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- 주제어 : abdominal pressure pain (검색결과 4 건)
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초음파 결합형 압통계를 활용한 압통시 소화불량 환자와 건강인의 복강내 조직 변화 비교: 비무작위 대조군 예비 임상시험
임진웅,정태성,정호석,강선이,최창민,김동웅 대한예방한의학회 2023 대한예방한의학회지 Vol.27 No.1
Objectives : The aim of this study was to evaluate the differences in the abdominal cavity between functional dyspepsia patients and healthy people using an algometer combined with an ultrasound device. Methods : A non-randomized, controlled, pilot trial was conducted. Thirty patients in the experimental group and fifteen participants in the control group were recruited. We collected demographical data, and measured abdominal circumference, height of the body cavity, subcutaneous fat thickness, visual analogue scale of dyspepsia symptoms in the experimental group, depth of algometer and pressure of algometer when pressure pain occurred, and the whole ultrasonic image from the beginning of pressurization to the time when pressure pain occurred. The measurements were carried out twice with the duration of 1 week. Generalized linear regression was conducted to adjust baseline characteristics. Results : A total of 45 participants (30 in experimental group, 15 in control group) were recruited and finished the trial. Females were recruited more in the experimental group than in the control group and it was statistically significant. The difference in thickness of abdominal cavity between a second before the pressure pain and at the time when pressure pain occurred was statistically significant on 1st visit, and other measurements were not statistically significant. From the results of the regression analysis, the difference between two groups was statistically significant in the differences in the thickness of stomach and up to abdominal aorta on 1st visit, and the thickness of stomach on 2nd visit, and other measurements were not statistically different. Conclusions : According to the results, there were not statistically significant differences in abdominal examination when pressure pain occurred between dyspepsia patients and healthy people. Further studies are warranted to assess the abdominal examination using devices including algometer and ultrasound devices, regarding the results of the present study.
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Development of a patient-report pressure algometer for the quantification of abdominal examination
고석재,Keun Ho Kim,Sanghun Lee,임미홍,박재우 한국한의학연구원 2021 Integrative Medicine Research Vol.10 No.4
Background Abdominal examination (AE), one of the primary diagnostic tools used in traditional Korean medicine (TKM), has a limitation of being subjective due to depending on individual practitioner's experience. Therefore, we devised a novel patient-report pressure algometer (PA) and performed a clinical trial to investigate its validity. Methods In total, 44 participants with functional dyspepsia and 44 healthy participants completed the study. The participants were allocated into one of two groups according to the existence of abdominal stiffness at 5 acupoints or abdominal tenderness at 12 acupoints diagnosed by TKM doctors. The pressure depth and pressure pain threshold (PPT) were evaluated using the PA at the same acupoints. We assessed the validity (sensitivity and specificity) of PA and calculated the area under the curve (AUC) and optimal cutoff value of the test variables (pressure depth and PPT) to criterion standards (abdominal stiffness and tenderness). Results Pressure depth and PPT assessed by PA showed high sensitivity and specificity in diagnosing abdominal stiffness and tenderness. The validity at CV-14 of diagnosing abdominal tenderness with PPT by PA had a sensitivity of 73.1%, specificity of 77.8%, and an AUC of 0.807 with a P value of < 0.001. Conclusion This study may provide evidence of standardization and quantification of AE through PA.
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건강한 성인의 소화 상태 및 소화 불편에 따른 복진용 압통장치를 활용한 정량적 연구
김대혁,김영은,이상훈,박정환 경락경혈학회 2023 Korean Journal of Acupuncture Vol.40 No.3
Objectives : The aim of this study was to assess the quantitative characteristics of pressure pain threshold (PPT) and pressure depth (PD) at the abdominal conception vessel (CV) acupoints according to subjective digestive status and digestive discomfort levels, accomplished by comparing a large group of healthy men and women, using the modified digital algometer. Methods : A total of 1,504 healthy adults aged 19 years or older participated in this study. A questionnaire was administered to evaluate participants' digestive status and discomfort. PPT (kgf/cm2/s) and PD (mm) measurements were obtained at CV14, CV12, and CV4 acupoints using a modified digital algometer. General characteristics were analyzed using the chi-square test, and differences in PPT and PD were assessed using two-sample t-tests and ANCOVA. Results : Significant difference in PPT was found based on digestive status at CV14 and CV12 for both sexes, and in PD at CV14 for women. Women exhibited significant difference in PPT based on digestive discomfort at CV14, CV12, and CV4, while men showed significant difference at CV14 and CV12. Significant difference in PD was observed at CV14 and CV4 among women. Even after adjusting for age and body mass index, significant difference persisted in PPT based on digestive discomfort at CV14 and CV12 for both sexes. PD exhibited significant differences at CV14, CV12, and CV4 among women. Conclusions : Using the modified digital algometer, this study showed the significant difference of pressure pain threshold at the CV14 and CV12 acupoints for subjective digestive discomfort levels in healthy men and women.
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Self-palpation Feedback for Abdominal Hollowing Exercise
Young-kyun Kim,Min-ra Choi,Seong-jun Kim,Ki-kwang Lee,Hye-ree Kim 대한운동학회 2018 아시아 운동학 학술지 Vol.20 No.2
PURPOSE The purpose of this study was to investigate abdominal muscles’ thickness change during abdominal hollowing with self-palpation feedback. METHODSTwenty six healthy males participated in this study. Subjects were instructed how to perform AHE on hook-lying position. Ultrasound images (transverse abdominis (TA), internal oblique (IO), external oblique (EO)) were measured during resting and AHE using self-palpation feedback or pressure biofeedback. RESULTS TA thickness increased significantly with both self-palpation feedback and pressure biofeedback groups (p<.05). In TA, the control group showed more increased thickness than the experimental group. How-ever, there was no interaction between AHE and using pressure biofeedback in IO and EO. Also, all subjects s muscle thickness of IO were increased (p<.01) and EO were decreased (p<.05) significantly. CONCLUSIONS Self-palpation feedback during AHE is useful to perform AHE. Therefore self palpation feedback is a simple method to provide feedback when ultrasound and biofeedback equipment are no available.
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