• Title/Summary/Keyword: numerical rating scale (NRS)

Search Result 287, Processing Time 0.021 seconds

The Relationship between Pain and Quality of Life in Stroke Patients (뇌졸중 후 통증 발생과 삶의 질과의 관계)

  • Kwon, Mi-Ji
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.12 no.2
    • /
    • pp.83-90
    • /
    • 2017
  • PURPOSE: Central post-stroke pain (CPSP), a chronic pain condition of stroke patients, can impair activities of daily living and worsen the quality of life (QOL), thereby negatively influencing the rehabilitation process. However, CPSP remains an underestimated complication of stroke. This study aimed to describe the prevalence and types of new-onset chronic pain and to identify the relation between pain and QOL in stroke patients. METHODS: All patients hospitalized because of a diagnosis of stroke were included. Questionnaire was used. Pain intensity was measured using Numerical rating scale (NRS), and pain characteristics were assessed using DN4. QOL was measured using SF-36. Descriptive statistics were used to analyze the characteristics and pain data, and chi-square test was used to compare QOL categorical data between the nociceptive and neurological pain groups. RESULTS: CPSP development was reported by 34% of the post-stroke pain patients. Perceived QOL was low in both groups, especially with respect to the physical functioning, bodily pain, physical-role functioning, emotional-role functioning, and mental health domains. However, no significant difference was observed in QOL between the nociceptive and neurological pain groups (p<.05). CONCLUSION: Our results indicated that CPSP is a common and disabling complication that is difficult to treat, often decreases QOL, and may negatively affect rehabilitation treatment.

Two Cases of Atypical Facial Pain Using Treatment of Acupuncture at Cervical and Facial region : A Case Report (경추부 중심의 침치료로 호전된 비정형 안면통의 치험 2례)

  • Park, Seohyun;Moon, Sori;An, Sunjoo;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.28 no.2
    • /
    • pp.121-126
    • /
    • 2018
  • Atypical facial pain is persistent facial pain in the absence of clinical neurological deficit. We experienced two patient who are diagnosed atypical facial pain with Classification of International Headache Society. They were treated by acupuncture at their cervical and facial region. After treatment, their Pain intensity numerical rating scale(PI-NRS) is decreased and EuroQol five dimensions questionnaire(EQ-5D) score is increased. Treatment of acupuncture at cervical and facial region could be effective for easing the clinical symptoms of atypical facial pain. Further studies are needed to find effective treatment for atypical facial pain.

Two Clinical Case Studies on Femoral Neuralgia with Nerve Entrapment (신경포착성 대퇴신경통 2례)

  • Koo, Ja-sung;Jang, Jae-won;Kim, Sang-min;Choi, Ji-hoon;Jang, Young-woo;Ki, Dong-jin
    • The Journal of Internal Korean Medicine
    • /
    • v.37 no.2
    • /
    • pp.212-217
    • /
    • 2016
  • Objective: This study reports on two patient cases with lower limb symptoms related to femoral nerve entrapment who were treated with traditional Korean medicinal treatments.Method: We used acupuncture and pharmacopuncture for several days and observed any changes in the patients’ symptoms.Results: After treatment, the numerical rating scale (NRS) of the first patient decreased from 7 to 1, while that of the second patient decreased from 10 to 1.Conclusion: The results of this study suggest that traditional Korean medicinal treatments may be effective in reducing symptoms related to femoral nerve entrapment.

A Case Report on Chronic Intestinal Pseudo-obstruction Presenting as Unspecified Abdominal Pain in an Adult (만성 거짓 장폐쇄로 진단한 상세불명의 복통 환자 증례 보고)

  • Ha, Yu-bin;Jang, Han-sol;Shin, Gil-cho
    • The Journal of Internal Korean Medicine
    • /
    • v.42 no.5
    • /
    • pp.1094-1101
    • /
    • 2021
  • Objectives: This study examined a case of chronic intestinal pseudo-obstruction (CIPO) in an adult with unspecified abdominal pain.Methods: The patient was treated with herbal medicine, acupuncture, and moxa. Treatment progress was evaluated by follow-up monitoring of the intensity, frequency, and duration (in hours) of abdominal pain and body weight. Results: The average abdominal pain level on the Numerical Rating Scale (NRS) and its incidence decreased. The duration of pain was 15 hours maximum and 2.5 hours minimum. The body weight repeatedly increased and decreased but increased overall. Despite no remarkable findings from X-rays, air-fluid levels and coil-shaped folds of the small bowel were observed. Conclusions: Korean medical treatment based on a dialectic effectively relieved chronic abdominal pain and suspected CIPO-a disease that requires continuous management and therapeutic intervention.

Two Cases of Headache Not Otherwise Classified Treated with Saengkangsasim-tang Based on Shanghanlun Provisions (『상한론(傷寒論)』변병진단체계(辨病診斷體系)에 근거하여 생강사심탕(生薑瀉心湯) 투여 후 호전된 달리 분류되지 않는 두통 증례 2례)

  • Lee, Wookjea
    • 대한상한금궤의학회지
    • /
    • v.13 no.1
    • /
    • pp.133-144
    • /
    • 2021
  • Objective : This study aimed to report the improvement of two patients with headache not otherwise classified treated using Saengkangsasim-tang based on the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods : Two patients with headache not otherwise classified were treated using Saengkangsasim-tang according to Shanghanlun provisions, and the effect was also compared with Soshiho-tang. The results were evaluated using a numerical rating scale (NRS) and the Korea Headache Impact Test-6 (KHIT-6). In addition, new clinical implications for the interpretation of Shanghanlun provision 157 were reviewed. Results : As a result of analyzing the results of the two cases, treatment with Sosiho-tang was ineffective but improved when using Saengkangsasim-tang. After administration of Saengkangsasim-tang, all headaches decreased to the point where they were not uncomfortable in everyday life. Conclusions : The administration of Saengkangsasim-tang to patients with headache diagnosed according to Shanghanlun provision 157, suggesting that it is clinically effective when applied according to the definitions provided by the Shanghanlun provisions.

Repeated Postoperative Adhesive Small Bowel Obstruction Treated with Daeseunggi-tang and Acupuncture Treatment in Elderly: A Case Report

  • Hyun-sik Seo;Sul-Ki Kim;Chang-Gue Son
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.37 no.1
    • /
    • pp.19-24
    • /
    • 2023
  • Postoperative adhesive small bowel obstruction (ASBO) is an intractable disorder which sometimes leads to adhesiolysis or small bowel resection. These therapeutic reoperations, however, also have many limitations including complications. An 80-year-old female, who had undergone 4-abdominal surgeries, visited the hospital with continuous vomiting. Based on her clinical symptoms and history, multiple air-fluid levels and distention of the small bowel in an abdominal X-ray, we diagnosed her with postoperative incomplete ASBO. We conducted acupuncture and an herbal medicine enema to stimulate bowel movement and relieve pain. The patient came in complaining of abdominal pain and vomited more than 10 times on hospital day 0 stopping on hospital day 4. Comparing hospital day 0 with hospital day 4, the abdominal pain decreased from a numerical rating scale (NRS) 10 to 4. There were no side effects such as redness or burns during the treatment process. This study presented an acupuncture-based treatment will be helpful for clinicians managing cases of ASBO with poor performance in elderly individuals.

A Case of Headache Patient Diagnosed as Transformed Migraine (변형편두통을 호소하는 환자 치험 1례)

  • Son, Jeong Hwa;Park, Min-jeong;Woo, Ji-myung;Cho, Ki-ho;Mun, Sang-Kwan;Jung, Woo-sang
    • The Journal of the Society of Stroke on Korean Medicine
    • /
    • v.17 no.1
    • /
    • pp.39-44
    • /
    • 2016
  • ■ Objectives A case of a 44 years old Korean female with left side headache due to Transformed migraine is presented. ■ Methods He was treated with electroacupuncture around eyes and dry cupping on shoulder, moxibustion, acupuncture and herbal medicine, Chai Ling Tang. Then we evaluated the improvement by Pain area comparison and Numerical Rating Scale(NRS). ■ Results Headache was improved after the administration of Korean medical treatments. ■ Conclusion Korean medical treatment may be effective in treating headache due to Transformed migraine.

  • PDF

A Case Report of Korean Medicine Treatment for Chest Pain in Variant Angina (변이형 협심증 환자의 흉통에 대한 한의치료 증례 1례)

  • Junghwa Hong;Eun-joo Seok;Youngju Rhee;Jae-hyuk You;Jin-young Lee;Dong-jun Choi;Seong-woo Lim
    • The Journal of Internal Korean Medicine
    • /
    • v.45 no.2
    • /
    • pp.234-245
    • /
    • 2024
  • Variant angina causes chest pain due to abnormal coronary vasospasms. A 60-year-old male who was diagnosed with variant angina was admitted to the Oriental Medicine Hospital and treated with herbal medicines, including Pyungjinsujeom-san and Simjeok-hwan. After treatment, the frequency of chest pain and use of nitroglycerin decreased. Subjective symptoms of chest pain measured using a numerical rating scale (NRS) also decreased. These improvements persisted throughout the hospitalization period. In conclusion, Korean medicines, including Pyungjinsujeom-san and Simjeok-hwan, can be effective for patients with chest pain due to variant angina.

A Comparison of the Effect of Shinbaro Pharmacopuncture and Jakyakgamcho Decoction Pharmacopuncture Treatments in Patients with Low Back Pain Caused by Traffic Accidents : A Retrospective, Case Series Observational Study (교통사고로 발생한 단순 요통 환자의 신바로 약침과 작약감초탕 약침치료 비교 : 후향적 환자군 관찰 연구)

  • Kim, Tae Ho;Jeong, Seong Hyun;Yoon, Tae kyung;Lee, So Jin;Shin, Soo Ji;Kwon, Ok Jun;Joo, Yeong Guk;Lee, Jong Cheol;Park, Jae Young
    • Journal of Acupuncture Research
    • /
    • v.32 no.4
    • /
    • pp.157-165
    • /
    • 2015
  • Objectives : This study was designed to compare the effect of Shinbaro pharmacopuncture treatment and Jakyakgamcho Decoction pharmacopunture treatment in patients with low back pain caused by traffic accidents. Methods : This study was conducted on 64 cases of patients with low back pain caused by traffic accidents, who were admitted to Bucheon Jaseng Hospital of Korean Medicine from May 3rd, 2015 to October 31th, 2015. The patients were divided into two groups : Shinbaro pharmacopuncture treatment group and Jakyakgamcho Decoction pharmacopunture treatment group. We measured the efficacy of treatment with a numerical rating scale(NRS) and Oswestry disability index(ODI). The NRS which was checked at pre-tretment and after 4th and 8th treatments, and the ODI which was checked at pre-treatment and after 8th treatment were collected and analyzed. Results : In both Shinbaro and Jakyakgamcho Decoction group, NRS and ODI decreased significantly. However there was no statistically significant difference between the groups. At the 4th treatment, However, the Jakyakgamcho Decoction group showed a greater decrease in NRS with a statistically significant difference. Conclusions : In a short period of time, Jakyakgamcho Decoction Pharmacopuncture is more efficient than Shinbaro pharmacopuncture in reducing the pain of patients with low back pain caused by trafficic accidents, but in the end there is no statistically significant difference between the groups.

The Clinical Study on Effects of Bee Venom Pharmacopuncture Therapy in Patients with FBSS(Failed Back Surgery Syndrome) (척추수술 후 증후군(Failed Back Surgery Syndrome) 환자 30례에 대한 봉약침 병행치료 효과의 임상적 연구)

  • Cho, Eun;Kang, Jae-Hui;Choi, Joo-Young;Yoon, Kwang-Shik;Lee, Hyun
    • Journal of Acupuncture Research
    • /
    • v.28 no.5
    • /
    • pp.77-86
    • /
    • 2011
  • Objective : This study was designed to evaluate the effect of bee venom pharmacopuncture therapy in patients with FBSS(failed back surgery syndrome). Methods : We investigated 30 cases of patients with FBSS, who had been treated from October 2010 to July 2011. We divided patients into two groups : group I was treated by acupuncture therapy only, and group II was treated by bee venom pharmacopuncture therapy and general acupuncture. We measured the efficacy of treatments using the numerical rating scale(NRS) and grade and straight leg raising(SLR) test. Results : 1. The treatment method for group II was more effective than that of group I in reducing the NRS score on the fifteenth day after admission but there was no statistically significant difference between the results of two groups on the fifth day after admission and the tenth day after admission. 2. The treatment method for group II was more effective than that of group I in NRS improvement rate from its admission day to the fifth day after admission and from the tenth day after admission to the fifteenth day after admission but there was no statistically significant difference between the performance of two groups from the fifth day after admission to the tenth day after admission. 3. Group II had a higher grade improvement rate from the seventh day after admission to the fifteenth day after admission than group I but no statistically significant difference was observed between the results of two groups from its admission day to the seventh day after admission. 4. In SLR test improvement rate the treatments applied to group II was more effective than those applied to group I. Conclusion : The results of this study suggest that bee venom pharmacopuncture therapy is effective in reducing pain for patients with FBSS. Further clinical research is needed to verify these results and findings.