• 대한물리치료과학회지
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• 제15권1호
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• pp.11-20
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• 2008

This study was designed to test the effects of comprehensive rehabilitation management on functional recovery after attack of cerebrovascular disease. 16 cerebrovascular disease patients applied comprehensive rehabilitation management of physical therapy at department of physical Therapy, C medical center in Gwang－ju. The collection of the data had been executed for 4months(April 15, 2007${\sim}$July 15, 2007). For evaluating, Functional Independence measure(FIM) and Somatosensory Evoked Potential(SSEP) were used to assess functional recovery. The results of this study were as follows: 1. In the comparison of latency of median nerve SSEP before and after treatment, the lat. N20 and P25 increased, the ampl. P25/N20 was decreased. In the comparison difference data of median nerve SSEP, however there was no significant difference in the group(p>0.05). 2. In the comparison of latency of Post Tibial nerve SSEP before and after treatment, the lat. P40, P50, P60 increased, the ampl. P40 was decreased. In the comparison difference data of post tibial nerve SSEP, however there was no significant difference in the group(p>0.05). 3. In the comparison of FIM scores of Self－care, Sphincter Control, Mobility: Transfer, Locomotion before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was significant difference(p<0.05). 4. In the comparison of FIM scores of Communication, Social Cognition before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was no significant difference in the group(p>0.05). Based on these results, it is concluded that the comprehensive rehabilitation management for cerebrovascular disease case was not significant difference in the SSEP, was significant difference in the motor part of FIM. Further study should be done to analyze the effect of intervention duration of treatment, optimal time to apply the treatment in more long period.

• 동의생리병리학회지
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• 제30권1호
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• pp.73-79
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• 2016

It was aimed to report a case of both anterior cerebral artery territory infarction patient improved by korean medical treatment. The patient was diagnosed by brain magnetic resonance imaging(MRI) and magnetic resonance angiography(MRA). The symptoms were quadriplegia, urinary frequency, urinary incontinence and abulia. I applied herbal medicine, acupuncture, moxibustion, pharmacopuncture, cupping and physical exercise therapy. As a result of them, the symptoms of the patient were improved considerably. Status of the patient was evaluated by manaul muscle test(MMT), modified barthel index(MBI) and functional independence measure(FIM) and medical interview. MBI score was changed from 35 to 95 and FIM score was changed from 66 to 115. Therefore this report suggests that korean medical treatment could be effective to the anterior cerebral artery territory infarction.

• 대한예방한의학회지
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• 제28권1호
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• pp.159-168
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• 2024

This case study aims to report Korean medicine treatment's response to weakness and numbness in chronic inflammatory demyelinating polyneuropathy (CIDP) patient. The patient received Korean medicine treatment during hospitalization, including Duhuo Jisheng Tang and pharmacoacupuncture. The assessment was performed using the Functional Independence Measure (FIM), Numeric Rating Scale (NRS) for numbness, and Oswestry Disability Index (ODI). After 21 days of treatment, the FIM improved from 82 to 126, NRS improved from 6 to 2, and ODI improved from 37 to 8. There were no side effects after receiving Korean medicine. This case suggests that Korean medicine treatment can induce treatment response for lower extremity weakness and numbness in CIDP patients.

• 대한한방내과학회지
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• 제29권1호
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• pp.278-284
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• 2008

Objective : The purpose of this clinical study was to investigate the effects of moxibustion on functional recovery in stroke patients. Methods : Forty two stroke patients were randomized into either the standard physiotherapy treatment combined with moxibustion group or a control group with standard physiotherapy alone. They were 8 weeks from onset to the start of this study. Moxibustion was applied at 合谷(LI14), 外關(TE5), 曲池(LI11), 太衝(LIV3), 懸鍾(絶骨,G39), 足三里(S36) in hemiplegic upper and lower extremity, once a day for 6 weeks. The effect of treatment on functional recovery was assessed using the Functional Independence Measure scale. Statistical significance was achieved if the probability was less than 5%(p<0.05). Result : These 2 groups had comparable clinical characteristics; sex, age, lesion, and pre-treatment FIM score. After 6 weeks, patients in the moxibustion group performed better on FIM. The differences were significant(P=0.001). Conclusion : These results suggest that moxibustion is an effective treatment for functional recovery in stroke patients.

• 재활치료과학
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• 제6권2호
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• pp.11-28
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• 2017

목적: 본 연구는 뇌졸중 환자를 위한 일상생활활동 평가도구에 관해 체계적 고찰함으로써 임상 및 연구에서 자료로 활용되고자 하였다. 연구방법: 2001년부터 2016년까지 학회지에 게재된 논문을 검색하기 위하여 Pubmed, Embase, Cochrane, NDSL 데이터베이스를 사용하여"stroke AND activities of daily living AND occupational therapy AND assessment OR evaluation OR measurement"를 검색하여 체계적 고찰을 하였다. 평가도구의 종류와 사용빈도를 분석한 후 이에 대한 경향을 파악하였다. 또한 국제 기능 장애 건강 분류(International Classification of Functioning, Disability and Health; ICF) 모델의 분류 기준에 맞추어 활동과 참여에 대한 평가도구를 분류하였다. 결과: 총 111개의 논문이 최종적으로 분석되었으며, 30개의 평가도구가 확인되었다. 최근 들어 뇌졸중 환자를 대상으로 한 연구 게재편수가 증가함에 따라 평가도구의 종류와 사용빈도가 증가하였다. 가장 많이 사용되는 평가도구는 기능적 독립성 측정(Functional Independence Measure; FIM), 바델 지수(Barthel Index; BI)와 캐나다작업수행측정(Canadian Occupational Performance Measure; COPM)이었다. ICF 모델의 분류 기준에 따라 분석한 결과 대부분의 도구는 활동에 대한 평가도구로 참여에 대한 평가도구 수는 매우 적었다. 결론: 본 연구는 뇌졸중 환자의 일상생활활동 수행능력을 측정하기 위해 사용된 평가도구를 체계적으로 고찰하였다. 연구 결과 FIM, BI와 같은 특정한 도구가 많이 사용되었다. 앞으로는 평가도구의 특성에 맞춰 적절한 평가가 이루어 질 수 있도록 다양한 평가도구를 사용한 연구가 진행되어 근거기반의 작업치료를 뒷받침 해 주어야 한다. 또한 ICF 모델의 분류 기준 중 참여에 대한 평가도구의 개발이 이루어져야 할 것이다.

• 대한감각통합치료학회지
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• 제17권3호
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• pp.46-60
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• 2019

목적 : 본 연구에서는 일상생활활동 향상을 위해 아동·청소년 작업치료를 적용한 국내 논문을 체계적으로 분석하여 참여자의 진단명, 사용한 평가도구, 중재방법과 그 효과에 대해 알아보고자 하였다. 연구방법 : 2010년부터 2019년 9월 30일까지 게재된 국내 학술지를 대상으로 하였다. 검색엔진은 학술연구정보서비스와 한국학술정보를 사용하였다. 사용한 검색어는 '아동작업치료 & 일상생활', '아동작업치료 & 자조', '아동작업치료 & 자기관리', '아동작업치료 & 작업', '작업치료 & 식사하기', '작업치료 & AMPS(Assessment of Motor and Process Skills)', '작업치료 & WeeFIM(Functional Independence Measure for children)'이었다. 결과 : 총 14편을 분석하였고 연구의 질적 수준은 IV, V가 각각 36%로 총 연구의 72%를 차지하였다. 참여자의 진단명은 지적장애가 50%를 차지하였고 뇌성마비를 포함한 뇌병변이 20%이었다. 일상생활활동을 평가하기 위해 가장 많이 사용하는 평가도구는 COPM(Canadian Occupational Performance Measure)으로 36%를 보였고, WeeFIM이 22%, 관찰이 13%이었다. 중재방법으로 가장 많이 사용하는 것은 감각통합치료로 36%이었고, 인지프로그램이 22%이었다. 지적장애 아동에게 자조활동 그룹치료를 적용한 한편의 연구를 제외하고, 모두 중재효과가 긍정적인 것으로 나타났다. 결론 : 체계적 고찰방법을 통해 일상생활활동에 대해 작업치료 적용을 알아본 국내의 연구는 없었다. 따라서 본 연구는 임상에서 작업치료 적용을 위한 근거자료로 사용될 것이다.

• 한방재활의학과학회지
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• 제30권2호
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• pp.105-123
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• 2020

Objectives This study was conducted to verify the effectiveness of east-west integrative rehabilitation therapy on activity of daily living and cognitive functional recovery in stroke patients by comparing with integrative rehabilitation therapy group and conventional rehabilitation therapy group in a single institution. Methods The medical records of 106 stroke patients hospitalized in Department of Rehabilitation Medicine, Dongguk University Bundang Oriental Hospital from January 1, 2017 to February 28, 2019 were reviewed. After screening and dividing it into conventional rehabilitation (CR) group and integrative rehabilitation (IR) group, Korean version of Modified Barthel Index (K-MBI), functional independence measure (FIM), clinical dementia rating-sum of boxes (CDR-SB) were statistically analyzed. Results IR group showed significant improvement in K-MBI, FIM, and CDR-SB after treatment (p<0.001) and there was a statistically significant difference in K-MBI and CDR-SB score changes than CR group (p<0.05). And chronic patient of IR group showed significant improvement in K-MBI, FIM, and CDR-SB after treatment (p<0.01) and there was a statistically significant difference in CDR-SB score changes than CR group (p<0.05). In particular, the earlier the treatment initiation time, the more the improvement in function and when the treatment started within 2 years from the onset and patients took acupuncture and pulsed electromagnetic therapy, all scales significantly improved (p<0.001). Conclusions IR showed more improvement on activities of daily life and cognitive functional recovery than CR in this study.

• 재활치료과학
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• 제3권1호
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• pp.47-55
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• 2014

목적 : 본 연구는 에비안스-함베르크 스트레칭이 아급성 뇌졸중 환자의 환측 상지기능과 일상생활활동에 미치는 영향에 대해 알아보고자 단일 사례연구를 실시하였다. 연구방법 : 본 연구의 대상자는 대구광역시에 소재한 K재활병원에서 입원치료를 받고 있는 만 39세 남성 뇌졸중 환자이다. 에비안스-함베르크 스트레칭을 4주간 주 5회 1일 1회 30분간 적용하여 중재 전후 상지기능과 일상생활활동을 비교하였다. 상지기능의 평가는 뇌졸중상지기능평가(manual function test; MFT), 운동활동측정표(motor activity log; MAL)를 사용하였고, 일상생활활동 평가는 기능적 독립 척도(functional independence measure; FIM)를 사용하였다. 결과 : 대상자는 중재 후 평가에서 MFT는 향상 없이 유지되었으며, MAL에서는 사용빈도와 움직임의 질에서 각각 3점씩 향상되었다. FIM은 73점에서 94점으로 21점이 향상되었다. 결론 : 본 연구의 결과를 통해 에비안스-함베르크 스트레칭이 아급성 뇌졸중 환자의 상지기능과 일상생활활동을 증진시키는데 효과가 있음을 알 수 있었으며, 기존의 작업치료와 에비안스-함베르크 스트레칭을 적절히 활용한다면 환자의 기능 회복에 많은 도움이 될 것이라 사료된다.

• 한국콘텐츠학회논문지
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• 제13권10호
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• pp.434-443
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• 2013

본 연구는 지도를 이용한 길 찾기 훈련이 뇌졸중 환자의 인지기능과 일상생활동작 수행능력 증진에 효과적인 방법인지를 알아보고자 하였다. 뇌졸중으로 인해 편마비 진단을 받은 7명의 환자를 대상으로, 병원에서 지도를 이용한 길 찾기 훈련을 일주일에 3회씩 2주간 실시하였다. 중재 전후 인지기능과 일상생활 동작수행 능력은 로웬스타인 작업치료인지평가(Loewenstein Occupational Therapy Cognitive Assessment, LOTCA)와 기능적 독립 평가(Functional Independence Measure, FIM)로 측정하였다. 연구 결과, 지도를 사용하여 길 찾기 훈련에 참여한 대상자에게서 인지요소의 하위 영역 중 시지각 영역과 공간지각 영역의 공간관계 항목에서 통계학적으로 유의한 증가를 보였다(p<.05). 또한, 일상생활동작의 하위 영역 중 이동하기 영역의 걷기/의자차타기 항목, 사회적인지 영역의 문제해결능력 항목에서 통계학적으로 유의한 증가를 보였다(p<.05). 따라서 본 연구 결과를 바탕으로, 뇌졸중 환자의 인지기능과 일상생활동작 수행능력 증진에 있어서 지도를 이용한 길 찾기 훈련의 적용 가능성을 확인해 볼 수 있었다.

• 한국전문물리치료학회지
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• 제12권2호
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• pp.58-72
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• 2005

The purposes of this study were to determine the effects of rehabilitation programs on functional performance of the lower extremities and whether additional therapeutic exercise with routine rehabilitative therapy improves functional performance more than just routine rehabilitative therapy by it self for inpatients who have suffered a stroke with below moderate severity within 3 to 6 months after the onset of the stroke. Fifty-eight subjects were divided into two groups. Group I was given routine rehabilitative therapy and group II was given additional therapeutic exercise along with the routine rehabilitative therapy. Each group received 6 weeks of rehabilitation. The timed get-up and go test (TUG), the Fugl-Meyer score (FMS), functional independence measure (FIM), functional reach (FR), gait velocity (GV), and the strength of knee extensor and flexor were selected to measure effect of rehabilitation programs. The main results were measured and analysed at baseline, 3 weeks, and 6 weeks after the start of the rehabilitation programs. The results revealed that all of functional performance of the lower extremities in 3 weeks after the start of the rehabilitation programs were significantly improved compared with before the rehabilitation programs in both groups. In 6 weeks, TUG, FIM, FR, GV, and the strength of knee extensor in group I, TUG, FMS, FIM, FR, GV, and the strength of knee extensor and flexor in group II were significantly improved compared with the results after 3 weeks. At 3 weeks after rehabilitation programs, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee flexor compared to the group I. At 6 weeks, group II made significantly greater gains in TUG, FR, GV, and the strength of the knee extensor and flexor compared to the group I. In conclusion, rehabilitation programs for stroke patients within 3 to 6 months after stroke onset significantly contributed to improve functional performance of the lower extremities. It is desirable for improvement of functional performance of the lower extremities to perform additional exercise with routine rehabilitative therapy.