• Title/Summary/Keyword: Hemiplegia patient

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Ruptured Aneurysm of Sinus Valsalva (대동맥 동맥루 파열 9례 보고)

  • Yoon, Yu-Joon;Cho, Bum-Koo;Hong, Seung-Nok
    • Journal of Chest Surgery
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    • v.11 no.4
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    • pp.373-377
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    • 1978
  • Aneurysmal rupture of sinus Valsalva is known as one of rare cardiac disease and not controlled with medical treatment. We experienced 9 cases which were composed with 7 case of male and 2 cases of female during last 15 years. 7 cases were ruptured into right ventricle from right. coronary sinus and 2 cases were ruptured into right atrium from non-coronary sinus. The diagnosis was made with cardiac catheteriza1icn and cineangiccardicgram but 2 cases were misdiagnosed with only cardiac catheterization. All cases were corrected under cardiopulmonary bypass with means of direct suture with tdlon pledget by transatrial or transventricular approach. All were not confirmed in it's origin because of no history, no evidences of syphilis, TB, or bacterial endocarditis and only fibrosis in pathologic report. In postoperative course, 1 case had postoperative bleeding and 1 case was sufferd from left hemiplegia due to may be air embolism. Follow up study revealed all patient go on their usual life well with good improvement at this present time.

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The Study about Gait trainning according to the Gait patterns in adult Hemiplegia (편마비 환자의 보행특성에 따른 보행훈련 모형개발에 관한 연구)

  • Goo Bong-Oh;Lee Han-Gi;Moon Sang-Eun;Chae Jung-Byung
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.49-55
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    • 2000
  • The purpose of this study was to identify the characteristics oi gait patterns and to find the effects of the gait function on the P.N.F. pelvic pattern. The subjects of this study were 40 hemiplegic patients who either hospitalized in or out patients at department physical therapy, Tae-Bong hospital and Masan college health education center. The study on these patient were done from July 20.1999 through May 10,2000. Method of gait pattern assessment used ink foot print record. The results were as follows: 1. There were significiant difference in cadence and stride length(p<0.05). 2. There were significiant difference in gait velocity (p<0.05).

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Stress analysis of plastic hand sprint (플라스틱 손목보조기의 응력 해석 연구)

  • 장대진;이한림;김명회;양현석
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2003.05a
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    • pp.899-902
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    • 2003
  • This study was tested for the bending stress analysis of hand spl int for Hemiplegic Patients. Hemiplegia was represented the stroke and the cerebral palsy. Hand splints of four materials was an Orthoplast hand splint, a Polypropylene hand splint, a Yogips hand splint and an Aluminum hand splint. The Stress Analysis system was made by the electronic oscilloscope, strain gage sensors, amplifier, A/D converter, PC with C program. It will be able to using the important data in spl int design. The results of analysis were obtained various different graphes and maximum data in an Orthoplast hand splint, a Polypropylene hand splint, a Yogips hand splint and an Aluminum hand spl int.

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Influence of Body Weight Support and Walking Speed in the Static Posture of Stroke Patients using Indirect PNF Treatment: A Case Report (PNF의 방산을 이용한 간접치료가 뇌졸중환자의 정적 자세에서의 체중지지 및 보행 속도에 미치는 영향 : 증례보고)

  • Lee, Byung-Ki;Yun, Jeung-Hyun
    • PNF and Movement
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    • v.10 no.4
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    • pp.71-76
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    • 2012
  • Purpose : The purpose of this study was to examine the effects of PNF of irradiation using an indirect treatment of the stroke patient's static weight support and walking speed. Methods : Was carried out a total of nine different the PNF method of treatment for patients with left hemiplegia stroke. PNF of treatment is not in the non-paralyzed side of the trunk and upper and lower extremities by applying resistance and increased strength of the affected side. Assessment of treatment weight support both feet measured and modified using the timed up and go test were compared before and after treatment. Results : Treatment of the paralyzed side of the quadriceps and hamstring, gluteus medius muscle strength increased, and both sides of the foot body weight support improved walking speed was increased. Conclusion : Irradiation using PNF indirect treatment improves the function of the gait of stroke patients.

The Influence of Scapular-Pelvic Patterns of Proprioceptive Neuromuscular Facilitation on Hemiplegic Gait -A Case Report- (PNF 어깨뼈-골반 패턴이 편마비 환자의 보행에 미치는 영향 -증례보고-)

  • Choi, Jae-Won;Hwang, Sin-Pil
    • PNF and Movement
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    • v.16 no.1
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    • pp.27-32
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    • 2018
  • Purpose: This study examined changes in gait speed and stride length after an intervention involving simultaneous scapular and pelvic patterns of proprioceptive neuromuscular facilitation in a hemiplegic patient. Methods: A 58-year-old woman with left hemiplegia who had complained of slowness of gait speed and weakness of leg strength took part in an intervention involving scapular postdepression patterns on the affected side and pelvic postdepression patterns on the nonaffected side. The intervention was performed with the patient lying on her left side, in a half kneeling position, and in a standing posture. Rhythmic initiation was used for teaching the movements to the patient and improvement of kinesthesia, and a combination of isotonic was employed for increasing strength and irradiation of the scapula and pelvic movement. The intervention took place for 30 min. It was implemented twice a day, 5 days a week, for 3 weeks. After three repetitions, the average time taken to complete the 10-m walk test (10 MWT), in addition to stride length, was measured to determine gait speed. Results: After the 3-week program, the patient's performance in the 10 MWT improved from 21.7sec to 17.1sec, and her stride length improved from 31.4cm to 38.7cm. Conclusion: The results showed that trunk movement exercise, especially coordinative movements of the scapula and pelvis can improve gait speed and stride length by increasing trunk stability and mobility. A combination of pelvic and scapular patterns can facilitate trunk rotation, thereby improving gait speed and stride length.

Effects of Limited Hyperextension at Knee Joint Using Limited Motion Knee Brace on Balance, Walking in Patients with Hemiplegia (슬관절 움직임 제한 보조기를 이용한 슬관절 과신전 제한이 편마비 환자의 균형과 보행에 미치는 영향)

  • Lee, Eun-Hyuk;Min, Kyung-Ok;Lee, Kang-Sung
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.258-265
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    • 2010
  • The purposes of this study was to determine the effects of limited hyperextension at knee joint using Limited Motion Knee Brace on balance and walking in patients with hemiplegia. The subjects of this study were 20 post-stroke hemiplegic patients admitted. Subjects were randomly assigned to either experimental group (Limited Motion Knee Brace group) or control group (manual restriction group). Both groups received traditional physical therapy intervention. The effects of each therapeutic method were evaluated by measurements of gait ability assesment, Berg balance scale (BBS), 10-meter walk speed (10MWS), Timed Up & Go (TUG) Test. The results of this research were as followings: (1) After treatment, there were significant BBS scores differences in both experimental and control group compared with pre-treatment(p<0.05). (2) After treatment, there were significant TUG test scores differences in both experimental and control group compared with pre-treatment (p<0.05). (3) After treatment, there were significant 10MWS differences in both experimental and control group compared with pre-treatment (p<0.05). (4) There were significant BBS scores differences in third and fourth week between experimental and control group (p<0.05). It was concluded that Limited Motion Knee Brace was effective for improving balance and for reducing fatigue for experimental group. Therefore, further studies are required to investigate the effect of knee orthosis for improving balance and walking in patients with hemiplegia.

Effective Frequency of External Feedback for Increasing the Percentage of Body Weight Loading on the Affected Leg of Hemiplegic Patients (편마비환자의 환측하지 체중부하율 향상을 위한 효과적인 외적 되먹임 빈도)

  • Noh, Mi-He;Yi, Chung-Hwi;Cho, Sang-Hyun;Kim, Tae-Ue
    • Physical Therapy Korea
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    • v.5 no.3
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    • pp.1-10
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    • 1998
  • In motor learning, the relative frequency of external feedback is the proportion of external feedback presentations divided by the total number of practice trials. In earlier studies, increasing the percentage of body weight loading on the affected leg of hemiplegic patients, external feedback was continuously produced as the patient attempted to perform a movement. This feedback was produced to enhance the learning effect. However, recent studies in nondisabled populations have suggested that compared with 100% relative frequency conditions, practice with lower relative frequencies is more effective. My study compared the effect of 100% relative frequency conditions with 67% relative frequency conditions to determine what effect they exerted on motor learning for increasing the percentage of body weight loading on the affected lower limbs of patients with hemiplegia. Twenty-four hemiplegic patients were randomly assigned to one of two experimental groups. Each group practiced weight transfer motor learning on a machine. During practice, visual feedback was offered to all subjects. The experiment was carried out with full visual feedback for patients in group one but only 67% visual feedback for patients in group two. The percentage of loading on the affected leg was recorded four times: before learning (baseline value), immediately after learning, 30 minutes after learning, 24 hours after learning. The results were as follows: 1. In the 100% visual feedback group, the percentage of loading on the affected leg increased significantly in all three testing modes over the baseline value. 2. In the 67% visual feedback group, the percentage of loading on the affected leg increased significantly in all three measurements. 3. Immediately after learning, the learning effect was not significantly different between the two groups, but was significantly greater after both the 30 minutes delay and the 24 hours period. These results suggest that the 33% reduction in the provision of visual feedback may enhance the learning effect of increasing the percentage of body weight loading on the affected leg in patients with hemiplegia.

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Effects of the Training of Non-Dominant on Hand Function (과제수행을 통한 비우세손 훈련이 손 기능에 미치는 영향)

  • Jang, Chel;Song, Minok;Kim, Boa;Han, Sujung
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.4
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    • pp.1-9
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    • 2015
  • Purpose : We described how the training of non-dominant hand that applicates the activity effects on dominant hand. Method : From November 6th to December 2nd 2013, We randomly selected 18 people that don't have a damage of hand function and are in college of K in Busan. (cross stitch training group 9 people, control group 9 people) All participants agreed on the research after fully being aware of training procedures and spontaneously conducted. Each training was practiced for 40 minutes in once every second day. One researcher deals with three participants at silent environment. We used the study measurement, Purdue pegboard, to investigate the sharpness of hand. To investigate the advancement of hand function caused by cross stitch training, we practiced three times estimations of primary one before training, middle one after 2 weeks training, last one after four weeks training and obtained the following results. Result : First of all, We found that the group of hand training appeared to be advanced of dominant hand's sharpness depending on the training period more than the control group. Second, We found that the group of hand training appeared to be advanced of non-dominant hand's sharpness depending on the training period more than the control group. Third, We found that the group of hand training appeared to be advanced of both hand's sharpness depending on the training period more than the control group. Fourth, We found that the group of hand training appeared to be advanced of the assembling function sharpness depending on the training period more than the control group. Conclusion : Put the results of this research together, we found that non-dominant hand training that used the activity was of help to advance the function of dominant hand. So, we thinks that hand training might help the recovery of affected hand function to the person that have a problem of hand function like hemiplegia patient. It will be required to practice the further study targeting the person that have a problem of hand function like hemiplegia patient. We hope that this research will be apply to clinical occupational therapy.

The Effects of Neuromuscular Re-education on Physical Composition, Blood Lipid Levels and Physical Motor Function in Stroke Patients (신경근 재교육이 뇌졸중 환자의 신체구성, 혈액점도 및 신체운동기능에 미치는 영향)

  • Kang Jeong-IL;Beak Heon-Hee;Shin Hong-Cheul
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.208-234
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    • 2003
  • This study aims to investigate the effect of Neuromuscular Re-education Program and Traditional Intervention Program and is focusing on the difference between changes of experimental before and after on 30 stroke patient's body composition, blood lipid levels, physical motor function. The obtained results are as follows; 1. Change in body composition 1) The change due to the Neuromuscular Re-education Program and Traditional Intervention Program before and after, the Fat Mass and Soft Lean Mass were changed but not significantly. 2) In the comparison of change according to duration, Significant differences were not shown in Fat Mass and Soft Lean Masss between The experimental group and control group. 2. Change in blood lipid levels 1) The change due to the Neuromuscular Re-education Program and Traditional intervention Program before and after, the Cholesterol, Glucose and TG were changed but not significantly. 2) In the comparison of change according to duration, Significant differences were not shown in the Cholesterol, Glucose and TG between the Experimental group and Control group. 3. Change in physical motor function 1) The change due to Neuromuscular Reeducation Program before and after. The physical motor function was significantly changed(p<0.01; p<0.05). but Traditional Intervention Program was changed but not significantly. 2) In the comparison of change according to duration, Signicant differences between the Experimental group and Control group was significantly changed in only the Neuromuscular Reeducation Program(p<0.05). In conclusion, The Neuromuscular Reeducation Program were not changed significantly but it can be said that the Neuromuscular Reeducation Program was more suitable for intervention to improve physical motor function of stroke patients than Traditional Intervention Program. Therefore if further studies increase the experimental duration of Reeducation Program and make the patient's reeducation continuously for improvement of physical motor function in stroke patient are needed.

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Study of a Patient with Cerebral Infarction Treated by Sa-Am's Ohaeng-Acupuncture and Liuqi-Acupuncture (뇌경색환자 치험 1례를 통한 오행침(五行鍼)과 육기침(六氣鍼)의 연구)

  • Lee, Dong-Hyun;Jeong, Yeong-Pyo;Jeong, Hyo-Keun;Lee, Eun-Bang;Ryu, Chung-Ryul;Cho, Myung-Rae;Chae, Woo-Seok;Na, Gun-Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.3
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    • pp.735-739
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    • 2006
  • The purpose of this case is to report the improvement after treatment about a patient with cerebral infarction by Sa-Am's Ohaeng-acupuncture and Liuqi-acupuncture. We treated the patient with acupuncture therapy from 6th September 2004 to 15th November 2004 Dy reinforcing Dadun(LR 1)Zusan Li(5736) Quchi(Li 11) and reducing Taibai(Sp 3) on the basis of etiological analysis and differentiation of endogenous wind caused by damp phlegm and heat. Right hemiplegia improved Gr. 1 to Gr. tV after acupuncture therapy. We interpreted 'reinforcing Dadun(LR 1) and reducing TaiDai(SP 3)'as using Simjeonggyeok in conjunction with Simseunggyeok on the basis of Sa-Am's Ohaeng-acupuncture. We interpreted 'reinforcing Dadun(LR 1) and reducing Taibai(Sp 3)' as excreting dampness in Spleen on the basis of Liuqi-acupuncture. We interpreted 'reinforcing Zusan Li(57 36) and Quchi(Li 11)' as eliminating wind-dampness and menstrual regulation.