Browse > Article
http://dx.doi.org/10.22246/jikm.2016.37.4.645

Comparison of the Functional Recovery of Stroke Patients Treated with Eastern-Western Integrative Medical Care and Western Single Rehabilitation Therapy  

Kim, Min-su (Dept. of Rehabilitation Medicine, School of Medicine, Won-Kwang University)
Yun, Jong-min (Dept. of Internal Medicine, College of Korean Medicine, Won-Kwang University)
Publication Information
The Journal of Internal Korean Medicine / v.37, no.4, 2016 , pp. 645-652 More about this Journal
Abstract
Objectives: To compare the effects of Eastern-Western integrative medical care (EWIM) and Western single rehabilitation therapy (WSRT) on the functional recovery of stroke patients.Methods: Seventy-six stroke patients were recruited retrospectively. The participants were divided into two groups: EWIM and WSRT. Data on age, sex, stroke-related risk factors, stroke type, neurological deficits according to the National Institutes of Health Stroke Scale (NIHSS), elapsed time to the initiation of rehabilitation, duration from the onset to follow up, initial functional status, and function after therapy for 3 mon were obtained from a review of the patients’ medical records. Between-group differences in functional outcomes were analyzed before and after treatment using the functional ambulation category (FAC), Fugl-Meyer assessment (FMA), modified Barthel Index-Korean version (K-MBI), and Euro-Quality of Life-5 Dimension (EQ-5D).Results: At 3-mon poststroke, all the functional outcome measures had improved in both groups (P<0.05). However, the improvements were greater in the EWIM group, and the improvement was statistically significant in the K-MBI (P=0.048) and EQ-5D (P=0.042).Conclusions: With respect to activities of daily living and health-related quality of life, EWIM is a more effective stroke therapy than WSRT.
Keywords
stroke; East Asian traditional medicine; integrative medicine; recovery of function;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Harrison RA, Field TS. Post stroke pain: identification, assessment, and therapy. Cerebrovasc Dis 2015;39(3-4):190-201.   DOI
2 Robinson RG, Jorge RE. Post-stroke depression: a review. Am J Psychiatry 2016;173(3):221-31.   DOI
3 Wilson RD, Chae J. Hemiplegic shoulder pain. Phys Med Rehabil Clin N Am 2015;26(4):641-55.   DOI
4 Fang J, Chen L, Ma R, Keeler CL, Shen L, Bao Y, et al. Comprehensive rehabilitation with integrative medicine for subacute stroke: a multicenter randomized controlled trial. Sci Rep 2016;6:25850.   DOI
5 Hong KS, Bang OY, Kang DW, Yu KH, Bae HJ, Lee JS, et al. Stroke statistics in Korea: epidemiology and risk factors. J Stroke 2013; 15:2-20.   DOI
6 Crichton SL, Bray BD, McKevitt C, Rudd AG, Wolfe CD. Patient outcomes up to 15 years after stroke: survival, disability, quality of life, cognition and mental health. J Neurol Neurosurg Psychiatry 2016;87(10):1091-8.   DOI
7 De Wit L, Putman K, Schuback B, Komarek A, Angst F, Baert I, et al. Motor and functional recovery after stroke: a comparison of 4 European rehabilitation centers. Stroke 2007;38(7):2101-7.   DOI
8 Woo YJ, Jeong SY, Park BJ. Current status of spontaneous adverse reactions reporting system on herbal medicine in China, Japan, Korea and WHO. J Int Korean Med 2014;35(2):111-8.
9 Koo JG, Rho HI, Hong SM, Kang IS, Lee YH, Han DW. Workers' attitudes about a system of collaborative hospital practice between western and traditional Korean medicine. Journal of Society of Preventive Korean Medicine 2009;13(2):129-46.
10 Park SU, Cho SY, Park JM, Ko CN, Park HJ, Lauren Walls B, et al. Integrative treatment modalities for stoke victims in Korea. Complement Ther Clin Pract 2014;20(1):37-41.   DOI
11 Lu WS, Huang SL, Yang JF, Chen MH, Hsieh CL, Chou CY. Convergent validity and responsiveness of the EQ-5D utility weights for stroke survivors. J Rehabil Med 2016;48(4):346-51.   DOI
12 Heo KH, Hwang YH, Cho HW, Lee I, Hong JW, Shin YI, et al. An analysis of the effectiveness of stroke between east-west integrative medicine hospital and western medicine hospital by the data of brain rehabilitation registry. Journal of Korean Medicine Rehabilitation 2013;23(3):117-24.
13 Mehrholz J, Wagner K, Rutte K, Meissner D, Pohl M. Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke. Arch Phys Med Rehabil 2007;88(10):1314-9.   DOI
14 Sullivan KJ, Tilson JK, Cen SY, Rose DK, Hershberg J, Correa A, et al. Fugl-Meyer assessment of sensorimotor function after stroke: standardized training procedure for clinical practice and clinical trials. Stroke 2011;42(2):427-32.   DOI
15 Ryu GC, Lee HW, Oh SJ, Park CJ. International competitiveness and tasks of Korean traditional medicine from the perspective of international comparison of curricula and research. Health and Social Welfare Review 2005;25(2):107-46.
16 Kim DH, Lee KH. Utilizing patterns and attitude on collaborating care of Korean traditional medicine and western medicine among cerebral apoplexy patients. Korean J Hosp Manag 2004; 9(2):76-101.
17 Clarke DJ, Forster A. Improving post-stroke recovery: the role of the multidisciplinary health care team. J Multidiscip Healthc 2015;8:433-42.
18 Yang A, Wu HM, Tang JL, Xu L, Yang M, Liu GJ. Acupuncture for stroke rehabilitation. Cochrane Database Syst Rev 2016;8:Cd004131.
19 Watson JC, Sandroni P. Central neuropathic pain syndromes. Mayo Clin Proc 2016;91(3) :372-85.   DOI