• Title/Summary/Keyword: Hemiplegia with Stroke

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A Clinical Study on Stroke patients(CVA) in Seosan province (서산 지역에서의 중풍에 대한 임상적 고찰)

  • Lee, Geun-Dong;Seo, Jong-Eun;Han, Sung-Soo
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.715-721
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    • 2000
  • Objective : The purpose of this study is about stroke patients in Seosan. Method : The subjects of this study were 45 patients who were admitted to Hanseo University Oriental Hospital because of stroke. Each patients was diagnosed with Brain CT, sasang constitutional analysis. Results : 1. The rates in CVA was 58% on cerebral infarction, and 42% on cerebral hemorrhage. 2. The sites of cerebral infarction were Basal ganglia, MCA, Internal. External capsule. Thalamus, ect. Sites of cerebral hemorrhage were Thalamus, Basal ganglia, Cerebellum. 3. The ratio of left and right hemiplegia in cerebral infarction was 1:1.6, and in cerebral hemorrhage it was 1:2. 4. The most chief complaints in cerebral infarction, were hemiplegia, dysarthria, facial palsy, headache. In cerebral hemorrhage, their were hemiplegia, dysarthria, headache, dizziness, and facial palsy. 5. Classification of human corporal constitution in cerebral hemorrhage, the most was Taeumin, Soyangin, Soeumin. And in cerebral infarction, the most was Soyangin, Taeumin, Soyumin. 6. The ratio between male and female was 1.25:2 in cerebral hemorrhage, 2.5:5 in cerebral infarction. 7. The most prevalent age groups in cerebral hemorrhage was fifties to sixties. and in cerebral infarction was fifties to sixties. 8. The most common preceding disease in cerebral hemorrhage was HTN, DM. 9. The recurrence rate of cerebral hemorrhage was 16%, and cerebral infarction was 8%. 10. The ratio of recovery in cerebral hemorrhage was 84%, in cerebral infarction 58%. Conclusion : From this study, in cerebral hemorrhage most patients were Taeumin, in their fifties to sixties. And in cerebral infarction most patients were Soyangin, in their sixties to eighties. In both stroke patients, there were more female than male patients.

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Related Factors of the Motivation for Rehabilitation in Stroke Patients (뇌졸중 환자의 재활동기 관련 요인 연구)

  • Lee, Dong-Yeop;Lee, Moo-Sik;Na, Baeg-Ju;Kim, Keon-Yeop;Lee, Dong-Jin;Kim, Dae-Kyoung
    • Physical Therapy Korea
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    • v.13 no.1
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    • pp.16-23
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    • 2006
  • The purpose of this study was to investigate the relations between financial stress, depression, and conjugal affection and the motivation for rehabilitation. One hundred eighty-six stroke patients were included in the study and a survey with 65 questions was used. The survey includes questions to evaluate personal factors, characteristics related with physical therapy, characteristics related with disease, depression, conjugal affection, and motivation for rehabilitation. Education, employment, left hemiplegia and right hemiplegia, depression, financial stress, conjugal affection were statistically significant factors (p<.05). These variables have significant effects on motivation for rehabilitation. This study indicates that financial stress and depression need to be decreased to improve motivation for rehabilitation of stroke patients. It also indicates that the factors facilitating conjugal affection, education, and occupation need to be considered for rehabilitation programs.

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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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The Effects of Community Ambulation Training on the Gait Ability and Stroke Impact Scale in Stroke Patients (지역사회 보행 훈련이 뇌졸중 환자의 보행 능력과 뇌졸중 영향 척도에 미치는 효과)

  • Ji, Sang-Goo;Cha, Hyun-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2788-2794
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    • 2013
  • The study was conducted to determine the effect of community ambulation training and treadmill training on the gait ability and stroke impact scale in patients with hemiplegia due to stroke. Twenty-two patients with hemiplegia due to stroke were assigned to the community ambulation training group(n=11) or treadmill training group(n=11). Both groups were executed conventional treatment for 5 times per week for 6 weeks 30 minutes per session. Each group performed additional exercise for 30 minutes. Post treatment, compared to the treadmill training group, community ambulation training group showed significantly increased velocity, cadence, stroke impact scale(p<.05). These results support the perceived benefits of community ambulation training to augment on the gait ability and stroke impact scale of stroke patients. Therefore, community ambulation training is feasible and suitable for stroke patients.

The Efficacy of Adjusting Leg Length Inequality by Chuna Manual Treatment for Post-Stroke Hemiplegia (뇌졸중 편마비 환자에서 추나요법을 통한 하지길이차이 교정의 효과)

  • Kwon, O-Gon;Jang, Woo-Seok;Woo, Chang-Hoon;An, Hee-Duk
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.2
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    • pp.187-202
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    • 2009
  • Objectives : The purpose of this study is to investigate the efficacy of adjusting leg length inequality(LLI) by chuna manual treatment for post-stroke hemiplegia. Methods : 39 patients with stroke-originated hemiplegia who had leg length inequality were included in this study. Chuna manual treatment at pelvic girdle was applied to 20 patients and they had been treated by general oriental rehabilitation therapy(test group). The other 19 patients had been treated by general oriental rehabilitation therapy only(control group). Outcomes were assessed by Modified Barthel Index(MBI), Berg Balance Scale(BBS), lower extremity Fugl-Meyer Assessment(FMA) at the point of beginning and end of the study. Results : 1. In terms of activity of daily living(ADL), test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group(onset had been past under 6 months), test group didn't showed statistically meaningful differences compared to control group. In chronic group(onset had been past over 6 months), test group didn't showed statistically meaningful differences compared to control group. 2. In terms of lower extremity function and balance, test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group, test group didn't showed statistically meaningful differences compared to control group. In chronic group, test group showed statistically meaningful differences compared to control group(p<0.01). 3. In terms of lower extremity function of hemiplegic side, test group showed statistically meaningful differences compared to control group(p<0.05). In subacute group, test group didn't showed statistically meaningful differences compared to control group. In chronic group, test group showed statistically meaningful differences compared to control group(p<0.05). Coclusions : Adjusting LLI by chuna manual treatment is efficacious for rehabilitation of stroke-originated hemiplegia, in terms of ADL, balance and lower extremity function, and is especially efficacious for chronic patients.

The Effect of Teratainment Task Oriented Activity on the Hemiplegia Weight Shifting of Stroke Patients (테라테인먼트 과제 지향적 활동이 뇌졸중 환자의 마비측 체중이동 능력에 미치는 영향)

  • Jung, Sang-Mi;Choi, Won-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.455-462
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    • 2020
  • The purpose of this study was to investigate the effect of hemiplegia on weight shift when mediating task-oriented activities in stroke patients. To this end, from September to December 2019, 33 patients with stroke were randomly assigned and divided into 17 experimental groups and 16 control groups. The experimental group provided task-oriented activities, and the control group general occupational therapy was conducted 3 times a week, 35 minutes per session for a total of 4 weeks. The weight shift of the left and right body was evaluated by the MTD balance system, and an initial evaluation before intervention and a re-evaluation was performed after 4 weeks of intervention. The result were as follows: 1) When evaluating the pre- and post-intervention within the group, the weight shift to the hemiplegia side showed an improvement in the weight shift to the hemiplegia side in both the experimental group(p<.001), and control groups(p<.001, p<.05). 2) In the pre- and post-intervention evaluation between groups, the experimental group showed a statistically significant improvement in weight shift to the control group(p<.01, p<.05). Through future supplementary studies, it is thought that task-oriented activities in the treatment of stroke patients could be usefully applied to promote weight transfer to the paralysis side.

A Case Report of a patient with hemiplegia ipsilateral to affected cerebral hemisphere (대뇌반구의 병변과 동측에 반신마비 발생한 중풍 환자의 1례)

  • Cho, Seung-yeon;Gwak, Ja-young;Hong, Jin-woo;Na, Byong-jo;Park, seong-uk;Jung, Woo-sang;Moon, Sang-kwan;Park, Jung-mi;Ko, Chang-nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.8 no.1
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    • pp.48-57
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    • 2007
  • Stroke is a disease which results in impairment of body functions and affects everyday life. The ability of cerebral neurons to become reorganized and restore function after damage is called plasticity. Motor impairment typically appears contralateral to the affected cerebral hemisphere in patients with cerebral lesions. The authors report a case of a patient with hemiplegia ipsilateral to affected cerebral hemisphere, along with its conjectured mechanism.

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Relations of Cognitive Function and Visuospatial Function in Patient with Stroke (뇌졸중 환자의 인지 기능과 시공간 지각의 관계)

  • Roh, Hyo-Lyun;Na, Nun-Byeol;Kim, Jung-Yoon;Kim, Eun-Jin;Jo, Won-Jae;Kang, Shin-Wook
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.75-82
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    • 2013
  • Purpose : The aim of this study was to identify the relation of cognition and visuospatial perception in stoke patients. Methods : A total of 16 stroke patients recruited from two hospital located in Donghae, Kang-won participated in this study(Right hemiplegia : twelve, Left hemiplegia : four). All participants scored higher than 20 point on the MMSE-K. To assess the cognitive function, we performed the Korean version of Mini Mental State Examination(MMSE-K), spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment(LOTCA), Figure Color Copy(FCC), Linebisection Test(LBT) and Albert's test in stoke patients. Results: The Korean version of Mini Mental State Examination and spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment were the highest points in sixty ages, Figure Color Copy is difference between Right hemiplegia and Left hemiplegia. Linebisection Test(LBT) and Albert's test had much relation, visuospatial perception had not relationship. Conclusion: Aging was cognition function and visuospatial perception had an interrelationship. visuospatial perception according to affected side in brain had an interrelationship but cognition function and visuospatial perception had not any interrelationship.

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Effects of Horticultural Occupational Therapy on the Physical and Psychological Rehabilitation of Patients with Hemiplegia after Stroke (반신마비 뇌졸중 환자의 심리와 정서적 재활에 대한 원예작업치료 효과)

  • Kim, Mi-Young;Kim, Gui-Soon;Mattson, Neil S.;Kim, Wan-Soon
    • Horticultural Science & Technology
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    • v.28 no.5
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    • pp.884-890
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    • 2010
  • To examine the effects of horticultural occupational therapy (HOT) on the physical and psychological rehabilitation of stroke patients with paralysis on one side of the body, a horticultural therapy (HT) program was implemented along with occupational therapy (OT) in 20 patients with hemiplegia after stroke (treatment group). In the control group, another 20 patients with hemiplegia after stroke received OT but no HT. The HOT program consisted of various indoor horticultural activities that proceeded stepwise on a weekly basis over the course of four weeks. The selected horticultural occupations were organized into four-phases: motivation, adaptation, sociality, and interpersonal relationships and communication. The grooved pegboard test (GPT), geriatric depression scale (GDS), and functional independent measure (FIM) were tested to the patients in this study. Unlike control group, the treatment group showed statistically significant differences in GPT, GDS, and FIM ($p$<0.001). In addition, communication, social cognition, and self-care scores as FIM subordinate factors were improved significantly by HOT program which motivated patients to engage in rehabilitation therapy. This finding suggests that HOT has the potential to be used as an OT program for stroke patients with hemiplegia.

Analysis on Upper Extremity of Hemiplegic Stroke Patients Using Bioelectrical Impedance (바이오 임피던스 분석을 이용한 뇌졸중 편마비환자의 상지 분석)

  • Yoo, Chan-Uk;Park, Ju-Hyung
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.94-101
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    • 2017
  • This study is to compare and analyze the bioelectrical impedance values on the upper extremity (affected and non-affected side) in hemiplegic stroke patients. Experimental subjects were 24 stroke patients with hemiplegia undergoing stroke rehabilitation between October to November, 2015. Prediction marker, resistance, reactance, and phase angle were measured in the upper extremity (affected and non-affected side) of hemiplegic stroke patients, using MultiScan 5000, and then they were expressed as quantified values. The affected and non-affected side of upper extremity in stroke patients with hemiplegia exhibited significant differences in prediction marker, reactance, and phase angle (p<0.05). There were significant differences in the impedance values at the affected and non-affected side of hemiplegic stroke patients. Thus, the possibility of evaluating stroke patients undergoing clinical rehabilitation therapy was suggested.