• Title/Summary/Keyword: Visual Analog Pain Scale

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A Study on the Correlation of shoulder Pain and Hand Edema in Hemiplegia with Shoulder-Hand Syndrome (견관절 수부증후군을 가진 편마비 환자의 견관절 동통과 수부부종의 상관관계 연구)

  • Kim Byung-Jo;Ahn So-Youn;Kim Soo-Min;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.39-47
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    • 2000
  • The purpose of this study was to evaluate the relationship between shoulder pain and hand edema in stroke patient with shoulder hand syndrome. In this study, 26 hemiplegic patients with the clinical symptom and sign of shoulder hand syndrome were evaluated. Hand volume was measured by hand volumeter, and hand edema was calculated by volume difference of both hands. Shoulder pain was evaluated using VAS (visual analog scale). and spasticity of shoulder was graded by modified Ashworth scale. The relationship among three factors such as shoulder pain. hand edema and shoulder spasticity was evaluated using correlation analysis. Results through correlation analysis among three factors are as follows : 1. Correlation between shoulder pain and hand edema was not significant$(\gamma=-.028)$. 2. Correlation between shoulder spasticity and hand edema was not significant $(\gamma=-.027)$. 3. Correlation between shoulder spasticity and shoulder pain was not significant $(\gamma=-.093)$. As the result of correlation analysis. this study shows that there was no statistically significant difference between shoulder pain and hand edema.

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A Newly Designed Cervical Pillow Department of Rehabilitation Medicine (새로 디자인된 경부베개)

  • He, Jin-Gang
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.1063-1073
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    • 1999
  • Objective: Poor head and neck support during sleep can exacerbate the neck pain. Based on the ideal sleep posture and pillow suggested by Cyriax, we designed a new cervical pillow and compared the degree of pain reduction, quality of sleep and pillow satisfaction with a low hospital pillow and a high pillow. Method: The newly designed pillow has a built-in pressure-adjustable air bag in the cervical area and provides normal cervical lordotic curve in supine position and maintains cervical and thoracic vertebrae to form a horizontal line in side-lying position. Thiry-four patients with cervical pain used low hospital pillows for the first week of 3-week randomized crossover design study. They were subsequently randomly assigned to use each of the other two pillows for 1-week period. Outcomes were measured using Visual analog scale, Sleep questionaire, a pillow satisfaction scale. Result: Compared with other 2 types of pillow, Subjects using the newly desinged pillow showed much reduced pain intensity, increased duration of sleep and better satisfaction. Conclustion: We desinged a cervical pillow with built-in pressure adjustable air bag and it can significantly reduce pain intensity and improve quality of sleep in patients with cervical pain.

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Effects of Auricular Acupressure on Low Back Pain and Headache in Nurses (귀 지압이 간호사의 요통과 두통에 미치는 효과)

  • Park, Eun-Mee;Jo, Ga-Won;Sim, Sug-Hee;Choi, Jong-Min;Lee, Eun-Jin
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.75-82
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    • 2022
  • Purpose: The aim of the study was to examine the effect of auricular acupressure on low back pain and headaches in nurses. Methods: A open-label randomized controlled trial was used. Thirty-nine nurses with low back pain for more than 3 months participated in this study. Auricular acupressure stickers were applied to the participants's waist, head and Shen men in the experimental group for 2 weeks. The Numeric Rating Scale (NRS), the Visual Analog Scale (VAS), and the Headache Impact Test-6 (HIT-6) were administered to measure participants' pain. Results: The mean differences of the VAS and the HIT-6 were significant in the experimental group at the pre and post-tests. A repeated-measures ANOVA revealed that low back pain and headache measured using NRS in the experimental group decreased significantly compared to the control group at the pre and post-tests over 2 weeks. Conclusion: The results of this study indicated that auricular acupressure could be used as a useful intervention for self-care for nurses with low back pain and headache.

The effect of postoperatively applied far-infrared radiation on pain and tendon-to-bone healing after arthroscopic rotator cuff repair: a clinical prospective randomized comparative study

  • Yoon, Ji Young;Park, Joo Hyun;Lee, Kwang Jin;Kim, Hyong Suk;Rhee, Sung-Min;Oh, Joo Han
    • The Korean Journal of Pain
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    • v.33 no.4
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    • pp.344-351
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    • 2020
  • Background: The effects of far-infrared radiation (FIR) on the treatment of rotator cuff diseases remains unknown. We evaluated the safety and efficacy of FIR after arthroscopic rotator cuff repair with regard to postoperative pain and healing. Methods: This prospective randomized comparative study included 38 patients who underwent arthroscopic rotator cuff repair due to a medium-sized tear. Patients were randomly divided into the FIR or control group (n = 19 per group). In the FIR group, FIR with an FIR radiator started 1 week postoperatively for 30 minutes per session twice daily. It lasted until abduction brace weaning at 5 weeks postoperatively. We assessed pain using a pain visual analogue scale (pVAS) and measured the range of motion (ROM) of the shoulder at 5 weeks, and 3 and 6 months, postoperatively. The anatomical outcome was evaluated using magnetic resonance imaging at 6 months postoperatively. Results: At 5 weeks postoperatively, the average pVAS score was lower in the FIR group than in the control group (1.5 ± 0.8 vs. 2.7 ± 1.7; P = 0.019). At 3 months postoperatively, the average forward flexion was higher in the FIR group (151.6° ± 15.3° vs. 132.9° ± 27.8°; P = 0.045), but there was no significant difference at 6 months postoperatively. There was no significant difference in healing failure between the groups (P = 0.999). Conclusions: FIR after arthroscopic rotator cuff repair could be an effective and safe procedure to reduce postoperative pain, thereby facilitating rehabilitation and better ROM in the early postoperative period.

하악매복지치의 외과적 발치술과 환자의 주관적 통증에 관한 임상적 연구

  • Kim, Young-Kyun;Kim, Hyoun-Tae;Ju, Mee-Hee
    • The Journal of the Korean dental association
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    • v.37 no.2 s.357
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    • pp.126-130
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    • 1999
  • Forty healty patients (15 males and 25 females) between 19 and 45 years of age with mandibular impacted third molar were selected for this tudy. A visual analog scale from 0 to 100 was used on the day of the procedure and on the first postoperative day for patient pain assessment. 1. In comparative study according to anesthesia, preoperative medication, depth of impacted teeth and gender, there were a variable range of pain and no significant differences statistically. 2. Intraoperative pain was the highest in the 2nd decade and first postoperative pain was the highest in the 3rd decade (P=0.0398) 3. Intraoperative and postoperative pain of operative duration below 10 minutes were the lower than that between 11 to 20 minutes (P=0.0398)

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Effect of Bee Venom Pharmacopuncture Therapy on the severe pain back of the ear in patient diagnosed with Bell's palsy (안면신경마비 환자의 이후통(耳後痛)에 대한 봉약침 치험 2례)

  • Oh, Hyun-Jun;Song, Ho-Sueb
    • Journal of Pharmacopuncture
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    • v.12 no.3
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    • pp.81-88
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    • 2009
  • Objective : This study was to report Bell's palsy patients with severe pain back of the ear treated by Bee Venom Pharmacopuncture therapy. Methods : The patients was treated by Bee Venom Pharmacopuncture therapy to relieve the severe pain back of the ear. Visual Analog Scale(VAS) was used as an outcome measurement. Results : After Bee Venom Pharmacopuncture therapy, VAS were decreased at all case. Conclusion : Bee Venom Pharmacopuncture therapy can be available for relieving severe pain back of the ear even inducing insomnia.

A clinical study for Chuna Treatment on Neck pain (추나요법의 경항통 치료에 대한 임상적 고찰)

  • Park, Won-Hyung;Oh, Se-Choon
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.1-9
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    • 2005
  • Objective : The study aims to find out the effects of Chuna treatment on neck pain. Methods: Out of 40 neck pain people, we divided 20 people in group A was treated Acupuncture and China, 20 people in group B was treated Acupuncture. We measured Visual Analog Scale(VAS) and symptom grade before and after treatment in each group's. Statistical analysis was performed by using SPSS program. Results : 1. Symptom grade III was the highest frequency before treatment in Group A and Group B. After treatment, grade 0 was The highest frequency in Group A But grade 0, II were the highest frequency in Group B. 2. Group A was Significantly decreased in VAS compared with Group B. Conclusion: These results suggest that Chuna treatment is useful on the patients of neck pain.

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Evaluation of Efficacy of Ultrasonography in the Assessment of Transcutaneous Electrical Nerve Stimulation in Subjects with Myositis and Myofascial Pain

  • Patil, Seema;Iyengar, Asha R;Kotni, Ramya Madhuri;BV, Subash;Joshi, Revan Kumar
    • The Korean Journal of Pain
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    • v.29 no.1
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    • pp.12-17
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    • 2016
  • Background: The study aimed to determine if ultrasonography of masseter can be used to evaluate the outcome of transcutaneous electrical nerve stimulation (TENS) in subjects with temporomandibular disorders (TMDs) such as myositis and myofascial pain. Methods: Fifteen TMD subjects with myofascial pain/myositis who satisfied the RDC/McNeil criteria were included in the study. All the subjects were administered TENS therapy for a period of 6 days (30 minutes per session). The mouth opening (in millimeters) and severity of pain (visual analogue scale score) and ultrasonographic thickness of the masseter (in millimeters) in the region of trigger/tender areas was assessed in all the subjects both prior and post TENS therapy. A comparison of the pre-treatment and post-treatment values of the VAS score, mouth opening and masseter thickness was done with the help of a t-test. Results: There was a significant reduction in the thickness of masseter muscle (P = 0.028) and VAS scores (P < 0.001) post TENS therapy. There was also a significant improvement in the mouth opening (P = 0.011) post TENS therapy. Conclusions: In the present study, ultrasonography was found to be an effective measuring tool in the assessment of TENS therapy in subjects with myositis and myofascial pain.

Cumulative Therapeutic Effect of High-Voltage Microcurrent Therapy in Patients with Herniated Lumbar Disc (요추부 추간판 탈출증 환자에 대한 고전압 미세전류치료의 누적치료효과)

  • Yun, Wang Hyeon;Park, Jinyoung;Kim, Doyoung;Park, Jung Hyun
    • Clinical Pain
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    • v.18 no.2
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    • pp.65-69
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    • 2019
  • Objective: This study aims to evaluate the efficacy of high-voltage microcurrent therapy in patients with herniated lumbar disc (HLD) presenting radicular or back pain. Method: This is a retrospective study with 33 patients who are complaining pain with HLD findings on magnetic resonance image. Microcurrent therapy was applied to leg or paralumbar area. Treatment was conducted for seven minutes with 250~1000 uA intensity as high as the patients could tolerate via stimulating probe with roller type and the frequency was 60 Hz with a sine wave pulse. The visual analogue scale (VAS) was measured just before and after the treatment. Results: The degree of pain reduction (△VAS) was 1.6 points after treatment on average. The △VAS according to the diagnosis, stenosis, dermatome area, medication, pain site and caudal epidural block was not statistically significant. However, the △VAS according to the number of treatments (< 3, ≥ 3 times) showed a statistically significant difference (p=0.04). Conclusion: High-voltage microcurrent therapy may help reduce lumbar or lumbosacral radiating pain after the procedure. The effect was better when microcurrent was applied three times or more. This result suggests that the microcurrent would have cumulative effect on reducing radicular or back pain in patients with HLD.

Validity of Paramedian Tangential Approach to L5-S1 Far-Lateral Lesions

  • Baek, Seung-Jin;Kim, Joo-Seung;Moon, Byung-Gwan;Lee, Seung-Jin;Kang, Hee-In
    • Journal of Korean Neurosurgical Society
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    • v.39 no.5
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    • pp.366-369
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    • 2006
  • Objective : There are various surgical approaches to far-lateral lesions in the L5-S1 intervertebral space. Of these is the validity of a paramedian tangential approach is being investigated in this study. Methods : A retrospective study was conducted on 25 patients who had been diagnosed as having a far-lateral L5-S1 disc herniations, osteophyte, costal process hypertrophy, and had undergone a paramedian tangential approach from November 1999 through December 2003. The degree of symptoms and improvement were compared via the visual analog pain scale, before and after surgery. Results : This study included 4 males and 21 females with a mean age of $62{\pm}11.8$ years old. The average follow-up period after surgery was $8.2{\pm}2.7$ months. The visual analog pain scale taken before surgery was $6.7{\pm}1.1$ points, while the post-surgical scale was $2.4{\pm}0.9$ points showing a significant degrease [p < 005]. There were no complications that developed during surgery. Conclusion : A paramedian tangential approach is less invasive in the soft tissue than that of the median approach. This approach may effectively reduce nerve root compression and expand intervertebral foramens, and is devoid of the risk of spinal instability after surgery. The authors suppose that a paramedian tangential approach is quite an effective technique to relive compression in the far-lateral L5-S1 intervertebral space.