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Abstract AI-Helper 아이콘AI-Helper

Objectives : This study examined the effects of miniscalpel acupuncture (MA) in three patients with cervicogenic headache. Methods : Patients were treated with MA, which was performed once per week for three weeks. A headache score, visual analogue scale (VAS), and neck disability index (NDI) were u...

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AI 본문요약
AI-Helper 아이콘 AI-Helper

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제안 방법

  • The patient underwent surgery for right carpal tunnel syndrome in 2009, for a right cruciate ligament tear in 2010, and for a right meniscus tear in 2015.
  • . The question is assessed using a 6-point scale from 0 to 5, where 0 denotes the absence of the pain, 1 denotes infrequent slight headache, 2 denotes infrequent moderate headache, 3 denotes frequent moderate headache, 4 denotes frequent severe headache, and 5 denotes almost constant headache.

대상 데이터

  • The MA points were as follows10): the upper site of GV16, GB20, GB12, GV15, BL10, GV14, and the C4, C5, and C6 spinous processes. A total of 12 sites related to pain were selected for treatment. Except for MA, no other interventions, such as moxibustion, herbal drugs, or physical therapy, were used.
  • Although the patient received these conventional treatments, the symptoms persisted. For this reason, she visited Daegu Oriental Hospital of Daegu Haany University on February 25, 2017.
  • OnMay 10, 2017 (four weeks after the final visit), the patient visited the hospital for follow up. The ND I head a chescore was 1, which(infrequent slight headache).
  • Right central subarticular minimal protrusion at the C5- 6 disc and cervical straightening were diagnosed from a computed tomography (CT) scan March 15th, 2017, right central subarticular minimal protrusion at C5-6 disc and cervical straightening were diagnosed. She first visited Daegu Oriental Hospital of Daegu Haany University on March 21, 2017.
  • A bulging contour of the disc at C6-7 and straightening of the C spine curvatures were diagnosed following a CT on March 13, 2017. The patient first visited Daegu Oriental Hospital of Daegu Haany University hospital on March 21, 2017.
  • Three patients received MA four times over 4 weeks at Daegu Oriental Hospital of Daegu Haany University, Daegu, Republic of Korea. Before the procedure, the patients were provided with sufficient information and explanation regarding the treatment.

이론/모형

  • Neck pain-related disability was evaluated using the validated Korean version of the NDI. The NDI is used to measure self-perceived disability caused by neck pain.
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참고문헌 (20)

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  2. White AR, Ernst E. A systematic review of randomized controlled trials of acupuncture for neck pain. Rheumatology (Oxford). 1999;38(2):143-7. 

  3. Bogduk N, Govind J. Cervicogenic headache: An assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol. 2009;8(10):959-68. 

  4. Sjaastad O, Fredriksen T, Pfaffenrath V. Cervicogenic headache: Diagnostic criteria. Headache. 1998;38(6):442-5. 

  5. HaldemanS, DagenaisS. Cervicogenicheadaches: A critical review. The Spine Journal. 2001;1(1): 31-46. 

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  7. Jull G, Trott P, Potter H et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine (Phila Pa 1976). 2002;27(17):1835-43. 

  8. Ma C, Wu S, Li G, Xiao X, Mai M, Yan T. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. Clin J Pain. 2010;26(3):251-7. 

  9. Kim S. Clinical characteristics of poor responders to acupotomy and safety pretreatment management. The Acupunct. 2008;25(4):117-25. 

  10. Pang J. Acupotomology basis and clinic. 1st ed. Futian District Caitian Road Haitian Publishing Building: Shenzhen Haitian Publishing House. 2006:153-8. 

  11. Vernon H, Mior S. The neck disability index: A study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15. 

  12. Carlsson AM. Assessment of chronic pain. I. aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87-101. 

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  14. Gobel H, Edmeads J. Disorders of the skull and cervical spine. The Headaches, 2nd Ed.Philadelphia: Lippincott Williams & Wilkins. 2000:891-8. 

  15. Henry P, Dartigues J, Puymirat E, Peytour P, Lucas J. The association cervicalgia-headaches: An epidemiologic study. Cephalalgia. 1987;7(6): 189-90. 

  16. Maimaris C, BarnesM, AllenM. 'Whiplash injuries' of the neck: A retrospective study. Injury. 1988;19(6):393-6. 

  17. Balla JI. The late whiplash syndrome. Aust N Z J Surg. 1980;50(6):610-4. 

  18. Leone M, D'amico D, Grazzi L, Attanasio A, Bussone G. Cervicogenic headache: A critical review of the current diagnostic criteria. Pain. 1998;78(1):1-5. 

  19. Fernandez-de-las-Penas C, Ge H, Alonso-Blanco C, Gonzalez-Iglesias J, Arendt-Nielsen L. Referred pain areas of active myofascial trigger points in head, neck, and shoulder muscles, in chronic tension type headache. J Bodywork Movement Ther. 2010;14(4):391-6. 

  20. Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Practice & Research Clinical Rheumatology. 2011;25(2):185-98. 

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