- P-ISSN 1010-0695
- E-ISSN 2288-3339
Objectives: Hemiplegic shoulder pain is one of the common sequelae of stroke. Although many different methods of treatment are applied, none have yet been proved to be effective. In this study we assessed the effectiveness of bee venom in patients with shoulder pain after stroke. Methods: This study was a double blinded, randomized, placebo-controlled clinical trial. All subjects received either 0.6 ml bee venom injection (venom:saline = 1:10000) or 0.6ml physiological saline solution (placebo) at three acupoints. The effectiveness was assessed by visual analogue scale, pain rating score, Fugl-Meyer assessment and passive external rotation. Results: There were 24 patients in the venom group and 22 patients in the placebo group. The venom group showed more effectiveness in VAS and PRS than the placebo group. Conclusions: This study suggests that bee venom injection has significant analgesic effect on hemiplegic shoulder pain. Further study based on multi-centers, larger population, and long term follow-up is needed to confirm this suggestion.
Horton MG. Shoulder pain of Physical Medicine and Rehabilitation 1992,
Caldwell C. Surgical treatment of the painful shoulder contracture in the stroke patient. Journal of Bone and Joint Surgery,
채우석. 중풍편마비를 동반한 견관절 동통환자 치험 1례-동의보감 천태산을 응용한 치험 1례-. 대한침구학회임상논문집. 117-127.,
(1) 43-53.,
(2003) 최근 10년간 국내의 봉독 관련 연구에 대한 고찰,
(2001) 중풍 편마비환자의 견관절 동통에 대한 봉독약침요법의 효과,
(2006) 중풍후유증으로 인한 견비통 환자의 봉약침치료에 대한 임상적 고찰,
(1995) Practice parameters for allergy diagnostic testing,
(일조각.1993) 강석영. 알레르기 질환의 진단과 치료. 서울,
Mueller HL. Diagnosis and treatment of insect sensitivity. J Asthma Res. 1966,
(2002.2) Treating patients with hemiplegic shoulder pain,
(2003) 임상신경학 , 서울: 범문사
(2006) Handbook of Stroke, Lippincott Williams&Wilkins
Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987 Feb,
(2003) 한글 통증 평가 카드의 개발,
(1997) Report of the expert committee on the Diagnosis and classification of Diabetes Mellitus,
(1998) 새로운 자가통증평가법의 유용성,
Andrews AW. Shoulder subluxation and pain in stroke patients. Am J Occup Ther. 1990,
(2001.11.10) Hemiplegic shoulder pain: defining the problem and its management,
(1999) Shoulder pain and dysfunction in hemiplegia: effect of functional electrical stimulation,
(1998.1.31) Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy,
(2005) Intramuscular electrical stimulation in reducing hemiplegic shoulder pain,
(2000.8) A randomized controlled trial of strapping to prevent post-stroke shoulder pain,
(2006.4) Strapping the hemiplegic shoulder prevents development of pain during rehabilitation: a randomized controlled trial,
(2000.10) Effect of triamcinolone acetonide injections on hemiplegic shoulder pain : A randomized clinical trial,
Hecht JS. Subscapular nerve block in the painful hemiplegic shoulder. Arch Phys Med Rehabil. 1992 Nov,
(2007.1) A randomized controlled study of botulinum toxin A in the treatment of hemiplegic shoulder pain associated with spasticity,
(2006.11.6) Treatment of shoulder pain in spastic hemiplegia by reducing spasticity of the subscapular muscle: A randomized, double-blind, placebo-controlled study of botulinum toxin A,
(1999) Can stroke patients use visual analogue scale?,
Joynt RL. The source of shoulder pain in hemiplegia. Arch Phys Med Rehab. 1992,
(1999.8) The long-term outcome of arm function after stroke: results of a follow-up study,
(2002.9) The Fugl-Meyer Assessment of Motor Recovery after Stroke: A Critical Review of Its Measurement Properties,
(2000) 봉독약침 후 발생한 Anaphylaxia에 관한 임상적 연구,
(2006) 봉독요법의 항염증 기전 연구에 관한 고찰,
(1998) 봉독약침요법의 항염, 진통작용에 미치는 효능에 관한 실험적 연구,
봉침독요법이 항염, 진통 및 해열에 미치는 효능에 관한 실험적 연구,
Lichtenstein LM. The value of immunotherapy with venom in children with allergy to insect stings. N Engl J Med. 1990 Dec 6,
(2001) 자가면역질환의 봉독요법에 대한 pubmed 검색을 통한 고찰,
(2004) 봉약침을 위주로 한 요추추간판탈출증의 돌출형 환자 (protrusion disc patients)에 대한 임상적 고찰,
(2003) 봉독약침이 류마티스 관절염 환자의 관절 통증 종창 및 급성 염증 반응에 미치는 영향,
(2004) 봉독 약침이 구안와사에 미치는 영향에 대한 임상적 고찰,