Jong Bum;Lee, Pyung Bok;Son, He Min;Nam, Francis Sanhgun;Kim, Young Chul;Lee, Sang Chul;Lee, Sang Jin
    • The Korean Journal of Pain
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    • v.22 no.3
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    • pp.216-223
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    • 2009
  • Background: There have been limited reports on the effectiveness of 5% lidocaine patches (L5Ps) for treating a few types of chronic pain. We utilized L5Ps for chronic pain patients with various diagnoses and who had incompletely responded to their current treatment regimen. This study aimed at describing the results of a retrospective review of an open-label L5P trial to assess L5Ps' effectiveness and safety for treating various chronic pain patients. Methods: The chronic pain patients with pain lasting longer than 6-month duration were offered a 2-week L5P treatment trial. The patients were maintained on their other analgesic regimens. The treatment effect was measured according to the change from the baseline visual analog scale (VAS) to the week 2 VAS. After a 2-week trial, the patients were asked if they perceived pain improvement with L5Ps by using a four-item Pain Relief Scale (1 = a lot of relief, 2 = slight relief, 3 = no change, 4 = worse pain). Results: In the combined patient population (n = 177), 2-week treatment with the L5Ps significantly improved the week 2 VAS (P = 0.000). Significant improvement in the VAS was reported by the chronic pain patients with postherpetic neuralgia, intercostal neuralgia, degenerative osteoarthritis at knee joint, and other maladies. A higher proportion of the chronic pain patients reported improving their pain by the L5Ps. Seven patients experienced mild or moderate patch-related adverse events. Conclusions: The L5P provided clinically meaningful pain relief in some refractory chronic pain patients without any severe adverse events.

A Study for Testing Validity of Korean Pain Measurement Tool (국어통증척도의 타당도 연구)

  • 김주희
    • Journal of Korean Academy of Nursing
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    • v.16 no.1
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    • pp.81-88
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    • 1986
  • The main purpose of this study was to clarify the validity with patient's general background of Korean Pain Measurement tool. The subjects of this study were 195 patient from the 8 Med-Surgical wards in H. University Hospital in Seoul. The study was conducted over a 40 day period from Oct. 5, 1985 to Nov. 15, 1985. All patients had pain. Korean Pain Measurement tool and simple discriptive pain scale as Graphic Rating Scale were used to measure the pain, The Pearson Correlation Coefficient test was exercised to measure the correlation between the two kinds of pain tools. To clarify the Sensitivity of Korean Pain tool was used frequency with patient's response. To compare the difference in Pain levels with patient's general background, ANOVA and t-test was employed. To compare the difference in pain levels existed due to pain area of the body used mean numbers. The outcome of the study was as follows : 1. A positive correlation did exist between two pain measurement tools. (r=.2028∼.7768, p <0.002) 2. The sensitive subclass in Korean Pain Measurement tools was 7 subclass. The 7 subclass are inflammatory repeated pain, simple stimulating, traction pressure, dull pain, cavity pain, digestion related pain, suffering. related pain. 3. The existence of levels of pain in accordance with patient's general background, the department of hospital, pain area of the body and school age was supported. Age, sex, religion, marrital status, economic status, acute or chronic status was not supported. 4. The existence of higher pain levels of the body area was anus, chest, and lower pain levels of the body area was eye, ear, nose and throat. Based on the above results, it was found that sensitive subclasses of the Korean Pain Measurement tool was 7 subclass among all of 20 subclass. Thus it can be concluded that Korean Pain Mea-surement tool when partialy used and supplemented, can be an effective tool of pain measurement for the patient in Korea.

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A effect of education and stabilization exercise of lumbar neutral zone is range of motion and pain of lumbar spine. (요부의 중립위 자세에 대한 교육과 안정화 운동이 요추부의 가동범위와 통증에 미치는 영향)

  • Jung Yeon-Woo;Bae Sung-Soo;Park Youn-Ki
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.346-360
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    • 2003
  • The purpose of this study was to evaluate effects of education and stabilization exercise of lumbar neutral zone is range of motion and pain of lumbar spine on the with non-specific low back pain. And the randomly selected each twenty patients out of the forty non-specific low back pain patients were classified as an stabilization exercise group and the other the patients were in a control group. stabilization exercise group in non-specific low back pain patients participated in exercise program of Richardson & Jull (1995) four week from October 1st, 2002 to February 28st, 2003 in Daegu 00 hospital. The conclusion were as follows: 1. After 4 weeks of therapy, Visual analogue scale in stabilization exercise group and control group with non-specific low back pain patients were not significantly decreased(p>.05). 2. Remodified Schober test in range of motion lumbar spine of stabilization exercise group and control group with non-specific low back pain patients were significantly increased(p<.05). 3. Finger-to-Floor test in range of motion whole spine of stabilization exercise group and control group with non-specific low back pain patients were not significantly increased(p>.05). 4. Visual analogue scale, Remodified Schober test and Finger-to-Floor test in pre and post treatment of stabilization exercise group and control group with non-specific low back pain patients were significant different(p<.05). 5. Visual analogue scale, Remodified Schober test and Finger-to-Floor test in stabilization exercise group and control group with non-specific low back pain patients were not significant different(p>.05).

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The Effect of Lumbo-Pelvic Stabilization Exercise on Menstrual Pain and Premenstrual Syndrome (요골반부 안정화 운동이 여대생의 월경통증 및 월경전증후군에 미치는 영향)

  • Kim, Jin-Hee;Kim, Nan-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.29-35
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    • 2012
  • Purpose : The purpose of this study was to investigate effect of the lumbo-pelvic stabilization exercise on relief of menstrual pain and premenstrual syndrome of the female university students. Methods : Thirty female students with dysmenorrhea were participated in this study. Subjects divided into experimental group(n=15) and control group(n=15). Experimental group were given lumbo-pelvic stabilization exercise and control group didn't have any application to exercise. Menstrual pain measured by VAS(Visual Analogue Scale) and premenstrual syndrome measured by MDQ(Moos Menstrual Distress Questionnaire) scale. Results : The experimental group were significantly improved menstrual pain and symptoms of premenstrual syndrome, but negligible changes were found in the control group. Conclusion : This study show that lumbo-pelvic stabilization exercise is beneficial intervention for decrease menstrual pain and premenstrual syndrome.

Efficacy of rhomboid intercostal block for analgesia after thoracotomy

  • Okmen, Korgun
    • The Korean Journal of Pain
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    • v.32 no.2
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    • pp.129-132
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    • 2019
  • Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly performed by injection to the upper intercostal muscle plane below the rhomboid muscle. It has been reported to provide analgesia at the T3-T9 levels. The RIB was performed on 5 patients who had been scheduled for thoracotomy. The catheter was advanced in the area under the rhomboid muscle between the intercostal muscles. Postoperative visual analog scale (VAS) scores were observed and each patient's resting VAS score remained below 3 for 48 hours. The RIB has been observed to be a convenient plane block for post-thoracotomy analgesia. We believe that further information from detailed studies is required.

Rasch Analysis to Neck disability Index with Neck Pain Subjects (경부통증대상자에 대한 경부장애지수의 Rasch분석)

  • Kim, Tae-Ho;Kim, Joong-Hwi;Gong, Won-Tae
    • The Journal of Korean Physical Therapy
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    • v.21 no.3
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    • pp.1-8
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    • 2009
  • Purpose: The purpose of this study was to examine the functional category, the item structure and the model-data fit of the neck disability index (NDI) of neck pain subjects by performing a Rasch rating scale analysis. Methods: The data was obtained from the assessments of 71 college students (males: 27, females: 44) with neck pain. The data of the NDI was applied to the Rasch's rating scale model to estimate the difficulty of items, the goodness-of-fit of each item, the separation reliability and index, and the rating scale. Results: The 'sleep' item showed misfit and nine items were founds to be fits for self-reporting of disability due to neck pain. The most difficult item of the remaining 9 items was 'work' and the easiest item was 'headache'. The transformation formula score=(logit score+7.10)/(7.10+0.11)$\times$100. The 6 response levels of the NDI were validated according to the structure of the rating scale. The item and subject reliability of the separation reliability was 0.97 and 0.85, respectively. Conclusion: We proved that the NDI for self-reporting of disability of daily activities due to mild neck pain was valid and reliable. This study suggests that individuals with mild neck pain may be assessed by using the modified NDI that does not include the 'sleep' item in the 10 items of NDI.

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The Study of Pain, Depression and Quality of Life According to the Coping Strategy in Chronic Arthritis Patients (만성 관절염 환자의 대응양상에 따른 통증, 우울 및 삶의 질)

  • Yang, Hae-Ju;Park, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.213-221
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    • 2002
  • Purpose: The aim of this study was to investigate the difference of in the level of pain, depression, and quality of life by coping strategy in the chronic arthritis patients. Method: These data were collected by means of a self-reported questionnaire from 90 chronic arthritis patients undergoing treatment at a university hospital in Daegu city from June 10, 2000 to July 15, 2000. The instruments of study were coping strategy scale by Jeon(1985), pain scale by Lee and Song(1987), depression scale by Radloff(1977) and quality of life scale by Cho(1987). Data analysis was done by SPSS Win 10.0 program and Pearson correlation, t-test, Cronbach's-${\alpha}$ were used. Result: The results of this study were as follows: 1. The item mean score of pain for chronic arthritis patient was 6.54. The item mean score of depression for chronic arthritis patient was 2.18. The item mean score of quality of life for chronic arthritis patient was 5.69. 2. The chronic arthritis patients with problem-focused coping experienced pain higher than those with emotion-focused coping(t=o.400, p=o.o45). The chronic arthritis patients with emotion-focused coping experienced depression higher than those with problem-focused coping(t=-2.564, p=0.012). The chronic arthritis patients with problem-focused coping experienced quality of life higher than emotion-focused coping(t=-1.682, p=0.046). Conclusion: In conclusion this study showed that any coping strategy can control the arthritis patient's problem. Therfore, The development of a coping strategy to reduce pain and depression and improve the quality of life in the chronic arthritis patient will be needed.

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