• The Journal of Korean Physical Therapy
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• 제6권1호
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• pp.85-93
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• 1994

The purposes of this study were 1) to examine the effects of microcurrent electrical neuromuscular stimulation 2) to compare surface electrode with needle electrode at somatic acupuncture points on experimental pain threshold measured at the distal end of the radius 3) to determine the changes in effect over time. A total of sixty healthy adult male and female subjects were assigned randomly to one of two experimental group or to a control group. Group 1(n=20) received MENS(Microcurrent Electrical Neuromuscular Stimulation) with surface electrode. Group 2(n=20) received HENS with needle electrode. Group 3(n=20) received no MENS. It measured experimental pain threshold at the wrist on pretreatment, 0 min after treatment. 15 min after treatment, 30 min after treatment in two experimental group. The results were as follows: 1. Experimental pain thresholds were higher in males than females(P<0.01). 2. Only the experimental group exhibited a significant increased in pain threshold after MENS treatment(P<0.05). 3. Surface electrode group increased significant pain threshold 0 min, 15 min after treatment, but greatly decrease 30 min after treatment. 4. Needle electrode group increased significant pain threshold 0 min, 15 min after treatment, but decrease 30 min after treatment. The results suggest that MENS applied to appropriate somatic acupuncture point can increase pain threshold. Further research is needed to assess the effects of greatly variety intensity of MENS of pain sufferes.

• The Korean Journal of Pain
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• 제29권4호
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• pp.262-265
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• 2016

Wolff Parkinson White (WPW) syndrome is a condition in which there is an aberrant conduction pathway between the atria and ventricles, resulting in tachycardia. A 42-year-old patient, who was treated for WPW syndrome previously, presented with chronic somatic pain. With her cardiac condition in mind, she was thoroughly worked up for a recurrence of disease. As part of routine screening of all patients at our pain clinic, she was found to have severe depression as per the Patient Health Questionnaire-9 (PHQ-9) criteria. After ruling out sinister causes, she was treated for depression using oral Duloxetine and counselling. This led to resolution of symptoms, and improved her mood and functional capability. This case highlights the use of psychological screening tools and diligent examination in scenarios as confusing as the one presented here. Addressing the psychological aspects of pain and adopting a holistic approach are as important as treatment of the primary pathology.

• 동의신경정신과학회지
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• 제32권1호
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• pp.67-79
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• 2021

Objectives: The purpose of this study was to report the effect of Korean medicine treatment on a patient with somatic symptom disorder hospitalized after a traffic accident. Methods: The subject for this study was a patient diagnosed with somatic symptom disorder that worsened after a traffic accident. During hospitalization, herbal medicine, acupuncture, psychotherapy, and other treatments were performed. Clinical effect was evaluated using Heart Rate Variability (HRV), BDI (Beck Depression Inventory)-II, BAI (Beck Anxiety Inventory), Global assessment (G/A), and Numerical rating scale (NRS). Results: After 36 days of treatment, BDI-II score was reduced from 17 to 5. BAI score was reduced from 23 to 8. Overall somatic symptoms and pain showed decreases. Conclusions: Korean medicine treatment might be effective for somatic symptom disorder that is worsened after a traffic accident.

• Annals of Clinical Neurophysiology
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• 제12권1호
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• pp.3-6
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• 2010

The British guideline for early management of persistent low back pain, published in 2009, indicated that physicians should offer exercise or medication, rather than radiological interventions or injections, as first choice of treatment in the patients with chronic low back pain (CLBP). However, there had been great controversies regarding the effectiveness of interventional treatment of patients with CLBP. Both somatic (discogenic, instability, etc) and psychosocial factors contribute to the pathophysiology of chronic low back pain (CLBP). Although it can be difficult in many occasions, thorough interview with the patients and specific diagnostic approaches can help us to identify which is the main etiology in individual patient. With the recent progress in medical radiology and development of new therapeutic modalities, some subgroups of patients of CLBP caused by somatic factors appear to be good candidates of interventional therapy. Interventional therapy can be considered in patients with CLBP caused by annulus rupture, facet joint degeneration, disc degeneration, and vertebral column instability. Among other subgroups of CLBP, carefully selected patients with disc degeneration show the most favorable result by interventional therapy. In this regard, discogenic pain, either as a form of CLBP or acute discogenic radiculopathy, seems to be a good indication of interventional therapy. Because many spine specialists generally consider those with radiculopathy are easier to be treated, patients with CLBP tend to be subjects of conventional conservative therapy. For these reasons, clinicians should make their best effort to identify every possible somatic cause in patients with CLBP before regarding them as hypochondriacs. In this review, some of the recent evidence on the role of interventional treatment in patients with CLBP will be discussed, and some of our cases who showed favorable results by interventional therapy will be presented.

• 문화기술의 융합
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• 제10권4호
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• pp.249-258
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• 2024

본 연구에서는 암환자를 대상으로 이들이 인식하는 신체화 증상, 특성분노, 분노표현양식을 조사하고 이들 간의 관계를 확인하여 신체화 증상에 영향을 미치는 요인을 파악하고자 하였다. 연구결과 대상자가 인지하는 신체화 증상은 평균 8.59±5.34점이었고, 특성분노는 평균 1.78±0.53 점이었으며, 분노표현양식으로는 분노억제가 평균 16.02±2.89점으로 가장 높았다. 대상자의 일반적 특성에 따른 신체화 증상의 차이에서 암 병기는 1기 이하의 경우가 다른 병기에 비해 유의하게 낮았고(F=2.745, p=.045), 암성통증이 있는 경우가 없는 경우에 비해 유의하게 높았다 (t=5.046, p<.001). 대상자의 일반적 특성에 따른 특성분노의 차이는 월수입에 따라 유의한 차이가 있었다(F=3.952, p=.004). 분노표현양식의 차이는 먼저 분노억제에서 연령(F=4.186, p=.017) 월수입(F=3.302, p=.012), 암성 통증 경험 (t=2.715, p=.007)에 따라, 분노조절에서 연령(F=3.637, p=.028), 직업의 유무(t=2.563, p=.011), 월수입(F=3.580, p=.008), 투병기간(F=3.726, p=.026)에 따라 유의한 차이가 있었다. 대상자가 인지하는 신체화 증상은 특성분노 (r=.209, p=.006), 분노억제(r=.206, p=.006), 분노표출(r=.199, p=.008), 분노조절(r=.194, p=.009)과 유의한 정적 상관 관계가 있는 것으로 나타났다. 신체화 증상과 유의한 관련성을 보인 요인 중에는 암성통증이 많을수록 신체화 증상에 시달리는 수준이 높은 것으로 나타났다.

• 가정과삶의질연구
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• 제28권2호
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• pp.193-202
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• 2010

The purpose of this study is to investigate the prevalence of children's somatic symptoms and the relationships among parent and child variables such as parenting attitude, children's anxiety, emotional expressiveness and somatic symptoms. The subjects were 523 6th grade students in four elementary schools located in Seoul, Busan and Daejeon. All subjects were tested with the Korean version of Children's Somatization Inventory (K-CSI), Parental Rearing Attitude Inventory, State-Trait Anxiety for Children (STAIC), and The Emotional Expressiveness Questionnaire. The collected data were analyzed by the frequency and percentage of somatic symptoms the children had experienced during the last 2 weeks; Pearson's correlation and multiple regression were used for the selected data of 10 somatic symptoms which were experienced by over 10% of the children. The results are summarized as follows: First, abdominal pain, headache, dizziness, and memory failure, in that order, were experienced in over 20% of the children. Second, children's somatic symptoms had significant relations with mothers' and fathers' loving-denial attitudes and their anxiety and emotional expressiveness. Third, children's somatic symptoms were influenced by their anxiety and emotional expressiveness, but not by parenting attitude.

• Journal of Oral Medicine and Pain
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• 제40권3호
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• pp.89-95
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• 2015

All living organisms have a biological clock that orchestrates every biological process and function, and this internal clock operates following a circadian rhythm. This biological clock is known to influence various clinical indicators such as blood pressure and body temperature. Also, the fluctuation of signs and symptoms of diseases including pain disorders are affected by circadian rhythm. It has been reported that the pain intensity of various somatic and neuropathic pain disorders show unique pain patterns that depend on the passage of time. The generation of pain patterns could be explained by extrinsic (e.g., physical activity, tactile stimulation, ambient temperature) and also intrinsic factors (neural and neuroendocrine modulation) that are related to the circadian rhythm. It is important to recognize and identify the individual pain pattern in pain therapy to approve treatment outcome. Moreover, chronotherapeutics which considers pain patterns and pharmacokinetics in context of the circadian rhythm could produce greater analgesia in response to medication. However, only a limited number of studies handle the issue of pain patterns according to circadian rhythm and chronotherapeutics in the orofacial region. The present review intends to reflect on the most recent and relevant data concerning the bidirectional relation between pain disorders of the orofacial region and circadian patterns.

• 정신신체의학
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• 제28권1호
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• pp.72-80
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• 2020

연구목적 본 연구는 통증 및 신체증상이 동반된 노인 우울증 환자에서 기분증상 및 통증, 신체 증상에 대한 선택적 세로토닌 재흡수 억제제(Selective Serotonin Reuptake Inhibitor, SSRI)와 세로토닌 노르에피네프린 재흡수 억제제(Serotonin Norepinephrine Reuptake Inhibitor, SNRI)의 치료 효과를 비교하기 위해 실시되었다. 방 법 본 연구는 단일 기관에서 시행된 전향적 개방연구로 DSM-5 진단기준에 의해 주요우울장애로 진단받은 총 43명의 대상자들이 본 연구에 참여하였다(평균연령 : 72.53세, 여성 58.1%). 대상군은 SSRI, SNRI 두 군으로 분류되었고 우울, 통증 및 신체증상은 각각 한국판 해밀턴 우울증 평가척도(Korean version of the Hamilton Depression Rating Scale, K-HDRS), 시각적 비율 척도(Visual Analogue Scale, VAS), 환자 건강 설문지(Patient Health Questionnare-15, PHQ-15)를 사용하여 평가되었다. 이원배치 반복측정 분산분석(Two-way repeated-measure ANOVA)으로 약물 투여 전과 투여 후 6주의 KHDRS, VAS, PHQ-15 점수 변화를 분석하였다. 결 과 SSRI군과 SNRI군에서 K-HDRS, VAS, PHQ-15 모두 약물 투약 전에 비해 6주 후의 점수가 유의하게 호전되었으며, 두 군 간에 호전 정도의 차이는 없었다. 결 론 노인 우울증 환자에서 SSRI, SNRI 모두 통증 및 신체증상을 호전시키는 것으로 나타났다. 본 연구 결과는 통증 및 신체증상을 호소하는 노인 우울증 환자에게 약물치료를 시행할 때 선택할 수 있는 항우울제 처방 결정에 도움을 줄 수 있을 것이라고 생각되며, 약물의 장기적인 효과에 대해서 추가적인 연구가 필요할 것으로 보인다.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2003년도 학술대회
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• pp.44-47
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• 2003

• Clinics in Shoulder and Elbow
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• 제6권1호
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• pp.1-7
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• 2003

Myofascial pain이나 filbrbomyalgia 등에 의한 만성 견관절통증은 보존적 치료로 치료적인 효과를 기대할 수 있는 질환이며, 수술적 치료가 필요한 다른 질환과의 감별을 요한다. 만성적인 견관절 동통의 치료는 증상의 원인과 악화요인을 확인하고 실질적으로 도움이 될 수 있는 적절한 치료법을, 단계적으로 적용하는 것이 효과적이며. 환자와 teamwork을 형성하여, 환자가 병증에 대해 충분히 이해하고 안심할 수 있도록 도와주는 것이 무엇보다 중요하다.