• 제목/요약/키워드: 급성기

검색결과 721건 처리시간 0.026초

자가 흉추관절가동술이 급성기 뇌졸중 환자의 균형과 보행에 미치는 즉각적 영향 (The Immediate Effect of Thoracic Self-Mobilization on Balance and Gait of Acute Stroke Patients)

  • 박시현;정의용
    • 대한정형도수물리치료학회지
    • /
    • 제25권2호
    • /
    • pp.11-20
    • /
    • 2019
  • Background: The purpose of this study was to investigate the immediate effect of thoracic self mobilization on balance and gait of acute stroke patients. Methods: Patients (n=10) with acute stroke applied to thoracic self mobilization. There are two thoracic self mobilization of both extension and rotation. Each thoracic self mobilization was performed ten times per direction in a total of three sets and the total time required for two thoracic self mobilization was twenty minutes. The break time between sets was one minute. Balance ability was measured using the timed up and go test and the five times sit to stand test for patients. The 10 meter walk test and the functional gait assessment were used for measurement of gait ability for patients. Results: Significant improvements were observed on balance ability (p<.05) and gait ability (p<.05). Conclusion: These results show that thoracic self mobilization is immediate effective on balance and gait ability. Thus, thoracic self mobilization will help recovery of balance and gait ability in acute stroke patients.

급성기 뇌졸중 입원환자 가족 간호제공자의 부담감 영향요인 (Influencing Factors on the Family Caregivers' Burden of Inpatients with Acute Stroke)

  • 임정순;정복례
    • 한국간호교육학회지
    • /
    • 제24권2호
    • /
    • pp.149-159
    • /
    • 2018
  • Purpose: The purpose of this study was to explore the influencing factors on the family caregivers burden who have has inpatients with acute stroke. Methods: Subjects were 126 family caregivers who have has inpatients with acute stroke. Data were collected by questionnaires. The collected data were analyzed by t-test, ANOVA, Scheffe's test, Pearson's coefficients and multiple regression. Results: The Anxiety of family caregivers was identified as a determinant of family caregivers burden who have has inpatients with acute stroke by the multiple regression analysis (${\beta}=.58$, p<.001). Gender and low cognitive function of inpatients were significantly related to family caregivers burden. And knowledge about care (r=-.27, p=.002) was correlated with anxiety significantly. Conclusion: The family caregivers burden is not only an important issue for nursing but also major nursing problem to be addressed nurses. Family caregivers with acute stroke inpatients feel more anxiety than family caregivers with other illnesses. The anxiety of family caregivers is important especially to the family caregivers who have to care acute stroke inpatients to reduce their burden.

치료적 운동이 뇌졸중 환자의 심혈관 부담에 미치는 영향 (The Effect of Therapeutic Exercise on Cardiac Stress in Patients With Stroke)

  • 김원호;이영정;강권영
    • 한국전문물리치료학회지
    • /
    • 제10권4호
    • /
    • pp.69-76
    • /
    • 2003
  • 본 연구는 급성기가 지난 뇌졸중 환자를 위한 치료적 운동 프로그램이 심박동수에 미치는 영향과 부가적으로 뇌졸중 환자의 기능적 상태에 따라 치료적 운동 형태를 알아보기 위해서 시행되었다. 대상자는 뇌졸중이 발생한지 3개월이 지난 23명의 환자이었다. 심박동수의 변화는 대상자가 각자의 치료적 운동을 수행하는 동안 Polar Vantage XL Heart Rate Monitor를 사용하여 측정하였다. 그 결과, 치료적 운동 동안 환자의 기능 수준 및 발병 기간에 따른 심박동수와 치료 형태의 차이는 없었다. 또한 전체 치료 시간 중 목표심박동수에 도달하는 시간은 2.47%에 불과하였다. 이는 치료적 운동이 뇌졸중 환자에게 과도한 심혈관 부담을 주지 않을 뿐만 아니라 유산소 훈련의 효과는 거의 존재하지 않음을 의미한다. 따라서 환자의 상태에 적절하고 유산소 훈련 효과를 고려한 치료적 운동 프로그램의 구성이 필요하다.

  • PDF

녹용 물추출액이 흰쥐 혈액중의 급성기 반응 단백질에 미치는 영향 (Effect of the Water Extract of Pilose Antler of Cervus nippon var. mantchuricus on Acute-Phase Proteins in Rat Blood)

  • 한용남;김경옥;황금희
    • Biomolecules & Therapeutics
    • /
    • 제2권1호
    • /
    • pp.59-64
    • /
    • 1994
  • The water extract of pilose antler of Cervus nippon var. mantchuricus (WEC) was investigated in respect of its effect on ceruloplasmin and $\alpha$$_1$-cysteine protease inhibitor (CPI), which are acute-phase proteins showing increased synthesis following inflammatory stimulus in rat. Ceruloplasmin and CPI were spectrophotometrically determined by the oxidase activity and the inhibitory activity on papain, respectively, and their changes in the concentrations in plasma or serum were examined after oral administration of 0.04% WEC to rats during 7 days following inflammation by subcutaneous injection of turpentine oil or lipopolysaccharide (LPS). WEC suppressed the maximum increases in ceruloplasmin and CPI on the 4th day after injection of turpentine oil, but the suppression in ceruloplasmin was more potent than that in CPI. On inflammation by LPS the suppression of the maximum increase in ceruloplasmin by WEC was found on the 2nd day, but the result was less significant from that obtained by the treatment with turpentine oil. Administration of WEC for at least 4 days was required to suppress the maximum increase in ceruloplasmin due to inflammation by turpentine oil. When WEC was administered to rats after injection of turpentine oil, a high dosage (0.36% of WEC) was requisite for the suppression on the maximum increase in ceruloplasmin.

  • PDF

용담사간탕(龍膽瀉肝湯)을 이용한 대상포진(帶狀疱疹)의 급성기(急性期) 통증(痛症)에 대한 치험(治驗) 1례(例) (A Case Report of Herpes zoster with acute pain by Yongdamsagan-tang(longdanxiegan-tang))

  • 박영준;박주한;허금정;남창규;선중기;구창모
    • 대한한방내과학회지
    • /
    • 제24권1호
    • /
    • pp.151-156
    • /
    • 2003
  • Herpes zoster is a viral disease characterized by unilateral radicular pain and vesicular eruptions that are generally limited to the dermatome innervated by single spinal or cranial sensory ganglion. The disease causes severe pain and in particular, put elderly patients in great risks and further it develops postherpetic nenralgia. Nowadays western medicine use antiviral durg(ex: acyclovir), analgesics, nerve block and etc for treatment of herpes zoster and pain control, but the effect is not much satisfactory. A 73-year-old patient, admitted to our hospital because of severe migrain. Two days later, her illness was diagnosed as herpes zoster so we administrated Yongdamsagan-tang. After the six-day of treatment, all symptoms improved, especially headache was cleared since the four day long administration of Yongdamsagan-tang.

  • PDF

혈전증에 의한 급성 인공판막기능부전의 수술 1례 (Surgical Treatment of Acute Prosthetic Valve Fai lure by Thrombosis -One Case Report-)

  • 이재덕;이서원;이재원;신제균
    • Journal of Chest Surgery
    • /
    • 제29권6호
    • /
    • pp.651-654
    • /
    • 1996
  • 최근에 본원에서 혈전증에 의한 급성 인공판막기능부전 1례를 치험하였기에 보고한다. 환자는39세 남자로서 내원 3일전부터 호흡곤란과 기 좌호흡을 호소하였다. 과거력 상 인공판막대치술 후 의사의 충고에도 불구하고 최근 4개월 동안 항응고제를 복용하지 않았다. 심초음파검사상 인공판막 판엽의 움직임에 제한이 있었다. 우리는 응급으로 혈전제거술과 인공판막 재치환술을 시행하였다. 수술 후 환자는 특별한 합병증없이 추적 관찰중에 있다.

  • PDF

균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향 (The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients)

  • 이남현;이진;이강노
    • 한국전문물리치료학회지
    • /
    • 제17권3호
    • /
    • pp.11-19
    • /
    • 2010
  • The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

蘆회 Dressing을 활용한 급성기 아토피피부염 환자 치험 8례 (Eight Cases of Atopic Dermatitis treated with No-Hoe(蘆?: Aloe vera L.) Extract Dressing)

  • 윤희성;이길영;김윤범
    • 한방안이비인후피부과학회지
    • /
    • 제17권3호
    • /
    • pp.153-166
    • /
    • 2004
  • In addition to antiseptic/antibiotic regimens, current therapies such as topical and systemic corticosteroids, anti-histamine agents, immune suppressing agent are generally used in the western medicine to treat atopic dermatitis(AD). However, there is almost a complete lack of effective strategies to achieve long-term control of disease, oriental medical treatments are proposed an alternative measure. It has been proved by experimental and clinical study that Oriental medical atopic dermatitis(AD) treatments such as herb-medicine, acupuncture and moxibustion therapy, and steam therapy are effective in long-term treatment. Nevertheless, oriental medical therapy has some limitations to treat acute stage of the disease. Recently developed No-Hoe(蘆?: Aloe vera L.) extract dressings will be a supplementary methods to the oriental medical therapy. The dressing can subside pruritus, exudation, erythema and scaling in the acute stage of atopic dermatitis(AD). We applied the No-Hoe(蘆?: Aloe vera L.) extract dressings to eight atopic dermatitis patients and got some good effects. This reports will provide an alternative choice for the oriental and westernal medical therapy for long-term AD treatment.

  • PDF

자세이완치료를 병용한 침구치료가 급성기 족관절 염좌의 치료에 미치는 영향에 대한 임상적 연구 (A Clinical Study on Effectiveness of Acupuncture Treatment of Acute Ankle Sprain Combined with Positional Release Therapy)

  • 정다운;여경찬;윤인애;문성일
    • 척추신경추나의학회지
    • /
    • 제4권1호
    • /
    • pp.19-29
    • /
    • 2009
  • Objectives: The purpose of this study is to evaluate the therapeutic effect of acupuncture treatment of acute ankle sprain combined with positional release therapy. Methods: A prospective randomized single blind study between positional release group and knee flexed supine position group was conducted. Patients with ankle sprain within 48 hours were evaluated by Ankle injury grade chart(AIGC). In group A, positional release therapy was combined with acupuncture, whereas in group B, acupuncture was conducted in knee flexed supine position. The treatment was planned for a duration of 1 week, 3times a week. In AIGC scores, VAS, weight bearing time and weight bearing time in blind were followed up and compared. Results and Conclusion: The VAS score decreased in both group. Weight bearing time increased in group B, weight bearing time in blind increased in group A. Comparing the therapeutic effect of each group, group A had significant effectiveness in weight bearing time in blind. So we may conclude that Acupuncture treatment combined with positional release therapy is effective and recommandable at early stage of ankle sprain.

  • PDF

급성기 족관절 염좌 환자에 대한 치료방법에 따른 효과 비교 연구 - 체침, 봉약침, 황련해독탕 약침액을 통해 - (The Comparison Study between Different Interventions for Treating Acute Ankle Sprain - Using Dry Needle, Bee Venom Acupuncture, Hwangryunhaedoktang Herbal Acupuncture -)

  • 강인;문자영;임명장;조재희;이효은
    • Journal of Acupuncture Research
    • /
    • 제25권5호
    • /
    • pp.89-95
    • /
    • 2008
  • Objectives : This study was aimed at comparing clinical effectiveness among dry needle, Bee Venom Acupuncture, Hwangryunhaedoktang Herbal Acupuncture for treating acute ankle sprain. Methods : The subjects in this study were sixty patients with lateral ankle pain who came to Jaseng Hospital of Oriental medicine from Oct. 28. 2007 to Jul. 14. 2008. Among them, the number of patients after 3 session of each treatment was 17 with dry needle, 18 with Bee Venom Acupuncture, 17 with Hwangryunhaedoktang Herbal Acupuncture, and they were evaluated with Numerical Rating Scale(NRS), and Ankle-Hindfoot Scale(AHS) before and after every session of treatment. Results : 1. Each group had significant decrease in NRS(P<0.05) and increase in AHS score(P>0.05) after 3 session of each treatment. 2. There was no significant difference among 3 groups after 3 session of each treatment. Conclusions : When treating patients with acute ankle pain, Acupuncture, Bee Venom Acupuncture, Hwangryunhaedoktang Herbal Acupuncture each has clinical effect.

  • PDF