• 한방재활의학과학회지
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• 제23권4호
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• pp.95-115
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• 2013

Objectives The aim of this review is to provide fundamental data for low back pain scales which can be used in clinical trial. Methods We investigated the latest studies on chronic low back pain via PubMed. And we also investigated domestic studies through "http://oasis.kiom.re.kr". 95 research papers were analyzed. Scales were classified into pain scale, function scale, generic health status scale and psychological scale. Results 1) According to foreign clinical studies, Visual Analog Scale (VAS) and Numerical Rating Scale (NRS) were used 18 times as pain scale. Oswestry Disability Index (ODI) was used 20 times as function scale, Roland-Morris Disability Questionnaire (RMDQ) was 17, and Hannover Functional Ability Questionnaire (HFAQ) was used 3 times. 36-item Short Form Health Survey (SF-36) was used 13 times as generic health status scale, Euroqol-5 Dimentions Questionnaire (EQ-5D) was 11, and 12-item Short Form Health Survey (SF-12) was used 3 times. Fear-Avoidance Beliefs Questionnaire (FABQ) was used 9 times as psychological scale, Pain Catastrophizing Scale (PCS) and Tampa Scale for Kinesiophobia (TSK-R) both were used 3 times. 2) According to domestic clinical studies, VAS was used 37 times as pain scale, NRS was 11, and Short Form McGill Pain Questionnaire (SF-MPQ) was used 6 times. ODI was used 30 times as function scale, RMDQ was 2 times only. SF-36 was used once as generic health status scale and Beck's Depression Inventory (BDI) was used 3 times as psychological scale. Conclusions We recommend VAS or NRS as a measure to evaluate pain, and ODI as a measure to evaluate functional disability. And we also recommend SF-36 or SF-12 and EQ-5D as a measure to evaluate generic health status. Finally, we recommend FABQ for use in measuring psychological scale.

• Physical Therapy Rehabilitation Science
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• 제8권4호
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• pp.202-209
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• 2019

Objective: The purpose of this study was to evaluate the effects of temporomandibular joint and cervical vertebra treatment in persons with tension-type headaches on pain, tenderness, and functional improvement. Design: Three-group pretest-posttest design. Methods: Subjects with tension-type headaches were divided into the temporomandibular joint and cervical vertebra treatment group (n=11), temporomandibular joint treatment group (n=11), and cervical vertebra treatment group (n=11), and pre- and post-evaluation was performed. The temporomandibular joint treatment group underwent compression massage and joint ply of the muscles around the temporomandibular joint. The cervical vertebra group received deep tendon massage and Myofascial Release of the cervical muscles. The temporomandibular joint and cervical vertebra treatment group performed both types of treatment. Treatment was performed for 50 minutes, three times a week for 4 weeks. Measurement tools included the Korean version of the short form-McGill Pain Questionnaire (SF-MPQ, K), Headache Impact test-6 (HIT-6), Neck Disability Index (NDI), and the Digital Algometer FPX25. Results: The groups showed significant differences in SF-MPQ, HIT-6 test, NDI, and Alogometer FPX25 test scores before and after intervention (p<0.05). The differences between the groups were most significant in the group that received treatment of the temporomandibular joint and cervical vertebra (p<0.05). Conclusions: In this study, the treatment of the temporomandibular joint and cervical vertebra was shown to be effective for improving pain, quality of life, and cervical vertebra in persons with tension-type headaches. This data may be helpful in identifying treatment techniques for tension-type headaches in the future.

• Journal of Oral Medicine and Pain
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• 제31권2호
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• pp.127-139
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• 2006

측두하악관절 장애를 가진 환자를 저작근 동통을 가진 환자와 관절강 내 동통을 가진 환자 그룹으로 구분하여, 두 그룹사이의 동통의 정도나 기간의 차이, 그리고 수면질의 차이에 따른 삶의 질의 차이를 비교하였다. 총 61명의 환자는 관절강 내 통증을 가진 환자 24명과 저작근 동통을 가진 환자 37명으로 구성되었다. 상기 환자들은 첫 내원 시 맥길 통증설문지(McGill Pain Questionnaire), 피츠버그 수면 질 평가 (Pittsburgh Sleep Quality Index), SF-36 (Medical Outcome Study 36 Item Short Form Health Survey)을 작성하고 치과적 병력과 의과적 병력을 기록한 후, 전반적인 측두하악관절에 대한 검사를 시행하였다. 두 그룹 사이에는 동통의 강도나 기간에 유의한 차이는 보이지 않았으나, 6개월 이상 측두하악관절장애를 가지는 환자 중에서는 저작근 동통을 가진 환자가 관절강 내 동통을 가지는 환자보다 SF-36의 평균과 정신적인 부분에서의 점수에서 낮은 수치를 보인다(p<0.05). 피츠버그 수면 질 평가에서는 평사시의 수면 효율면에서 저작근 동통을 가진 환자 ($1.9459{\pm}0.8481$)가 관절강내 동통을 가지는 환자 ($1.375{\pm}0.9237$)에 비해 낮은 효율을 보인다. 또한 저작근 동통을 가진 환자군에서 피츠버그 수면 질 평가의 총점이 5이상인 나쁜 수면질을 가지는 군은 맥길 통증 설문지, SF-36에서 높은 동통 정도와 낮은 삶의 질을 가지는 것으로 결과가 도출되었다. 또한 저작근 동통을 가진 환자는 전체적인 삶의 질을 나타내는 SF-36에서는 감정적인 문제로 인한 역할의 제한, 생활력, 신체적 동통에서 관절강 내 동통을 가진 환자에 비해 낮은 수치를 나타내어, 삶의 질이 특히 정신적인 면에서 손상되었다는 것을 나타낸다.

• 대한한방부인과학회지
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• 제25권4호
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• pp.113-124
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• 2012

Objectives: This study is designed to compare clinical symptoms between Symptom-giving pelvic girdle relaxation and Separation of the pubic symphysis. And report the clinical effectiveness of Traditional Korean Treatment on two case. Methods: Two patients who delivery in one week ago had pain that located symphysis and around. Treatment was acupuncture, Placenta Herbal Acupuncture and herbal medicine. The progress of symptom and aggressiveness of pain and disability were measured by Visual Analogue Scale, McGill pain Questionnaire-short form, Oswestry Disability Index and Active Straight Leg Raise test. Results: After treatment most two patients' pain and disabilty were improved. At first case, width of symphysis pubis were increased in normal range. Conclusions: These cases shows that Traditional Korean therapy might be effective in decreasing symptoms on separation of symphysis pubis during delivery and Symptom-giving pelvic girdle relaxation.

• 한방재활의학과학회지
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• 제33권3호
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• pp.135-148
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• 2023

Objectives To investigate the effectiveness of acupuncture in the treatment of post-disaster musculoskeletal pain by reviewing relevant clinical studies. Methods A systematic search was conducted across 10 electronic databases to identify relevant clinical studies on acupuncture treatment for post-disaster musculoskeletal pain until May 2023. The methodological quality was evaluated using the Cochrane Risk of Bias 2 and Risk of Bias Assessment tool for non-randomized studies tools. Results Six articles were analyzed, including two randomized controlled trials (RCTs), two before-after studies, one qualitative research, and one case series. Overall, acupuncture therapy showed some improvement in pain scale among musculoskeletal pain survivors. However, no significant improvement was observed in the Short-Form McGill Pain Questionnaire (SF-MPQ-2). Subgroup analysis of participants who completed at least four acupuncture sessions revealed a significant effect on the SFMPQ-2. Additionally, a significant improvement in 36-Item Short Form Survey (SF36P) was observed after 6 months of treatment, but the 2-month treatment period did not show statistically significant effects on SF-36P improvement. The evaluation of the methodological quality of the RCTs identified some concerns of bias. Conclusions The results suggest that acupuncture is effective in alleviating post-disaster musculoskeletal pain. However, considering the limited number of selected studies and the inclusion of subjective evaluation measures, caution should be exercised in interpreting the results. Further large-scale follow-up studies are needed to determine the optimal frequency and duration of acupuncture treatment. Well-designed controlled trials should be conducted to provide more robust evidence regarding the effectiveness of acupuncture for post-disaster musculoskeletal pain.

• 척추신경추나의학회지
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• 제6권2호
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• pp.23-32
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• 2011

본 논문은 3차례의 양방적 수술 치료를 받은 후에도 지속적으로 요통과 함께 하지 방사통을 호소하며 일상생활 수행에 장애가 따르던 70세 여환에 대한 증례로 침구치료, 약물치료, 추나치료, 봉약침치료 등의 한의학적 보존적 치료방법으로 통증의 감소와 함께 일상생활 능력 개선에 유의한 효과를 보였다. 향후 요추 추간판 탈출증 환자의 한방적 보존적 치료에 대한 보다 다양한 연구와 임상적 고찰이 이루어져야 한다고 사료된다.

• 한방재활의학과학회지
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• 제21권3호
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• pp.45-55
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• 2011

Objectives : The main purpose of this study is to investigate the efficacy of Kyejibokryong-whan(Guizhifuling-wan) and examine the blood stasis for patients with motor vehicle accident. Methods : Of the patients who have visited Dong-Shin university oriental hospital for general pan due to motor vehicle accident from June 2010 to November 2010, we enrolled 29 patients and performed blood stasis diagnosis. Patients were divided into groups according to blood stasis findings. Patients who had more than twenty blood stasis diagnosis point were classified as blood stasis group. Patients who had under twenty blood stasis diagnosis point were classified as non blood stasis group. We administered Kyejibokryong-whan(Guizhifuling-wan) to all group. The effect was assessed by VAS(visual analogue scale), SF-MPQ(short form-McGill pain questionnaire) ODI(Oswestry disability index) & NDI(neck disability index). Results : The pain & function index decreased in both groups after treatment. Conclusions : The difference between blood stasis group and non blood stasis group were not significant at after treatment stage. This data suggested that the method of classifying blood stasis is useful and the Kyejibokryong-whan(Guizhifuling-wan) can be effective means that decrease pain caused by motor vehicle accident.

• 치위생과학회지
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• 제14권3호
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• pp.411-416
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• 2014

본 연구는 임플란트 수술 시 의식하진정법이 환자의 통증과 불안에 미치는 영향을 평가하고자 2013년 6월 1일부터 8월 30일까지 천안시 일개 치과병원에 내원한 임플란트 수술환자 95명을 대상으로 조사하였다. 임플란트 수술 전과 후의 불안 및 통증의 정도를 파악하고 치과불안과 통증에 영향을 미치는 요인을 규명하기 위하여 수술 전, 후 통증(VAS)과 수술 중 불안(PQ)을 측정하고 수술 후 통증(SF-MPQ)을 측정하였다. 연구결과를 요약하면 다음과 같다. 임플란트 수술 형태의 특성에 따라 분석한 결과 수면군과 비수면군간의 통계적으로 유의한 차이를 보인 특성은 수술부위, 수술치아개수, 수술시간, 부가적인 수술형태 등이었다(p<0.001). 수술 전, 후 통증의 차이를 살펴본 결과 수술 전 예상되는 통증과 수술 후 경험했던 통증의 차이는 수면군(2.30)이 비수면군(0.98)이 비해 통계적으로 유의한 차이가 있었다(p<0.05). 임플란트 수술환자의 통증 및 불안에 영향을 미치는 요인은 성별과 연령, 임플란트 수술경험및 수술시간, PCS였으며 공통적으로 관련된 요인은 PCS였다(p<0.05). 따라서, 치과 임상에서는 임플란트 수술 전, 후 심리적인 안정을 제공할 수 있도록 여성이거나 나이가 적을수록 수술치아개수와 수술시간이 길어질 것으로 예상될 때 의식 하진정법의 추천과 정확한 정보를 제공함으로써 편안한 환경에서 치료할 수 있도록 해야 한다. 또한, 의식 하 진정법시 PCS를 통해 보다 체계적이고 객관적인 행동 전략이 필요하며, 환자관리를 위한 끊임없는 연구 및 교육프로그램 개발이 진행되어야 할 것이다.

• Korean Journal of Acupuncture
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• 제33권2호
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• pp.67-74
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• 2016

목적 : 본 연구는 퇴행성 슬관절염 환자들을 대상으로 도침치료가 통증을 감소시키는데 효과적이고 안전한 치료법임을 증명하기에 적합한지를 알아보기 위한 예비연구이다. 방법 : 본 연구는 5주간 진행되는 무작위배정 대조군 예비임상연구이며, 총 20명의 피험자들은 시험군(도침치료)과 대조군(침치료＋전침치료)으로 무작위 배정된다. 시험군의 경우에는 주 1회, 3주간 총 3회의 도침치료를 실시하고 대조군의 경우에 주 2회, 3주간 총 6회의 침치료와 전침치료를 받게된다. 1차 유효성 평가변수는 통증에 대한 Visual analogue system와 관절가동범위를, 2차 유효성 평가변수는 Short form McGill pain questionnaire와 Western Ontario and McMaster Universities Osteoarthritis Index로 측정한다. 평가는 시험시작 전, 시험 1주, 2주, 3주 및 5주후에 이루어지게 된다. 결론 : 본 연구는 추후 본격적인 무작위배정 대조군 임상시험을 위한 예비연구로서, 본 연구를 통해 퇴행성 슬관절염에 있어서 도침치료가 임상적으로 유효함을 증명할 수 있는 근거를 마련해 줄 것이라 사료된다.

• 대한물리의학회지
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• 제1권1호
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• pp.13-21
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• 2006

Purpose : The main purpose of this study was to investigate the influence of muscle strengthening exercise on balance ability of knee osteoarthritis. The subject were consisted of 30 women patients with knee osteoarthritis. Method : The strengthening exercise group with modality treatment. The strengthening exercise for 40 minutes per day and three times a week during 6 weeks period. Short Form McGill Pain Questionnaire(SFMPQ) was used to measure patient's pain level. Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. BPM was used to measure sway area. Global Perceived Effect Scale(GPES) was used to measure recovery or worse of patient's condition. Results : 1. SFMPQ was muscle strengthening exercise showed significantly decreased more than before treatment(p<.05). 2. PSFS was muscle strengthening exercise showed significantly increased more than before treatment (p<.05). 3. Sway area was muscle strengthening exercise showed significantly limited area more than before treatment(p<.05). 4. GPES was muscle strengthening exercise showed significantly increased more than before treatment(p<.05). Conclusion : This study will be used as exercise method of patient with osteoarhtritis.