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중풍환자의 통증 치료에 관한 체계적 고찰 연구

A Systematic Review of Treatment for Chronic Pain after Stroke

고호연|공경환|송규석|정지원|김지유|최재완|김운정|이지원|김윤서|이해솔|박정수|채우리|정재원|이주아|김영지|배선규|김태인|천경진
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2016.12|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제37권 제6호|pp. 929-939

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참고문헌

키워드

painstroketreatmentchronic
주제분류한의학

초록

Objectives: Strokes have diverse symptoms and signs. One of ten stroke patients has chronic pain after a stroke. Pain after a stroke interrupts rehabilitation and worsens quality of life, but there is no efficient treatment for this pain. This study surveyed and reports on the clinical studies of treatment for chronic pain after a stroke. Methods: We searched journals for reports on clinical studies of treatment for chronic pain after a stroke through the databases OASIS (http://oasis.kiom.re.kr), NDSL (ndsl.kr), Kmbase (http://kmbase.medric.or.kr/), and PubMed (http://www. pubmed.com). The search words were “stroke & pain”, “jungpung中風 & pain”, “pungbi風痺”, “cerebral hemorrhage & pain”, and “cerebral infarction & pain”. Results: Twenty-nine studies of treatment for chronic pain after a stroke were found. Of these, 15 were randomized controlled trials, 10 were nonrandomized controlled trials, and 4 were “before and after” studies. Treatments were diverse, including acupuncture, electroacupuncture, herbal acupuncture, herbal medicine, and more. The treatment periods were longer than 3 weeks on average. Conclusions: These results show that good quality randomized controlled trials of treatment for chronic pain after a stroke are small in number. We need larger and more diverse studies of treatment for chronic pain after a stroke.

Abstract

Objectives: Strokes have diverse symptoms and signs. One of ten stroke patients has chronic pain after a stroke. Pain after a stroke interrupts rehabilitation and worsens quality of life, but there is no efficient treatment for this pain. This study surveyed and reports on the clinical studies of treatment for chronic pain after a stroke. Methods: We searched journals for reports on clinical studies of treatment for chronic pain after a stroke through the databases OASIS (http://oasis.kiom.re.kr), NDSL (ndsl.kr), Kmbase (http://kmbase.medric.or.kr/), and PubMed (http://www. pubmed.com). The search words were “stroke & pain”, “jungpung中風 & pain”, “pungbi風痺”, “cerebral hemorrhage & pain”, and “cerebral infarction & pain”. Results: Twenty-nine studies of treatment for chronic pain after a stroke were found. Of these, 15 were randomized controlled trials, 10 were nonrandomized controlled trials, and 4 were “before and after” studies. Treatments were diverse, including acupuncture, electroacupuncture, herbal acupuncture, herbal medicine, and more. The treatment periods were longer than 3 weeks on average. Conclusions: These results show that good quality randomized controlled trials of treatment for chronic pain after a stroke are small in number. We need larger and more diverse studies of treatment for chronic pain after a stroke.

참고문헌 (39)

  1. O'Donnell MJ, "PRoFESS Investigators. Chronic pain syndromes after ischemic stroke:PRoFESS trial", Stroke, 44(5), pp.1238~1243 (2013)
  2. Pandian JD, "Shoulder taping reduces injury and pain in stroke patients:randomized controlled trial", Neurology, 80(6), pp.528~532 (2013)
  3. Sprenger T, "Assessing the risk of central post-stroke pain of thalamic origin by lesion mapping", Brain, 135(Pt 8), pp.2536~2545 (2012)
  4. Bae SH, "Analgesic effect of transcranial direct current stimulation on central post-stroke pain", Tohoku J Exp Med, 234(3), pp.189~195 (2014)
  5. Adey-Wakeling Z, "Suprascapular nerve block for shoulder pain in the first year after stroke: a randomized controlled trial", Stroke, 44(31), pp.3136~3141 (2013)
  6. 이재남, "아급성 편마비환자의 어깨관절 Scapular Taping적용이근 활성도와 통증, 관절가동범위 및 고유수용성감각에미치는 영향", 한국산학기술학회논문지, 14(11), pp.5689~5697 (2013), 한국산학기술학회[DOI]
  7. Ratmansky M, "Randomized controlled study of segmental neuromyotherapy for post-stroke hemiplegic shoulder pain", J Rehabil Med, 44(10), pp.830~836 (2012)
  8. 조송현, "삼기음가감방과 봉약침, 체침의 병행치료가 뇌졸중 후 견관절 통증에 미치는 효과 비교연구", 대한침구의학회지, 29(2), pp.15~27 (2012), 대한침구의학회[DOI]
  9. Shaw LC, "BoTULS Investigators. Botulinum Toxin for the Upper Limb after Stroke (BoTULS) Trial: effect on impairment, activity limitation, and pain", Stroke, 42(5), pp.1371~1379 (2011)
  10. Allen ZA, "Does suprascapular nerve block reduce shoulder pain following stroke: a double-blind randomised controlled trial with masked outcome assessment", BMC Neurol, 10, pp.83~ (2010)
  11. Cho SW, "The effectiveness of Zingiberis Rhizoma herbal acupuncture therapy and bee venom herbal acupuncture therapy for treating post-stroke hemiplegic shoulder pain", J Orient Rehabil Med, 15(4), pp.77~87 (2005)
  12. Marco E, "Is botulinum toxin type A effective in the treatment of spastic shoulder pain in patients after stroke? A double-blind randomized clinical trial", J Rehabil Med, 39(6), pp.440~447 (2007)
  13. 고창남, "뇌졸중 환자의 견관절 통증에 대한 봉독약침의 임상효과", 대한한의학회지, 28(1), pp.11~24 (2007), 대한한의학회
  14. Underwood J, "Pain, fatigue, and intensity of practice in people with stroke who are receiving constraint-induced movement therapy", Physical therapy, 86, pp.1241~1250 (2006)
  15. de Jong LD, "Combined arm stretch positioning and neuromuscular electrical stimulation during rehabilitation does not improve range of motion, shoulder pain or function in patients after stroke:a randomised trial", J Physiother, 59(4), pp.245~254 (2013)
  16. 변필숙, "비디오 게임을 이용한 재활운동이 뇌졸중 편마비 환자의 상지 관절가동 범위와 통증, 스트레스에 미치는 효과", 근관절건강학회지, 19(1), pp.46~56 (2012), 대한근관절건강학회[DOI]
  17. 박정언, "향요법 마사지가 뇌졸중 환자의 상지통증에 미치는 영향에 관한 예비조사", 임상간호연구, 10(1), pp.184~195 (2004), 병원간호사회
  18. 강승주, "테이핑요법이 뇌졸중 편마비 환자의 견관절 운동범위와 통증, 신체기능 및 우울에 미치는 효과", 성인간호학회지, 24(3), pp.294~304 (2012), 성인간호학회[DOI]
  19. 김민범, "견부견인 추나가 중풍 편마비 환자의견관절 통증 및 관절가동범위에 미치는 영향", 한방재활의학과학회지, 17(2), pp.185~198 (2007), 한방재활의학과학회
  20. Han KS, "The effect of massage as a nursing intervention on central pain & skin temperature of stroke patients", Korean Clinical Nursing Research, 7(2), pp.55~66 (2001)
  21. 곽자영, "중풍 후 중추성 통증환자에 대한 봉독약침의 임상효과 －단일맹검 무작위배정 환자 대조군 비교연구－", 대한침구의학회지, 26(6), pp.205~214 (2009), 대한침구의학회
  22. Choi DY, "Specific electric acupuncture for the management of the central post stroke pain", Regional anesthesia and pain med, 28(suppl), pp.65~ (2003)
  23. Bae SH, "Analgesic effect of transcranial direct current stimulation on central post-stroke pain", Tohoku J.Exp.Med, 234(3), pp.189~195 (2014)
  24. 전현주, "JU 동작치료가 뇌졸중 편마비환자의 통증과 우울에 미치는 영향", 한국체육과학회지, 22(3), pp.1013~1023 (2013), 한국체육과학회
  25. 성민희, "발반사 마사지가 뇌졸중환자의 중추성 통증, 피로감 및 수면에 미치는 효과", 임상간호연구, 17(1), pp.46~56 (2011), 병원간호사회
  26. 정병식, "The Clinical Evaluation of East-West Medical Management for Central Poststroke Pain", Journal of Pharmacopuncture, 4(2), pp.95~103 (2001), 대한약침학회[DOI]
  27. Han JS, "A study on the effects of relaxation technique on attendant stress, pain and depression of hemiplegic patients", Chung-Ang J Nursing, 2(1), pp.97~109 (1998)
  28. Kim JE, "The effects of aroma massage therapy on post stroke central pain and depression", J Kyungpook Nursing Science, 12(1), pp.23~34 (2008)
  29. 정경숙, "뇌졸중 후 중추성 통증 환자에 대한 봉독약침요법 치료 효과에 대한 임상적 연구", 대한침구의학회지, 22(3), pp.69~76 (2005), 대한침구의학회
  30. 이두익, "뇌졸중 후 중추성 통증에 대한 통증관리가재활에 미치는 효과", The Korean Journal of Pain, 15(1), pp.63~68 (2002), 대한통증학회
  31. Cacchio A, "Mirror therapy for chronic complex regional pain syndrome type 1 and stroke", N Engl J Med, 361(6), pp.634~636 (2009)
  32. Kalita J, "Comparison of prednisolone with piroxicam in complex regional pain syndrome following stroke: a randomized controlled trial", QJM, 99(2), pp.89~95 (2006)
  33. Jönsson AC, "Prevalence and intensity of pain after stroke: a population based study focusing on patients' perspectives", J Neurol Neurosurg Psychiatry, 77(5), pp.590~595 (2006)
  34. Hansen AP, "Pain following stroke:a prospective study", Eur J Pain, 16(8), pp.1128~1136 (2012)
  35. Sommerfeld DK, "Pain following stroke, initially and at 3 and 18 months after stroke, and its association with other disabilities", Eur J Neurol, 19(10), pp.1325~1330 (2012)
  36. 윤태상, "편마비 후 견관절 통증의 원인 분석", Annals of Rehabilitation Medicine, 34(2), pp.158~162 (2010), 대한재활의학회
  37. Viana R, "Evidence for therapeutic interventions for hemiplegic shoulder pain during the chronic stage of stroke:a review", Top Stroke Rehabil, 19(6), pp.514~522 (2012)
  38. Jeong EJ, "Clinical study of paraesthesia in stroke patients", J Korean Oriental Med, 22(2), pp.41~52 (2001)
  39. 박창식, "뇌졸중 환자의 낮병원 프로그램이 도구적․일상생활활동 수행 능력과 삶의 만족도에 미치는 영향", 한국콘텐츠학회 논문지, 12(11), pp.267~277 (2012), 한국콘텐츠학회[DOI]

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