• Title/Summary/Keyword: 뇌졸중 후

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Multi-player Contents for Upper Limb Rehabilitation based on VR (VR 기반의 상지 재활 훈련용 멀티플레이 콘텐츠)

  • Shin, Sung-Wook;Lee, Hyeok-Min;Moon, Ho-Sang;Chung, Sung-Taek
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.3
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    • pp.115-120
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    • 2019
  • Hemiplegic patients who suffered from a stroke struggle with a deterioration in upper limb functions, which can both be psychologically and physically discomforting; this can also limit patients' daily tasks involving any upper limb motions. In this study, we developed an assistive device for hemiplegic patients to improve their upper limb functions. It was manufactured to train patients by using their grip strength and the range of motion of the arm. Furthermore, we produced game contents in virtual reality to induce users' immersion and interaction. It was configured as a multi-player game to help ease the mental burden of receiving the training alone, hence allowing the patient and the caregiver to join the rehabilitation training simultaneously. The assistive device and game contents developed in this study enables patients and caregivers to easily check the degree of improvements in upper limb function by viewing quantitative analysis and visualized results.

Case Report on Headache (Suspected CPSP) Treated with Korean Medicine in a Hospitalized Patient with a History of Cerebral Infarction (두통(중추성뇌졸중후통증 의증)을 호소하는 뇌경색 과거력이 있는 한방병원 입원 환자에 대한 한방 치료 1례)

  • Park, Jin-hun;Kong, Geon-sik;Song, Jin-young;Kim, So-won;Wang, Yen-min;Kim, Sang-yoon;Kang, Man-ho;Park, Sung-hwan;Eom, Guk-hyeon;Lee, Hyung-chul;Lee, Jee-young
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.893-903
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    • 2021
  • Objectives: This study investigated the efficacy of Korean medical treatment for a headache (suspected CPSP) patient with a history of cerebral infarction. Methods: We treated the patient using Korean medical treatments (herbal medicines-Kamiseokyong-tang, acupuncture, pharmacopuncture, and chuna). The treatments were measured using the Numerical Rating Scale (NRS) and the Neck Disability Index (NDI) for headache and post neck pain. General health status was evaluated using the European Quality of Life Five Dimensions (EQ-5d) Scale. Results: We observed improvements in the NRS, NDI, and EQ-5d scores after the treatments. Conclusions: This study suggests that Korean medicine may effectively treat headaches (suspected CPSP) with accompanying cerebral infarction.

A case study of bilateral superior altitudinal hemianopia in a stroke patient treated with Korean Medicine (뇌졸중 후 양안의 동측 상방 수평반맹을 호소하는 환자 한의 치험 1례)

  • Choi, Jeong-Woo;Kim, Seo-Young;Kim, Ha-Ri;Shin, Hee-Yeon;Yang, Seung-Bo;Cho, Seung-Yeon;Park, Seong-Uk;Ko, Chang-Nam;Park, Jung-Mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.20 no.1
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    • pp.43-52
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    • 2019
  • ■ Objectives The purpose is to report the case of Korean medicine in the treatment of bilateral superior altitudinal hemianopia after a stroke. ■ Methods The patient was treated with acupuncture, electroacupuncture, bee venom, and herbal medicine. The visual field defect was assessed using humphrey visual field analyzer and confrontation visual field test. ■ Results After treatment, humphrey visual field analyzer and confrontation visual field test showed improvement in field of vision ■ Conclusion This study suggested that Korean medical treatment could be an effective option for treating visual field defect after stroke.

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Correlationship Analysis of between Blood Pressure Change and Face Color by Physical Exercise (운동량에 따른 혈압 변화와 얼굴색과의 상관성 분석)

  • Seo, Kyoung-Won;Bae, Jung-Su;Kang, Deok-Hyun;Jang, Yong-Jo;Yean, Yong-Hem;Lim, Soon-Yong;Min, Ji-Seon;Kim, Bong-Hyun;Ka, Min-Kyoung;Cho, Dong-Uk
    • Proceedings of the Korea Information Processing Society Conference
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    • 2010.11a
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    • pp.728-731
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    • 2010
  • 현대 사회에서 운동 부족의 원인은 바로 빠른 삶을 추구하는 우리나라 사람들의 성향에 있다고 볼 수 있다. 이런 현대사회에서 빠른 삶을 추구할수록 사람들은 단기간에 많은 효과를 보려고 무리한 운동을 한다. 갑작스러운 운동은 우리 몸에 이로운 것이 아니라 스트레스를 쌓이게 하고 이렇게 쌓인 스트레스는 고혈압, 심근경색, 뇌졸중 등 심혈관계 질환에 영향을 미치는 중요한 위험요인이다. 혈압은 정서적 긴장이나 주위 환경 및 활동에 따라서 변동하기 때문에 갑작스런 운동은 혈압에 좋지 않은 영향을 줄 수 있다. 이에 본 논문에서는 갑작스런 운동량에 따른 혈압 변화와 얼굴색과의 상관성을 알아보기 위해 운동량에 따른 혈압 변화와 얼굴 영역 추출 후 얼굴영역에 나타나는 색상 변화를 Lab 값 중 a값의 변화를 비교, 분석하였다.

A Case Report of Central Post-stroke Pain Improved by Gami SSanghwa-tang (가미쌍화탕으로 호전된 뇌졸중 후 중추성 통증 환자 치험 1례)

  • Shin, Hee-Yeon;Lee, Sang-Hwa;Lee, Hyoung-Min;Yang, Seung-Bo;Cho, Seung-Yeon;Park, Seong-Uk;Ko, Chang-Nam;Park, Jung-Mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.18 no.1
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    • pp.77-86
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    • 2017
  • ■ Objectives The purpose of this case study is to report the effect of Gami SSanghwa-tang on a patient with central post-stroke pain. ■ Methods The patient was treated with herbal medicine Gami SSanghwa-tang, acupuncture, pharmaco-acupuncture, and moxibustion. The treatment effect was evaluated by Numerical Rating Scale(NRS), Neuropathic Pain Symptom Inventory(NPSI), and 36-item Short-form Health Survey(SF-36). ■ Results After the treatment, the NRS score of pain intensity was reduced from moderate to mild degree. The total NPSI score and subscores also decreased, as the various features of the pain were relieved. The SF-36 score increased, as the patient's quality of life improved. ■ Conclusion This case study suggests that Gami SSanghwa-tang, could be effective in reducing pain and improving quality of life of patients suffering from central post-stroke pain.

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A case study of a Patient with Poststroke Urinary retention treated with Traditional Korean Medicine (뇌졸중 후 요저류 환자 치험 1례)

  • Kim, Se-won;Kim, Gyung-muk;Jung, Min-ho;Cho, Ki-ho;Moon, Sang-kwan;Kwon, Seung-won;Jin, Chul;Jung, Woo-sang
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.19 no.1
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    • pp.1-8
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    • 2018
  • ■ Objectives The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM) on a patient with poststroke urinary retention ■ Methods A stroke patient with urinary retention was treated with herbal medication(Paljungsan), acupuncture, electro-acupuncture and moxibustion. To evaluate the effect of TKM on post-stroke urinary retention, we observed voiding pattern and residual urine after voiding. ■ Results Maintenance of regular self voiding and decrease of residual urine after voiding were observed after the TKM treatment. ■ Conclusion This study showed the effect of TKM treatment on Urinary retention of stroke patient.

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A Case Report of Central Post-Stroke Pain Patient Treated by Moxibustion Therapy (뇌졸중 후 중추성 통증으로 인한 좌반신비증 치험 1례)

  • Lee, Mirim;Lee, Yuri;Minl, Kyungdong;Cho, Ki-ho;Mun, Sang-Kwan;Jung, Woo-sang
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.16 no.1
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    • pp.35-40
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    • 2015
  • ■ Objectives The purpose of this clinical study is to evaluate the effect of moxibustion on a patient with left side paresthesia induced by central post-stroke pain. ■ Methods A patient with left side paresthesia diagnosed with central post-stroke pain was treated with moxibustion, herbal medication, acupuncture, electro-acupuncture(EA). Then we evaluated the improvement by Mcgill pain score and Questionnaire of BiJeung. ■ Results Decrease of Mcgill pain score, Questionnaire of BiJeung were observed after the moxibustion treatment. ■ Conclusion This study proved the effect of moxibustion treatment on left side paresthesia due to central post-stroke pain.

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A Case of Cerebral Infarction Patient Complaining Post-Stroke Aggression Accompanying Anxiety Treated with Combined Korean Medical Treatment (뇌졸중 후 불안을 동반한 공격성을 호소하는 뇌경색 환자에 대한 복합 한의치험 1례)

  • Dabin Lee;Seon-Uk Jeon;Geun Young Kim;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon;Han-Kyul Lee
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.67-76
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    • 2023
  • Post-stroke aggression refers to aggressive behaviors and languages which are occurred after stroke. In stroke patients, over 15% suffer from the anger and the symptom lowers the quality of life of the patients, family, and caregivers. After diagnosing post-stroke aggression, selective serotonin re-uptake inhibitor(SSRI) and beta-blocker, beta adrenergic agonist treatment usually underwent to treat the anger and anxiety of the patient. In the present case, a 81-year-old female patient with post-stroke aggression underwent Korean medical treatment by Jodeungsan and Ukgansan for 49 days. The effect of the treatment was assessed with State-Trait Anger Expression Inventory(STAXI) per a week, roaming time per a week and roaming frequency per a week. After the treatment, STAXI score, roaming time, and roaming frequecy decreased, and the patient could successfully cease to take beta-blocker, which she started to take for treating her aggression, without any side-effects. This case report suggests that Ukgansan might be an effective option with post-stroke aggression patients taking medication including beta-blocker.

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A Case Report of Post-Stroke Delirium Patient Using Complex Korean Medicine Treatment Including Scalp Electroacupuncture (뇌졸중 후 섬망의 두부 침전기자극술을 포함한 한의복합치료에 대한 증례 보고 1례)

  • Jong-Min Kim;Hyonjun Chun;Ju Yeon Cho;Seung Woo Song;Ga Hyun Lee;Se Jin Park
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.433-444
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    • 2023
  • Objectives: This case study aimed to provide evidence of the combined use of Korean Medicine treatments, including electroacupuncture (EA) on scalp acupoints, as a useful intervention for post-stroke delirium. Methods: The patient in this study was diagnosed with Cerebral Infarction in Right Corpus Callosum and post-stroke delirium. The patient received eight sessions of EA on scalp acupoints, rehabilitation medicine treatment, and other Korean Medicine treatments such as acupuncture and herbal medicine. Evaluation of treatment effectiveness was done mainly through the Memorial Delirium Assessment Scale Korean (MDAS-K) and Mini-Mental State Examination Korean (MMSE-K). Results: MDAS-K score dropped from 20 to 9 and MMSE-K score increased from 15 to 21 during hospitalization, showing improvement in symptoms. Conclusions: Combined use of Korean medicine treatments including EA on scalp acupoints may be an effective treatment for post-stroke delirium.

The Effect of Gammaekdaejo-tang for Post-stroke Depression: A Systemic Review and Meta-Analysis (뇌졸중 후 우울증에 대한 감맥대조탕(甘麥大棗湯)의 효과 : 체계적 문헌 고찰 및 메타 분석)

  • Ye-seul Kim;Yeong-seo Lee;Young-kyun Kim;Kyoung-min Kim
    • The Journal of Internal Korean Medicine
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    • v.45 no.3
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    • pp.396-414
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    • 2024
  • Objective: This study assessed the effectiveness of Gammaekdaejo-tang for post-stroke depression through a systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: A search was conducted using keywords such as "Post-stroke Depression", "PSD", "Gammaekdaejo", and "Ganmai-dazao" on April 30, 2024. A meta-analysis was conducted according to outcome measurements, such as total effective rate (TER), HDRS (Hamilton Depression Rating Scale), and NIHSS (National Institute of Health Stroke Scale), using the Review Manager website. Results: A total of 10 RCTs was selected. The treatment group ((Gammaekdaejo-tang) or (Gammaekdaejo-tang combined with other ingredients or decoction)+Western medicine) showed significant improvement effects in terms of TER, HDRS, and NIHSS compared to the control group (Western medicine). [TER] RR: 1.19, 95% CI: 1.11 to 1.27, P<0.00001, RR: 1.24, 95% CI: 1.11 to 1.38, P<0.00001; [HDRS] MD: -2.29, 95% CI: -2.58 to -2.00, P<0.00001), MD: -3.28, 95% CI: -4.21 to -2.35, P<0.00001) [NIHSS] MD: -7.70, 95% CI: -8.52 to -6.89, P<0.00001. Conclusion: This study suggests that Gammaekdaejo-tang is effective in treating PSD. However, there are limitations, such as the small number of included studies, inability to clearly determine the effect of Gammaekdaejo-tang, inability to use various evaluation tools, and risk of bias. This research must be supplemented through systematic research design and implementation.