• Title/Summary/Keyword: Patient Assessment Report

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Neoplasm Metastasis of Cervical Vertebrae Found in Lung Neoplasm Patient Suffering Neck Pain: A Case Report (폐암의 경추 전이로 인한 경추통 환자 1예)

  • Kim, Min-Woo;Lee, Ji-Won;Jo, Dong-Chan;Ko, Youn-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.133-139
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    • 2021
  • The purpose of this study is to report a case in which neoplasm metastases of cervical vertebrae were found in lung cancer patient during inpatient treatment for neck pain. Pain assessment and physical examination including numeral rating scale, range of motion of neck, Spurling's test, cervical compression test were performed. As a result, C-spine series X-ray was taken under the judgement it is not a simple neck pain. Bone metastases were suspected as X-ray showed loss of C7 left pedicle, indistinct C7 left transverse process and indistinct C4 upper margin. Magnetic resonance imaging and computed tomography were taken as further examination, and metastases of C4, C6, C7 were confirmed. The patient was transferred for professional treatment. In conclusion, this study shows the importance of appropriate diagnostic evaluation such as pain assessment and physical examination, and the need for diagnostic imaging in the treatment of patients with neoplasm history.

Targetting Balance and Gait Rehabilitation with Multichannel Transcranial Direct Current Stimulation in a Sub-Acute Stroke Survivor-A Case Report

  • Gakhar, Kazal;Arumugam, Narkeesh;Midha, Divya
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.8-15
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    • 2022
  • Objective: Post stroke motor recovery is facilitated by the brain reorganization or the neuroplastic changes. The therapeutic approach mentioned in the current case is one of the approaches for enhancing motor recovery by stimulating the damaged neural networks directing the motor behaviour of a person. The aim of the present study was to establish the changes in the balance and gait pattern of an individual through multi target stimulation of areas of cerebral cortex by utilising multichannel trans cranial direct current stimulation (M-tDCS) in a sub-acute stroke survivor. Design: A Case Report Methods: The present patient was the participant of the trial (CTRI/2021/02/031044).The patient was intervened with M-tDCS (anodes over left primary motor cortex that is C3 point and left dorsolateral prefrontal cortex i.e., F3 point and cathodes over supraorbital areas, Intensity - 1.2mA) for the duration of 20 minutes along with turbo med extern - an AFO to facilitate ankle dorsi flexion and conventional physiotherapy rehabilitation. The Fugl-Meyer assessment lower extremity (FMA-LE), Berg Balance Scale (BBS), Wisconsin Gait Scale (WGS) and the Stroke Specific Quality of Life (SSQOL) measures were used for outcome assessment. Baseline assessment was done on day 0 followed by assessment on 10 and 20 post intervention. Results: Improvement was seen in all the tools i.e. (FMA -LE), BBS, SSQOL and WGS over the time period of 20 days. Conclusions: M-tDCS resulted in improvement in gait parameters, balance and motor functions of lower extremity of the patient.

A Case report of Soyangin patient with early-stage Parkinson's disease treated with Hyeongbangjihwhang-tang (형방지황탕(荊防地黃湯)으로 호전된 초기 파킨슨병환자의 두통(頭痛) 변비(便秘) 치험례)

  • Lee, In-Sung;Won, Jin-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.2
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    • pp.184-192
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    • 2016
  • Objectives The purpose of this case study is to report significant improvement of headache, constipation and a slight improvement of tremor after treatment with Hyeongbangjihwhang-tang in a Soyangin patient with Parkinson's disease.Methods This Soyangin patient is treated by Hyeongbangjihwhang-tang and acupuncture therapy. The progress was evaluated using the Unified Parkinson Disease Rating Scale before and after treatment. Secondary results assessments include Global Assessment Scale, change of patient's omniloquilism, Xerostomia and Cold hands & Feet Syndrome.Results and Conclusions The patient's symptoms of headache, constipation and tremor were improved after using Hyeongbangjihwhang-tang. and UDPRS score decreased in Part Ⅰ, Part Ⅱ, and Part Ⅲ. In conclusion, this study shows that Hyeongbangjihwhang-tang can be effective treatment for Soyangin patient with early-stage Parkinson''s disease. Overall, Sasang medicine can be a solution of the symptoms caused by Parkinson's disease. Through Sasang medicine we can contribute Parkinson's disease Patient's quality of life get better.

Assessment of the Quality of Case Reports in the Journal of Acupuncture Research Using the CARE and STRICTA Guidelines

  • Nam, Eun-Young;Hwang, Ji Hye
    • Journal of Acupuncture Research
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    • v.37 no.4
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    • pp.224-232
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    • 2020
  • The purpose of this study was to assess the quality of the case reports in the Journal of Acupuncture Research (JAR). All case reports were retrieved from November 2017 to June 2020. There were 19 case reports included in this assessment based on the case report (CARE) guidelines and case report and standards for reporting interventions in clinical trials of acupuncture (STRICTA) guidelines. The overall quality of reporting was relatively high (83.08% on Case Report guidelines and 77.78% on Standards for Reporting Interventions in Clinical Trials of Acupuncture guidelines), but several crucial items remained substantially underreported, such as identifying as a case report (keywords), patient information and perspective, clinical findings, diagnostic assessment, and intervention information. In 18 out of 19 included case reports of acupuncture-related interventions, several items remained considerably underreported such as acupuncture regimen variation, depth of needle insertion, response sought, and experience of acupuncturists. In the classification by disease, condition, or syndrome, 13 out of 19 included case reports were for musculoskeletal disorders (68.4%), which is the main clinical medical field of Korean medicine services. The results of this study may help develop more appropriate reporting guidelines for case reports published in JAR.

A Case Report of Herpes Zoster in Tae-eumin Improved with Yeoldahanso-tang (열다한소탕(熱多寒少湯)으로 호전된 태음인(太陰人) 대상포진(帶狀疱疹) 치험 1례)

  • Kim, Seong-Tae;Choi, Ae-Ryun;Koo, Deok-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.2
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    • pp.71-77
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    • 2012
  • 1. Objectives : The Purpose of this case is to report that a Tae-eumin patient diagnosed as Herpes Zoster was treated with Yeoldahanso-tang and then his symptoms improved. 2. Methods : We diagnosed the patient as Tae-eumin-Kanyeol-byung(太陰人肝熱病). So we treated him With Yeoldahanso-tang, and used Visual Analogue Scale(VAS) and pictures of the affected part for the assessment. 3. Results : After we treated the patient with Yeoldahanso-tang, the vesicles were cleared and his symptoms improved. 4. Conclusions : This case study show an efficient result of using Yeoldahanso-tang in Tae-eumin diagnosed to Herpes Zoster.

A Case Report of Sweating and Palpitation due to Chemotherapy for Cancer in a Soeumin Patient with Primary Central Nervous System Lymphoma (원발성 중추신경계 림프종으로 항암화학요법 후 발생한 자한, 심계정충을 호소하는 소음인 치험 1례)

  • Lee, Seul;Lee, Yongjae;Lee, Jeongyun
    • Journal of Sasang Constitutional Medicine
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    • v.31 no.2
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    • pp.31-40
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    • 2019
  • Objectives The purpose of this case study was to report improvements of a Soeumin patient with sweating and palpitation after chemotherapy for primary central nervous system lymphoma by diagnosing and treating as Yang Depletion Symptomatology. Methods The Soeumin patient was administered Bojungikgi-tang and treated with acupuncture. Global assessment scale (GAS) was used to assess the improvements of symptoms. Results Sweating was improved to GAS 20 and palpitation was gone away after using Sasang constitutional medicine treatment. Conclusions This study shows that Sasang constitutional medicine can be effective treatment for side effects caused by chemotherapy for cancer.

A Case Report of Soyangin Herpes Zoster Patient who does not Respond to Famciclovir Treated with Combined Medication of Yangdokbackho-tang and Famciclovir (Famciclovir에 반응하지 않는 소양인(少陽人) 대상포진(帶狀疱疹) 환자의 양독백호탕(陽毒白虎湯), Famciclovir 병용 치료로 호전된 1례)

  • Kwon, Tae-wook;Rho, Gi-hwan
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.71-76
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    • 2012
  • In this case, patient diagnosed as herpes zoster was given Famciclovir for 5 days but did not respond. The patient was then confirmed as Soyangin and given combined medication of Yangdokbackho-tang and Famciclovir and showed remarkable improvement in vesicles and his pain. Most of symptoms were gone after 10 days of combined medication. We used Visual Analogue Scale(VAS) and pictures of the affected part for the assessment and report this case.

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A PNF Intervention Strategy with ICF Tool Applied for Improvement of Dressing in a Patient with Rotator Cuff Syndrome : A Case Report (회전근개 파열 환자의 옷입고 벗기 향상을 위해 ICF Tool을 적용한 PNF 중재전략 : 증례보고)

  • Kim, Jin-Cheol;Lee, Jeong-A
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.49-60
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    • 2018
  • PURPOSE: This study was conducted to investigate the intervention effect obtained by applying an ICF tool to improve the dressing in a patient with rotator cuff syndrome to schematize the problems and approaching with PNF to solve the problems. METHODS: The subject of this study was a 44-year-old patient who underwent surgery after complete right rotator cuff tear. To treat his symptoms, the processes of clinical practice were implemented in the order of examination, assessment, diagnosis, prognosis, intervention, and outcome. During examination, patient information was collected using the ICF core set. In the assessment, the problems were schematized, and an ICF assessment sheet was used to identify the interaction of the problems. The diagnosis was made by clearly describing the causal relationship derived from the assessment in ICF terms. To solve the problems, the intervention was given in the order of indirect, direct, and task based on the philosophy of PNF. To evaluate the outcome, the differences before and after the intervention were compared. Additionally, the comparison for the ICF qualifier is presented with the ICF evaluation display. RESULTS: The results of the study showed clinical advantages in shoulder strength, eccentric control, range of motion, scapular stability, and shoulder pain. Overall, our patient with rotator cuff syndrome showed improvement in dressing and undressing activity in response to the PNF strategy. CONCLUSION: Application of the PNF intervention strategy after complete rotator cuff tear would have a positive effect on patient upper extremity function.

Intraoral Balancing Appliance and Korean Medical Treatment for Patient with Temporomandibular Disorder: A Case Report (구강 내 균형장치 및 한방치료를 적용한 턱관절장애 환자에 대한 증례보고)

  • Geum, Ji-Hye;Lee, Jung-Han
    • Journal of TMJ Balancing Medicine
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    • v.9 no.1
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    • pp.18-23
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    • 2019
  • Objectives: The aim of our study was to report clinical improvement of a patient who suffered from Temporomandibular Disorder (TMD) being treated with Korean Medical treatments and Intraoral Balancing Appliance (IBA). Methods: During the admission period, the patient was treated with acupuncture, cupping, Korean Medicine, Chuna therapy and FCST (Functional Cerebrospinal Therapy) every day. And we observed patient's condition by Numeric Rating Scale (NRS), Pain Disability Index (PDI), EQ-5D-5L (Five-level EuroQol-5 dimensions), and assessment about range of motion(ROM) for temporomandibular joint and cervix. Results: After treated for 4 weeks, the patient's NRS, PDI, EQ-5D-5L and ROM were improved. Conclusions: Korean Medical treatments including FCST are estimated to be effective for patients with TMD. But the case was only one, so more cases and further research is needed to prove the effectiveness of the treatment.

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Evaluation of the Quality of Case Reports from the Journal of Korean Medicine Based on the CARE Guidelines (CARE 지침에 따른 대한한의학회지의 증례보고에 대한 질 평가)

  • Choi, Sung Youl
    • The Journal of Korean Medicine
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    • v.41 no.2
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    • pp.122-136
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    • 2020
  • Objectives: A case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. The purpose of this study is to evaluate the quality of case reports from the Journal of Korean Medicine by the CARE (CAse REport) Guideline. Methods: Case reports published in the Journal of Korean Medicine from January 2016 to March 2020 were searched from Oriental Medicine Advanced Searching Integrated System (OASIS). We assessed the quality of reporting based on CARE (CAse REport) guideline as 'Sufficient', 'Not-Sufficient' and 'Not-Report'. Results: A total of 22 case reports were finally included for the assessment. The reporting items were reported as of reporting quality. After checking the result, there was a deviation in the sub-item reporting rate by a maximum 89.29%, a minimum 66.67% and a median 82.14% in case reports. Also after checking the quality in case reports by 28 detailed items in CARE guidelines, there were not reported 77% or more in the 5 sub-items 'Intervention adherence and tolerability', 'Informed consent', 'Adverse and unanticipated events', 'Diagnostic challenges', 'Patient perspective'. Conclusion: There is a need to improve the quality of case reports in the journal of Korean Medicine based on various studies using CARE guideline.