• 제목/요약/키워드: MBI

검색결과 296건 처리시간 0.022초

열공성 뇌경색으로 한방병원에 입원한 환자의 자립생활에 영향을 미치는 인자에 대한 연구 (Factors Affecting Independent Living of Lacunar Infarction Patients)

  • 박유진;이형권;김기태;고흥
    • 동의생리병리학회지
    • /
    • 제26권1호
    • /
    • pp.105-112
    • /
    • 2012
  • This study sought a clinical analysis of 43 lacunar infarction patients treated by oriental medical therapies. The patients were divided into two groups (independent living group and dependent living group) according to K-MBI independence level. We had analyzed correlation of many factors like past history, several symptoms of lacunar infarction and ect between independent living group and dependent living group. The male to the female ratio of patients diagnosed lacunar infarction was 1:1.39, female(58.1%) was more dominant than male. The most common age group was 8th decade. The most common past history was Heart disease and without heart disease patients are treated well. Without hemiparesis, cognitive disorder, dysphagia patients are treated well. Patients arrived hopital within 72 hours after onset had treated well In regard to K-MBI of lacunar infarction patients, 65.1% improved and no one got worse. After treatment, 74.4% patients were able to independent living. The correlation between herbal medication and improvement was not founded.

출혈을 동반한 급성기 허혈성 뇌중풍 환자에 대한 한방치료 증례 보고 1례 (A Case Report of Korean Medicine Treatment for Acute Cerebral Infarction with Cerebral Hemorrhage)

  • 전상우;이기향;강세영
    • 대한한방내과학회지
    • /
    • 제40권5호
    • /
    • pp.999-1006
    • /
    • 2019
  • Objectives: The purpose of this study was to report the improvement of symptoms by Korean medicine in acute hemorrhagic infarction. Method: The patient was diagnosed with a cerebral infarction of the right temporal lobe accompanied by cerebral hemorrhage of the left basal ganglia. He did not receive intravenous thrombolytic treatment. Sunghyangjungi-san-gamibang was initially administered, and Gami-daebo-tang was administered during the recovery phase, together with Uhwangchungsim-won, Simjeok-hwan, and acupuncture. The prognostic observation was conducted using the manual muscle test (MMT), the Korean version of the modified Bathel index (K-MBI), and subjective assessment. Results: After Korean medicine treatment, the K-MBI score was improved from 52 to 93. The MMT score and subjective assessment also showed improvement. Conclusions: For patients who cannot be treated with intravenous thrombolytic treatment, Korean medicine treatment is effective during the early and recovery stages of stroke.

뇌졸중 환자의 상지 기능과 일상생활수행능력 향상을 위한 고유수용성신경근촉진법 적용: 증례보고 (Application of Proprioceptive Neuromuscular Facilitation to Improve Upper Extremity Function and Activity of Daily Living in Stroke Patients: A Case Report)

  • 송명수;김범룡
    • PNF and Movement
    • /
    • 제13권3호
    • /
    • pp.155-162
    • /
    • 2015
  • Purpose: The current study (case report) seeks to examine the effects of a proprioceptive neuromuscular facilitation (PNF) exercise program on the upper extremity function and activities of daily living (ADLs) in a stroke patient. Methods: The subject was a 42 year-old woman diagnosed with right-sided hemiplegia due to stroke. Exercise therapy was provided for 50 minutes per day (5-minute warm-up, 40-minute exercise, 5-minute wrap-up) three times per week for a four-week period. The manual function test (MFT) was used to evaluate upper extremity functions. The modified Barthel index (MBI) was utilized to measure ADL. Results: After intervention using various PNF program, the MFT score increased from 23 to 26 and the MBI score increased from 62 to 66. Conclusion: After the application of the PNF program, the MFT and MBI scores increased. As compensative movement of the upper extremities declined, the movement of the upper extremities became faster and softer.

Factors Influencing Discharge Destination and Length of Stay in Stroke Patients in Restorative Rehabilitation Institution

  • Gyu-Bum Lee;Jee-Sun Lee;Jeong Soo Kim
    • 한국전문물리치료학회지
    • /
    • 제31권1호
    • /
    • pp.48-54
    • /
    • 2024
  • Background: Promoting patients' safe return home at discharge and reducing length of stay in hospital is key for Restorative Rehabilitation Institution (RMI). Objects: This study was designed to identify the factors influencing the return to home and length of stay among various factors. Methods: A total of 120 stroke patients (76 males and 44 females) who were hospitalized in an adult inpatient unit of a RMI for more than 2 months were retrospectively analyzed for this study (multivariate logistic regression analyses, p < 0.001). As predictor variables for assessing the return to home and length of stay, demographic data (sex, age, duration between onset and admission, length of stay, caregiver after discharge, occupation after discharge, reason for discharge, and household type after discharge) were collected. Additionally, following measurements were selectively collected from patient's medical records: scores of Mini-Mental State Examination Korean version (K-MMSE), modified Barthel Index Korean version (K-MBI), Berg Balance Scale and Functional Ambulation Category were obtained at admission and discharge. Results: The K-MMSE at admission and K-MBI at discharge were found to be the predictors of return to home. Additionally, K-MBI at admission influenced the length of stay. Conclusion: This study suggests cognitive functioning at admission and the level of activities of daily living at discharge predicted the return to home and length of stay.

상상훈련이 아급성뇌졸중환자의 상지기능 및 일상생활수행능력에 미치는 영향 (Imagery training effects of Upper limb function and Activities of daily living in Subacute stroke patients)

  • 방대혁;소윤지;조혁신
    • 디지털융복합연구
    • /
    • 제11권8호
    • /
    • pp.235-242
    • /
    • 2013
  • 본 연구는 아급성뇌졸중환자의 상지기능과 일상생활수행능력에 대한 상상훈련의 효과를 알아보기 위해 시행되었다. 연구대상자들은 총 16 명으로 상상훈련군과 대조군에 8 명씩 무작위로 할당되었다. 상상훈련군은 4주 동안 주 5회, 매일 30의 상상훈련과 30분의 과제지향훈련을 시행하였고 대조군은 4주 동안 주 5회, 매일 30분간 과제지향훈련을 시행하였다. 측정은 상지기능의 변화를 알아보기 위해 울프운동 기능검사(Wolf motor function test, WMFT)와 Fugl-meyer 운동기능평가(Fugl-Meyer motor function assessment, FMA)를 측정하였고, 일상생활수행능력의 변화를 알아보기 위해 수정된 바델 지수(modified Barthel index, MBI)를 사용하여 측정하였다. 본 연구의 결과는 상상훈련이 대조군에 비해 모든 검사에서 더 유의한 향상을 보였다(p<.05). 그리고 훈련 전후의 효과크기는 상상훈련을 시행하였을 때 WMFT와 FMA는 각각 1.59, 2.02로 큰 효과를 나타냈으며, MBI는 0.37로 최소의 효과를 나타났다. 이러한 결과는 상상훈련이 상지기능과 일상생활수행능력 향상에 도움이 될 수 있으며, 상상훈련의 임상적용 가능성을 지지한다.

급성기 뇌졸증 환자의 상태와 기능회복도와의 상관관계 (The Correlation Between Early Clinical State and Functional Outcome in Acute Stroke Patients)

  • 최은정;이원철
    • 동국한의학연구소논문집
    • /
    • 제6권2호
    • /
    • pp.167-190
    • /
    • 1998
  • 최근 뇌졸중 예후에 관한 연구 경향을 살펴보면 방사선 소견에 예후인자를 살펴보는 방법과, 방사선 소견을 배제한 환자의 상태, 즉 의식이나 인지, 지각, 운동, 언어기능, 대소변 장애 등의 여부와 예후와의 상관관계를 연구하는 방법으로 크게 나누어 볼 수 있다. 전자의 경우는 비교적 객관적인 검토가 가능하지만, 후자의 경우는 연구방법에 있어 어려움이 있었다. 이에 저자는 후자의 방법으로 어떠한 요인들이 뇌졸증의 예후에 영향을 미치는지와, 그 중 가장 영향력 있는 요인이 무엇인지 밝히고자 다음과 같은 통계연구를 하였다. 연구대상은 동국인천한방병원 내과에 일원한 환자 중 뇌졸중 증상발현 48시간 이내에 입원하였으며, 4주간의 추적검사가 가능하였고, 방사선 검사에서 뇌혈관 질환으로 판단된 환자 32명이었다. 연구방법은 입원 시 각 환자의 임상기록지에 기능평가방법의 하나인 FIM, NIH scale, CNS 점수를 기록하고 그 각각의 sub-item 중에서 의식, 인지, 지각, 운동, 언어기능과 대소변 장애에 해당하는 항목을 골라 4주후 MBI로 평가한 기능회복도와의 상관관계를 살펴보았다. 또 각 항목 중에서 가장 영향력 있는 요인을 알아보기 위하여 다중회귀분석을 이용하였고, FIM, NIH scale, CNS의 총점을 다중회귀 분석하여 어느 기능 평가도가 예후에 가장 많은 영향을 미쳤는지도 알아보았다. 의식, 인지, 지각, 운동, 언어, 대소변 항목에 해당하는 FIM, NIH scale, CNS의 각 sub-item에서 점수별로 상, 중, 하위의 군을 나누어 4주후 MBI 평균점수를 살펴본 결과 모두 항목에서 유의성 있는 차이를 보여 이러한 요인들이 예후에 영향을 미친것을 알 수 있었다. 또 MBI 점수의 독립성을 기준으로 해서 5군으로 나누어 각 Sub-item과의 상관성을 살펴본 결과 의식과 지각기능 중 Lim-ataxia 항목을 제외한 나머지 항목에서는 통계적으로 유의성이 있는 것으로 나타났다. 각 Sub-item을 다중회귀 분석한 결과 인지기능이 예후에 가장 큰 영항을 미쳤으며, 지각기능 중 sensory항목과 대변장애가 다음으로 영향을 미쳤다. FIM, NIH scale, CNS의 총점을 나누어 다중회귀 분석하여 본 결과 가장 영향력 있는 평가도는 FIM이었고, 다음은 CNS였다.

  • PDF

급성 파종성 뇌척수염에 대한 한방적 치료 치험 1예 (A Clinical Case Report on a Patient of Acute Disseminated Encephalomyelitis Using Korean Medicine)

  • 박정하;오득주;장수희;허희수
    • 한방재활의학과학회지
    • /
    • 제24권2호
    • /
    • pp.141-153
    • /
    • 2014
  • The objective of this study is to report the improvement of the patient with Acute Disseminated Encephalomyelitis (ADEM) with Korean Medical intervention. The patient, diagnosed as ADEM, was treated by acupuncture, moxibustion and herb medicine and wild ginseng distilled herbal acupuncture. We evaluated the consequences by checking Manual Muscle Test (MMT), Korean Version of Barthel Index (K-MBI). As a result, the patient improved significantly MMT and K-MBI inclined. In ADEM, the initial diagnosis is important, and through a Korean medicine, we were able to achieve meaningful treatment result. There is a limit on this study due to sufficient number of case, thus, further studies will be needed.

양측 전대뇌동맥영역 뇌경색 환자의 증례보고 (Case Report of Both Anterior Cerebral Artery Territory Infarction)

  • 윤종민
    • 동의생리병리학회지
    • /
    • 제30권1호
    • /
    • pp.73-79
    • /
    • 2016
  • It was aimed to report a case of both anterior cerebral artery territory infarction patient improved by korean medical treatment. The patient was diagnosed by brain magnetic resonance imaging(MRI) and magnetic resonance angiography(MRA). The symptoms were quadriplegia, urinary frequency, urinary incontinence and abulia. I applied herbal medicine, acupuncture, moxibustion, pharmacopuncture, cupping and physical exercise therapy. As a result of them, the symptoms of the patient were improved considerably. Status of the patient was evaluated by manaul muscle test(MMT), modified barthel index(MBI) and functional independence measure(FIM) and medical interview. MBI score was changed from 35 to 95 and FIM score was changed from 66 to 115. Therefore this report suggests that korean medical treatment could be effective to the anterior cerebral artery territory infarction.

침구치료로 개선된 장애인의 정신건강 증례보고 (A Case Report on Improvement Mental Health of the Disabled by Acupuncture and Moxibustion)

  • 고원준;박상균
    • Korean Journal of Acupuncture
    • /
    • 제39권1호
    • /
    • pp.16-21
    • /
    • 2022
  • The purpose of this study is to report the case mental health of people with disabilities has improved through visit treatment at public health centers. From October 26, 2021 to January 04, 2022, 6 visits were conducted and Patient Health Questionnaire-9 (PHQ-9), Beck Depression Inventory (BDI), Korean version of Center for Epidemiological Studies-Depression Scale (K-CES-D), Visual Analog Scale (VAS), Euro Qol-Visual Analogue Scale (EQ-VAS), Modified Barthel Index (MBI) were used to check changes. After Korean Medicine treatments such as acupuncture, electroacupuncture, electromoxibustion, PHQ-9 decreased from 18 to 8, BDI decreased from 22 to 15, K-CES-D decreased from 42 to 21. And VAS decreased from 85 to 50, EQ-VAS increased from 30 to 50. But There was no change in the MBI. Confirmation of improvement in mental health-related indicators of disabled patients through Korean Medicine treatments.

Balance Training Program for Community-Dwelling Elders with Risk of Falls: A Multi-center Randomized Controlled Trial

  • Yang Rae Kim
    • Physical Therapy Rehabilitation Science
    • /
    • 제12권2호
    • /
    • pp.192-200
    • /
    • 2023
  • Objective: This study aimed to assess the effectiveness of a balance training program in improving balance and functional independence to reduce fall risks among community-dwelling elders. Design: A multi-center randomized controlled trial Methods: A total of 66participants were randomly assigned to a balance training group or a control group. The balance training program, conducted three times a week for 32 weeks, included warm-up exercises, main balance training exercises, and cooldown stretch exercises. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), and Modified Barthel Index (MBI). Results: The balance training group demonstrated significant improvements in all outcome measures, indicating enhanced balance, improved functional mobility, and increased independence in activities of daily living. In contrast, the control group showed only slight improvements in BBS, TUGT and MBI scores. Conclusions: These findings provide evidence supporting the effectiveness of balance training programs in reducing fall risk and promoting health and wellbeing among community-dwelling elders. Future research should aim to refine the design of these programs and assess the sustainability of the observed improvements.