• Title/Summary/Keyword: Parkinson′s disease

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A Comparison of the Voice Differences of Patients with Idiopathic Parkinson's Disease and a Normal-Aging Group (파킨슨병 환자와 정상 노인의 음성비교)

  • Kang, Young-Ae;Kim, Yong-Duk;Ban, Jae-Chun;Seong, Cheol-Jae
    • Phonetics and Speech Sciences
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    • v.1 no.1
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    • pp.99-107
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    • 2009
  • In view of the hypothesis that the effects of Parkinson disease on voice production can be detected before pharmacological intervention, the voice differences of patients with Idiopathic Parkinson's disease and a healthy aging group were diagnostically analyzed with the long term object of establishing, for clinical purposes, early disease-progression biomarkers. Fifteen patients with Idopathic Parkinson's disease (prior to pharmacological intervention) and a healthy control group of 15 were selected and every voice was recorded three times using praat (ver. 5022) with a headset mic. Relevant parameters - acoustic measure of /a/ phonation, F0 related parameters, MPT related parameters, articulatory ratio, VOT - were then analyzed by MANOVA. Significant differences were found in the F0 related (low F0, high F0, F0 range) and MPT related parameters. There were also significant differences in acoustic measurements (intensity, shimmer, HNR, jitter), AMR (/$t{\Lambda}$/,/$k{\Lambda}$/) and VOT (/ta/), The findings indicated that the voice production of patients with Idiopathic Parkinson's disease have normal pitch but bad quality. In particular, with slow articulatory ratios and VOT values, the tongue tip functioning of patients was lower than for the healthy group.

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A Case Study of Parkinson's Disease Patient with Anorexia and Nausea Treated with Korean-medicine Treatment including Hyangsayukgunja-tang (향사육군자탕을 포함한 한방치료로 호전된 파킨슨병 환자의 식욕부진 및 오심 치험 1례)

  • Lee, Su-jung;Ha, Jeong-been;Lew, Jae-hwan
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.717-723
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    • 2020
  • Objectives: The purpose of this study was to address a case of a Parkinson's disease with anorexia and nausea. Methods: A patient diagnosed with Parkinson's disease with anorexia and nausea was treated with Korean medicine therapies including herbal medication (Hyangsayukgunja-tang), acupuncture, electro-acupuncture, and moxibustion for 7days. To evaluate the therapeutic effect, we used a visual analogue scale(VAS). Results: After the treatment, the VAS score for anorexia and nausea had decreased. Conclusion: These results suggested that Korean medicine therapies with Hyangsayukgunja-tang have a beneficial effect on the gastrointestinal symptoms of Parkinson's disease.

Gait Analysis of Parkinson's Disease Patients (파킨슨 질환 환자의 보행분석)

  • You, Jae-Eung;Choi, Byung-Ok;Jung, Seok
    • The Journal of Korean Physical Therapy
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    • v.17 no.4
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    • pp.569-574
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    • 2005
  • The purposes of this study were to present the basic reference data of age and specipic gait parameters for Parkinson's disease patients. The basic gait parameters were extracted from 20 patients of parkinson's disease and 20 healthy control subjects using VICON 512 Motion Analyzer. The temporal gait parameters and kinematic parameters is data of Parkinson' s Disease Patients. The results were as follows: (1) In patients' group, cadence, walking velocity were less than control group (p<.05). (2) In patients' group, maximum flexion of hip, maximum adduction of hip and maximum flexion of the knee were less than control group (p<.05). (3) In patients' group, maximum varus of the knee were more than control group (p<.05).

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A Case Study of Parkinson's Disease Patient Treated with Yuldahanso-tang gagam (열다한소탕가감방(熱多寒少湯加減方)으로 호전된 파킨슨병 환자 1례)

  • Choi, Jae-Song;Jang, Moon-Hee;Ahn, Taek-Won
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.3
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    • pp.104-113
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    • 2012
  • Objectives This study is about a "Taeumin" parkinson's disease patient with bradykinesia, tremor, weakness and dysautonomia etc. In this case, we evaluated the effect of Yuldahanso-tang gagam for parkinson's disease. Methods This patient was treated by Sasang constitutional herbal medication based on "Donguisusebowon". Acupuncture and west medications were used together. We evaluated the clinical progress through two methods, DITI(Digital Infrared Thermal Imaging) and VAS(Visual Analogue Scale). Results During 11months treatment, chief complaints and symptoms of this patient were improved. Conclusions This study shows that Yuldahanso-tang gagam is an effective treatment for "Taeumin" parkinson's disease patients.

A Case study of Soyangin patient with early-stage Parkinson's disease diagnosed as Upper wasting-thirst pattern (소양인(少陽人) 소갈증(消渴證)으로 진단한 초기 파킨슨병 환자의 구갈(口渴), 변비(便秘) 치험례)

  • Park, Yu-Gyeong;Lee, Mi-Suk;Bae, Na-Young
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.178-188
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    • 2015
  • Objectives The aim of this study was to examine significant improvement of motor and non-motor symptoms after treatment with Sasang constitutional medicine treatment on a Soyangin patient with early-stage Parkinson's disease. Methods The patient was treated with Soyangin's constitutional medications (herb and acupuncture) and scalp acupuncture. The progress was evaluated using the Unified Parkinson Disease Rating Scale (UPDRS) before and after treatment. The UPDRS was used to assess the overall function of patient. Results We observed a significant improvement in patient's motor and non-motor symptoms using UPDRS. The UPDRS score decreased in Part I, Part II, and Part III. Conclusions This study shows that Sasang constitutional medicine can be effective treatment for Soyangin patient with early-stage Parkinson's disease.

Effect of Acupuncture on 6-Hydroxydopamine-induced Nigrostriatal Dopaminergic Neuronal Cell Death in Rats

  • Kim, Yeung-Kee;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Korean Medicine
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    • v.26 no.4
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    • pp.98-107
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    • 2005
  • Objectives: Acupuncture treatment has been clinically used for functional recovery in Parkinson's disease. In the present study, we investigated the effect of acupuncture at Zusanli (ST36) on nigrostriatal dopaminergic neuronal cell death in rats. Methods: A Parkinson's disease model was induced by the unilateral injection of 6-hydroxydopamine (6-OHDA) into the striatum. Acupuncture treatment was performed at Zusanli (ST36) and at the hip, as a non-acupoint, once a day for 14 days. Two weeks after 6-0HDA injection, an apomorphine-induced rotational behavior test showed significant rotational asymmetry in rats with Parkinson's disease. Immunostaining for tyrosine hydroxylase demonstrated a dopaminergic neuronal loss in the substantia nigra and dopaminergic fiber loss in the striatum. Results: Acupuncture at the ST36 acupoint significantly inhibited rotational asymmetry in rats with Parkinson's disease, and also protected against 6-OHDA-induced nigrostriatal dopaminergic neuronal loss. These effects of acupuncture were not observed for non-acupoint acupuncture. Conclusions: The present study shows that acupuncture treatment, especially at the ST36 acupoint, can be used as a useful strategy for the treatment of Parkinson's disease.

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Factors that affect Chronic Illness Anticipated Stigma(CIAS) in patients with Parkinson's disease (파킨슨병에 대한 낙인에 영향을 미치는 요인)

  • Kim, Mi-Jung;Bae, Eun-Sook
    • Korean Journal of Health Education and Promotion
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    • v.32 no.3
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    • pp.121-133
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    • 2015
  • Objectives: This study aimed to examine factors that affect chronic illness anticipated stigma among patient living with Parkinson's disease. The attributes of stigma measured in this study were labeling, expectation of prejudice, negative stereotyping, and discrimination. Chronic illness anticipated stigma was correlated with measures of mental and physical health as well as certain health behaviors. Methods: The sample included 250 adults with idiopathic Parkinson's disease that attended D university hospital in B metropolitan city from June to August 2014. Results: The chronic illness anticipated stigma were significantly correlated to depression, anxiety, Schwab & England ADL, Hoehn & Yahr stage, and age. The significant predictors of chronic illness anticipated stigma were anxiety, depression, and age. These factors accounted for 47% of variance in chronic illness anticipated stigma. Conclusions: In order to reduce the chronic illness anticipated stigma, nurse involved in the treatment and care of patients with Parkinson's disease should encourage patients to attend programs of depression and anxiety management in Parkinson's disease and systemic education programs on stigma.

A Review Study of Scalp Acupuncture for Parkinson's Disease in China (중국에서의 파킨슨병 두침치료 임상연구 논문분석)

  • Kim, Woo-Kyung;Kim, Lak-Hyung;Jang, In-Soo
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.4
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    • pp.11-20
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    • 2011
  • Objectives : The purpose of this study was to obtain some knowledge about the scalp acupuncture treatment on Parkinson's disease for the future practice and the research from the clinical studies in China. Methods : The literatures were searched using the database-China Academic Journals(CAJ) (2006-2011). Clinical studies of scalp acupuncture for Parkinson's disease-Randomized controlled trial(RCT), case control study, case series, case report- were included. Results : Of 65 articles, 12 Clinical studies met our inclusion criteria. Three case series reported a significant improvement in the patients with Parkinson's disease by scalp acupuncture, and 9 RCTs reported a significant effectiveness of scalp acupuncture as a monotherapy or as a combination therapy with Madopa Tablet(Levodopa + Benserazide HCl) treatment. Conclusions : The results of this study could be used for the future study about scalp acupuncture for Parkinson's disease.

Manual Therapy on Constipation in Parkinson's Disease Patients: A Systematic Review (파킨슨병 환자의 변비에 대한 수기요법의 효과: 체계적 문헌 고찰)

  • Chae, In-Cheol;Kim, Ju-Yeon;Yoon, Hee-Jae;Jeon, Cheon-Hoo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.15 no.2
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    • pp.1-8
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    • 2020
  • Objectives This study aimed to evaluate the effectiveness of manual therapy on constipation in patients with Parkinson's disease. Methods We searched electronic databases (PubMed, EMBASE, Cochrane Library, CAJ, KISS, KISTI, KMBASE, NDSL, OASIS, and RISS) for randomized controlled trials for manual therapy on constipation in patients with Parkinson's disease. Results Three randomized controlled trials were selected from the online database. One study demonstrated that manual therapy had positive results compared to routine nursing care with western medication. However, two studies demonstrated that manual therapy had no positive results compared to routine nursing care with western medication or western medication when used alone. Conclusions Our systematic review did not verify the clinical effect of manual therapy on constipation in patients with Parkinson's disease. Thus, more high-quality studies are needed to verify the effectiveness of manual therapy for constipation in patients with Parkinson's disease.

Analysis of Lower Extremity Muscle Activities in Parkinson's Patients for Improving to Stop Task (파킨슨 환자의 멈춤 보행 시 하지 근전도 분석)

  • Yang, Chang-Soo;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.22 no.3
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    • pp.333-339
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    • 2012
  • Freezing of gait is a severely problem in people with Parkinson's disease. The purpose of this study was to investigate the muscle activities of adductor longus, gluteus medius, gluteus maximus, biceps femoris, rectus femoris, gastrocnemius, and tibialis anterior using Noraxon 8 channels EMG system during stop task in patients with Parkinson's disease. Seven parkinson's patients and age matched normal participants were recruited in the study. Filtered EMG signals were rectified, smoothed and integrated. To control for the altered timing and magnitude of activity, iEMG was normalized for time and peak value. The results indicated that the patients with Parkinson showed decreased gait cycle, stance phase, swing phase time, swing phase time ratio and increased stance phase time ratio than normal participants. The patients with Parkinson showed decreased gastrocnemius muscle activity time ratio, while increased tibialis anterior muscle activity time ratio than normal participants. During stance phase before stop, the patients with Parkinson showed relatively lower average and peak iEMG in anterior tibialis and gastrocnemius muscle than normal participants. During swing phase before stop, the patients with Parkinson showed relatively higher average iEMG in gastrocnemius muscle than normal participants. During stop phase, the patients with Parkinson showed relatively lower average and peak iEMG in anterior tibialis and gastrocnemius muscle than normal participants.