• 제목/요약/키워드: Gait scale

검색결과 357건 처리시간 0.024초

특발성 파킨슨병 환자의 전침치료 효과 (Effect of Electroacupuncture on Patients with Idiopathic Parkinson's Disease)

  • 강미경;이상훈;홍장무;박상민;강중원;박히준;임사비나;장대일;이윤호
    • Journal of Acupuncture Research
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    • 제21권5호
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    • pp.59-68
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    • 2004
  • Objective : This study was designed to evaluate the effect of electroacupuncture with various scales on symptoms of idiopathic Parkinson's disease. Methods : Subjects were voluntarily recruited by newspapers and internet. All the subjects are confirmed as idiopathic parkinson's disease by a neurologist. The acupuncture therapy was performed twice a week for 8 weeks. Acupuncture points for EA group were GB34, and LR3, electrical stimulation frequency was 120Hz, duration 15 minutes, and intensity is up to pain threshold according to patients. The patient's symptoms were assessed before, after 4 weeks and after 8 weeks treatments by unified Parkinson's disease rating scale(UPDRS), modified Hoehn-Yahr(H-Y) stage, Schwab & England activity of daily living and freezing of gait questionnaire(FOGQ). Results : UPDRS I, II, III, IV and total UPDRS scores were significantly improved after 4 weeks(p<0.05) and after 8 weeks(p<0.05) compared to the pre-treatment. The scores of ADL were significantly improved after 4 weeks(p<0.05) and after 8 weeks(p<0.05). There were significant changes in H-Y stage after 4 weeks(p<0.05), but There were no significant changes in H-Y stage after 8 weeks. There were significant changes in FOGQ scale after 4 weeks(p<0.05) and after 8 weeks(p<0.05). Conclusion : This study suggests that electroacupuncutre treatments can be applicable to improve symptoms in the patients with idiopathic Parkinson's disease.

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관절가동술과 깔창적용이 엉치엉덩관절통증환자의 통증과 골반경사각, 족저압에 미치는 효과: 무작위배정예비임상시험 (Effect of Joint Mobilization and Insole on Pain, Pelvic Angle, and Foot Pressure in Patient with Sacroiliac Joint Pain : A Randomized Controlled Pilot Trial)

  • 임재길
    • 한국엔터테인먼트산업학회논문지
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    • 제14권3호
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    • pp.383-392
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    • 2020
  • 이 연구는 엉치엉덩관절 통증환자에게 관절가동술, 깔창착용 보행훈련, 그리고 관절가동술과 깔창착용 보행훈련 중재를 실시하고 환자의 통증, 골반 각 및 족저압에 대한 효과를 비교하였다. 무작위로 24명의 대상자를 관절가동술군(n=8), 깔창착용보행훈련군(n=8) 또는 관절가동술과 깔창착용보행훈련군(n=8)으로 배정하여, 하루에 30분씩, 일주일에 2번씩 4주 동안 중재하였다. VAS를 사용하여 통증을 평가하고 골반 각도를 Palpation Meter 사용하여 측정하였고, 족저압 (전 / 후비)을 Gateview AFA-50을 사용하여 측정하였다. 모든 측정은 중전·중재 4주 후에 실시하였다. 모든 그룹은 그룹 내 전·후 비교에서 유의한 통증 감소를 보였다(p<.01). 골반 각도에서 관절가동술군은 전방 기울기에서만 통계적으로 개선되었고, 관절가동술과 깔창착용 보해훈련군은 앞쪽 및 뒷쪽기울임 모두에서 통계적으로 유의미한 개선을 보였으며(p<.01), 깔창착용 보행훈련군은 통계적으로 유의한 변화가 없었다(p>.05). 또한 관절가동술과 깔창착용 보행훈련군은 족저압에서 유의한 차이를 나타냈다(p<.01). 모든 중재는 엉치엉덩관절 통증환자의 통증개선에 효과가 있었으며, 관절가동술과함께 깔창착용 보행훈련을 한 군이 골반각도와 족저압에 가장 효과적이었다. 이 연구는 엉치엉덩관절통증이 있는 환자뿐만 아니라 만성 허리통증 및 족저압 입력 문제가 있는 환자의 부상 예방, 자세교정, 그리고 보행훈련을 위한 기초자료가 될 것으로 사료된다.

감각장애를 동반한 Thalamic Ataxia 환자 치험 1례 (A Case Report of an Ataxia Patient with Sensory Loss Diagnosed with Thalamic Infarction)

  • 이보윤;이현중;이동혁;두경희;김수경;조승연;박정미;고창남;배형섭;박성욱
    • 대한중풍순환신경학회지
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    • 제15권1호
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    • pp.39-49
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    • 2014
  • This report is about a case of an ataxia patient with sensory loss diagnosed with thalamic Infarction. The patient had symtoms of gait disturbances and dysmetria. We used Korean medicine treatment modalities including acupunture, electroacupuncture, moxibustion and herb medicines. The improvement of ataxia was evaluated by International Cooperative Ataxia Rating Scale and Balance master system. After treatment, decreased scores of International Cooperative Ataxia Rating Scale and change of the trace of Balance master system showed that symtoms of ataxia were improved. Sensory deficits and other conditions were also getting better. This report suggests that Korean medicine could have a therapeutic effect for Thalamic ataxia.

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요부 안정화 운동이 급성기 요통 경감에 미치는 영향 (The Effect of Lumbar Stabilization Exercises on an Acute Lower Back Pain Reduction)

  • 강경화;김동욱;김미정;문현주;박영희;박성덕;김선엽
    • 대한정형도수물리치료학회지
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    • 제10권1호
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    • pp.67-81
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    • 2004
  • The purpose of this study was to investigate between low back pain scale and disability index owing to gait pattern. For the period of February 1 to February 29, 2004, we had conducted a questionnaire and direct interview with 100 persons lived in Daejeon. The result were as follows: 1. The stride length of experimental group, the male was $49.9{\pm}12.9cm$, the female $45.7{\pm}12.9cm$ and the width of feet. the male was $13.5{\pm}5.7cm$, the female $12.2{\pm}4.8cm$. 2. The Fick angle of all subjects was showed in external disposition, the left angle showed in asymmetry, the male was $11.0{\pm}5.7^{\circ}$, the female $8.5{\pm}1.3^{\circ}$. 3. The foot arch was similar to sex as a weight bearing and non-weight bearing, the male was $1.3{\pm}0.8cm$, the female $1.3{\pm}0.9cm$. 4. The impedimental index according to back pain grade, men was a lower than women, the male was $5.7{\pm}6.9$ and the female $7.2{\pm}5.3$. 5. The relation to difference between foot arch and disability index according to back pain grade as a weight bearing and non-weight bearing, the higher foot arch, the higher back pain grade was statistically significance(p<.05). 6. The relation between width of feet and disability index according to back pain grade, the wider width of feet, the higher back pain grade was statistically significance(p<.01). 7. The relation between stride length and disability index according to back pain grade, the wider stride length, the higher back pain grade was statistically significance (p<.05).

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비구이형성증에 의한 고관절염과 요추 척추관 협착증 환자의 턱관절자세 음양교정술을 이용한 치험 1례 (A Case Report on a Patient with Osteoarthritis of the Hip Caused by Hip Dysplasia and Lumbar Spinal Stenosis, Treated by Postural Yinyang Correction of Temporomandibular Joint)

  • 임재은;김경민;장선희;박은진;이영준;홍누리;장영숙;양수현;최윤영;오다윤;이수진;김철홍
    • 턱관절균형의학회지
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    • 제9권1호
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    • pp.12-17
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    • 2019
  • Objectives: The purpose of this study is to report the effect of Postural Yinyang Correction of Temporomandibular Joint (Functional Cerebrospinal Therapy, FCST) on a patient with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis. Methods: A patient with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis was treated at Dept. of Acupuncture & Moxibustion, ○○ University Korean Medicine Hospital from Nov 8th, 2019 to Dec 6th, 2019 and received a Korean-Western medical treatment mainly managed with FCST. This study was measured with VAS (Visual Analogue Scale), ODI (Oswestry Disability Index) and questionnaire. Results: After treatment, the patient's pain was controlled and gait ability was improved, also VAS, ODI and questionnaire score were improved. Conclusions: Korean-Western Medical Treatment mainly managed with FCST may be helpful in controling pain with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis, but the further researches are needed.

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척추관 분절운동을 제공하는 수직 상승 압력이 파킨슨병 환자의 증상 완화에 미치는 영향 (Effect of Vertically Rising Pressure Providing Spinal Canal Segment Motion on Symptom Relief in Patients with Parkinson's Disease)

  • 안도현;최현우;정경미;김나영;이종민
    • 한국방사선학회논문지
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    • 제16권6호
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    • pp.787-797
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    • 2022
  • 본 연구는 온열·마사지 자극이 가능한 기계식 침대 적용을 통해 척추를 수직으로 자극하여, 파킨슨병의 통증 감소 및 증상 완화를 확인하고자 하였다. 이를 위해 파킨슨병 환자를 대상으로 의료용 조합자극 침대를 사용함에 따른 척추의 분절운동을 확인한 후 시각아날로그척도, 요통 기능 장애, 보행 능력, 나선형 그리기 검사를 실시하고 해당 변수 간의 관계를 파악하였다. 10일간의 시각아날로그척도, 요통 기능 장애 평가에서 침대 사용 후 평균이 감소하는 경향을 확인하였다. 보행 능력은 이동 시간의 감소와 이동 거리의 증가를 관찰하였다. 나선형 그리기 검사에서 침대 사용 후 검사 시간의 평균이 전보다 유의하게 낮았다. 그 결과, 기계식 온열 및 마사지로 척추 분절운동이 발생함에 따른 파킨슨병 환자의 회복 및 통증 완화를 위한 보조적인 방법으로 사용할 수 있는 가능성을 제시하였다. 그러나 본 연구는 예비적 연구로 피험자수가 적어 향후 피험자수와 상태를 세부적으로 고려한 추가적 연구가 필요하다.

일산화탄소 중독 이후 지연성 뇌손상에 대한 보신익뇌탕가미방의 효과 1례 : case report (A Case Study of Patient with Delayed Encephalopathy after Carbon Monoxide Poisoning Improved by Korean Traditional Treatment, Especially Boshiniknoe-tang-gami)

  • 배고은;박혜림;홍미나;조재현;최진용;홍진우;권정남;김소연;최준용;한창우;윤영주;박성하;이인
    • 대한중풍순환신경학회지
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    • 제17권1호
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    • pp.29-38
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    • 2016
  • This case report is to show the effects of Traditional Korean medicine (TKM) on the patient with delayed encephalopathy after carbon monoxide poisoning. A patient with delayed encephalopathy after carbon monoxide poisoning occurs rarely and only a few cases have been reported. We treated a patient with cognitive deficit, gait disturbance was treated with herbal medicine(Boshiniknoe-tang-gami), acupuncture, moxibustion. We evaluated the improvements of symptoms by Korean Version of Mini Mental Status Examination score(K-MMSE), Modified Barthel Index(MBI) and Glasgow Coma Scale(GCS). After 3 weeks, total score of K-MMSE was increased from 12 to 17 and it was maintained to week 6. After 6 weeks, total score of MBI was increased from 30 to 86. And GCS was increased from 11 to 14. This report proved effect of Traditional Korean medicine on the improvement of delayed encephalopathy after carbon monoxide poisoning

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