근막통 증후군을 지닌 조선업근로자들에서 스트레스생활사 정도에 따른 통증의 비교 (Comparison of Degree of Pain According to the Stressful Life Event Values in Shipbuilding Industrial Workers with Myofascial Pain Syndrome)

서지정보

· 발행기관 : 고신대학교(의대) 고신대학교 의과대학 학술지
· 수록지 정보 : 고신대학교 의과대학 학술지 / 21권 / 1호 / 235 ~ 241페이지
· 저자명 : 송혜란, 김진하, 이용환

초록

Background : Myofascial pain syndrome is a regional pain syndrome which is abruptly developed by psychological stress or physical stress causing direct muscular trauma or muscular tension. Shipbuilding workers are suffering from pain caused by the hard works treating heavy materials or keeping in an uncomfortable position for a long time in addition to the psychological stress which happened on the life events. This study was performed to survey the psychological feature and the degree of pain according to the stressful life event values of the shipbuilding workers who are suffering from the myofascial pain syndrome.


Methods : The study subjects were 61 workers who worked at one of the shipbuilding industrial company. They were diagnosed as a myofascial pain syndrome in April 2002. For the close examination these workers visited in the department of occupational environmental medicine of the Kosin University. They were classified as high stressful group and low stressful group using Holmes and Rahe stressful life event values. We compared high stressful group with low one by visual analogue scale (VAS乂

Results : In high stressful and low stressful groups according to stressful life event values, mean age was 43.7 years and 43.4 years，and mean working duration was 13.9 years and 143 years respectively, which doesn't show significant difference statistically. There was no significant difference in alcohol drinking in those two groups，on the other hand, in high stressful group the frequency of smoking is higher as 21 (87,5%)people than in low stressful group as 16 (43.2%)people，The number of patients who reported severe pain which affected the daily life is 12 (50%) in high stressful group and 17 (45.9%) in low stressful group, and the number of patients who felt pain even by the small amount of daily activity is 5 (20.8%) in high stressful group and 13 (35J%) in low stressful group, which shows no statistical significance. The duration of pain more than 5 hours was 17 (70.8%) and 26 (70.3%) in each group, and

visual analogue scale was higher in high stressful group than in low stressful group as 6.3 points and 5.6 points each

without statistical significance. As a result of physical examination, the number of palpable trigger points was 14 (58.3%) in high stressful group and 27 (73,0%) in low stressful group. As a r於ult of EMG, the case of positive

findings was 8 (33.3%) in high stressful group and 13 (35J%)in low stressful group.


Conclusion : As a result of citifying the stressful life event values into high stressful group and low stressful group in the case of myofascial pain syndrome，objective findings(EMG, palpable trigger point) were not significantly different between high stressful group and low stressful group, but visual analogue scale was higher in high stressful group than in low stressful group. Therefore，it is assumed that in order to reduce the pain considered the most severe problem in the case of myofascial pain syndrome, we should analyze the cause of stress caused by daily lives and need proper psychological treatment and intervention as well as reduce the burden on the parts of body.

영어초록

Background : Myofascial pain syndrome is a regional pain syndrome which is abruptly developed by psychological stress or physical stress causing direct muscular trauma or muscular tension. Shipbuilding workers are suffering from pain caused by the hard works treating heavy materials or keeping in an uncomfortable position for a long time in addition to the psychological stress which happened on the life events. This study was performed to survey the psychological feature and the degree of pain according to the stressful life event values of the shipbuilding workers who are suffering from the myofascial pain syndrome.




Methods : The study subjects were 61 workers who worked at one of the shipbuilding industrial company. They were diagnosed as a myofascial pain syndrome in April 2002. For the close examination these workers visited in the department of occupational environmental medicine of the Kosin University. They were classified as high stressful group and low stressful group using Holmes and Rahe stressful life event values. We compared high stressful group with low one by visual analogue scale (VAS乂

Results : In high stressful and low stressful groups according to stressful life event values, mean age was 43.7 years and 43.4 years，and mean working duration was 13.9 years and 143 years respectively, which doesn't show significant difference statistically. There was no significant difference in alcohol drinking in those two groups，on the other hand, in high stressful group the frequency of smoking is higher as 21 (87,5%)people than in low stressful group as 16 (43.2%)people，The number of patients who reported severe pain which affected the daily life is 12 (50%) in high stressful group and 17 (45.9%) in low stressful group, and the number of patients who felt pain even by the small amount of daily activity is 5 (20.8%) in high stressful group and 13 (35J%) in low stressful group, which shows no statistical significance. The duration of pain more than 5 hours was 17 (70.8%) and 26 (70.3%) in each group, and

visual analogue scale was higher in high stressful group than in low stressful group as 6.3 points and 5.6 points each

without statistical significance. As a result of physical examination, the number of palpable trigger points was 14 (58.3%) in high stressful group and 27 (73,0%) in low stressful group. As a r於ult of EMG, the case of positive

findings was 8 (33.3%) in high stressful group and 13 (35J%)in low stressful group.




Conclusion : As a result of citifying the stressful life event values into high stressful group and low stressful group in the case of myofascial pain syndrome，objective findings(EMG, palpable trigger point) were not significantly different between high stressful group and low stressful group, but visual analogue scale was higher in high stressful group than in low stressful group. Therefore，it is assumed that in order to reduce the pain considered the most severe problem in the case of myofascial pain syndrome, we should analyze the cause of stress caused by daily lives and need proper psychological treatment and intervention as well as reduce the burden on the parts of body.

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