• Title/Summary/Keyword: The wrist pain

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Scolopendra Pharmacopuncture Combined with Electroacupuncture for the Treatment of Ganglion Cysts: A Retrospective Study

  • Choe, Seon;Jerng, Ui Min;Park, Jeong Hwan;Kim, Sungha;Kim, Sungchul;Lee, Jinbok;Lee, Jun-Hwan;Shin, Minseop
    • Journal of Pharmacopuncture
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    • v.23 no.4
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    • pp.247-251
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    • 2020
  • Objectives: Ganglion cysts require a sustainable treatment that suppresses their frequent recurrence. This study aimed to explore the clinical effects of Scolopendra pharmacopuncture (SP) and electroacupuncture on ganglion cysts. Methods: We retrospectively reviewed the patient records and follow-up reports for 20 patients with wrist ganglion cysts who received SP and electroacupuncture from April 2016 to March 2017. The cyst diameter, recurrence, visual analog scale (VAS) scores for pain, the Korean version of the disabilities of arm, shoulder, and hand (K-DASH) score, and the Korean version of the patient-rated wrist evaluation (K-PRWE) score before and after treatment were noted. Results: After treatment, the cyst diameter decreased significantly from 13.61 ± 6.41 mm to 5.15 ± 6.18 mm (p < 0.001), and VAS score for pain decreased from 1.31 ± 1.77 to 0.41 ± 0.33 (p = 0.021). Further, the K-DASH score decreased significantly from 8.97 ± 12.66 to 2.21 ± 7.39 (p = 0.016), and score for the function subscale of K-PRWE decreased from 11.37 ± 4.48 to 9.1 ± 3.67 (p = 0.046). No recurrences were reported from the followed-up patients. Any complication related to SP or electroacupuncture was not observed, except mild rash, itching, and swelling at the injection site in four patients. Conclusion: Combination of SP and electroacupuncture may be effective in treating ganglion cysts; further prospective studies with large population are needed to clarify the effect of SP and electroacupuncture.

The Subjective Musculoskeletal Symptoms of Operating Room Nurses (수술실 간호사의 부위별 근골격계 자각증상)

  • Park, Hyeon Hee;Yi, Ggodme
    • Korean Journal of Occupational Health Nursing
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    • v.14 no.2
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    • pp.164-170
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    • 2005
  • Purpose: The present study attempted to find subjective musculoskeletal symptoms of operating room nurses (OR nurses) and then to use them as basic data for prevention and management of musculoskeletal symptoms of OR nurses. Method: This study was an exploratory research, and data were collected from OR nurses working in 8 polyclinics in Korea from July 26 to August 19, 2004, using a self-report questionnaire. The questionnaire contains items concerned with subjective musculoskeletal symptoms include ones with the presence of symptoms and with the degree of discomfort, in the joints such as neck, shoulder, arm/elbow, hand/wrist/finger and waist. For data collection, the aim of the study was explained to the operating room managers to obtain their help, and these questionnaires were sent to hospitals, and were retrieved by post. 271(90.3%) questionnaires were returned among those sent to 300 nurses. 249 questionnaires excluding 22 insufficient ones such as no response were used for data analysis. Data were analyzed using SPSS WIN 12.0. Subjective musculoskeletal symptoms were analyzed in the number and percentage. Result: 187(75.1%) nurses said they 'had' subjective musculoskeletal symptoms and 62 (24.9%) said they had 'nothing'. 130(52.2%), 125 (50.2%), 113 (45.4%), 86(34.5%), and 42 (16.9%) nurses had subjective musculoskeletal symptoms in waist, shoulder, hand/wrist/finger, neck, and arm/elbow, respectively. 51(27.3%) and 136 (72.7%) nurses complained of the pain in one site, and in two or more sites, respectively. In particular, 51% and 47.4% nurses said that they were 'discomforted' due to the pain in waist and in shoulder, respectively. Conclusion: Subjective musculoskeletal symptoms which OR nurses complained of were significant. This may cause difficulty in nursing tasks in the operating room. So various arrangements have to be made for OR nurse with subjective musculoskeletal symptoms at an early stage.

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A Study of Prevalence to Musculoskeletal Disorders among Some Manufacturing Workers (제조업체 근로자의 직업관련성 근골격계질환의 유병율에 관한 연구)

  • Kim, Sung-Mi;Jo, Young-Ha;Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.11 no.3
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    • pp.49-59
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    • 2004
  • The purpose of this study was carried out to rind out the prevalence of occupational musculoskeletal disorders among workers in manufacturing industries, so that the result could provide basic data necessary to prevent musculoskeletal disorders. Information on general characteristics, occupational characteristics, and musculoskeletal symptoms were obtained by a self-administered questionnaire between October and November in 2002, from 345 workers in Kim-hae and Ulsan, Kyung-nam province. The data were analyzed for chi-square test by using SPSS NVIN 10.0 program. The results are as follows: According to the self-reports, among musculoskeletal symptoms complain on shoulders are topping for 50.4%, low back is followed for 40.6%, leg/foot 35.7%, neck 34.5%, wrist/hand/finger 30.1%, and arm 24.3%. According to occupational characteristics prevalence by anatomical site, about neck pains 119 subject, occupational satisfaction is 62,6% in moderate group, work shift is 71.8% in no work shift group, each significant high. Symptom complain rate of 104 patients who complained on wrist, hand and finger pain is significantly related that 36.5% below 5 years and 36.5% above 15 years have been worked group. And each of them are significantly related 77.9% in labor workers group, 70% in no work shift group, 54.8% in frequent transfer group. Among 140 subjects who have back pain, that is significationtly reported on 37.1% below 5 years and 37.9% above 15 years and 60.0% moderate satisfied occupation group have been worked group. Therefore, some efforts should be proceeded such as improvement of working condition, flexibility for changing work, more pleasant and better working environment, and etc.

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The effects of Breif, Intense Transecutaneous Electrical Nerve Stimulation on Nerve conduction, Pain Threshold in Healthy subjects (Brief, Intense TENS 자극이 신경전도, 통증역치의 변화에 미치는 효과)

  • Kim Tae-Youl;Hwang Tae-Yeun;Huh Choon-Bok
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.171-183
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    • 1994
  • Purphose. This present study examines the effect of brief, intense transcutaneous electrical nerve stimulation(BTENS) on sensory nerve conduction, electrical pain threshold, and two-point discrimination measured at the superficial radial nevre distribution in 20 healthy subjects. Subjects. Twenty volunteercs, (10 females and 10 males(age range : 20-38 years : $mean{\pm}SD\;:\;27.00{\pm}5.12$), only subjects without prior traumatological and pathological were eligible to participated in this study. Methods. Nerve conduction were determined for the right superficial radial nerve. Electrical pain threshold were determined for the right wrist ipsilateral to the site of BTENS. Small disc electrodes were attached to the surface of the skin stradding the end of the radius. Square wave electrical pulses were delivered from an isolated stimulator through a constant current device at a frequency of 2 Hz(5 ms pulse width). Two-point discrimination, measured on the sensory distribution of superficial radial nerve. BTENS was delivered using a Max-SD( Medical design co.) portable battery powered stimulator. A cicular Ag/AgCl electrode in contact with hypertonic saline gel was attached to the lateral(radial side) surface of the forearm. Results. No significant effects were observed between stimulation methods in the prestimulation cycle(multi-way ANOVA repeated measures : distal latency ; F1.14=0.332. amplitude ; F 0.80=0.445, pain threshold ; F0.06=0.940.2 point discrimination ; F1.50=0.236). Highly significant effects were observed time with the pretreatment and 6 posttreatment cycles(p<0.01). Mighty significants differences in nerve conduction and pain threshold were found using un multi-way ANOVA repeated measures among stimulation methods for each cycles(p<0.01). Conclusion and Discussion The authors concludes that both nerve conduction and pain threshold changes are associated with therapy (stimulation) level of BTENS.

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Work-Related Upper Extremity Musculoskeletal Pain Korean Baristas (한국의 바리스타들의 업무 관련 상지 근골격계 통증)

  • Kim, Ha-Eun;Kwon, Ye-Lim;Park, Hyun-Ju;Kang, Jul-Gi;Lee, Ji-In;Kim, Eun-Joo
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.335-342
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    • 2019
  • The purpose of this study was to investigate the current status of work-related upper extremity musculoskeletal pain in baristas and to identify the elements that are related to pain. The questionnaires were distributed to 100 workers in 63 cafes on Jeonju city in Korea. As a result of investigating work related pain, 65.3% (n=64) answered "yes" to the question that had pain at least once a week, month, or year, or 34.7% (n=34) answered "no". Most of the workers were right-handed, and when they felt pain, they felt 25 to 50% of time per day. Especially, baristas reported that the use of porter filters during work and the tamping operation were the most painful. In conclusion, our study indicated that necessary to introduce and develop a program to prevent cafe worker disease, as well as need to future research to improve work environment and posture according to the characteristics of the cafe works.

A Study on Relation Fatctors of Musculoskeletal Disease among selected Female Hair Dressers (일부 여성 미용종사자들의 근골격계 증상의 관련 요인)

  • Song, Mi-Ra
    • Journal of environmental and Sanitary engineering
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    • v.21 no.2 s.60
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    • pp.57-68
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    • 2006
  • This study was designed to provide basic data on preventive plans by affecting factors that have analysed on musculoskeletal diseases. The survey were conducted from July 1 to 30, 2004 among 600 hair dressers working in Seoul and Gwangju using self-administration questionnaire. The results of this study are summarized as follows: The pain experience rate of musculoskeletal diseases. in the last one yea was 55.2%. 35.7% of respondents answered they had pain on shoulders, 30.6% had pain on legs and feet, 28.9% had pain on waist, 26.8% had hands, fingers and wrist, 22.3% had pain on necks and 17.6% had pain arms and elbows more than disease on necks, shoulders, arms and elbows, hands, fingers and wrists, waist, shoulders legs and feet. The prevalence rate of the last week was 40.3%. The prevalence rate in each body parts of the last week was 23.3% on legs and feet, 21.2% on shoulders, 20.8% on waist, 14.9% on hands, fingers and wrists, 14.4% on necks, 9.3% on arms. The affecting factors on musculoskeletal disease index were analysed by multiple linear regression analysis. there are working posture$(\beta=0.27)$; authority of task$(\beta=0.18)$, self-conscious stress $(\beta=0.16)$, age$(\beta=0.14)$, physical burden from work$(\beta=0.13)$, and task required$(\beta=0.10)$. Determinant coefficients was 22.7%. Based on the results above, working posture, job stress and physical burden from task are highly related with pain. In order to prevent musculoskeletal disease of hairdressers, working posture shall be improved and leisure opportunities to relieve stress, and health management education shall be provided.

A Study on Affecting Factors of Musculoskeletal Disease among Hair Dressers (미용 종사자들의 근골격계 질환에 영향을 주는 요인 분석)

  • Song, Mi-Ra;Son, Bu-Soon
    • Journal of environmental and Sanitary engineering
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    • v.20 no.4 s.58
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    • pp.59-68
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    • 2005
  • This study was designed to provide basic data on preventive plans by affecting factors that have analysed on musculoskeletal diseases. The survey were conducted from July 1 to 30, 2004 among 600 hair dressers working in Seoul and Gwangju using self-administration questionnaire. The results of this study are summarized as follows: The pain experience rate of musculoskeletal diseases. in the last one year was $55.2\%,\;35.7\%$ of respondents answered they had pain on shoulders, $30.6\%$ had pain on legs and feet, $28.9\%$ had pain on waist, $26.8\%$ had hands, fingers and wrist, $22.3\%$ had pain on necks and $17.6\%$ had pain arms and elbows more than disease on necks, shoulders, arms and elbows, hands, fingers and wrists, waist, shoulders legs and feet. The prevalence rate of the last week was $40.3\%$. The prevalence rate in each body parts of the last week was $23.3\%$ on legs and feet, $21.2\%$ on shoulders, $20.8\%$ on waist, $14.9\%$ on hands, fingers and wrists, $14.4\%$ on necks, $9.3\%$ on arms. Based on the results above, working posture, job stress and physical burden from task are highly related with pain. In order to prevent musculoskeletal disease of hairdressers, working posture shall be improved and leisure opportunities to relieve stress, and health management education shall be provided.

Detection of Monosodium Urate Crystal of Hand and Wrist in Suspected Gouty Arthritis Patients on Dual-Energy CT and Relationship with Serum Urate Level (손과 손목의 통풍관절염에서 이중에너지 CT를 이용한 요산나트륨 결정 검출과 혈중 요산 농도와의 관계)

  • Hana Choi;Jeongah Ryu;Seunghun Lee;Yeo Ju Kim;Soyoung Bang
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.212-225
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    • 2023
  • Purpose We retrospectively investigated the characteristics of patients with monosodium urate (MSU) deposits of the hand and wrist on dual-energy CT (DECT) compared to those without. We also attempted to determine the pattern of MSU distribution in DECT. Materials and Methods In total, 93 patients were included who had undergone DECT for evaluation of the hand or wrist pain under the clinical impression of gouty arthritis. The total volume of MSU deposits on DECT was calculated and the pattern of MSU distribution on DECT was analyzed. Also, the level of the serum urate at the time of DECT and the highest level of the serum urate of the patients were obtained from their records and the relationship between MSU and serum urate level was evaluated. Results The range of the volume of MSU deposits on DECT was 0.01-16.11 cm3 (average: 1.07 cm3). The average level of serum urate was significantly higher in the MSU positive group than that in the MSU negative group. MSU deposits were most frequently observed in the wrists followed by fingers and digitorum tendons. Conclusion On DECT, MSU deposits were most frequently detected in the wrist and related with high serum urate level.

Development and Evaluation of a Portable Micro-Current Stimulator for Acute Lateral Epicondylitis (급성 외측 상과염 치료를 위한 휴대용 미세전류자극기 개발 및 효과 검증)

  • Kwon, Hyeok Chan;Lee, Hyun Ju;Tae, Ki Sik
    • Journal of Biomedical Engineering Research
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    • v.40 no.2
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    • pp.68-74
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    • 2019
  • Lateral epicondylitis is caused by repeated use of the wrist, which causes inflammation and pain in the wrist extensor and tendon of the humerus. Delayed onset muscle soreness (DOMS) caused by repetitive resistance exercise affects the tendons connected in series with the muscle, leading to lateral epicondylitis. Although micro-current stimulation has been suggested as a possible treatment for tendinitis, there are insufficient studies on specific variables such as frequency. In this study, 15 healthy adult males and females developed DOMS in the wrist extensor and tendon in the humerus. The experimental group consisted of a low frequency group applying 20 Hz and a high frequency group applying 100 Hz according to the micro-current frequency. Each subject underwent an experiment for 5 days after DOMS, and the recovery rates were compared by measuring AROM, GPT, MST, PPT, and VAS. As a result, the 20 Hz group showed significant changes in AROM, MST, and VAS compared to the control group on the 4th day, and the recovery rate was also higher than that of the 100 Hz group. On the 5th day, recovery rate of 100 Hz group was higher than 20 Hz in AROM and PPT, and MST showed higher recovery rate than 20 Hz group, but there was no significant difference. These results indicate that microcurrent stimulation is effective for the treatment of delayed myalgia and tendon inflammation and that the 100 Hz group has faster recovery than the 20 Hz group.

Sitting Posture Associated With Carpal Tunnel Syndrome: A Literature Review (앉기 자세와 수근관 증후군의 상관관계에 관한 고찰)

  • Kwon, Hyuk-Cheol;Kong, Jin-Yong
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.113-124
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    • 2002
  • The objectives of this study was to investiage the effects of sitting posture on carpal tunnel syndrome. Carpal tunnel syndrome (CTS) continues to be one of the most widely publicized maladies of the cumulative trauma disorder. Many studies have reported a positive association between CTS and highly repetitive work, high force, and poor posture. High force and repetitive work have especially been associated with CTS, but the evidence for work being a primary cause of CTS is strongest when these factors are combined. In addition to carpal tunnel syndrome, hand, wrist, and other disorders are attributed to these work-related movements. Such disorders are referred to as repetitive stress injuries, cumulative trauma disorder, overuse syndromes, and chronic upper limb pain syndrome. Incorrect posture also may play a role in the development of CTS in people who work at a computer and other types of keyboards. The tendency to roll the shoulders forward, round the lower back, and thrust the chin forward can shorten the neck and shoulder muscles, compressing nerves in the neck. This, in turn, can affect the wrist, fingers, and hand. The treatment and prevention of carpal tunnel syndrome continue to be approached with a segmental view of the human body. For example, the most common ergonomic solution for carpal tunnel syndrome associated with keyboard use is to keep the wrists in a neutral position by using a wrist rest in front of the keyboard and good sitting posture.

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