• 대한물리치료과학회지
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• 제14권1_4호
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• pp.55-60
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• 2007

The purpose of this case report is to investigate whether an attempt to hold the repeated upright posture under blocking the patient's vision affects the deficits to push away from the paralytic side and the relapse time from down to stand up position without push away in patients with hemiplegia with pusher syndrome. Two hemiplegic patients with pusher syndrome were assessed. The task was performed 4 times per day for 6 weeks. The modified barthel index (MBI) was performed to assess activities of daily living (ADL). For assessing balance, the "balanced sitting" and "sit to stand" are analyzed using by modified motor assessment scale (MMAS). The scale for contraversive pushing (SCP) was used for determination of push away from paralyzed side. MBI, MMAS and SCP were assessed before and after trial of the task. In patient 1, total score of the scale is 0 in sitting posture and standing posture within 3 weeks and 4 weeks, respectively, In patient 2, total score of the scale is 0 in sitting posture and standing posture within 4 weeks and 6 weeks, respectively. These results demonstrated that pusher syndrome was completely resolved in at least 6 weeks. Our findings indicate that this physical therapy seems to be relevant for the hemiplegic patients with pusher syndrome.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2012년도 춘계학술대회 논문집
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• pp.1309-1310
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• 2012

• PNF and Movement
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• 제11권2호
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• pp.119-126
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• 2013

Purpose : The neurologically impaired patients have sensory, motor, cognition, perception problems which cause reduction of body schema, balance control and postural control provoke disfunction. The purpose of this case report was to evaluate effects on gait&balance upon improvement of postural control for left hemiplegia. Methods : This study has performed single subject design from March to April 2013 for 6 weeks. The subject of this study was a 67years old female patient with left hemiplegia. Timed Up and Go (TUG) test and Functional Reach (FR) test were used as evaluation tool. The subject was treated 5 times a week for 30 minutes each. Results : The result is that the walking velocity was decreased, the ability of gait was improved than before the training. The length of FR was increased from 8.33cm to 22.67cm. Conclusion : According to the results, the treatment improves subject's ability of walking in this study.

• 대한물리의학회지
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• 제5권1호
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• pp.43-51
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• 2010

Purpose : The purpose of this study was to compare plantar pressure distribution between affected side and unaffected side and to analyze plantar pressure distribution of affected side according to the extent of hemineglect in the adult hemiplegia. Methods : Twenty-five hemiplegia participated in this study. The analysis of plantar pressure distribution was conducted by the F-scan system, and the extent of hemineglect was evaluated with line-bisection test. While the subject walked about 10 meters in their comfortable speed the plantar pressure was evaluated and stored. Results : Total contact area, AP CoP trajectory, contact pressure of mid-foot of the affected side were significantly different from the unaffected side. Total contact area, AP CoP trajectory and contact pressure of mid-foot were smaller than those of unaffected side. In the comparison among the group according to the extent of hemineglect, AP CoP trajectory of subject who has severe hemineglect was significantly different from the patient that has no hemineglect and it was shorter than that of no hemineglect. Conclusion : The plantar pressure distribution was generally different between affected side and unaffected side and the hemineglect affected negatively the patient to move CoP forwardly while walking. Accordingly, it will help the clinician to understand the hemineglect which has an effect on abnormal walking and to intervent the hemiplegia who has a neglection to the affected side.

• PNF and Movement
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• 제5권2호
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• pp.21-35
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• 2007

Objective : The main purpose of this study was to investigate the influence on lower extremity pattern of PNF to balance ability of patients with chronic hemiplegia. Methods : The subjects were consisted of 52 patients with chronic hemiplegia. All subjects were randomly devide to two group which was ROM exercise group and PNF group. Each group had a treatment for 30 minutes per day and three times a week during 10 weeks period. BPM was used to measure sway area, path, velocity, and BBS FRT TUG to measure patient's balance ability, ABC to measure patient's self-confidence. Results : 1. Sway area was showed that PNF group had more significantly decreased than ROM exercise group(p<.05). 2. Sway path was showed that PNF group had more significantly decreased than ROM exercise group(p<.05). 3. Max velocity was showed that PNF group had more significantly decreased than ROM exercise group(p<.05). 4. BBS was showed that PNF group had more significantly increased than ROM exercise group (p<.05). 5. FRT was showed that PNF group had more significantly increased than ROM exercise group (p<.05). 6. TUG was showed that PNF group had more significantly decreased than ROM exercise group(p<.05). 7. ABC was showed that PNF group had more significantly increased than ROM exercise group (p<.05). Conclusion : it was showed that the lower extremity pattern of PNF would increase balance abilities of the chronic hemiplegia patients. So it would be possible to make good use of lower extremity pattern of PNF for improving balance abilities of chronic hemiplegia patients.

• PNF and Movement
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• 제7권4호
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• pp.37-43
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• 2009

Purpose : The purpose of this study was to evaluate the effect of core stability training at deep abdominal muscle for balance control of hemiplegic patient. Method : The subject of this study was a 47-year-old man with right hemiplegia. He was treated five times a week for three weeks with core stability training at deep abdominal muscles. Evaluation tool was used Functional reach test(FRT), timed up and go test(TUG) and one leg standing for stroke patients. Result : The FRT distance increase, TUG time decrease, one leg standing time increase core stability training at deep abdominal muscles for right hemiplegia improved was the ability for maintain balance. Posture and control of trunk stability are changing posture, and so which showed significant improve of total balance control. Conclusion : The result of this study showed that core stability training at deep abdominal muscles is an effective treatment for balance control. Therefore, it could be considered as a treatment method in the rehabilitation of stroke patient with poor postural control and imbalance, although further studies are needed.

• Journal of Korean Neurosurgical Society
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• 제45권6호
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• pp.390-393
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• 2009

Although prompt diagnosis and emergent surgical intervention are important in acute spinal subdural hematoma (SSDH), some cases with spontaneous remission of symptom and hematoma without surgery have been reported. We present a case of acute nontraumatic SSDH presenting with transient left hemiplegia for 4 hours. A magnetic resonance imaging study of cervical spine confirmed SSDH with C3-6 cervical cord compression at the left side. The patient had conservative management without recurrence. Although hemiplegia is an unusual clinical manifestation of SSDH, it should be differentiated from that of cerebrovascular origin promptly. Conservative management may be an alternative therapeutic option for selective cases with transient neurological deficits.

• 대한물리치료과학회지
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• 제1권1호
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• pp.129-134
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• 1994

The purpose of this study is to conduct a retrospective chart audit of initial physical therapy evaluation to determine the incidence of sitting imbalance and its relationship to the side of weakness in hemiparetic patients. A review of the records of 36 patients revealed that the left side was predominantly affected in 17 patients and the right side in 19 patients. Ages, time since onset, and proportion of men and women did not difer between the left and right hemiparetic patients. About half patients(52.8%) could sit independently, but 64.7% of those with left-sided weak-ness and 31.6% of those with right-sided weakness could not. A chi-sequare analysis revealed a significant relationship between the side of weakness and independent sitting balance(p<0.1). Patients with left hemiplegia are more likely to have difficulty with independent sitting balance(p<0.1). Patient with left hemiplegia are more likely to have difficulty with independent sitting than patients with right hemiplegia, which may affect their progress in rehabilitation.

• 대한의용생체공학회:의공학회지
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• 제31권1호
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• pp.50-55
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• 2010

Gait initiation is a transitional process from the balanced upright standing to the beginning of steady-state walking. Dysbalanced gait initiation often causes stroke patients to fall. The net center of pressure, measured by two triaxial force plates from twenty healthy subjects and two stroke patients, was investigated to assess asymmetry of gait initiation in hemiparetic subjects. The time interval and distance of the net center of pressure(CoP) moved from the initiation point to the toe off(S1) and from the toe off to the initial contact(S2) were calculated during gait initiation of normal and stroke patients. When the patient with right hemiplegia(A) initiated his gait with right foot, the time interval and the distance of the net CoP in S1 and S2 were smaller than that of normal subjects' values. However, he initiated the gait with left foot(unaffected side) the time interval and the distance of net CoP in S1 were larger than normative values. Differently, the patient with left hemiplegia(B) has shown that larger time interval and distance in S1 and smaller time interval and distance in S2 in both sides. His asymmetry(with which side the gait initiated) was not significant. It is too early to conclude that these results could be general characteristics of the stroke patients because the variations were large and moreover, the level of motor recovery of the patients was different. However, it is expected that these trials could help to set up the strategy of the therapy for the rehabilitation or prevention of fall in stroke patients.

• 대한물리치료과학회지
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• 제9권1호
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• pp.53-59
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• 2002

This study is research for effect of the involved lower limb weight bearing training on symmetrical weight supporting rate improvement by practicing involved lower limb weight bearing training of three weeks period to improve standing equilibrium problem with asymmetric weight supporting rate of hemiplegia. In result of the study, it has shown that P-value incase of involved supporting rate is lower than level of significance $\alpha$<.05 and mean improvement rate of experienced group is higher in comparison with controlled group and experienced group. In changing quantity of involved maximum supporting rate, P-value is .26 and higher than level of significance $\alpha$<.05, and so it did not show significant difference statistically. But in case of experienced group between pre and post-test, involved side supporting rate and involved side maximum supporting rate showed significant improvement in all. In comparison of relative characteristic training effect difference, it was shown that train-learning effect on case of 40-60 years old, hemorrhagic patient and standard body bun of patient is valuable, which showed significant improvement in case of paralytic side and disease period, it did not show significant difference on excercise learning effect in two above cases. In the above result, we can say that continuous weight bearing training on the involved lower limb for three weeks period help improve the involved side supporting rate of hemiplegia. Accordingly, the weight bearing training on the involved lower limb is training method that patient can easily train with simple guidance of therapists, without being special expensive equipment. Furthermore it can be helpful to establish home therapeutic plan for hemiplegia through education of a patron.