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      KCI등재 SCOPUS SCIE

      Development of a patient-report pressure algometer for the quantification of abdominal examination

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      https://www.riss.kr/link?id=A107949106

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      다국어 초록 (Multilingual Abstract)

      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-...

      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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      참고문헌 (Reference)

      1 장준수, "한의학 기반 복부 진단장치 개발에 관한 연구" 한국통신학회 42 (42): 1493-1501, 2017

      2 최명희, "심하부 복진 소견과 연관된 상한론, 금궤요략 수재 약물, 처방의 응용에 관한 연구" 한의병리학회 20 (20): 1375-1387, 2006

      3 김지혜, "복진(腹診)에 대한 국내 연구동향 분석 및 연구방향 제안" 대한한의학회 37 (37): 1-12, 2016

      4 World Health Organization, "WHO standard acupuncture point locations in the western pacific region"

      5 World Health Organization, "WHO international standard terminologies on tradi- tional medicine in the western pacific region"

      6 Akobeng AK, "Understanding diagnostic tests 3 : receiver operating characteristic curves" 96 : 644-647, 2007

      7 Lee JH, "The study on the historical expansion process and the method of the abdominal diagnostics" 4 : 69-82, 2000

      8 Drossman DA, "The functional gastrointestinal disorders and the Rome Ⅲ pro-cess" 130 : 1377-1390, 2006

      9 "Seoul: Gunja Publication"

      10 Lacy BE, "Review article : current treatment options and management of functional dyspepsia" 36 : 13-15, 2012

      1 장준수, "한의학 기반 복부 진단장치 개발에 관한 연구" 한국통신학회 42 (42): 1493-1501, 2017

      2 최명희, "심하부 복진 소견과 연관된 상한론, 금궤요략 수재 약물, 처방의 응용에 관한 연구" 한의병리학회 20 (20): 1375-1387, 2006

      3 김지혜, "복진(腹診)에 대한 국내 연구동향 분석 및 연구방향 제안" 대한한의학회 37 (37): 1-12, 2016

      4 World Health Organization, "WHO standard acupuncture point locations in the western pacific region"

      5 World Health Organization, "WHO international standard terminologies on tradi- tional medicine in the western pacific region"

      6 Akobeng AK, "Understanding diagnostic tests 3 : receiver operating characteristic curves" 96 : 644-647, 2007

      7 Lee JH, "The study on the historical expansion process and the method of the abdominal diagnostics" 4 : 69-82, 2000

      8 Drossman DA, "The functional gastrointestinal disorders and the Rome Ⅲ pro-cess" 130 : 1377-1390, 2006

      9 "Seoul: Gunja Publication"

      10 Lacy BE, "Review article : current treatment options and management of functional dyspepsia" 36 : 13-15, 2012

      11 Ko SJ, "Reliability and Validity of Modified Algometer in Abdominal Examination" 2016 : 2016

      12 Lee BK, "Korean Medicine Diagnostics Seoul" Seongbosa press 280-281, 2009

      13 "Korean Health Insurance Review & Assessment ServiceMost common diseases report 2017 in Korea" Healthcare bigdata hub

      14 Kim JH, "Historical study of abdominal examination" 6 : 111-127, 2002

      15 Tack J, "Functional gastroduodenal disorders" 130 : 1466-1479, 2006

      16 Gan Y, "Effect of banxiaxiexin tang on treatment of func-tional dyspepsia : a meta-analysis of randomized controlled trials" 34 : 140-144, 2014

      17 Ko SJ, "Development of the quanti-tative indicator of abdominal examination for clinical application" 21 : 358-363, 2015

      18 Chu MHK, "Chinese herbal medicine for functional dyspepsia : systematic review of systematic re-views" 11 : 1-24, 2018

      19 Joh KH, "An introduction of abdominal palpation signs in Japanese oriental medicine" 18 : 86-96, 1997

      20 Lee JH, "An Exploratory Study on the Possibility of Quan-titative Measurement during Abdominal Examinations-A Preliminary Study on the Development of a Diagnostic Device for Abdominal Examinations" 37 : 940-948, 2016

      21 Sin S, "A study of abdominal syndrome in shanghanlun" 7 : 47-67, 1999

      22 Kosek E, "A comparison of pressure pain thresholds in different tissues and body regions. Longterm reliability of pressure algometry in healthy volunteer" 25 : 117-124, 1993

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2017-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2015-07-28 학술지명변경 한글명 : INTEGRATIVE MEDICINE RESEARCH -> Integrative Medicine Research
      외국어명 : INTEGRATIVE MEDICINE RESEARCH -> Integrative Medicine Research
      KCI등재후보
      2015-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.35 0.35 0.31
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.33 0 0.432 0.17
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