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

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Efficacy of Pulsed ElectroMagnetic Therapy for Chronic Lower Back Pain: a Double-Blind, Randomized, Placebo-Controlled Study (만성 요통 환자에서 박동성 전자기장 치료의 효과: 무작위, 이중맹검, 위약대조법을 이용한 연구)

  • Lee, Pyung Bok;Kim, Yong Chul;Lee, Sang Chul
    • The Korean Journal of Pain
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    • v.18 no.1
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    • pp.43-47
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    • 2005
  • Background: The optimal management of pain using magnetic irradiation modalities continues to attract considerable debate. Therefore, we conducted a randomized, double-blind, placebo-controlled clinical trial to determine the effectiveness of pulsed electromagnetic therapy for the treatment of chronic lower back pain. Methods: Fifteen-minute sessions of active (n = 20) or placebo (n = 20) electromagnetic therapy were repeated 3 times a week for 3 weeks. Patients were assessed using the 11-point numerical rating scale and the revised Oswestry disability scores for up to 4 weeks after therapy. Results: The active magnetic group showed significantly more pain reduction than the placebo group immediately after therapy and one and four weeks after therapy (P < 0.05). At 4 weeks after therapy percentage changes in NRS from baseline were $22{\pm}24%$ and $38{\pm}11%$ in the placebo and magnetic groups, respectively. The revised Oswestry disability percentage in the active magnetic group was also significantly improved (P < 0.05). Conclusions: Pulsed electromagnetic therapy provided pain relief and ameliorated disability in patients with chronic lower back pain. According to our results, pulsed electromagnetic therapy should be considered an important potential therapeutic tool for the conservative therapy of chronic lower back pain.

Case Report of Diabetic Neuropathy Treated with Palmijihwang-tang, Acupuncture, and Moxibustion (팔미지황탕가미 및 침, 뜸 치료를 이용한 당뇨병성 신경병증 치험 1례)

  • Woo, Ji-myung;Kang, Ah-reum;Lee, Mi-rim;Kim, Su-bin;Jung, Woo-sang;Moon, Sang-kwan;Cho, Ki-ho
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.232-236
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    • 2016
  • Objective: Diabetic neuropathy is a common complication of diabetes mellitus. Patients with this disease suffer from various peripheral sensory symptoms that are not easily alleviated. We report on a case of a patient with diabetic neuropathy whose symptoms were alleviated after traditional Korean medical treatment.Methods: A patient with hand and foot numbness and coldness diagnosed with diabetic neuropathy was treated with Palmijihwang-tang (Bai Wei Di Huang Wa, 八味地黃湯) three times a day. The progress was evaluated with the numerical rating scale (NRS), neuropathy disability score (NDS), and neuropathy symptom score (NSS).Results: The improvement of symptoms appeared to be faster and more effective than that of conventional treatment. The improvement was observed from the second day of the treatment.Conclusions: This case study shows that Palmijihwang-tang may be an effective treatment for diabetic neuropathy.

The Effectiveness of Selective Lower Trapezius Strengthening Exercises on Pain, Muscle Function, and Scapular Position in Patients with Rounded Shoulder and Chronic Neck Pain

  • Cho, Il-Keun;Park, Hye-Kang;Lee, Wan-Hee
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.503-511
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    • 2021
  • Objective: This study compared pain, muscle power (MP), muscle thickness (MT), and normalized position of the scapula (POS) between general physical therapy and general physical therapy with strengthening exercises of the lower trapezius in patients with rounded shoulder and chronic neck pain. Design: Randomized controlled trial. Methods: The participants were 30 patients of W hospital in Gangnamgu, Seoul, with rounded shoulders who were diagnosed with chronic neck pain. Rounded shoulder was defined as a distance between the surface and acromion of >1 inch in the supine position. The participants were assigned to an experimental group (n=15) and a control group (n=15). The experimental group completed four types of strengthening exercises program for 15 minutes, twice weekly, for a total of 5 weeks. Soft tissue mobilization (STM), cervical extension flexion rotation (CEFR), and physical modality were also performed in both groups. Results: The degree of pain was assessed using the numerical rating scale (NRS), MP was measured a handheld dynamometer, MT was measured by ultrasound, and POS was measured using a tapeline. Significant between-group differences were observed in VAS, MP, MP, and POS. Significant changes were observed in the experimental group for VAS, MP, MT, and POS. Conclusions: Based on the results of this study, it was indicated that lower trapezius strengthening exercises performed together with general physical therapy was significantly improved in pain, MP, MT, and POS in patients with rounded shoulder and chronic neck pain compared to when general physical therapy was performed alone.

Korean Medical Treatment of Sequela Following Chemotherapy for Recurrent Ovarian Cancer after Hysterectomy: a Case Report (재발성 난소암 환자의 화학적 항암요법 후유증 치험 1례)

  • Baek, Ji-Won;Nam, Woo-Jin;Kim, Su-Na;Kong, Won-Ho;Park, Yeo-Bin;Park, Yun-Leong;Gong, Bok-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.2
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    • pp.129-137
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    • 2019
  • Objectives: Most of the time after chemotherapy for ovarian cancer, the immune system is getting even worse with reduction of whole blood cell. The purpose of this study is to report the effect of korean medical treatment on Sequela including pancytopenia after chemotherapy for recurrent ovarian cancer after hysterectomy. Methods: The patient having treated with hospital management from June 8th in 2017 until July 5th in 2017, participated. Her chief complaints were fatigue, tinnitus, dizziness, decreased appetite due to glossodynia and constipation. We diagnosed her as pancytopenia based on her whole blood test result. We treated the patient with acupuncture, herbal medicine, cupping and moxibustion. The efficacy of treatment was evaluated with Numerical Rating Scale (NRS) and blood test. Results: During hospitalization period, the symptoms including fatigue, tinnitus, dizziness, decreased appetite, constipation and pancytopenia were reduced. After discharging, we identified that her blood levels are maintained and ovarian cancer no longer recurred. Conclusions: To recover from Sequela including pancytopenia following chemotherapy for recurrent ovarian cancer after hysterectomy, Korean medical treatment is considered to be effective.

Case Series: Three Patients Treated with Traditional Korean Medicine for Acute Headache Attributed to Whiplash Injury (편타 손상에 기인한 급성 두통 환자의 한방복합치료 3례)

  • Seo, Hye-jin;Sung, Jae-yeon;Oh, Ju-hyun;Lee, Yu-ra;Kong, Geon-sik;Song, Jin-young;Kang, Man-ho;Lee, Hyung-chul;Eom, Guk-hyeon;Song, Woo-sub;Lee, Won-jun
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.901-911
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    • 2019
  • Objective: The aim of this case report is to describe three clinical cases that indicate positive effects of traditional Korean medicine for the treatment of acute headache attributed to whiplash injury. Method: Three patients were treated with a series of Korean medicine treatment, including Chuna treatment, acupuncture, pharmacoacupuncture, and herbal medicine, during the inpatient treatment period. Results: All patients showed decreases in the numerical rating scale (NRS) and headache impact test (HIT) scores. Conclusion: Traditional Korean medicine has potential benefits for the treatment of acute headache attributed to whiplash injury.

Differences In Joint Position Sense, Force Sense, and Performance Level of the Upper Extremities According to the Sex, Injury and Pain Experiences of Korean Elite Archers (한국 엘리트 양궁선수들의 성별과 부상, 통증 경험에 따른 상지의 관절위치 감각과 힘감각, 경기력 수준의 차이)

  • Kim, Mun-kyo;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.1-15
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    • 2021
  • Objective: The purpose of this study was to examine the differences in joint position sense (JPS), force sense (FS), and performance level of the upper extremities according to the injury and pain experiences of Korean elite archers. Methods: A total of 15 subjects were briefed about the purpose of this study and agreed to participate voluntarily. JPS was evaluated using the laser-point attached to the wrist while aiming at the target. The difference when relocating while aiming was used as JPS factor. FS was evaluated using load cell through reproduces same muscle strength. Fear-Avoidance Beliefs Questionnaire (FABQ) was used to evaluate psychosocial factors, Kerlan-Jobe Orthopedic Clinic overhead athlete scores (KJOC) and numerical rating scale (NRS) was used to evaluate pain. and performance was evaluated by tournament match score. Results: There is a strong correlation between the current pain and KJOC. Moreover, moderate correlation between KJOC and FABQ also current pain and both upper trapezius and lower trapezius in elite archers. The mean (SD) between groups based on current pain display relatively large margin in force sense than without pain group. The result presents that there is a significant difference in performance and pain. There is a significant difference in the force sense of the upper and lower trapezius and pain. Conclusions: Result present there is a significant difference in functional level in the average comparison between groups according to the presence of absence of current pain. There is a significant difference in the force sense of the upper trapezius as well as lower trapezius and without pain group present a relatively low joint position sense error compared to the groups.

A Case Report on Papillary Thyroid Cancer for the Recurrence of Regional Cervical Lymph Nodes improved by Korean medicine (갑상선 유두암으로 수술 후 좌우 림프절 전이 환자의 장기간 복합 한의약 치료 증례보고)

  • Hae-won, Lee;Soo-bin, Lee;Hye-won, Kim;Jin-Gu, No;Hye In, Jeong;Jun-Hyoung, Kim;Kyeong Han, Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.3
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    • pp.29-40
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    • 2022
  • Objective : This study assessed the effect of a combination of Korean medicine on a thyroid papillary cancer patient who was diagnosed with local lymph node metastasis after thyroidectomy and lymph node dissection but did not want surgery. Methods : Gami-Palmultang administration and moxibustion(large Bmoxa cautery) were performed for six years. Treatment outcomes were evaluated with Brief Fatigue Inventory (BFI), Numerical Rating Scale (NRS), Insomnia Severity Index (ISI), Functional Assessment of Cancer Therapy-General (FACT-G), blood test/ CT imaging results, and patient's statements. Results : After the treatment, all symptoms have been alleviated, the quality of life has increased, and it has been maintained without further metastasis of tumors for six years. Conclusion : Korean medicine treatment along with active observation can be an alternative to patients who do not want surgical treatment after recurrence of local lymph nodes in thyroid papillary cancer, and can have positive results in improving the quality of life.

Case Report of Korean Medicine Treatment for Post-COVID-19 Globus Sensation (COVID-19 감염 이후 발생한 인후부 이물감에 대한 한의치료 증례 1례 보고)

  • Jung-hwa Hong;Ye-seul Kim;Ji-yoon Park;Eun-joo Seok;Young-ju Rhee;Lib Ahn;Dong-jun Choi
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.244-251
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    • 2023
  • Globus sensation is a continuous, intermittent, non-painful sensation of lumps or foreign substances in the throat. It was reported that 13.7% of patients developed globus sensations after COVID-19 infection. A 73-year-old male patient with a globus sensation after a COVID-19 infection was admitted to the ◯◯ Oriental Medicine Hospital and treated with herbal medicine (Banhahubak-tang, Sosiho-tang). Subjective symptoms of globus sensation were measured with the Numerical Rating Scale (NRS) daily and found to reduce. The effect persisted during his admission. In conclusion, Korean medicine, including Banhahubak-tang, can be effective for patients with globus sensations after COVID-19 infections.

A Case of Painful Ophthalmoplegia Patient Diagnosed as Tolosa-Hunt Syndrome (Tolosa-Hunt Syndrome으로 인한 통증성 안구운동 장애 치험 1례)

  • Jeong, Yun-Kyeong;Woo, Ji Myung;Kang, A-reum;Cho, Ki-ho;Mun, Sang-Kwan;Jung, Woo-sang
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.16 no.1
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    • pp.81-88
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    • 2015
  • ■ Objectives The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(KM) on a patient with Tolosa-Hunt syndrome. ■ Methods We treated a 58 years old male patien t with Tolosa-Hunt syndrome who had several clinical symptoms such as ocular pain, limitaion of ocular movement and unilateral ptosis. We used herbal medication, acupuncture, electro-acupuncture(EA), cupping, moxibustion, bee-venom injection. Then we evaluated the improvement by Numerical Rating scale(NRS), Distance of eye opening and ratio of pupil movement. ■ Results We demonstrated the decrease of pain score and improvement of equal ocular movement(EOM) and ptosis after the KM treatment. ■ Conclusion This study proved the effect of KM treatment on Tolosa-Hunt syndrome. It could cooperative treatment would be more effective than mono treatment of western medicine.

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The Analyze the Effect of Home-based Integrative Korean Medicine Program for the Elderly Women with Mobility Impairment in Rural Areas at a Public Health Center (일개 보건지소의 농촌 거동 불편자 고령 여성 노인 대상 한방 방문진료의 효과 분석)

  • Chan-Ho Ju;Jin-Moo Lee;Chang-Hoon Lee;Jun-Bock Jang;Deok-Sang Hwang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.4
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    • pp.49-60
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    • 2023
  • Objectives: To explore the impacts of home-based integrative Korean medicine program, on pain, quality of life (QOL), and satisfaction among elderly female residents with mobility impairment in rural areas during the period from August 2021 to November 2022. Methods: Five participants with mobility impairment in rural area were selected from Health Department of Public Health Center. We conducted an investigation into the variations in NRS (Numerical Rating Scale) scores, changes in quality of life (QOL), and levels of satisfaction resulting from a combination of acupuncture, counseling, and the provision of medical supplies. Results: Participants reported improvements in Overall pain and Quality of life. Satisfaction levels reported high. Conclusions: Home-based integrative Korean medicine program showed possibility of improvements for the elderly women with mobility impairment in rural areas in terms of pain, quality of life. In pursuit of improved management, it is advisable to contemplate the adoption of a fresh treatment approach.