• 제목/요약/키워드: VAS change

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교통사고로 인한 경추통 환자의 공포 회피반응과 경추통, 목 장애 지수 사이의 관련성 분석 (A Correlation Analysis of Neck Pain, Neck Disability Index and Fear-avoidance Beliefs in Patients with Neck Pain Caused by Traffic Accidents)

  • 이초인;김재수;이윤규;임성철;정태영;이봉효;이현종
    • Journal of Acupuncture Research
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    • 제32권1호
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    • pp.109-118
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    • 2015
  • Objectives : This study aimed to investigate the correlation between fear-avoidance beliefs and neck pain/neck disability caused by traffic accidents. Methods : We surveyed 52 patients who were injured in traffic accidents. The patients completed baseline measures of pain, disability, fear-avoidance beliefs according to the visual analogue scale(VAS), neck disability index(NDI) and a fear-avoidance beliefs questionnaire (FABQ). At the end of medical treatment, VAS and NDI were reassessed. In order to determine the relationship between FABQ(including its subscales), change of VAS and NDI, Pearson correlation coefficients were used. To examine the accuracy of previously reported cut-off scores, we classified the patients into low and high groups and analyzed the change of VAS and NDI. The relationship was measured by Mann-Whitney U-test and a student's T-test. Results : FABQ and its subscales(total, physical activity and work) were significantly correlated with final VAS and NDI. FABQ-T showed low significant negative correlation with change of NDI. Previously reported cut-off scores did not show a statistical significance in this study Conclusions : This study suggests that screening for fear-avoidance beliefs may be useful for identifying patients at risk of prolonged pain after traffic accidents.

젊은 만성허리통증자의 허리부위 불안정성 검사 양성반응 수와 호흡패턴변화율, 통증 간의 상관관계분석 (Correlation Analysis between Lumbar Instability Test Positive Response Number and Breathing Pattern Change Rate and Pain in Young Peoples with Chronic Low Back Pain)

  • 기철;남기원
    • 대한물리의학회지
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    • 제14권3호
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    • pp.73-80
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    • 2019
  • PURPOSE: This study examined the correlation between the visual analog scale (VAS) and the rate of change in the respiration patterns according to the result of Lumbar Instability Tests (LITs) in young people with chronic low back pain (CLBP) METHODS: Thirty-six adults, aged 20-40 years with CLBP, participated in this study. The general characteristics and VAS of the participants were recorded by the subjects themselves and seven structure and functional LITs were conducted. According to the positive response number, the positive group was divided into four groups (group 1: n=8, group 2: n=9, group 3: n=10, group 4: n=9). The breathing pattern change tests were performed in three states: during forced breathing exercise and motor control tests. A total of 13 positive lists were set, each of which was scored by 1 or 2 points according to the severity. After the positive lists were scored, the breathing pattern changing rate (BPCR) and VAS were compared according to the positive response number of LITs, and the correlation between them was analyzed. RESULTS: A strong correlation was observed between the number of positive of LITs and BPCR (r= .863, p= .000) and a moderate correlation between the positive number of LITs and VAS (r= .508, p= .002). In addition, there was a poor correlation between the BPCR and VAS (r= .434, p= .008). CONCLUSION: In young CLBP people, when the structural and functional instability are both present, the changes in the respiratory pattern of the whole body can be varied and broader, and the pain scale also increases.

산욕기 산모의 부종감각과 Inbody 부종지수, 출산 전후 체중변화의 상관성 분석 (Correlation Analysis of Edema Sensation in Postpartum Mothers, Inbody Edema Index, and Weight Change before and after Childbirth)

  • 김영은;김안나;서수민;김평화;손미주;이은희;장현철
    • 대한한방부인과학회지
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    • 제35권1호
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    • pp.1-11
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    • 2022
  • Objectives: Management of the postpartum period is important for the health of mothers, and postpartum edema is one of the management targets. In this study, the relationship between the value measured by the device and the postpartum edema sensation was examined to explain the subjective sensation of the mother as an objective value. Methods: Data from 54 cases provided by 24 mothers within 6 weeks postpartum were used in the study. The degree of postpartum edema sensation was measured using a visual analog scale (VAS), and the effect of VAS changes on the body edema index and weight change before and after childbirth was estimated through linear regression analysis. Results: As a result of the regression analysis, when the edema sensation of the mothers VAS increased by 1 point, the Inbody edema index increased by 0.002 points (p=0.000, R2=0.272), and when the VAS increased by 1 point, the weight gain increased by 0.99 kg compared to before pregnancy (p=0.000, R2=0.243), and when VAS increased by 1 point, weight loss decreased by 0.56 kg compared to just before childbirth (p=0.004, R2=0.136). Conclusions: The results of this study, in which the edema sensation of postpartum mothers was statistically significantly related to the edema index and weight change before and after childbirth, showed that the edema sensation complained by the mother could be used as an evaluation index for postpartum edema management in the future.

침도침 시술을 시행한 만성 족관절 염좌 환자 2례에 대한 증례보고 (The Clinical Study on the Effect of Acupotomy on Chronic Arthritis of Ankle)

  • 김민정;홍권의
    • Journal of Acupuncture Research
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    • 제25권4호
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    • pp.157-162
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    • 2008
  • Objectives : The purpose of this study is to report the effect of acupotomy for patients with chronic arthritis of ankle. Methods : We treated Two patients who have chronic arthritis of ankle with acupotomy. To check the effect and satisfaction of acupotomy we used visual analog scale(VAS) and Five-point Likert scale. At the same time, we measured Change of ankle range of motion(ROM). Results : As a result of evaluation by using VAS, after treatment VAS score decreased(VAS3, VAS5). ROM of ankle widened. And the Likert scale point were checked 3 and 4. Conclusions : This study shows acupotomy has useful effect on chronic arthritis of ankle. An acupotomy is an alternative effective treatment modality for chronic arthritis of ankle.

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The Effect of Knee Joint Traction Therapy on Pain, Physical Function, and Depression in Patients with Degenerative Arthritis

  • Lee, Dong Kyu
    • The Journal of Korean Physical Therapy
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    • 제31권5호
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    • pp.317-321
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    • 2019
  • Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.

황연해독탕가미방(黃連解毒湯加味方)을 처방한 갱년기 안면홍조 환자 3례 증례 보고 (3 Cases of Postmenopausal Hot Flush Treated with Hwangryunhaedoktang-Gamibang)

  • 이아린;손상현;박선정
    • 한방안이비인후피부과학회지
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    • 제30권4호
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    • pp.176-183
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    • 2017
  • Objectives : The purpose of this study is to report the effect of Hwangryunhaedoktang-Gamibang on Postmenopausal Hot Flushes. Methods : This case study was done on 3 Postmenopausal Hot Flush patients who have visited Korean Medicine Clinic. Hwangryunhaedoktang-Gamibang was prescribed to all 3 patients and evaluated the symptom change through photographs and questionnaire. Investigator's Global Assessment(IGA) was used to evaluate the objective symptom and Visual Analogue Scale(VAS) was used to evaluate the subjective change. Results & Conclusions : The IGA and VAS were decreased in all patients. Most symptoms of 3 patients were improved. As a result of examining IGA, VAS scores and photographs, Hwangryunhaedoktang-Gamibang can be effective on Postmenopausal hot flush.

가감황금탕(加減黃芩湯) 환제를 처방한 심인성 안면홍조 환자 3례 증례 보고 (3 Cases of Emotional Facial Flush Treated with Gagamhwanggeum-tang)

  • 조재곤;서산;박선정;한수련
    • 한방안이비인후피부과학회지
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    • 제28권1호
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    • pp.160-168
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    • 2015
  • Objective : The purpose of this study is to report the effect of Gagamhwanggeum-tang on emotional facial flush. Methods : This case study was done on 3 Facial Flush patients who have visited Korean Medicine Clinic. Gagamhwanggeum-tang was prescribed to all 3 patients and evaluated the symptom change through photographs and questionnaire. Investigator's Global Assessment(IGA) was used to evaluate the objective symptom and Visual Analogue Scale(VAS) was used to evaluate the subjective change Results & Conclusion : The IGA and VAS were decreased in 3 patients in our study. Most symptoms of 3 patients were improved. As a result of examining IGA, VAS scores and photographs, Gagamhwanggeum-tang can be effective on emotional facial flush in 3 case in our study.

척추도수교정이 요통에 미치는 영향 (The Effect of spinal manipulation on the Lumbar Spine with LBP patients)

  • 오강오;김지혁;최수홍
    • 대한정형도수물리치료학회지
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    • 제22권2호
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    • pp.9-14
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    • 2016
  • Purpose: Many people are suffering from Low back pain due to HIVD and muscular problems, lack of joint functions on lumbar spine. In this study we compared the change of the herniation index, Oswestry LBP disability index (OLDI), visual analog scale (VAS), lumbar flexion range of motion (ROM) between the pre-experiment and after 4 weeks treatment by maitland manual therapy. Method: we selected and managed both the 15 people. They are $46.80{\pm}15.46$ years old people with HIVD and Stenosis. We treated for the people with HIVD and Stenosis by manual therapy(maitland manipulation method) during 4 weeks. And then we compared with pre-experiment and after 12 weeks through measuring the herniation index change by using computor themograpy (CT), LBP OLDI, VAS, lumbar flexion ROM. Results: The changes in the herniation index, Oswestry lumbar Disability Index, VAS, lumbar flexion ROM between the pre-experiment and after 4 weeks treatment by maitland manual therapy, there was a statistically significant difference. Although there was a significant difference after 4 weeks in OLDI, VAS, lumbar flexion ROM. But disc herniation index was no significant difference. Conclusion: Manual therapy is very effective for Lumbago due to the HIVD and spinap stenosis patients. OLDI, VAS and lumbar flexion ROM were increased. But disc herniation index was no significant difference. We suggest the combination treatment between manual exercise and spinal traction.

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테이핑적용이 어깨부위 통증과 생리적 변화에 미치는 영향 (An Influence of Taping Treatment on Shoulder Pain and Physiological Change)

  • 김장곤
    • 대한통합의학회지
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    • 제3권3호
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    • pp.25-33
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    • 2015
  • Purpose : The purpose of this study was to find out objective and scientific grounds on the effect of Spiral Balanced Taping(SBT) by examining physiological change according to pain reduction and understanding the relationship physiological change and pain. Method : 32 female students who was from 20 to 25 years old($22.06{\pm}1.13$). Regarding the range of pain, each 16 female students ranged in the right and the left. The subjects selected the most comfortable method of six taping methods related with trapezius. They were examined with four measurement methods(Visual Analogue Scale : VAS, Algometer, Digital Infrared Thermograph Imaging(DITI), and Cervical Range of motion : CROM) and measured before treatment, right after treatment, 30 minutes later after treatment and 60 minutes later after treatment. Result : According to the result of Repeated measure ANOVA, there was a significant difference with all four methods before and after treatment. In addition there was a significant difference in proportion to time. As a result of stepwise regression, VAS was the highest with Digital Infrared Thermograph Imaging(r2=0.136) and pressure pain threshold was the highest in the range of cervical motion. Conclusion : There was the effect of SBT to all four measurement method and it was effective with measuring VAS and DITI, or Algometer and CROM together.

기관지천식 환자에서 폐기능검사와 호흡곤란지수의 관련성에 관한 연구 (Assessment of the Relationship between Pulmonary Function Test and Dyspnea Index in Patients with Bronchial Asthma)

  • 김세규;천선희;장준;하종원;홍천수;김성규;이원영
    • Tuberculosis and Respiratory Diseases
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    • 제39권5호
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    • pp.392-399
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    • 1992
  • 연구배경 : 호흡곤란은 호흡기질환 환자의 가장 흔한 주소이나 이를 감지하는 정확한 기전은 아직 잘 알려져 있지 않다. 폐질환에서 호흡곤란의 심한 정도와 치료에 대한 반응을 측정하는 데 있어 객관적인 폐기능을 이용하여 왔으나 호흡곤란은 폐 환기능 뿐 아니라 심장, 폐질환, 심인적 요인 등을 반영한 복합적인 증상이므로 주관적으로 측정하는 호흡곤란지수(dyspnea index)를 사용하여 이러한 증상의 정도를 양적으로 측정하는 것도 유용할 것으로 생각된다. 방법 : 증상이 기관지천식 환자를 대상으로 Visual Analogue Scale(VAS) 및 Borg Scale Dyspnea Index (BSDI)와 Spirometry를 검사전 휴식상태, methacholine 유발검사에서 양성을 나타내었을 때, 기관지확장제 투여후 각각 측정하였다. 결과 : 1) 기저상태와 Methacholine 및 기관지확장제 투여후 시행한 폐기능검사 결과와 VAS 및 BSDI 간 상관관계는 없었다. 2) FEV1, FVC 및 MMFR 변화량과 VAS 및 BSDI 변화량 간에도 상관관계는 없었다. 3) 천식의 증상호소가 경미한 환자군이 증상호소가 심한 환자군 보다 methacholine 및 기관지확장제 투여 후의 VAS 및 BSDI의 변화가 더 컸다. 4) 호흡곤란지수중 VAS이 BSDI 보다 조금 큰 수치 및 변화량을 보였으며 두 지수 간의 상관관계를 볼 수 있었다(R=0.82). 결론 : 기관지천식 환자에서 기저상태 및 Methacholine 유발검사시에 객관적인 폐기능 검사 수치의 유의한 차이가 없음에도 불구하고 주관적인 호흡곤란지수는 변화하는 경향을 보였으며, 이는 경중 천식군에서 더욱 뚜렷하였다. 호흡곤란지수는 환자 간의 비교척도로는 사용될 수 없으나 한 환자에서 경과관찰이나 치료효과를 판정하는데에 spirometry와 함께 중요한 지표가 될 것으로 생각된다.

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