• Title/Summary/Keyword: Hemiplegia patient

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Effects of Trunk Stability Exercise by using PNF on Trunk Control Ability and Balance, Gait in a Patient with Hemiplegia: A Single Case Study (PNF를 이용한 체간안정화운동이 뇌졸중 환자의 체간조절능력과 균형, 보행에 미치는 영향: 단일사례연구)

  • Jung, Du-Kyo
    • PNF and Movement
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    • v.13 no.4
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    • pp.203-213
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    • 2015
  • Purpose: Deficits in lower-extremity function and trunk control ability have a negative impact on individuals with hemiplegia. This case report aimed to describe the effect of trunk stability exercises using proprioceptive neuromuscular facilitation (PNF) on trunk control ability, balance, and gait in a patient with hemiplegia. Methods: A 77-year-old man with hemiplegia and trunk and lower extremity impairment participated in this four-week training intervention. Results: The patient demonstrated improvements in trunk control ability, balance, and gait performance. Outcome measures (Fugl-Meyer Assessment Lower Extremity (FMA-LE), Trunk Control Test, Berg Balance Scale, Timed Up and Go test, 10 Meter Walk test) were measured before and after the training program. Conclusion: The results of this case suggest that a trunk stability exercise using a PNF program may improve trunk control ability, balance, and gait in a patient with hemiplegia.

A Study on Park-Golf for Rehabilitation training of the Patients with Hemiplegia (편마비 환자의 재활치료 효과를 위한 파크골프 도입에 대한 고찰)

  • Ahn, Myung-Hwan;You, Young-Youl
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.75-86
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    • 2008
  • The purpose of this study suggest that Park Golf for rehabilitation training of the patients with hemiplegia. The increase of the aged caused various problems. Among the problems, chronic illnesses the old people suffer from charge their family with mental, physical, social and economic burden as well as the person. Especially, the more old people are the more risks and attacks of cerebral vascular accident(CVA) exist. Therefore, the increase of the aged means the increase of cerebral vascular accident(CVA) patients. The cerebral vascular accident(CVA) patient get into difficulties to secure their livelihood due to troubles and disoders, so medical care facilities and rehabilitation training are really necessary to help them return to their normal life with mental, physical and social capability. The rehabilitation of patient with hemiplegia is ongoing process. It may possibly accomplish throughout the whole life because it takes a lot of time and effort. In addition, an ultimate aim of the rehabilitation is returning and adaptation to society. In this way, it is hardly to expect a satisfied results of the rehabilitation without motive. Therefore, patient with hemiplegia rehabilitation motive will is the most important. If interesting of park golf the patient with hemiplegia can be absorbed in easily are applied to the rehabilitation training, the patient are will to participate in the training without troubling.

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A Case Report about Treatment by a Combination of Traditional Korean Medicine and Western Medicine in a Patient with Progressive Multifocal Leukoencephalopathy and HIV/AIDS (진행성 다발성 백질뇌병증을 합병한 HIV/AIDS 환자의 한양방 협진 치료 치험 1례)

  • Lim, Myong-ah;Lee, Hee-jung;Seo, Ho-seok;Kim, Pan-kyoo;Kim, Jin-won
    • The Journal of Internal Korean Medicine
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    • v.38 no.6
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    • pp.1076-1084
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    • 2017
  • Objectives: This report describes the case of a patient with progressive multifocal leukoencephalopathy (PML) with hemiplegia, who was treated with a combination of traditional Korean medicine and western medicine. Methods: The patient received traditional Korean medical treatments, including acupuncture, during robust antiretroviral therapy with rehabilitative exercise. Results: During 24 months of treatment, the patient showed improvement in hemiplegia on a manual muscle test. Conclusions: The combination of traditional Korean medicine and western medicine was effective in the treatment of PML in a patient with hemiplegia.

Effect of Visual neglect for hemiplegia to motor recovery (시각무시가 편마비 환자의 운동 기능회복에 미치는 영향)

  • Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.18-29
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    • 2003
  • The purpose of this study by examine the effect of visual neglect on hemiplegia motor recovery are showing trouble which can be raised by visual neglect and helping the patient's ADL and functional recovering. Among the patients who are being taken physical therapy in many other hospitals in Busan From February 1st 2002 to august 31st, we chose 20 patients as control group who did not have symptoms of visual neglect and 20 other patients who did have as case group. We used Albert's test and line bisection as visual neglect test, and MAS as motor recovery. The average age of the patient group is 51.55 and that of control is 44.9. The men's rate is higher than women' s in both groups. Although the rate of left hemiplegia is higher than right hemiplegia in case group, that of right hemiplegia is higher than left hemiplegia in control group. There is much lesion site of basal ganglia in case group. There is the most amount of transformation of MAS when visual neglect is shorter than 1.5centimeter. Each change of MAS point before and after therapy in case group and control group is revealed $6.5{\pm}4.37$ and $12.5{\pm}5.95$.

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The Effect of Korean Medicine Treatment on Left Basal Ganglia Infarction with Hemiplegia Symptoms: Case Report (기저핵 뇌경색 환자의 편마비 한방치료 1례)

  • Kim, Hong Kyoung;Kim, Jae Ik;Jung, So Youn;Kim, Jung Ho;Kim, Young Il
    • Journal of Haehwa Medicine
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    • v.27 no.2
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    • pp.21-29
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    • 2018
  • Objectives : The purpose of this study was to report the effect of Korean medical treatment on left basal ganglia infarction. Methods : We performed acupuncture and administered herbal medicine to one patient to alleviate symptoms of hemiplegia such as motor disorder, facial palsy, and dysarthria. Manual Muscle Test(MMT), Hand Grip Test(HGT), Gait Level(GL), and Dysarthria grade were used to evaluate status of the patient. Results & Conclusions : The results of this research showed that overall symptoms of hemiplegia in the patient were improved. According to the results, the Korean medical treatment is considered to be effective on patients of left basal ganglia infarction to treat symptoms of hemiplegia. Further studies with larger sample sizes are needed to examine this issue.

A Case Report of Combined Korean Medicine Treatment for a Intracerebral Hemorrhage Patient with Hemiplegia and Gait Disturbance (좌측 편마비 및 보행장애를 주소로 한 뇌내출혈 환자에 대한 한방 복합 치료 증례보고 1례)

  • Yang, Ji-Hye;Chae, In-cheol;Choi, In-woo;Kim, Chan-young;Ryu, Ju-young;Yoo, Ho-ryong;Kim, Yoon-sik;Seol, In-chan
    • Journal of Haehwa Medicine
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    • v.29 no.2
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    • pp.1-11
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    • 2020
  • Objectives : The aim of this study was to report the effectiveness of Combined Korean Medicine treatment on a intracerebral hemorrhage patient with hemiplegia and gait disturbance. Methods : A 56-year-old, female patient with hemiplegia and gait disturbance was treated by Korean Medicine including acupuncture, moxibustion and herbal medicine. The effect of the treatment was evaluated by Manual Muscle Test(MMT), Modified Rankin Scale(MRS), Korean version of Modified Barthel Index(K-MBI). The gait of the patient was evaluated by 10m walk test, Timed Up&Go Test(TUG), Functional Ambulatory Category(FAC), GAITRite and Symmetry Criterion(SC). Results : After treatment, MMT, MRS, K-MBI, gait parameters and gait symmetry were improved. Conclusions : This study suggests that Combined Korean Medicine treatment might be effective for a intracerebral hemorrhage patient with hemiplegia and gait disturbance.

Effects of Eccentric Exercise of Hip Abductors on Gait Balance (고관절 외전근의 원심성 운동이 보행시 균형에 미치는 효과)

  • Choi, Won-Ho;Kim, Myung-Jong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.9 no.2
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    • pp.59-67
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    • 2003
  • The purpose of this study was to identify the effects of eccentric exercise of affected hip abductor muscles on Gait balance in patient with hemiplegia. 30 patients with hemiplegia were recruited among in and out patients of Gil Hospital(age x=50.5, SD=10.1, range 37-80. post stroke days x=383.2, SD=309.3, range 57-1165). These patients were divided into eccentric and control groups by random sampling. TUG were used for this study. Paired t- test was used to identify the effects of eccentric exercise of hip. The results were stastically significantly differences in the effect of exercise between experimental and control groups by TUG(p<0.05). The results indicate that the eccentric exercise of affected hip abductor muscles is effects on gait balance in patient with hemiplegia.

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Stellate Ganglion Block for Shoulder Hand Syndrome following Hemiplegia (편마비후 발생한 견수 증후군에 대한 성상신경절차단)

  • Yoon, Duck-Mi;Oh, Hung-Kun;Yoo, Eun-Sook;Chung, So-Young
    • The Korean Journal of Pain
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    • v.6 no.2
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    • pp.255-257
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    • 1993
  • Shoulder Hand Syndrome is used to describe painful disabilities of the upper extremity due to disturbances of sympathetic nerve supply. A 72 year old male developed hemiplegia on left side on the 5 days after open heart surgery of aortic valve replacement. Three months later, the patient complained of severe pain in the left upper extremity involving shoulder. The left hand showed swelling and flaccid paralysis. Thereafter the left stellate garglion block with 10 ml of l% lidocaine produced prompt pain relief. Thereafter the patient received 94 stellate ganglion block during 7 months which produced permanent remission of pain throughout a 1 year follow period. We recommand sympathetic block for of Shoulder Hand Syndrome following hemiplegia.

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Clinical Study of Hemiplegia, Dizziness, and Hiccupping Caused by Pontine Infarction (뇌교경색 이후 발생한 편마비, 현훈 및 딸꾹질 치험 1례)

  • Shin, Ji-hye;Nam, Hae-in;Cho, Yoon-young;Sun, Seung-ho;Baek, Tae-hyun;Kim, Seon-hyeok
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.298-304
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    • 2016
  • Objective: : This clinical study reports on the effect of Sunghyangjungki-san-gami and Banhabaeckchulchunma-tang-gami on hemiplegia, dizziness, and hiccupping caused by pontine infarction.Methods: This study was performed on one patient with hemiplegia, dizziness, and hiccupping caused by pontine infarction. The patient was treated by Sunghyangjungki-san-gami and Banhabaeckchulchunma-tang-gami from 6 January to 2 March 2015. The National Institutes of Health stroke scale (NIHSS), motor grade, and numerical rating scale (NRS) were used to assess the effectiveness of this treatment.Results: After treatment, the patient’s discomfort decreased significantly, and NIHSS, motor grade, and NRS scores were all improved.Conclusion: This clinical study suggests that traditional Korean medicine may be effective in treating hemiplegia, dizziness, and hiccupping caused by pontine infarction.

Correlation of Neuropsychological Symptoms and Incidence for Hemiplegia with Pusher Syndrome (편마비 환자의 밀기증후군 발생빈도와 신경정신학적 증상과의 관계)

  • Park, Yi-Su;Lee, Kang-Noh;Jang, Kee-Woo;Park, Sung-Il
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.1-7
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    • 1999
  • The objectives of this study was to investigate the incidence and any correction between hemiplegia with pusher syndrome and neuropsychological symptoms such as hemineglect and anosognosia. Pusher syndrome defines that the patient leans toward the hemiplegic side regardless of the position that patient was placed on and resists any attempt for passive correction of posture that would move his weight toward the midline of the body. The subjects of this study were 69 acute hemiplegia who had been rehabilitated at department of rehabilitation medicine, Asan Medical Center from May 1. 1999 through July 31. 1999. The data were analyzed by researchers who were trained for assessment of anosognosia and hemineglect. 12 subjects were excluded for confusion. The method of statistical analysis used for our study was Fisher's exact test. Results of the study disclosed 21 hemiplegia(38.6%) with pusher syndrome. In conclusion, these hemiplegic patients with pusher syndrome did not have any correlation with hemineglect and anosognosia and also had no preference of stroke side.

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