Review of Research Topics on Abdominal Examination

Jihye Kim; Jeong Hwan Park; Keun Ho Kim; Kim, Jihye; Park, Jeong Hwan; Kim, Keun Ho

doi:10.13048/jkm.16030

JKM > Volume 37(3); 2016 > Article

Kim, Park, and Kim: Review of Research Topics on Abdominal Examination

Original Article

The Journal of Korean Medicine 2016; 37(3): 1-12.

Published online: September 30, 2016

DOI: https://doi.org/10.13048/jkm.16030

Review of Research Topics on Abdominal Examination

Jihye Kim, Jeong Hwan Park, Keun Ho Kim

KM fundamental research division Group, Korea Institute of Oriental Medicine

Correspondence to: 김근호 (Keun Ho Kim), 대전광역시 유성구 유성대로 1672 한국한의학연구원, Tel: +82-2-42-868-9365, Fax: +82-2-42-868-9480, E-mail: rkim70@kiom.re.kr

Received May 04, 2016 Revised September 07, 2016 Accepted September 07, 2016

Abstract

Objectives

The abdominal examination is a diagnosis method for determining a morbid condition of the chest and abdomen by touching and pressing. This study reviewed research trends concerning the abdominal examination and suggested of future research directions for quantification of abdominal examination.

Methods

A systematic literature search was carried out for relevant articles published between 2000 and 2016 in five databases such as Korean studies Information Service System(KISS), Oriental Medicine Advanced Searching Integrated System(OASIS), DataBase Periodical Information Academic (DBpia), National Digital Science Library and PubMed based on the Keywords ‘abdominal examination’.

Results

128 articles were collected for analysis. Overview on the abdominal examination based on selected 17 articles. Then selected articles have been reclassified by diseases of clinical research and parameters for diagnosis of abdominal examination.

Conclusions

Taken together, instrument for quantitative evaluation of abdomen characteristic fit to the traditional Korean Medicine have not yet developed. It is suggested that in order to dominate the market about abdominal examination in advance, more concern should be paid to establishing appropriate development of quantitative criteria and instrument. This review will help researcher to systematically understand and to develop Korean medical device as globally competitive device.

Keywords: Abdominal examination, abdomen, quantification, review

Table 1

First-run Rough-search Results with Keywords ‘abdominal Examination’

Database	No. of studies
Korean studies Information Service System (KISS)	187
Oriental medicine Advanced Searching Integrated System (OASIS)	185
DataBase Periodical Information Academic (DBpia)	197
National Digital Science Library (NDSL)	36
PubMed	95
Total	702

Table 2

Number of Selected Articles Categorized by Diseases.

Disease	No. of studies (%)
Functional dyspepsia	7 (41.18)
Chronic low back pain	1 (5.88)
Leukorrhea	1 (5.88)
Dam Hun (痰暈)	1 (5.88)
Male infertility	1 (5.88)
Liver Qi stagnation	1 (5.88)
Dysmenorrhea	1 (5.88)
Irritable bowel syndrome	2 (11.76)
Burning mouth syndrome	1 (5.88)
Healthy subject	1 (5.88)
Total	17

Table 3

Selected Diagnosis Parameters.

Diagnosis parameter	Diagnostic technique
Tension of abdominal muscles	Analysis of abdomen biosignal (EMG, etc.)
Cold-heat (寒熱) of abdominal skin	Abdomen temperature and color
Form and color of abdomen	Shape analysis using abdomen image
Rate and location of abdominal pain	Measurement of abdomen pain

Table 4

Number of Selected Articles Categorized by Research Field.

Diagnosis parameter	No. of studies
Tension of abdominal muscles	4
Cold-heat (寒熱) of abdominal skin	6
Form and color of abdomen	2
Rate and location of abdominal pain	5
Total	17

Table 5

Summary of research results.

Category	Author^ref)(Year)	Subjects (patient/control)	Disease	Device	Primary outcome
Tension of abdominal muscles	Hong8) (2008)	182/-	FD	ES-120, EnteroTach Bowel Sound Analysis Software	Bowel Sound
	Jung9)(2008)	11/10	Chronic low back pain	LXM3208-RF	EMG result
	Kim10)(2012)	39/-	FD	GastroTrac^™, SA-6000
	Ryu11)(2004)	93/10	FD	EGG (UK)	EGG result
Cold-heat (寒熱) of abdominal skin	Ahn12)(2012)	42/42	Leukorrhea	T-1000	AT
	Jeong13)(2008)	22/22	FD	DTI-16UTI	AT
	Song14)(2006)	63/34	Dam Hun	IRIS5000	AT
	Wee15)(2005)	30/-	Male infertility	DITI-16UTI	AT
	Choi16)(2002)	76/12	Liver Qi stagnation	DITI (UK)	AT
	Kim17)(2001)	50/50	Dysmenorrhea	DITI 256	AT
Form and color of abdomen	Son18)(2014)	60/-	FD	Plastic tapeline (UK)	Sterno-costal angle
Form and color of abdomen	Ahn19)(2013)	-/48	Healthy subject	Plastic tapeline (UK)	Truncus length
Abdominal pain	Ko20)(2016)	43/-	FD	Wagner FPK20®	PPT
	Ko21)(2016)	21/12	FD	Wagner FPK20®	PPT
	Ko7)(2012)	40/-	IBS	Algometer (UK)	PPT
	Kang22)(2012)	30/-	Burning mouth syndrome	Algometer (UK)	PPT
	Ko23)(2011)	28/-	IBS	Algometer (UK)	PPT

FD: Functional dyspepsia; IBS: Irritable bowel syndrome; EMG: Electromyography; EGG: Electrogastrography; AT: Abdomen temperature; PPT: Pressure pain threshold; UK: Product name unknown.

참고문헌

1. Kim, JH, Park, SJ, Son, HC, & Lee, KN. Historical study of abdominal examination. The Korean academy of medical gigong, (2002). 6(1), 111-127.

2. Lee, JH, Kim, JK, & Yoon, CY. The Study on the Historical Expansion Process And the Method of the Abdominal Diagnostics. The Journal Of The Korea Institute Of Oriental Medical Diagnostics, (2000). 4(1), 69-82.

3. Seo, SH, Yim, HJ, Jung, IC, & Lee, SR. The clinical study on 1 case of Patient with Tremor by Bok-Jin. Daejeon university journal of the institute of oriental medicine, (2007). 16(1), 69-79.

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5. Lee HJ. A development of the quantitative indicator of abdominal examination for clinical application: pilot study[master degree dissertation]. Seoul: Kyung Hee Univ;2013.

6. World Health Organization. WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region. World Health Organization;(2007). 356.

7. Ko, SJ, Kim, JS, Ryu, BH, Han, GJ, Kim, SK, & Park, JW. Clinical Study on association between abdominal symptoms and pressure pain threshold in the treatment for irritable bowel syndrome with diarrhea -In the view of quantification of the oriental abdominal diagnostics. Korean Journal Orient Int Med, (2012). fall(0), 93-102.

8. Hong, IA, & Yoon, SH. A Study of Gastrointestinal Parasympathetic Nerve Activity and Pyloric Valve Function, and Clinical Characteristerics in Patients with Functional Dyspepsia - Analysis of Bowel Sound. Korean Journal Orient Int Med, (2008). 29(3), 666-674.

9. Jung, JY, Lee, JH, Nam, KB, & Kin, SS. Meridian Electromyograph Analysis on Features of Abdominal Muscles in Chronic Low Back Pain Patients. J Oriental Rehab Med, (2008). 18(4), 203-215.

10. Kim, SY, Han, CW, Park, SH, Kwon, JN, Lee, I, & Hong, JW, et al. Correlation Study between Electrogastrography and Heart Rate Variability in Dyspeptic Patients. Korean J Oriental Physiology & Pathology, (2012). 26(4), 532-539.

11. Ryu, JM, Yoon, SH, Lim, JH, Han, SY, Jang, SY, & Kim, HK, et al. The Usefulness of Electrogastrography on the Differential Diagnosis of Deficiency or Excess Condition in Patients with Functional Dyspepsia. Korean Journal Orient Int Med, (2004). 25(4), 346-355.

12. Ahn, JY, Choi, SK, Hwang, DS, Lee, JM, Jang, JB, & Lee, KS, et al. A Retrospective Cross-sectional Study on Leukorrhea in Relation with Lower Abdomen Temperature and Physical Symptoms. J Korean Obstet Gynecol, (2013). 26(3), 93-102.

13. Jeong, SH, Im, IH, Um, EJ, Lee, BJ, & Na, BJ. Investigation on evaluation of functional dyspepsia by using Digital Infrared Thermal Images. J of Oriental Medical Thermology, (2008). 6(1), 56-62.

14. Song, KK, Park, MY, Choi, HY, & Kim, JD. Clinical Evaluation and The Diagnositic Significances of Disital Infrared Thermal Image(D.I.T.I.) on the Patients of Dam Hun(痰暈). Korean J Oriental Physiology & Pathology, (2006). 20(2), 488-493.

15. Wee, HS, Lee, CH, Cho, JH, Jang, JB, & Lee, KS. A Study on Abdominal Temperature of Male Infertility Patients. J of Oriental Medical Thermology, (2005). 4(1), 23-28.

16. Choi, JE, Kim, RS, Cho, JH, Jang, JB, & Lee, KS. DITI of the Abdomen on Liver Qi Stagnation Patients. J of Oriental Medical Thermology, (2002). 1(1), 20-27.

17. Kim, HW, Kim, YS, & Lee, KS. DITI of the Abdomen on twenties’ Dysmenorrhea Patients. J of Oriental Medical Thermology, (2001). 14(1), 311-318.

18. Son, JY, & Kim, JS. Diagnostic Values of Tongue Coating Thickness and Sterno-costal Angle in Functional Dyspepsia. Korean Journal Orient Int Med, (2014). 35(2), 157-174.

19. Ahn, JS, Park, SK, & Yu, JS. Relationship between Sasang Constitution and Length of Chest and Abdominal Region. Korean Journal of Acupuncture, (2013). 30(2), 131-134.

20. Ko, SJ, Kim, H, Kim, SK, Park, K, Lee, J, & Lee, BJ, et al. Reliability and Validity of Modified Algometer in Abdominal Examination. Evid Based Complement Alternat Med, (2016). 2016, 3052954. 10.1155/2016/3052954

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22. Kang, K, Kim, JS, Seon, JK, Son, JH, Kim, JY, & Jang, SW, et al. Correlation between Qi-Stagnation and Pressure Pain Threshold on CV17 (Danzhong : 膻中) in Burning Mouth Syndrome Patients - In the Perspective of Quantification of Pressure Pain Threshold on CV17 by using Algometer. Korean Journal Orient Int Med, (2012). 33(4), 498-510.

23. Ko, SJ, Kim, JS, Ryu, BH, & Park, JW. Clinical Study on application of algometer to irritable bowel syndrome -In the view of quantification of the oriental abdominal diagnostics. Korean Journal Orient Int Med, (2011). 10(fall), 173-181.

24. Joh, KH, Toshiaki, K, Katsutoshi, T, Moon, SK, Ko, CN, & Kim, YS, et al. An Introduction Of Abdominal Palpation Signs In Japanese Oriental Medicine. Korean Journal Orient Int Med, (1997). 18(1), 86-96.