치료적 마사지 프로그램이 섬유근통 증후군의 통증평가척도에 미치는 영향 = Effects of Pain Rating Scale in the Therapeutic Massage Program on Fibromyalgia Syndrome

다국어 초록 (Multilingual Abstract)

According to the classification criteria proposed by the American College of Rheumatology, fibromyalgia is a long-standing multifocal pain condition combined with generalised allodynia/hyperalgesia. It is the generalised allodynia/hyperalgesia that distinguishes fibromyalgia from other conditions with chronic musculoskeletal pain. Central sensitisation of nociceptive neurons in the dorsal horn due to activation of N-methyl-D-aspartic acid receptors and disinhibition of pain due to deficient function of the descending inhibitory system are probable pathogenic factors for allodynia/hyperalgesia. Furthermore, chronic pain is a chronic emotional and physical stressor. Chronic stress and chronic sleep disturbance are not specific for fibromyalgia but could be the causes of symptoms like fatigue, cognitive difficulties and other stress-related symptoms. They may also cause neuroendocrinological and immunological aberrations.
The purpose of this study is to find out the effects of pain rating scale in the therapeutic massage program applied to the patients with Fibromyalgia Syndrome by measuring, assessing and analyzing the changes in intensity and unpleasantness of muscle pains before and after therapeutic massage program. Surveyed from Mar. 2003 to Feb. 2004 were 83 patients suffering from Fibromyalgia Syndrome. In the massage program, such methods as effleurage, petrissage and deep transverse friction were selected as traditional massage treatments frequently used for muscles with pain and spasm. Massage treatments were applied for 20 minutes in total before and after stretching in total program 30 minutes. After therapeutic massage program, the McGill pain questionnaire word list(MPQWL), verbal rating scale(VRS), visual analogue scale(VAS) were used to measure the degree of the pain on the patients.
The major findings from this study are as follows;
1. The surveyed patients range from 19 to 62 in age, with highest numbers of 35(42.17%) registered in the thirties and next ones of 20(24.10%) in the forties. Divided by sex, 19 are men and 64 are women totalling 83 with average age of 36.5.
2. There was significant decrease in the numerical values of VAS ＆ VRS and MPQWL after therapeutic massage program(p＜.05).
3. There was significant decrease in the intensity of pains after therapeutic massage program(p＜.05).
4. There was significant decrease in the unpleasantness of pains after therapeutic massage program(p＜.05).
5. From the analysis into chronological changes in the intensity and unpleasantness of pains before and after therapeutic massage program with ANOVA, it became evident that the longer the period of treatment was, the higher the pains decreases drastically, while significant difference was shown in the intensity and unpleasantness of pains(p＜.05).
Summed up, it can be generally concluded that therapeutic massage program is an effective treatment to rid the patients with Fibromyalgia Syndrome of pains safely and promptly.

목차 (Table of Contents)

• ■목차■
• Ⅰ. 서론
• Ⅱ. 섬유근통 증후군에 대한 고찰
• Ⅲ. 연구방법
• Ⅳ. 연구결과
• Ⅴ. 논의
• Ⅵ. 결론
• 참고문헌