• The korean journal of orthodontics
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• v.48 no.5
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• pp.326-332
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• 2018

Objective: This study was performed to compare the perception of pain between patients treated with passive self-ligating fixed appliances and those treated with Invisalign aligners. Methods: This prospective study conducted in Saudi Arabia used an estimated sample of 64 patients from a private dental clinic. After obtaining written informed consent, the patients were divided into two groups; one group (n = 32) was treated using passive self-ligating fixed appliances and the other group (n = 32) using $Invisalign^{(R)}$ aligners. Immediately after fitting the appliances, the patients' perception of pain was evaluated through a close-ended and coded self-administrated questionnaire by using a visual analog scale (VAS). Their responses were recorded at 4 hours, 24 hours, day 3, and day 7. Mann-Whitney U-test, Kruskal-Wallis test, and Pearson's chi-square test were performed for statistical analysis. Results: A lower percentage of patients treated with Invisalign aligners reported pain than did patients treated with passive self-ligating fixed appliances, and these differences were statistically significant (p = 0.001). Similarly, the mean VAS score for the Invisalign group was significantly lower than that for the passive self-ligating fixed appliance group at different intervals during the first week of treatment. The intensity of pain with both appliances peaked at 24 hours (mean VAS score, 3.87) and was lowest (mean VAS score, 1.62) on day 7. Conclusions: During the first week of orthodontic treatment, patients treated with Invisalign aligners reported lower pain than did those treated with passive self-ligating fixed appliances.

• Physical Therapy Korea
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• v.27 no.4
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• pp.264-271
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• 2020

Background: Because a forward-leaning posture can cause increased back muscle activity and pain. Therefore, an innovative method to reduce back muscle activity and pain is required. Objects: This study aimed to investigate the effects of a head support on muscle activity and pain in a forward-leaning posture. Methods: A total of 14 male and 16 female students (average age, 21.65 ± 2.37 years; height, 166.15 ± 7.90 cm; and weight, 60.65 ± 9.00 kg) were recruited for the experiment. Two of them were excluded due to musculoskeletal disorders. The muscle activity and pain in the forward-leaning posture were assessed while participants washed dishes for 7 minutes with and without a head support. The condition of using a head support was randomly performed with a 5-minutes break. To confirm a lumbar flexion angle of 30° during the experiment, myoVIDEO was used, and surface electromyography was used to measure muscle activity. Pain was assessed using a 10-point visual analog scale (VAS). The Wilcoxon signed-rank test was used to analyze the data, with p < 0.05 indicating statistical significance. Results: The cervical, thoracic, and lumbar erector spinae muscle activities significantly decreased with the use of the head support, but there was no significant change in the gluteus maximus. There was a significant decrease in the VAS score for the lumbar erector spinae (p < 0.05), but there was no significant change in the VAS score for the cervical region. Conclusion: The use of a head support in a forward-leaning posture reduced cervical, thoracic, and lumbar erector muscle activity and pain. Therefore, it could be recommended during working in a forward-leaning posture, such as during dishwashing, cooking, and working as a factory employee.

• The Journal of Korea CHUNA Manual Medicine
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• v.1 no.1
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• pp.67-82
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• 2000

To clarify the effect of chuna treatment reached at neck pain, the faculties of Oriental Rehabilitation Medicine in Hospital of Oriental Medicine, Kyung Hee Medical Center had carried out chuna treatment for 72 patients who had neither structural defectiveness of cervical spine nor neural injury but simple soft tissue damage among people who visited the hospital with the neck pain since Jun. 11, 1997 to Dec. 31 in the year. The way of study: 32 out of 72 patients were treated by acupuncture treatment going with chuna treatment (calling 'Group A') and the other 40 patients were cured by only acupuncture (calling 'Group B'). The treatment in both Group A and B were performed 6 times totally at intervals of a time for 2 days. To judge the effect of treatment, both method-visual analog scale(VAS) and ,check of ROM-were performed each time. The results of study 1. Each one in Group A itself, according to the number of the treatment in progress, showed the note worthy decrease of pain and improvement of range of motion(ROM) in the cervical(P <0.001). 2. Each one in Group B itself, according to the number of the treatment in progress, showed the note worthy decrease of pain and improvement of range of motion(ROM) in the cervical(P <0.001). 3. In the degree of improvement in pain, the Group A who had been treated by both acupuncture and chuna treatment at the same lime showed some meaningful decrease in pain compared to the Group B with acupuncture treatment alone(P <0.001). 4. In the degree of improvement in ROM, the Group A who were treated by both chuna and acupuncture treatment had meaningful improvement compared to Group B who got the only acupuncture treatment(P <0.001).

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.7 no.2
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• pp.139-149
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• 2012

Objectives : The aim of this study was to report Bell's palsy patients with postauricular pain treated by Calculus Bovis Fel Ursi Moschus(BUM) Pharmacopuncture. Methods : The 6 patients were treated by the Korean medica treatment including herbal medication, dry needle acupuncture and physical therapy. We performed BUM Pharmacopuncture in Yepung for the treatment of postauricular pain once or twice. We have evaluated the effect of BUM Pharmacopuncture by Visual Analog Scale(VAS). Results : After BUM Pharmacopuncture for the treatment of postauricular pain, VAS were decreased in all cases. Conclusions : It was suggested that BUM Pharmacopuncture might have effect on control of auricular pain in Bell's palsy. Further, systemic studies will be needed to evaluate obvious effect of BUM pharmacopuncture on postauricular pain of Bell's palsy.

• Journal of Convergence for Information Technology
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• v.10 no.5
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• pp.188-197
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• 2020

This study was to investigate the effects of joint mobilization with two different electrotherapy methods on shoulder external rotation range of motion and pain in mastectomy patients. Thirty mastectomy patients were divided into STMG (joint mobilization+pain scrambler therapy, n=15) and TENMG (joint mobilization+transcutaneous electrical nerve stimulation, n=15). The measurements were performed shoulder external rotation range of motion (ROM), pain (VAS). In both groups, there was a significant difference in the shoulder external rotation ROM, pain after intervention (p <.05). STMG was more decrease in VAS score than TENMG (p <.05). There was no significant difference in shoulder external rotation ROM between the two groups. In order to decrease the pain of mastectomy patients, it was confirmed that STMG was more effective than TENMG.. It is thought that a control group is added to confirm various differences, and more subjects are needed.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.10 no.1
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• pp.87-95
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• 2015

Background : Charcot Marie Tooth disease can cause muscle weakness and foot deformity. Ankle pain induced by foot deformity affect patients' gait pattern and quality of life. Objectives : The purpose of this study is to evaluate the traditional Korean medicine treatment for ankle pain induced with Charcot-Marie Tooth Disease, especially Chuna manual therapy on ankle joints. Methods : One patient was treated with acupuncture, phamacopuncture, herbal medication and chuna manual therapy on ankle joints. To evaluate the pain of ankle, lower back and lower extremity, visual analog scale(VAS) was measured. Results : After treatment for 5 week, the pain of ankle joint was declined from VAS 6 to VAS 2. Conclusions : Traditional Korean medicine treatment including acupuncture, pharmacopuncture, herbal medication and Chuna manual therapy is effective for ankle pain with foot deformity. But further studies are required to prove the effectiveness of Chuna manual therapy on ankle joints.

• The Journal of the Korean dental association
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• v.49 no.2
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• pp.95-103
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• 2011

Purpose : The purpose of this study was to identify and assess factors that may contribute to pain of patients undergoing implant surgery. Materials and Methods: A total of 24 patients who underwent implant surgery were included in the study. Each patient's anxiety was measured using Corah's dental anxiety score(DAS) and modified Spielberger's state-trait anxiety inventory(STAI) immediately after the operation. Also, level of pain was measured using visual analog scale(VAS) during the operation and 48 hours after the surgery. The effect of various factors, such as demographic variables, previous dental experiences and operation time were also analyzed. Results: Postoperative pain levels were relatively low than expected. However, DAS and STAI were high among patients, and it showed that patients had anxieties about implant surgery according to DAS and STAI values. The previous dental experience did not affect the pain level, but the duration of surgery and the presence of accompanied advanced surgery did. Conclusion: To reduce patient's pain, proper management of anxiety will be required and careful attention is needed when performing local infiltration.

• Korean Journal of Acupuncture
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• v.35 no.2
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• pp.82-90
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• 2018

Objectives : The purpose of this study is to investigate the effect of acupoint and meridian muscle massage given by automatic massage chair. Methods : We recruited 30 patients with back pain who met inclusion criteria. Two weeks were given as a waiting period, and the massage intervention was applied 12 times for 4 weeks. The programmed automatic massage chair was used to provide effective stimulus on acupoints and meridians for 20 minutes. We used Visual analog scale(VAS) and Korean Oswestry Disability Index(KODI) to quantify pain and function. We also recorded patients' all of vital signs and abnormal reactions during the trial to asses to assess safety. Results : Two participants dropped out due to personal reasons and 28 participants completed the clinical trial. We found that the degree of back pain (VAS, KODI) decreased significantly after the trial. As a result, VAS score decreased from $6.44{\pm}0.85$(Visit 2) to $4.59{\pm}1.52$ (Visit 14)(p<0.001), and KODI score was also reduced from $14.79{\pm}5.13$(Visit 14) to $9.04{\pm}4.52$ (Visit 2) (p<0.001). Also, we did not find any adverse effects in this study. Conclusions : We found that the acupoint and meridian muscle massage can effectively decrease back pain. This proves that the massage program designed by Korean medicine can be a good option to patients with back pain. However, further study with controlled design is still needed to verify its effectiveness.

• Journal of The Korean Society of Integrative Medicine
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• v.2 no.1
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• pp.35-49
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• 2014

Purpose : The purpose of this study was to find the effects of the lumbar stabilization exercise and strength exercise on pain, ROM, strength, muscle thickness of low back pain(LBP) patients. Method : The subjects were consisted of twelve patients who had nonspecific LBP. All subjects randomly assigned to lumbar stabilization exercise group(N=6) and strength exercise group(N=6). We measured muscular strength, ROM by using Tergumed-extension, rotation and muscle thickness by using ultrasonography and pain score by using Visual analog scale(VAS). The lumbar stabilization exercise group received TOGU exercise, strength exercise group received Tergumed exercise. The data analyzed by repeated measure of Independent t-test, paired t-test, reliability test. Result : The results were as follows. The result which measured of the change of pain score was a significant decrease. The result which measured of the change of ROM and strength was a significant increase. The result which measured of the change of the Internal abdominal oblique, External abdominal oblique on muscle thickness was a significant increase. Stabilization exercise group and Strength exercise group showed the significant difference in muscle thickness on Transversus abdominis, Multifidus. Stabilization exercise group was more increased in muscle thickness. Conclusion : Therefore, we suggest that stabilization exercise is effective for non-specific low back pain.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.5
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• pp.289-294
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• 2019

Background: Pain, limitations in opening, asymmetrical jaw movements, and temporomandibular joint (TMJ) sounds are the most common findings in temporomandibular joint disorders (TMDs), which causes excruciating pain, inflammation of the surrounding muscles, posterior fibers, and synovial fluid. This study aimed to evaluate and compare the effects of ultrasound heat therapy and low-level laser therapy (LLLT) in reducing TMD-related pain. Methods: This prospective study included 42 patients (age range, 25-45 years), who were divided into two groups of 21 patients each. All patients were prescribed a non-steroidal anti-inflammatory drug (NSAID) twice a day for 5 days for temporary relief of pain prior to the commencement of treatment. Patients were kept on a soft diet and asked to restrict mouth opening during the same period. Fifteen sessions of LLLT (Group A) or ultrasound therapy (Group B) were administered to the affected side. Results: Post-therapy, the mean visual analog scale score for group A and group B was 4.81 (2.01) and 6.19 (1.20), respectively; the difference was statistically significant and favoring the LLLT group. Similarly, the mean mouth opening for group A and group B was 3.99 (0.40) and 3.65 (0.41), respectively; the difference was statistically significant and favoring the LLLT group. Conclusion: Our study recommends LLLT for treating TMD-related pain with no underlying bony pathology.