• The Journal of Korean Physical Therapy
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• 제22권3호
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• pp.31-35
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• 2010

Purpose: The aim of this study was to use fMRI and clinical prognosis criteria to evaluate therapeutic interventions in stroke patients with corona radiata infarct and acquire fundamental information about recovery mechanisms. Methods: Four subjects (2 men, 2 women) who had strokes with corona radiata infarct were recruited. For all subjects, motor functions such as motricity index (MI), modified brunnstrom classification (MBC), functional ambulatory category (FAC), and bathel index (BI) were evaluated. Evaluations were done at least 4 times over a period of approximately 6~7 months from stroke onset. We compared the final evaluation with the first. Results: All patients with corona radiata infarct showed improvement in motor outcomes with the passing of time. The strength of all patients improved from zero or trace levels to normal or good levels in the MI (Motricity Index) test. Other motor outcomes including the modified brunnstrom classification (MBC), the functional ambulatory category (FAC), and the bathel index (BI) also improved with the passing of time. Conclusion: Stroke patients with corona radiata infarcts change for the better over time. Therefore, one can introduce clinical interventions by the aspect of progress in functional motor recovery.

• 척추신경추나의학회지
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• 제3권1호
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• pp.19-28
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• 2008

Objectives : The object of this study is to report a clinical effect of oriental medical treatments with chuna for foot drop caused by herniated intervertbral lumbar disc. Methods : The patient was diagnosed as lumbar bulging disc, and was treated by lumbar traction technique with other conservative treatments including acupunture herbal mixture. And we measured Visual Analog Score(VAS), Modified Bathel Index(MBI), Nurick's Classification, Range of movement of ankle joint. Results : After treatments, Visual Analog Score, Modified Bathel Index, Nurick's Classification, Range of movement of ankle joint were improved in case. Conclusion : Oriental medical treatments with Chuna manual therapy were associated with improvement of foot drop by herniated intervertbral lumbar disc.

• 대한한방내과학회지
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• 제40권5호
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• pp.999-1006
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• 2019

Objectives: The purpose of this study was to report the improvement of symptoms by Korean medicine in acute hemorrhagic infarction. Method: The patient was diagnosed with a cerebral infarction of the right temporal lobe accompanied by cerebral hemorrhage of the left basal ganglia. He did not receive intravenous thrombolytic treatment. Sunghyangjungi-san-gamibang was initially administered, and Gami-daebo-tang was administered during the recovery phase, together with Uhwangchungsim-won, Simjeok-hwan, and acupuncture. The prognostic observation was conducted using the manual muscle test (MMT), the Korean version of the modified Bathel index (K-MBI), and subjective assessment. Results: After Korean medicine treatment, the K-MBI score was improved from 52 to 93. The MMT score and subjective assessment also showed improvement. Conclusions: For patients who cannot be treated with intravenous thrombolytic treatment, Korean medicine treatment is effective during the early and recovery stages of stroke.

• 한국산학기술학회논문지
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• 제12권11호
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• pp.5087-5093
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• 2011

본 연구는 30명의 치매환자를 대상으로 균형반응 특성을 알아보고자 다음과 같이 실시하였다. 인지기능이 중등도와 중도인 환자로 나누어 인지 기능에 따른 균형과 감각상호작용(CTSIB), 균형수행력(BBS), 일상생활동작(BI)의 상관관계를 각각 측정하였다. 그 결과 치매환자의 균형과 감각상호작용(CTSIB)은 두 그룹 간에 유의한 차이가 없었다. 중등도와 중도의 치매환자에서 균형수행력(BBS)은 중등도 $47.32{\pm}4.80$점, 중도 $43.09{\pm}4.18$점으로 통계학적으로 유의한 차이가 있었으며(p<0.05), 일상생활동작에서도 중등도 $92.89{\pm}9.33$점, 중도 $76.82{\pm}6.81$점으로 통계학적으로 유의한 차이가 있었다(p<0.05). 치매환자의 인지기능, 균형수행력, 일상생활동작도 통계학적으로 유의한 상관관계가 있었다(p<0.05, p<0.01). 따라서 향후 치매환자를 위한 재활프로그램 개발이나 치매환자의 보호관리 시 기초자료로 이용 될 수 있을 것으로 생각된다.

• 대한한방소아과학회지
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• 제19권1호
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• pp.25-33
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• 2005

Objectives : This study is to investigate the effects of oriental medical treatment of traumatic brain injury. Methods : We treated the patient with Herb medicine, acupuncture, moxa, fumigation, rubdown and negative and occupational therapy. And we evaluated the case with Modified Bathel Index, Activity Index, Jebsen Test. Results : There is improvement in his symptom (manual muscle power, finger apraxia, memory loss, dysarthria, urinary frequency), after oriental medical treatment. Conclusions : We report the good result of oriental medical treatment on this case. The more clinical study of oriental medical treatment for traumatic brain injury is needed.

• The Journal of Korean Physical Therapy
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• 제21권4호
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• pp.111-115
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• 2009

Purpose: The aim of this study was to present fundamental information regarding clinical prognosis and clinical criteria for therapeutic intervention in stroke patients with focal pons infarction. Methods: Four stroke patients (male: 2, female: 2) who were diagnosed with pons infarction were recruited. All subjects had motor functions evaluated using methods such as the Motricity Index (MI), the Modified Brunnstrom Classification (MBC), Functional Ambulatory Category (FAC), and the Bathel Index (BI). Evaluations were done at least 4 times over a period that was approximately 8~11 months from stroke onset. We compared the final evaluation with the first evaluation. Results: All patients with focal pons infarction showed improvement with time in motor function. The physical strength of all patients was improved to normal or good grades from zero or trace grades in the Motricity Index test. Also, other motor functions such as ambulatory capacity and activities of daily living (ADL) improved with time. Conclusion: Aspects of functional recovery and clinical prognosis are clearly predictable for specific patients with focal pons infarction. In addition, adequate therapeutic interventions can be provided clinical criterion to patients, according to aspect of functional recovery. Accordingly, patients with pons infarction change for the better over time.

• 재활치료과학
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• 제4권2호
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• pp.7-15
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• 2015

목적 : 본 연구의 목적은 운동 프로그램이 치매환자의 일상생활활동에 미치는 효과를 살펴본 연구에 대해서 분석하는 것이다. 연구방법 : 2007년부터 2014년까지 국외학술지에 게재된 논문을 Pubmed를 통해 검색하였다. 주요 검색용어로는 'dementia',' alzheimer disease', 'exercise program', 'physical activity', 'activity of daily living', 'ADL'을 사용하였다. 최초 검색된 논문은 215편 이었으나 프로토콜을 거쳐 5편의 연구가 선정 되었다. 결과 : 선정된 논문의 Pedro score는 평균 7점으로 높은 편이었으며, 일상생활측정도구로 Katz index of ADLs, Bathel ADL index, IADL이 사용되었다. 연구들의 결과로는 실험군에서의 독립적인 일상생활수행능력의 유의미한 향상이 나타났고 시간이 지남에 따라 독립적인 일상생활활동수행능력이 저하되는 것을 늦추었다. 결론 : 본 연구는 치매환자를 대상으로 한 운동프로그램의 임상적 적용에 대한 근거를 제시하였으며, 연구결과 독립적인 일상생활활동을 수행하는데 효과적인 것으로 나타났다. 이와 같은 결과는 향후 임상가들이 치매환자의 독립적인 일상생활수행능력을 향상키기 위한 운동프로그램의 기초자료를 제시하고, 효과적인 치료접근법을 개발하는데 도움이 될 것으로 사료된다.

• The Journal of Korean Physical Therapy
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• 제19권5호
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• pp.87-96
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• 2007

Purpose: It remains controversial for the effect of daily functioning and quality of life on therapeutic exercise after stroke. The purpose of this study was to describe the effects on daily functioning and QOL. Methods: Outcome measures of daily functioning included, such as the Functional Independence Measure (FIM), Barthel index. Outcome measures of QOL included, such as Stroke Impact Scale(SIS) and the Medical Outcomes Study short-form 36-item questionnaire(SF-36). Results: 125 stroke patients were recruited, who were in or outpatients. The average age was 55.4 years. 64.8% were male. The mean Bathel index and FIM score was 63.7 and 87.5. The mean SIS score were higher in communication and mean SF-36 score were higher in physical pain. In/out patients are associated with SIS (communication, emotion) and SF-36(social function, energy or fatigue). Sex are associated with SF-36 (physical function). Other disease state are associated with SIS(hand function) and SF-36 (physical function). Paralysis portion are associated with SIS(communication, daily activity). Barthel index are associated with SIS(communication, mobility) and SF-36(social function, physical function, role limits due to emotional problems). Conclusion: These findings may provide the useful with rehabilitation professionals, who specilalized in the importance of QOL in designing treatment modalities.

• 근관절건강학회지
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• 제6권1호
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• pp.7-21
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• 1999

This study attempts to provide the rudimentary data that might help patients with Rheumatoid Arthritis manage an independent life by the analysis of their activities of daily living(ADL). The subjects were forty patients who had been diagnosed Rheumatoid Arthritis and under drug therapy from RA clinics of the two university hospitals in Pusan. Data were collected by performing an individual interview for each of them during June 15th through July 15th 1998. Questionaires were imployed to investigate the general characteristics of patients. the traits of Rheumatoid Arthritis, and actual conditions of their activities of daily living. The questionaires utilized especially for the study of ADL is the version of Lee Eun Ok's tool which modified and complemented Katz scale (Katz, Down, Cogh and Grots 1970) and Bathel index(Bathel. 1973). It's consisted of 31 questions that each question is measured by 0-3points. The high score in the questionaire signifies the high independency in the ADL. The data were analyzed by SPSS/Win in terms of frequency, percentage, mean, and standard deviation, close connection with the contents of the personal interview. Total mean of the ADL shows $1.55{\pm}0.68$, indicating the overall activities of daily living is generally dependent. It also indicates that patients, in the condition of dependent activity. tends either to have recourse to drugs or to take negative strategy, getting help from inside or outside family member. Hence, it is necessary that patients are exposed to the introduction and instruction of self-help devies that might help them manage a comparatively independent ADL, easing their paychological burden.

• 동의신경정신과학회지
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• 제24권4호
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• pp.385-392
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• 2013

This case report presents a 34-year-old female patient. Her chief complaints are akinetic mutism and cognitive dysfunctions. We have diagnosed her with leukoencephalopathy. She was treated with Korean traditional herbal medicines (Joojackwhan) for 33 days continuously. The effects of treatment were measured by the Korean Mini - Mental State Examination and Modified Bathel Index. After treatment, her chief complaints have been improved. Furthermore, the K-MMSE, MBI scores increased. From this case, we deduced that the Korean traditional herbal medicines (Joojackwhan) could be effective for cognitive dysfunctions and akinetic mutism caused by leukoencephalopathy.