• 제목/요약/키워드: Pressure threshold

검색결과 429건 처리시간 0.028초

자기장 치료법이 무릎 뼈관절염 환자의 통증 역치, 혈류량 및 균형능력에 미치는 영향 (Effects of Magnetic Therapy to Improve on Pain Threshold, Blood Flow, and Balance in Patient with Knee Osteoarthritis)

  • 김경훈;김동훈
    • 대한통합의학회지
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    • 제11권3호
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    • pp.127-135
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    • 2023
  • Purpose : This study was performed to evaluate the effects of magnetic therapy (MT) on pain threshold, blood flow, and balance in patients with knee osteoarthritis. Methods : A single-blind, randomized controlled trial (RCT) was conducted with 30 patient with knee osteoarthritis. They were randomly allocated 2 groups; magnetic therapy group (MTG; n=15) and placebo magnetic therapy group (PG; n=15). The MTG group received 30 minutes magnetic therapy and 20 minute conservative physical therapy (Hotpack, ICT), magnetic therapy was conducted in magnetic therapy device (OM-100, NUGA, Korea). In the placebo magnetic group received 30 minutes placebo magnetic therapy and 20 minute conservative physical therapy. Each group performed 50 minutes a day 3 times a week for 8 weeks. The primary outcome pressure pain threshold test, blood flow, balance ability were measured by a pressure threshold meter (Commander algometer, JTECH medical, USA), laser dofler image (Moor LDI2-IR, Moor instruments, USA), balance measurement system (BioRescue, Marseille, France). The measurement were performed before and after the 8 weeks intervention period. Results : Both groups demonstrated significant improvement of outcome in pain threshold, blood flow, and balance ability during intervention period. magnetic therapy group revealed significant differences in pain threshold, blood flow, and balance as compared to the placebo magnetic therapy group groups (p<.05). Our results showed that magnetic therapy was more effective than placebo therapy on pain threshold, blood flow, and balance in patients with knee osteoarthritis. Conclusion : Our findings indicate that magnetic therapy can improve pain threshold, blood flow, and Balance, highlight the benefits of magnetic therapy. This study will be able to be used as an intervention data for recovering pain threshold, blood flow, and balance in patients with knee osteoarthritis.

Nonlinear Acoustic-Pressure Responses of Oxygen Droplet Flames Burning in Gaseous Hydrogen

  • Chung, Suk-Ho;Kim, Hong-Jip;Sohn, Chae-Hoon;Kim, Jong-Soo
    • Journal of Mechanical Science and Technology
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    • 제15권4호
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    • pp.510-521
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    • 2001
  • A nonlinear acoustic instability of subcritical liquid-oxygen droplet flames burning in gaseous hydrogen environment are investigated numerically. Emphases are focused on the effects of finite-rate kinetics by employing a detailed hydrogen-oxygen chemistry and of the phase change of liquid oxygen. Results show that if nonlinear harmonic pressure oscillations are imposed, larger flame responses occur during the period that the pressure passes its temporal minimum, at which point flames are closer to extinction condition. Consequently, the flame response function, normalized during one cycle of pressure oscillation, increases nonlinearly with the amplitude of pressure perturbation. This nonlinear response behavior can be explained as a possible mechanism to produce the threshold phenomena for acoustic instability, often observed during rocket-engine tests.

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이온도입에 의한 염산프로카인의 경피전달 증대 -고전압전류 및 초음파 병행의 상승효과 비교- (Enhanced Transdermal Delivery of Procaine Hydrochloride by lontophoresis -Comparison of Synergic Effect of High Voltage Current and Ultrasound-)

  • 이종숙;김경원;이재형;최영욱;이재휘
    • Journal of Pharmaceutical Investigation
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    • 제36권3호
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    • pp.185-192
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    • 2006
  • The purpose of this study was to determine the effects of iontophoresis on transdermal delivery of procaine hydrochloride in healthy volunteers, as well as to the synergic effect of high voltage current or ultrasound on the efficacy of transdermal delivery of iontophoresis. Forty healthy volunteers were randomly assigned to four groups topical application group (TA), iontophoresis group (IT), pre-treatment of high voltage current stimulation with iontophoresis (HVS + IT), and pre-treatment of ultrasound application with iontophoresis (US + IT). All subjects received procaine iontophoresis on the forearm using direct current with 4 mA f3r 15 minutes. All subject was measured the duration of local anesthesia, pressure pain threshold, pain perception threshold using rectangular wave at 0.2 ms, 1 ms, 50 ms of rectangular current stimulation after procaine iontophoresis. For comparisons of the sensory characteristics and efficacy of iontophoresis between the groups, an one-way ANOVA and Kruskal-Wallis were used. The significant difference the duration of local anesthesia were found between the groups (p<0.001). The local anesthetic duration of IT, HVS+IT were significantly longer than TA. Meanwhile, the local anesthetic duration of US+IT was significantly longer than HVS+IT, IT and TA group (p<0.05). Also, the pressure pain threshold, pain perception threshold at 0.2 ms, 1 ms, 50 ms were significant difference between the groups (p<0.001). All sensory characteristics including pressure pain threshold, pain perception threshold of IT, HVS+IT was significantly increased than TA, whereas, US+1T was significantly increased HVS+1T, IT and TA (p<0.05). This study showed that the procaine iontophoresis have increase the duration of local anesthesia concomitantly pressure pain threshold and pain perception threshold of sensory nerve fibers such as $A-{\beta}$, $A-{\delta}$ and C fiber. This findings suggest that the iontophoresis enhanced the transdermal delivery of drug ions in vivo. The combination of ultrasound application and iontophoresis synergized the transdermal delivery of drug ions. It is suggests that an electric field, mechanical and heating property of ultrasound may contribute to synergic effect due to temporary changes of structure in the stratum corneum.

Immediate Effects of Strain-Counterstrain Technique on Pressure Pain Threshold and Muscle Activity in Male Adults With Upper Trapezius Latent Trigger Point

  • Jung, Ji-Hee;Lee, Nam-Gi;You, Sung-Hyun
    • 한국전문물리치료학회지
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    • 제18권2호
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    • pp.76-83
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    • 2011
  • The aim of this study was to determine the immediate effects of single treatment of strain-counter strain (SCS) on pressure pain threshold (PPT) and muscle activity during scapular plane abduction with 3% body weight load. Fifteen asymptomatic male adults with upper trapezius latent trigger point (LTrP) (PPT<2.9 $kg/cm^2$) participated in this study. Pressure algometer was used to measure PPT and surface electromyography was used to record upper, middle arid lower trapezius, serratus anterior, infraspinatus and middle deltoid muscle activity and relative ratio during scapular plane abduction between pre- and post-intervention. There was a significant increase in upper trapezius PPT after a 90-second SCS (p<.05). The activity of the upper trapezius and middle deltoid was significantly decreased (p=.014, p=.001), coupled with a decreased muscle activity ratio between the upper and lower trapezius (p<.05). These results indicate that the SCS may effectively deactivate upper trapezius activity, thereby alleviating muscle balance and reducing pain sensitivity.

앉은 자세에서 스마트폰 사용에 따른 골반 자세 및 허리 압력통증역치의 변화: 단면 연구 (Changes in the Pelvic Posture and Low Back Pressure Pain Threshold in Response to Smartphone Use in the Sitting Position: A Cross-sectional Study)

  • 이대희;전혜주
    • 대한물리의학회지
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    • 제18권3호
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    • pp.113-119
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    • 2023
  • PURPOSE: This study aimed to determine the effects of using a smartphone in the sitting position on the pelvic posture and the low back pressure pain threshold (PPT). METHODS: Thirty participants (15 women and 15 men) were recruited for this study. The participants were asked to sit in a normal sitting position without using a smartphone, followed by sitting while watching a video using a smartphone. The pelvic posture was measured using the back range of motion II (BROM II) device and a palpation meter. We measured PPT using the digital pressure algometer. RESULTS: Pelvic posterior tilting was significantly greater when sitting while using a smartphone relative to sitting without using a smartphone (p < .05). There was no significant difference in the height of the iliac crest when sitting while using a smartphone compared to sitting without using a smartphone (p > .05). The PPTs of L1, L3, and L5 were significantly lower when sitting while using a smartphone relative to sitting without using a smartphone (p < .05). CONCLUSION: Based on these results, it can be concluded that frequent smartphone use while sitting may potentially increase the risk of developing low back problems.

A Case Report on the Immediate Effects of Cytoskeletal Manual Therapy on Pain, Muscle Thickness, and Pressure Pain Threshold in a Patient with Scoliosis

  • Hyunjoong Kim;Dajeong Kim
    • Physical Therapy Rehabilitation Science
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    • 제12권1호
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    • pp.19-25
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    • 2023
  • Objective: Patients with scoliosis complain of various symptoms such as muscle imbalance, dysfunction, back pain, abnormal posture and gait abnormality. The most basic treatment for scoliosis is to observe the progress based on conservative treatment. Therefore, in this case report, the effect of cytoskeletal manual therapy (CMT), a soft tissue mobilization technique, on pain intensity, muscle thickness, and pressure pain threshold (PPT) in a patient with scoliosis was investigated. Design: A case report Methods: A 25-year-old male diagnosed with scoliosis visited the Neuromusculoskeletal Science Laboratory with chronic back pain. In the laboratory, scoliosis was confirmed through the X-ray image used for his diagnosis, and it was confirmed again through Adam's forward bending test. Pain, pressure pain threshold and muscle thickness were measured to compare the immediate effects of CMT applied in the laboratory for 40 minutes. Treatments were visited two weeks after the first visit and outcome measures were assessed after a total of two visits. Results: After receiving CMT up to the second session, the pain intensity decreased by 4 points and the screening angle decreased by 15 degrees. Muscle thickness decreased in all but 10 mm on the dominant side of the thoracic spine. All of the PPTs increased, and the greatest increase was 3.1 lb on the dominant side of the thoracic spine. Conclusions: CMT showed positive improvement in pain during trunk flexion, spinal curvature, muscle imbalance, and pressure pain, which is considered as an ancillary treatment option for scoliosis management.

관절가동술과 TENS가 만성요통환자의 통증역치 및 호르몬 변화에 미치는 영향 (The Effects of Joint Mobilization and TENS on Pain Threshold and Hormonal Changes in Patients with Chronic Low Back Pain)

  • 이승병;정성관;이호준
    • 대한정형도수물리치료학회지
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    • 제26권1호
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    • pp.65-72
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    • 2020
  • Background: The purpose of this research is to investigate the effects of joint mobilization and transcutaneous electrical nerve stimulation (TENS) on pain threshold and hormonal changes in patients with chronic LBP. Methods: 14 patients with chronic LBP were divided into the experimental group and the control group with 7 patients each, and both groups of patients were evaluated on pain duration, blood tests, and pressure pain threshold (PPT) on their first visit. On their second visit, joint mobilization was applied to the experimental group for 10 min and TENS to the control group for 20 min. Results: Pain threshold and duration of analgesia increased from after treatment in the experimental group. Serotonin and Cortisol decreased after treatment in the experimental group. Conclusion: Joint mobilization in patients with chronic LBP caused an increase in pain duration and pain thresholds and a decrease in serotonin, whereas there was little difference in cortisol.

Al-Li/SiC 계면의 젖음성에 관한 연구 (A study on the wettability of the Al-Li/SiC interface)

  • 김기배;김도향;이호인
    • 한국주조공학회지
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    • 제12권2호
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    • pp.149-154
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    • 1992
  • The wetting behaviour of SiC/Al-Li composite interface has been investigated by using an infiltration method. The critical pressure for melt infiltration into SiC particulate preform has been determined by measuring the melt infiltration distance changes with the variation of applied pressure. The threshold pressure of pure Al, Al-0.2wt%Li, Al-0.5wt%Li for melt infiltration are 3.94, 3.93, $3.7Kg/cm^2$ respectively, which implies a slight improvement in wettability of SiC/Al composite by addition of Li. The threshold pressure for melt infiltration also changes with the variation of other parameters such SiC particulate size, SiC particulate fraction and melt temperature.

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근골격계질환에 있어서 침치료와 침과 약침복합치료 자극 후 통증의 변화 (The Clinical study on the change of pain after needle acupuncture and needle acupuncture combined herbal acupuncture therapy in the musculoskeletal disorder)

  • 임정아;김성남;이성용;이상관;문형철;구성태;최선미;김성철
    • 대한약침학회지
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    • 제8권2호
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    • pp.83-90
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    • 2005
  • Objective : This study was performed to compare needle acupuncture combined herbal acupuncture therapy with only needle acupuncture therapy in VAS and pain threshold. Methods : We used pressure algometer to evaluate the change of pain threshold before and after treatment. The numberical value of pressure algometer is obtained twice and averaged by identical acupuncturist. Visual analogue scale(VAS) was used to estimate the efficacy of needle acupuncture combined herbal acupuncture therapy. Result : The following results were obtained; 1. The significant difference in VAS was showed before and after treatment in only needle acupuncture therapy. 2. The significant difference in pain threshold and VAS was showed before and after treatment in needle acupuncture combined herbal acupuncture therapy. 3. In the pain threshold, the significant difference between only needle acupuncture and needle acupuncture combined herbal acupuncture therapy was not showed. 4. Needle acupuncture combined herbal acupuncture therapy showed the more effective change of VAS than only needle acupuncture therapy. Conclusions : In the pain control, needle acupuncture combined herbal acupuncture therapy is more effective than only needle acupuncture therapy.

둥근 어깨 자세를 가진 자의 등세모근 위 섬유의 압통점에 975-nm GaAlAs 저출력레이저 적용에 대한 즉각적인 효과 (The Immediate Effects of 975-nm GaAlAs Low-level Laser Therapy on Myofacial Triger Point of Upper Trapezius Muscle in Subjects with Rounded Shoulder Posture)

  • 김병조;이정훈
    • 대한물리의학회지
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    • 제9권4호
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    • pp.433-438
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    • 2014
  • PURPOSE: The purpose of our study was to compare a 975-nm, 500-mW GaAlAs low-level laser therapy versus placebo low-level laser therapy with regard to the immediate changes on the myofascial trigger point of the dominant upper trapezius muscle in subjects with rounded shoulder posture. METHODS: Thirty-two male college students with rounded shoulder posture and shoulder pain consented to participate in the experiment. The subjects were randomly assigned to a 2-minute procedure with either an active GaAlAs low-level laser or a placebo GaAlAs low-level laser. The pressure-pain threshold and visual analog scale on tenderness at 3 kg were measured with an algometer before and after the laser treatments. RESULTS: The active GaAlAs low-level laser group showed significant changes in pressure-pain threshold and visual analog scale on tenderness at 3 kg (p<0.05). The placebo GaAlAs low-level laser group showed no significant changes in either pressure-pain threshold or visual analog scale on tenderness at 3 kg (p>0.05). CONCLUSION: An immediate effect was observed in pressure-pain threshold and visual analog scale on tenderness at 3 kg following a 2-minute application ($857.14J/cm^2$) of a 975-nm, 500-mW GaAlAs low-level laser to the myofascial trigger point of the dominant upper trapezius muscle in patients with rounded shoulder posture.