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최대 10 단어까지만 선택 가능합니다.
문제 정의
- Therefore, this study suggests that SSP therapy to acupoints using TCD will be helpful for pain relief of a headache patient through clinical research how it affects CBF rate and pain relief.
제안 방법
- Once electrical stimulation duration was fixed as 30 minutes. Also, this study practiced SSP therapy by raising a current intensity(10~25mA) up to the sting threshold as much as that a subject was able to endure within the scope that the visible contraction of a muscle does not occur.
- 6 headache acupoints are Hap-Gok(LI4: the concave site of muscle between metacarpal delta phalanx of a thumb and a forefinger) of Large Intestine Meridian, Du-Yu(ST8: the place where a hair grows out on the outside of forehead, about 10cm site from the center of the forehead to the outside) of Gastroscope, Tai-Yang(Ki-Blood : about 2~3cm site from the center between the lateral end of eyebrows and the lateral site of eyes to the backside) - air embolism, Wan-Gol(GB12 : the concave site of the rear of a mastoid) of Gallbladder Meridian, GyeonJeong(GB21 : the centeral site between a clavicle of trapezius muscle and a shoulder joint) of Gallbladder Meridian and Yeol-gyeol(LU7 : Top site of about 5~10cm from the upper wrist on the upper site between a thumb and a forefinger in the medial radius) of Lung Meridian. For electric stimulus, SSP had been practiced under the conditions of 50㎲ phase duration and 200mmHg adsorptive power of a silicon pad three times a week for 3 weeks.
- The subjects were galvanized SSP acupoints for 30 minutes, moved to TCD laboratory, took a rest for 5 minutes and then were examined by TCD inspection again. This study had measured CBF rate for each cerebral rovascular and compared the change by measuring total 4 times for 3 weeks.
- This study had carried out SSP therapy to 6 headache acupoints of 12 tension type headache patients(an experimental group) and 12 non tension type headache patients(a control group) three times a week for 3 weeks and had measured the blood flow rate of an internal carotid artery using TCD and checked a pain intensity using VAS once a week.
- The subjects were galvanized SSP acupoints for 30 minutes, moved to TCD laboratory, took a rest for 5 minutes and then were examined by TCD inspection again. This study had measured CBF rate for each cerebral rovascular and compared the change by measuring total 4 times for 3 weeks.
- This study had measured and compared CBF rate of an internal carotid artery and pain intensity under the difference of a time such as before treatment, 1 week,2weeksand3weeksafterapplyingSSPtherapy to 24 headache patients - 12 tension type headache patients(study group) and 12 non tension type headache patients(control group) in order to the effect that SSP therapy applied to acupoints affects the change of a CBF rate and pain relief for tension type headache patients and non-tension type headache patients, and the results were as followings.
- This study stimulated acupoints for a headache using SSP - one of low frequency electrical stimulation therapies - to show the same analgesic effect as an acupuncture based on an oriental physical therapy.
- This study tries to compare and analyze the changes of CBF(cerebral blood flow) rate and the effectiveness of pain relief between tension type headache patients and nontension type headache patients when stimulating the acupoint for a headache with SSP Low Frequency Electrical Stimulation which is a therapy to show the same analgesic effect as an acupuncture based on an oriental physical therapy.
대상 데이터
- As a result of analyzing the common characteristics of a sample, total 24 subjects - 12 subjects in an experiment group and 12 subjects in a control group, and there were 9 male subjects and 15 female subjects in two groups. The average age of an experiment group was 32.
- The subjects of this study are an experimental Group(12 tension type headache patients) and a control group(12 non tension type headache patients).
데이터처리
- First, t-test was used for periodic comparison between the common characteristics of a sample and an experiment group and control group.
- Second, ANOVA was used for the comparison of measuring time between an experiment group and a control group, and if they have difference between two groups, and Scheffe test(post hoc tests) was used for the group with difference.
이론/모형
- This study used VAS which has been used the most frequently for the purpose of objectification of subjective pain that a patient feels. VAS is to mark directly the appropriate pain intensity of a subject on a 100mm sized horizontal bar on the time when the pain has stopped.
성능/효과
- 1. For the CBF rates of study group and a control group, there was significant difference in an internal carotid artery of study group 2 weeks after treatment(p<.05).
- 2. As a result of comparing VAS of study group by a measuring period, the group had significant increase of VAS in an internal carotid artery before SSP stimulus~2 weeks after, before SSP stimulus~3 weeks after and 1 week~3 weeks after and showed meaningful pain relief before SSP stimulus~2 weeks after, before SSP stimulus~3 weeks after and 1 week~3 weeks after(p<.05) for pain scale.
- 3. As a result of comparing VAS of a control group by a measuring period, the group had no significant difference for the increase of blood flow in an internal carotid artery and showed significant pain relief before SSP stimulus~2 weeks after, before SSP stimulus~3 weeks after, 1 week~3 weeks after and 2 weeks~3 weeks after for pain scale(p<.05).
- As a result of comparing VAS for each period between an experiment group and a control group, there was no significant difference that VAS of an experiment group for the first time was 6.17±1.35 and a control group was 6.26±1.20.
- As a result of post analysis, there were significant difference between one of the first time and after 2 weeks, one of the first time and 3 weeks after treatment, 1 week and 3 weeks after treatment and 2 weeks and 3 weeks after treatment.
- Physically, if the cross-sectional area of a vessel gets narrow, the blood flow rate gets fast. By the way, the results of this study were that the vascular cross-sectional area widens because the pressed vessel was relaxed after a treatment but instead, a blood flow rate increased. How could this study explain such situations?
- In this study, the difference of a time more than minimum 2 weeks needed to show significantly the increase of a blood flow rate in an internal carotid artery(p<.05).
- This study also got the numerical results that CBF rate of a headache patient was increased and pain was relieved after a treatment than before. There is a problem that we should considerhere.
후속연구
- But, it needs to prepare for the clear statistical evidences for more patients because this study excluded the psychological effects of CBF rate.
- 05). What the increase of a blood flow rate is related with the cross-sectional area of a vessel in an internal carotid artery and how a blood flow rate of another cerebrovascular is changed have to be examined and researched further.
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