• 제목/요약/키워드: VAS pain score

검색결과 663건 처리시간 0.026초

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.

급성기 요통의 치료에서 경판의 유용성 평가 (The Evaluation about Effects of the Hard Board on Treating Acute Low Back Pain)

  • 이동열;이수길;류헌식
    • 대한한의정보학회지
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    • 제11권2호
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    • pp.57-64
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    • 2005
  • Objectives The aim of this study is to evaluate effects of hard board applied to acute low back pain patient by using Visual Analogue Scale(VAS) and Pain Rating Score(PRS). Methods From March. 2005 to October. 2005, 20 cases of acute low back pain were divided into 2 groups in sequence. Control group took a rest on the bed(marble-sponge mattress) and sample group took a rest on the hard board. Visual Analogue Scale(VAS) and Pain Rating Score(PRS) were used to assess the change of pain. VAS and PRS were checked 3 times before the treatment, after 3day treatment and 6day treatment. Results 1. After 3day and 6day treatment, there was statistical significance between control and sample group by VAS. 2. After 3day and 6day treatment, there was statistical significance between control and sample group by PRS. Conclusions On treating acute low back pain, it is more effective taking a rest on the hard board than taking a rest on the bed. Further study is needed about effects of hard board applied to acute low back pain patient.

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척추세움근 매선침치료가 만성요통환자에 미치는 효과 (Effects of the Embedding Acupuncture Treatments for Chronic Low Back Pain Patients)

  • 유덕주;정재영;정석희
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.105-112
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    • 2015
  • Objectives To investigate clinical effects of needle embedding acupuncture treatments for chronic low back pain patients. Methods 30 patients with chronic low back pain were recruited and randomized into two groups-the embedding acupuncture group or the placebo. At baseline, the age, height, weight, visual analogue scale (VAS), Oswestry disability index (ODI) scores were measured. And surface electromyography (SEMG) data of both erector spinae at L2, L4 level were also measured on both groups and asymmetry index (AI) were calculated. The embedding or placebo acupuncture treatment was performed on the erector spinae according to SEMG values; immediately after the first evaluation and 48 hours after the first visit. After 96 hours of intervention, the VAS, ODI score and SEMG of both erector spinae were measured again. Statistical significance was determined using the Wilcoxon signed ranks test or the Wilcoxon rank sum test. Results The mean VAS, ODI score after treatment was decreased significantly compared with baseline on both groups. And the VAS, ODI score and AI of the embedding acupuncture group was more decreased significantly than the placebo (p<0.05). Conclusions The results suggest that embedding acupuncture for chronic low back pain patients was effective on the VAS pain score, ODI score and AI of the erector spinae.

자궁근종, 자궁선근증, 자궁내막증 환자 55명의 스트레스 정도와 어혈증(瘀血證) 연구 (A Study on Stress and Blood Stasis Pattern for 55 Uterine Myoma, Adenomyosis, Endometriosis Patients)

  • 조준영;이창훈;조정훈;장준복;이경섭;이진무
    • 대한한방부인과학회지
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    • 제23권4호
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    • pp.130-145
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    • 2010
  • Purpose: The purpose of this study is to know stress and blood stasis pattern for the patients who had hysterectomy related with uterine myoma, adenomyosis, endometriosis. Methods: We got questionnaires from 55 patients among 243 patients who had hysterectomy related with uterine myoma, adenomyosis, endometriosis in the department of obstetrics and gynecology, OO medical center from April 11th 2010 to October 14th 2010, and analyzed them. We conducted correlation analysis between age, pain(VAS), duration of pain and blood stasis score, and between duration of pain, blood stasis score and the sum of Stress Response Index. We compared the sum of Stress Response Index, blood stasis score, VAS according to the result of pathology. For statistics, we used Pearson's correlation coefficient, Mann-Whitney test, oneway analysis of variances(ANOVA) and SPSS version 17.0 for windows. Results: The correlation between duration of pain and blood stasis score showed statistical significance. The correlation between sum of the Stress Response Index and blood stasis score showed statistical significance. There is no statistically correlation between age, VAS, duration of the pain and blood stasis score. There is no statistically significant difference in sum of Stress Response Index, blood stasis score, VAS according to the result of pathology. Conclusion: The result showed that Stress is related with static blood, and the longer patients suffer from pain, the easier patients' blood to be static. Further study will be needed.

건식수치료가 요통환자의 통증과 요부장애에 미치는 영향 (The Effects of Dry-Hydrotherapy on The Low Back Disability and Pain for Patients with Low Back Pain)

  • 송창호;배하석;이승원
    • The Journal of Korean Physical Therapy
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    • 제18권2호
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    • pp.1-6
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effects of dry-hydrotherapy to release pain in patient with low back pain. Methods: The subjects of the study were fifty patient with low back pain in orthopedic clinic. Fifty patients who had low back pain were randomly divided into 2 groups, 1) dry-hydrotherapy group 2) control group. Visual analog scale(VAS) and Oswestry low back pain disability questionnaire were measured before and after treatment. The treatment plan Was as follows; 15 min. exercise per day and 5 days per week for 2 weeks. Results: 1. Before dry-hydrotherapy, there was no significant difference in VAS score and Oswestry low back pain disability questionnaire score between two groups. 2. The VAS score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in the AS score in dry-hydrotherapy group was significantly lower than in control group. 3. The Oswestry low back pain disability questionnaire score was significantly decreased in both groups after 2-week dry-hydrotherapy and the decrease in Oswestry low back pain disability questionnaire score dry-hydrotherapy group was significantly lower than in control group. Conclusion: In conclusion, the dry-hydrotherapy was effective to alleviate pain in patients with low back pain.

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경막외 페놀 신경 차단시 우연히 발생한 경막하 카테터 거치예 (Accidental Subdural Catheterization for Epidural Neurolysis with Phenol -A case report-)

  • 임경임;김석홍
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.155-159
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    • 1998
  • Epidural neurolysis with phenol has appeared in literature since 1960. Complications due to accidental subdural block is a rare and unexpected sensory and/or motor disturbance, but it does occur. A 74 years old woman had postherpectic neuralgia for 3 weeks and VAS score of 10. She was treated with intercostal nerve block and intravenous infusion of lidocaine for 7 days and VAS score decreased to 6. To proceed further, we decided to perform epidural neurolysis with 4% phenol 1.5 ml. During thoracic epidural catherization, we encountered unexpected subdural catheterization in subdurographic finding, but we could not precisely rule out subdural catheterization. We had to check CT for exact location of catheter tip. We then performed subdural neurolysis with phenol. This procedure reduced VAS score to between 3 and 4, and we removed the catheter. She had no complication.

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흉(胸).요추압박골절(腰椎壓迫骨折)에 대한 봉약침(蜂藥鍼) 복합치료(複合治療) 효과(效果) (Effect of Bee Venom Acupuncture Complex Therapy of Thoracolumbar Compression Fracture)

  • 양가람;송호섭
    • Journal of Acupuncture Research
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    • 제25권3호
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    • pp.29-39
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    • 2008
  • Methods : We investigated 28 cases of patients with thoracolumbar compression fracture. We divided patients into two groups : We treated one group with complex oriental medical treatment focusing on Bee Venom Acupuncture therapy, and did the other group with complex oriental medical treatment focusing on acupuncture therapy. To investigate the effectiveness of treatment applied for two groups, we used Visual Analog Scale(VAS) and Oswestry Low-back Pain Disability Index(ODI). We compared the VAS score and ODI score of two groups statistically. Results : 1. Female is prominent in distribution of sex, the average age bracket is 70's, and the largest group was Faccidental fall in the distribution of cause. 2. In regard to level of injury, T12 was found to be most prominent, followed in turn by L1, L2. In regard to grade of clinical symptoms, Grade III was most prominent, followed by Grade IV, Grade II. 3. As a result of evaluation by using VAS score and ODI score, treatment score at final was significantly different from that at the baseline in each group. 4. After treatment, Bee Venom acupuncture therapy group showed significant difference on VAS score and ODI score compared with acupuncture therapy group. Conclusions : Bee Venom acupuncture therapy can be available for relieving symptoms related with thoracolumbar compression fracture.

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협심증으로 발생한 호흡곤란, 흉통 및 피로 환자에 대한 생맥산 합 보중익기탕 가미 1례 증례보고 (A Patient with Dyspnea, Chest Pain and Fatigue due to Angina Pectoris Treated with Saengmaeg-san-hap-Bojungikgi-tang-gami: A Case Report)

  • 박도연;문향란;노희정
    • 대한한방내과학회지
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    • 제45권3호
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    • pp.478-487
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    • 2024
  • Objectives: This case report describes good clinical progress in a patient with symptoms related to angina pectoris treated with a herbal medication. Methods: The 66-year-old male patient hospitalized in Chonnam National University Hospital (CNUH) in May 2020 for symptoms of dyspnea and chest pain was diagnosed with angina pectoris, medicated, underwent PCI in August 2020, and continued to take the medicine prescribed at CNUH during hospitalization. Korean medical treatments, including herbal medicines (Saengmaeg-san-hap-Bojungikgi-tang-gami, Yeonggyechulgam-tang), acupuncture, and cupping therapy were administered for 22 days. Symptom severity was assessed with a daily visual analog scale (VAS) for dyspnea and chest pain and standard deviation of NN (SDNN) score of heart rate variability. Results: Post-treatment, severity of dyspnea, chest pain, and fatigue reduced from VAS 7 to VAS 2, VAS 6 to VAS 1, and VAS 7 to VAS 1, respectively. The SDNN score improved from 16.474 ms to 23.270 ms. There were no side effects from Korean medicine treatment. Conclusion: Traditional Korean treatment could effectively treat symptoms related to angina pectoris.

일부 요통환자들의 오스웨스터리요통장애지수 및 관련요인 (Oswestry Low Back Pain Disability Index and Related Factors in Patients with Low Back Pain)

  • 이승주
    • The Journal of Korean Physical Therapy
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    • 제20권4호
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    • pp.21-28
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    • 2008
  • Purpose: We measured the Oswestry Low Back Pain Disability Index (OLBPDI) and related factors in patients with low back pain. Methods: The sample consisted of 50 patients who received physical therapy at the physical therapy units of the Andong Seoul Sintong Clinic, St. Luke Clinic, and Yeongju Seoul Sintong Clinic in Andong and Yeongju city from October, 2007, to February, 2008. The OLBPDI questionnaire was administered by 5 physical therapists as a cross-sectional study. Student's t-test and analysis of variance (ANOVA/Tukey and Scheffe) were used to analyze OLBPDI score differences. We also used nonparametric statistic analysis (Wilcoxon rank sum test, Median test). Pearson correlation analysis (Spearman correlation analysis) was used to analyze the relationship between OLBPDI and the visual analogue scale (VAS). Multiple regression analysis was performed to determine the effects of independent variables on pain scores as defined by the OLBPDI. Results: The average patient age was 37.1 years (range: 18$\sim$78 years old), and time from onset was 21.7 months (1$\sim$180). OLBPD and VAS scores were 12.70 (3.0$\sim$28.0) and 5.14 (1$\sim$8), respectively. OLBPDI scores were 14.4 in patients taking medicine and 11.57 in those who did not. There was a statistically significant relationship between OLBPDI and VAS (r=0.54, p=0.0001; r=0.55, p=0.0001 by Spearman coefficient). Gender ($\beta$=6.14, p=0.0124), age ($\beta$=-2.01, p=0.0324), weight ($\beta$=0.31, p=0.0222), time from onset ($\beta$=1.54, p=0.0044), and VAS score ($\beta$=1.59, p=0.0004) were significantly associated with OLBPD by multiple regression analysis. Conclusion: Variables associated with OLBPD were gender, age, weight, time from onset, and VAS score. Collecting information on the pain index using OLBPDI was acceptable to patients with low back pain. Further research should explore the pain index by using larger sample sizes and longer follow-up periods.

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전열침(傳熱鍼)과 일반 침의 병행치료가 발목 염좌로 인한 외측인대 2도 손상에 미치는 임상적 효과 (The Clinical Effects of Heating-conduction Acupuncture Therapy with General Acupuncture Therapy for Lateral Ligament Injury Induced by Ankle Sprain Grade II)

  • 장선정;장효길;허동석
    • 한방재활의학과학회지
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    • 제21권4호
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    • pp.191-203
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    • 2011
  • Objectives: The purpose of this study is to investigate the clinical effects of heating-conduction therapy on lateral ligament injury induced by ankle sprain grade II. Methods: The 67 outpatients who were diagnosed as ankle sprain grade II were performed heating-conduction acupuncture therapy on lateral ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with pressure algometer and visual analogue scale(VAS) were applied pretreatment and after 1st, 2nd treatment. Results: 1. The pain threshold and VAS score after 1st and 2nd treatment with an isolated injury of the anterior talofibular ligament showed statistically significant improvement compared with pretreatment. 2. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular and the calcaneofibular ligament showed statistically significant improvement compared with pretreatment. 3. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament showed statistically significant improvement compared with pretreatment. 4. After 1st and 2nd treatment on the posterior talofibular ligament and after 2nd treatment on the anterior taofibular and calcaneofibular ligament with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament the pain threshold showed statistically significant improvement compared with pretreatment. 5. Between isolated injury and combined injury of lateral ligament, the difference in pain threshold and VAS score was not statistically significant. Conclusions: Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with an isolated injury and combined injury of lateral ligament induced by ankle sprain grade II.