• Title/Summary/Keyword: visual analog scale(VAS)

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급성기 족관절 염좌 환자에 대한 환측취혈(患側取穴)과 건측취혈(健側取穴)의 치료 효과 비교 연구 (The Comparative Study on the Acupuncture at Affected Limb and Unaffected Limb on Treating Ankle Sprain of Acute Stage)

  • 정효근;정영표;강수우;이지은;위준;임정아;김재홍;류충열;조명래;윤여충
    • Journal of Acupuncture Research
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    • 제25권3호
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    • pp.107-113
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    • 2008
  • Objectives : The purpose of this study is to compare the effects of the acupuncture at affected limb and unaffected limb on treating ankle sprain of acute stage. Methods : From October 1st, 2007 to March 23rd, 2008, the 60 patients who had visited Dongshin mokdong oriental medical hospital and Gwangju oriental medical hospital, Dongshin university with acute ankle sprain were divided into 2 groups ; one group took acupuncture at affected limb, and the other group took acupuncture at unaffected limb. To evaluating the efficiency of each treatment, Visual Analog Scale(VAS) and Ankle-Hindfoot Scale(AHS) were applied before treatment and after 3rd treatment. Results : As a result of evaluating by using VAS, the score of acupuncture at unaffected limb was marked lower than the score of acupuncture at affected limb. As a result of evaluating by using AHS, the score comparison between the two groups had no significance after treatment. Conclusions : Acupuncture at unaffected limb is more effective than acupuncture at affected limb on treating ankle sprain of acute stage.

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요추간판 탈출증에 대한 신바로약침과 봉약침의 치료효과 비교 연구 (The Effect of Shinbaro and Bee Venom Pharmacopuncture in Treating Lumbar Disc Herniations)

  • 박옥주;김슬기;이정주;이상미;김성중;조남근
    • Journal of Acupuncture Research
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    • 제30권5호
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    • pp.41-50
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    • 2013
  • Objectives : This study was performed to compare the effects of Shinbaro pharmacopuncture therapy and bee venom pharmacopuncture therapy in lumbar disc herniation Methods : We compared treatment efficacy of 12 patients with Shinbaro pharmacopuncture therapy and 10 patients with bee venom pharmacopuncture therapy, all of whom were diagnosed with lumbar disc herniation using computed tomography(CT) or magnetic resonance imaging(MRI). We performed a retrospective comparison and analysis during the course of 21 days since admission. To evaluate the treatment efficacy, we recorded the temperatures of the opposite back, hip, and legs with visual analog scale(VAS, back and legs), pain rating scale(PRS), Oswestry disability index(ODI) and digital infrared thermal imaging(DITI) based on patients' medical records. Results : Both treatments were effective in reducing pain and improving functions for lumbar disc herniation patients in terms of VAS, PRS, ODI, DITI. Shinbaro pharmacopuncture group showed slightly better results than the bee venom pharmacopuncture group, but the difference was not significant. Conclusions : For the treatment of lumbar disc herniation, it is suggested that Shinbaro pharmacopuncture therapy is thought to be as effective as bee venom pharmacopuncture therapy without side effects, although further study would be necessary.

Efficacy of sodium bicarbonate buffered versus non-buffered lidocaine with epinephrine in inferior alveolar nerve block: A meta-analysis

  • Guo, Jing;Yin, Kaifeng;Roges, Rafael;Enciso, Reyes
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제18권3호
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    • pp.129-142
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    • 2018
  • Introduction: This systematic review evaluated the use of buffered versus non-buffered lidocaine to increase the efficacy of inferior alveolar nerve block (IANB). Materials and Methods: Randomized, double-blinded studies from PubMed, Web of Science, Cochrane Library, Embase, and ProQuest were identified. Two of the authors assessed the studies for risk of bias. Outcomes included onset time, injection pain on a visual analog scale (VAS), percentage of painless injections, and anesthetic success rate of IANB. Results: The search strategy yielded 19 references. Eleven could be included in meta-analyses. Risk of bias was unclear in ten and high in one study. Buffered lidocaine showed 48 seconds faster onset time (95% confidence interval [CI], -42.06 to -54.40; P < 0.001) and 5.0 units lower (on a scale 0-100) VAS injection pain (95% CI, -9.13 to -0.77; P=0.02) than non-buffered. No significant difference was found on percentage of people with painless injection (P = 0.059), nor success rate (P = 0.290). Conclusion: Buffered lidocaine significantly decreased onset time and injection pain (VAS) compared with non-buffered lidocaine in IANB. However due to statistical heterogeneity and low sample size, quality of the evidence was low to moderate, additional studies with larger numbers of participants and low risk of bias are needed to confirm these results.

Reliability and validity of new evaluation methods using static surface electromyography in persons with neck pain

  • Kim, Go-Eun;Yun, Dong-Uk;An, Yu-Ju;Park, Dae-Sung;Ham, Joo-Hyun
    • Physical Therapy Rehabilitation Science
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    • 제8권1호
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    • pp.1-7
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    • 2019
  • Objective: The aim of this study was to evaluate the validity and reliability of using static surface electromyography (sEMG) on persons with neck pain and in healthy adults. Design: Cross-sectional study. Methods: Twenty-two female participants with neck pain and thirty healthy adults in the age group of 20-65 years were recruited in this study. To evaluate the validity and reliability of sEMG in subjects with neck pain, the subjects'characteristics were recorded and the Visual Analog Scale (VAS) and Neck Disability Index (NDI) were examined in addition to sEMG and algometer tests being carried out on the subjects. The site for using the sEMG and algometer was the upper trapezius. sEMG test-retest reliability was measured by intraclass correlation coefficients (ICCs). Independent t-tests were used to analyze the differences in the dependent variables between subjects with neck pain and healthy adults. The Pearson correlation coefficient was used to examine the linear relationship between measured variables. Results: sEMG and algometer tests were reliable according to the test-retest reliability results in subjects with neck pain and healthy adults (ICC=0.815-0.979). The results of this study showed that there were significant differences in respect to age, VAS, sEMG and algometer tests between persons with neck pain and healthy adults (p<0.05). The VAS and NDI were statistically correlated with sEMG and algometer results (p<0.05). Conclusions: In this study, we investigated the clinical usefulness of the static sEMG test in evaluating the pain scale of persons with neck pain with high reliability and validity.

Short-term Benefits of Mobilization for Patients with Non-Specific Neck Pains: Executive Function and Neck Pain Intensity

  • Choi, Wansuk;Heo, Seoyoon
    • 국제물리치료학회지
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    • 제10권2호
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    • pp.1803-1809
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    • 2019
  • Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.

Carthami Semen Pharmacopuncture Combined with Electroacupuncture on Carpal Tunnel Syndrome: A Retrospective Case Series Study

  • Kim, Pyung-Wha;Choe, Seon;Han, Kyungsun;Yang, Changsop;Lee, Jinbok;Kim, Sungha;Shin, Minseop
    • 대한약침학회지
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    • 제24권2호
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    • pp.76-83
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    • 2021
  • While carpal tunnel syndrome (CTS) is the most common entrapment neuropathy affecting the wrist, resulting in substantial physical, psychological, and economic effects, there is no gold standard therapy for CTS. In this case series study, we aimed to report CTS patients treated with Carthami Semen Pharmacopuncture (CSP) and electroacupuncture (EA) showing improvements in their symptoms, and the combinatorial effects of CSP and EA. We collected medical records of CTS outpatients who received CSP and EA at Chuku Acupuncture & Moxibustion Korean Medicine Clinic from August 2017 to September 2018. The outcome measures were the visual analog scale (VAS) for pain, paresthesia, the Korean version of the Boston carpal tunnel questionnaire (K-BCTQ) score, and changes in nocturnal pain, Tinel sign, and Phalen's test. We included patient satisfaction at the completion of all treatments. 17 patients were included for this case series study. After treatment, VAS for pain decreased significantly from 50.41 ± 16.19 to 9.59 ± 9.46, VAS for paresthesia also decreased significantly from 63.50 ± 11.49 to 14.75 ± 12.97, and K-BCTQ symptom severity scale decreased from 2.48 ± 0.68 to 1.89 ± 0.70 (all p < 0.001). Nocturnal pain, Tinel signs, and Phalen's test showed improvements after all the treatments. All the patients reported favorable overall satisfaction with the treatments, and 69.23% wanted future pharmacopuncture treatments if CTS recurred. No complications were detected. The combination of CSP and EA could be an effective and safe option in treating CTS.

추나요법을 이용한 악관절장애로 인한 전신증상을 동반한 하악관절편위환자 치험 1례 (Case Report of Temporomandibular Joint Disorder Patient (Functional Lateral Mandibular Displacement) with Many Clinical Symptoms Treated by Chuna & General Oriental Method)

  • 정지은;장준호;박현호;김민철
    • 척추신경추나의학회지
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    • 제2권2호
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    • pp.151-160
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    • 2007
  • Objectives : This study was carried out to investigate the effects of Chuna & General Oriental Method on Temporomandibular Joint Disorder Patient(Functional Lateral Mandibular Displacement) with Many Clinical Symptoms. Methods : The therapies were Chuna, acupuncture treatment and herbal medicine. We estimated the effects of treatment by measuring the length from the end of frenulum labii superioris to the frenulum labii inferioris, Visual Analog Scale(VAS) and Patient Global Assessment(PGA) before and after treatment. Results : After treatment, we confirmed these improvements: the length from the end of frenulum labii superioris to the frenulum labii inferioris changed from 10-7mm to 0-2mm, the VAS was changed from 10 to 0-2 and many clinial symptoms improved. Conclusions : These results suggusted that Chuna & General Oriental Method effected for Temporomandibular joint disorders caused many clinical symptoms.

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가열식 화침(火鍼)을 이용한 방아쇠수지 치험 2례 (A Case Study of 2 Trigger Finger Patients using Burning Acupuncture Therapy)

  • 이철휘;박민규;강일아;신민근;서상경;윤광식;이창희;이재민
    • Journal of Acupuncture Research
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    • 제28권6호
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    • pp.169-175
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    • 2011
  • Objectives : The purpose of this case study is to observe the effect of burning acupuncture therapy on the trigger finger. Methods : 2 patients were treated by burning acupuncture therapy to recover from trigger finger. The symptoms were evaluated by visual analog scale(VAS) and Tanaka score. Results : In both cases, VAS decreased to 0 and 1. Patients were evaluated as excellent and good by Tanaka score. Conclusions : Burning acupuncture therapy is effective to trigger finger.

항암제 유발 말초신경병증 한의 치험 2례 (Case reports: Effect of Korean Medicine Including Pharmacopuncture on Chemotherapy Induced Peripheral Neuropathy)

  • 홍상훈;정유진
    • 대한암한의학회지
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    • 제24권2호
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    • pp.23-31
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    • 2019
  • Objective : Peripheral neuropathy refers to the symptoms caused by damage to peripheral fibers, inflammation and degeneration. This study reports the effects of moxibustion, electric moxibustion, and pharmacopuncture including GeonChil(Rhus verniciflua stokes, 乾漆)and Whalhyul(活血) pharmacopuncture on patients with peripheral neuropathy induced by anti-cancer drugs and chemotherapy. Method : We administered moxibustion, electric moxibustion, GeonChil and Whalhyul pharmacopuncture to two patients who showed peripheral neuropathy induced by anti-cancer drugs and chemotherapy. The symtoms were evaluated using Visual Analog Scale (VAS) and chemotherapy induced peripheral neuropathy assessment tool (CIPNAT). Results : Following observations were made after treatments. Case 1 : After nine procedures, the score of VAS was decreased. Feeling of cold and numbness were improved, and as rotation movement of ankle was also possible, gait disturbance were improved. Case 2 : After, seven procedures symptoms of both shoulder pain were improved, and the symptoms of peripheral neuropathy were eliminated. Conclusion : We found the possibility of symptom improvement after moxibustion, electric moxibustion, and pharmacopuncture treatment on peripheral neuropathy caused by anti-cancer drugs. Clinical studies of pilot study and control settings will need to be carried out later.

요통(腰痛) 및 요각통(腰脚痛) 환자에 있어 약침치료(藥鍼治療)의 호전도에 대한 임상적 고찰 (The Clinical Studies about improvement rate in managering patients who had lumbago and pain in loin & feet with herbal-acupunture therapy)

  • 이동현;김효수;위통순
    • 대한약침학회지
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    • 제7권2호
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    • pp.97-105
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    • 2004
  • Objectives : The purpose of this study is to compare the improvement rate in managering patients who had lumbago and pain in loin & feet by herbal-acupunture therapy with conservative treatment. Methods : 40patients who invited from March. 2003 to May. 2004 with lumbago and pain in loin & feet inve, were divided into two classes. A class was managed with conservative treatment(acupuncture, herb med, negative therapy, bed rest and physical therapy) and herbal-acupuncture therapy, the other class was managed with conservative treatment only. Two classes were distributed by sex and age, therapeutic periods, radiolographic results and therapeutic results that checked with VAS(visual analog scale) and ODI(Oswestry disability index). Results : According to VAS and OBI results, A class was managed with conservative treatment and herbal-acupuncture therapy shows the improvement in controling the pain of lumbago etc. comparing with the other class.