• Title/Summary/Keyword: Parkinson′s disease

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Association Analysis of Parkinson's Disease using Apriori Algorithm

  • Jung, Yong-Gyu;Kim, Oh-Jin;Won, Jae-Kang
    • International journal of advanced smart convergence
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    • v.1 no.1
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    • pp.43-47
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    • 2012
  • Parkinson's disease is representative degenerative diseases of the nervous system, which is from deficiency of dopamine neurons to pass in which the gradual degeneration of the body. In this paper, open UCI repository data of Parkinson's patients is used for experiments. The classification based on correlation analysis is examined. In addition, the relationship between groups is differentiated by cluster analysis based on patients with Parkinson's disease by apriori algorithm and correlation analysis. It is used to find the properties that distinguish cluster analysis. Though the disease is the same in the basic structure, each group is compared as each gender group with the most distinctive part of the characteristics.

Case Report of Parkinson's Disease Diagnosed as Deficiency of Qi and Blood(氣血兩虛) (기혈양허로 변증한 파킨슨병 환자 증례 보고)

  • Kim, Young-Eun;Kim, Il-Wha;Lee, Jae-Hwa;Lee, Seoung-Geun;Lee, Key-Sang
    • The Journal of Internal Korean Medicine
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    • v.30 no.4
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    • pp.901-908
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    • 2009
  • Parkinson's disease is a slowly progressive degenerative disorder of the central nervous system. It is characterized by tremor when muscles are at rest, increased muscle tone, slowness of voluntary movements, and difficulty maintaining balance. In oriental medicine, these symptoms are diagnosed as yin(陰)-deficiency of liver and kidney, deficiency of qi(氣) and blood, retention of phlegm(痰), qi-stagnation and blood stasis. In this case, we diagnosed patients as deficiency of qi(氣) and blood type according to symptoms and treated by herbs that strengthen yang and benefiting yin for two weeks, while maintaining existing parkinson's western medication. After treatment, clinical symptoms were improved, while UPDRS (Unified Parkinson's Disease Rating Scale) score was decreased. These cases suggest that oriental medicine therapy maybe effective in the treatment of Parkinson's disease.

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The Effects of Voice and Speech Intelligibility Improvements in Parkinson Disease by Training Loudness and Pitch: A Case Study (강도 및 음도 조절을 이용한 훈련이 파킨슨병 환자의 음성 및 발화명료도 개선에 미치는 효과: 사례연구)

  • Lee, Ok-Bun;Jeong, Ok-Ran;Ko, Do-Heung
    • Speech Sciences
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    • v.8 no.3
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    • pp.173-184
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    • 2001
  • The purpose of this study was to examine the effects of manipulating loudness and pitch in terms of speech intelligibility and voice of a patient with Parkinson's Disease. The subject, who was diagnosed as a patient with Parkinson's disease 11 years ago, demonstrated a severely breath voice with low intensity. The accuracy of articulation in consonants was intelligible only at the single word level, and the overall intelligibility in continuous speech was low. The results showed that the subject's articulation accuracy and speech intelligibility was significantly improved after having loudness and pitch training. Habitual Fo, Jitter, Shimmer, Fo tremor, Amp tremor were decreased after training. In addition, the value of HNR also increased after training. It was shown that the changes of these acoustic parameters were closely related to the decrease of breathiness in Parkinson's voice, and this decrease of breathiness affected speech intelligibility considerably. Based on the experimental results, it was claimed that the vocal training by manipulating the loudness and pitch could be highly effective in improving the voice quality and speech intelligibility in Parkinson's Disease.

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Metabolic Abnormalities in Idiopathic Parkinson's Diseases with Unilateral Symptoms

  • Choe, Bo-Young;Kim, Moon-Chan;Kim, Bum-Soo;Lee, Jae-Moon
    • Journal of the Korean Magnetic Resonance Society
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    • v.8 no.1
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    • pp.28-36
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    • 2004
  • Authors investigated whether there is a lateral effect of $^1$H MRS observable metabolite ratios between the symptomatic and the nonsymptomatic side in the early stage of Parkinson's disease with unilateral symptom. Localized in vivo $^1$H MR spectroscopy (MRS) was used to measure the metabolite levels in the symptomatic and the nonsymptomatic sides of the lentiform nucleus in Parkinson"s disease with unilateral symptom (N=25). The metabolite ratios of NAA/Cr and Cho/Cr in the symptomatic side were compared with those in the nonsymptomatic side. Significant metabolic lateral effect of NAA/(Cho+Cr) ratio was established between the symptomatic and the nonsymptomatic side of lentiform nucleus in Parkinson's disease with unilateral symptom (p<0.05). The ratio of NAA/(Cho+Cr) homolateral to the sympatomatic side of the patient is also lower than that of the control (P<0.05). On the basis of NAA/Cr ratios of lentiform nucleus between the symptomatic and the nonsymptomatic side, the present $^1$H MRS study shows a significant neuronal laterality in Parkinson's disease with unilateral symptom. In vivo $^1$H MRS may provide a diagnostic marker for neuronal dysfunction in Parkinson's disease with unilateral symptom.

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Effects of Self-Checked Monitoring Home Exercises on Gait, Balance, Strength, and Activities of Daily Living in People with Parkinson's Disease

  • Lim, Chaegil
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.1
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    • pp.1940-1949
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    • 2020
  • Background: Self-checked monitoring home exercises are recommended for preventing falls among people with Parkinson's disease. However, as these home exercises are performed autonomously by patients without professional management, their accuracy and efficiency can be compromised. Objective: To investigate the effects of providing regular training sessions to patients and caregivers and of patient self-monitoring of exercise performance following the implementation of a self-checked monitoring exercise program for people with Parkinson's disease. Design: Randomized Pretest-Posttest Control Group Design. Methods: We provided regular self-checked monitoring home exercise and general home exercise programs to 30 participants for 12 weeks. Once a month at the first, fifth, and ninth-week sessions, a rehabilitation team attended the Parkinson's group education. In addition to the subject in the experimental group perform the home exercises program to provide feedback regarding the home exercises program and to carry out a self-monitoring checklist performance for 12 weeks. Results: The 10 m walk test, functional reach test, and sit to stand test and the modified Barthel index significantly improved in the self-checked monitoring home exercise group. Conclusion: These results suggest that self-checked home exercise programs, which facilitate safety and consistent performance of exercises at home, are beneficial for people with Parkinson's disease.

A Case Study of a Taeeumin Patient with Advanced Parkinson's Disease Having Orthostatic Hypotension (기립성 저혈압이 있는 진행된 파킨슨병 태음인 환자 치험 1례)

  • Lee, Mi-Suk;Park, Yu-Gyeong;Bae, Na-Young
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.2
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    • pp.193-204
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    • 2016
  • Objectives This case study is about a Taeeumin patient with advanced Parkinson's disease identified as Dry-heat (Joyeol) pattern. In this study, we report significant improvement of non-motor and motor symptoms after treatment with Cheongsimyeonja-tang.Methods The patient was identified as Taeeumin Dry-heat (Joyeol) pattern and treated with Cheongsimyeonja-tang and acupuncture. The Unified Parkinson Disease Rating Scale (UPDRS) was used to assess the overall functions of the patient. And the global assessment scale (GAS) was used to assess the improvements of dizziness, bradykinesia and tremor after the treatment.Result and Conclusion The UPDRS total score decreased from 138 points to 86 points after 5 weeks treatment. And symptoms of dizziness caused by hypotension, bradykinesia, and tremor showed significant improvement in GAS after the treatment. Furthermore, sleep disturbance and constipation were reported to be improved after the treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeeumin patient with advanced Parkinson's disease having orthostatic hypotension.

A Case Study of a Taeeumin Patient with Parkinson's Disease Diagnosed as Dry-heat Symptomatic Pattern (태음인 조열증으로 진단한 파킨슨병 환자의 치험 1례)

  • Kim, So-Hyoung;Choi, Eun-Ju;Bae, Na-Young
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.4
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    • pp.376-386
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    • 2017
  • Objectives This case study is about a Taeeumin patient with Parkinson's disease identified as Dry-heat (Joyeol) pattern. In this study, we report significant improvement of motor and non-motor symptoms of this patient after Sasang constitutional medicine treatment. Methods The patient was identified as Taeeumin Dry-heat pattern and treated with Cheongsimyeonja-tang and acupuncture. The Unified Parkinson Disease Rating Scale(UPDRS) was used to assess the overall function of the patient. And the Global Assessment Scale (GAS) was used to assess the change of bradykinesia, tremor and dry mouth after the treatment. Results The UPDRS total score decreased from 145 points to 77 points after 5 weeks treatment. And symptoms of bradykinesia, tremor and dry mouth showed significant improvement in GAS after the treatment. Furthermore, constipation, sleep disturbance, dysuresia and anorexia were reported to be improved after treatment. Conclusions This study shows that Sasang constitutional medicine can be effective treatment for motor and non-motor symptoms caused by Parkinson's disease.

Tai-Chi for Patients with Parkinson's Disease -the problem and improvement demand of clinical study experience- (파킨슨병 환자를 대상으로 한 태극권 요법 -임상 연구 경험을 통해 본 문제점과 개선 방안-)

  • Hwang, Eui-Hyoung;Lee, Jae-Hyeok;Lee, Sang-Jae;Heo, Kwang-Ho;Cho, Hyun-Woo
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.2
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    • pp.17-30
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    • 2012
  • Objectives : This study was to analyse the reasons for the early termination of our clinical trials that were to know the influences of Tai-chi on non-motor symptoms of Parkinson's disease. Methods : We stopped the primary study of Tai-chi to observe the changes of non-motor symptoms of Parkinson's disease. So we carried out the survey to our participants of clinical trials. We conducted the survey about the patient's characteristics of usual exercise, experience of Tai-chi, appropriate time allocation, difficulties of proceeding the program and patient's opinion for the improvement of education. And the 4 questions about the contributiveness of Tai-chi for the Parkinson's disease, usability of supplied references, difficulties and time allocation of education were using the questionaries form of 5-point scale(Likert scale). Results : The results of survey showed that the benefits of Tai-chi program for the improvement of symptoms was $3.15{\pm}0.89$ and difficulty of lecture was $3.76{\pm}1.09$. 41% of participants answered that the motions of the Tai-chi is difficult to follow and 17% of participants felt the imbalance during the motion of Tai-chi. Conclusions : Participants replied that the Tai-chi is hard for the patients of Parkinson's disease and the time for the education was too short to keep doing exercise. Thus we have plan to educate the patients of Parkinson's disease with Tai-chi program consists of easier motion by developing ourselves or searching previous studies.

Correlations among Respiratory Function, UPDRS and Senior Fitness in Parkinson's Disease Patients (파킨슨병환자의 호흡기능, UPDRS 및 Senior Fitness의 관련성)

  • Kang, Dong-Yeon;Cheon, Sang-Myung;Cheon, Sang-Myung;Lee, Kyung-Soon;Kim, Kyoung
    • The Journal of Korean Physical Therapy
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    • v.26 no.2
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    • pp.48-55
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    • 2014
  • Purpose: The purpose of this study was to examine correlations among UPDRS, respiratory function, and senior fitness and to investigate the effects of restrictive respiratory function on these factors in Parkinson's disease patients. Methods: Subjects (n=25, Hoehn & Yahr (H&Y) stage: 2-3, $69.3{\pm}5.9$ yrs) from D Hospital Parkinson's Disease Center at Busan metropolitan area in the Republic of Korea volunteered for this study. They performed the pulmonary function test, UPDRS, and the senior fitness test. SPSS 18.0 was used for analysis of data, and the collected data were analyzed using Pearson's correlation coefficient (n=25). In addition, Independent t-test was used for determination of differences between two groups (between the normal pulmonary function group (n=10) and the restrictive pulmonary function group (n=10)). Results: Forced vital capacity (FVC (L)) showed significant negative correlation (r=-0.44, p<0.05) with H&Y stage in Parkinson's disease patients, and chair stand showed significant negative correlations (r=0.41, 0.43, 0.42, p<0.05) with FVC (L), FVC (%), and FEV1 (L). FVC (%) showed significant positive correlations (r=0.44, r=0.44, p<0.05) with right and left back scratch. In addition, the restrictive respiratory function group showed significantly lower FVC (%) (p<0.01) and was significantly slower (p<0.05) in the 8-foot up-and-go test than the normal respiratory function group. Conclusion: In conclusion, these results suggest that restrictive respiratory function in PD was related to H&Y stage. In addition, agility of PD patients was lower in the restrictive respiratory function group than in the normal function group.

The Clinical Review of Bowel disorders following Parkinson's disease (Parkinson 병 환자의 배변장애 2례(例)에 대(對)한 임상고찰(臨床考察))

  • Lim, Seung-Man;Shin, Hyoun-Su;Baek, Eun-Tan;Kim, Young-Tae;Ra, Su-Yeon;Oh, Sang-Deog
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.735-742
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    • 2001
  • Object : This study was carried out to investigate the bowel disorders following parkinson's disease. Methods : We studied 2 patients with constipation followed by parkinson's disease. Both were diagnosed as COLONOTONIA - according to 8 Constitution medicine. Case 1 was treated with methods of 8 Constitution therapy and herbal medication(Sopoongsoongee-won). Case 2 was treated with method of 8 Constitution therapy only. Conclusions : After treatment, symptom of constipation were improved in both case.

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