• Title/Summary/Keyword: Patient Assessment Report

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Physiotherapy For Pusher Behaviour in A Patient With Post-Stroke Hemiplegia - Case Report (밀기 증후군이 있는 편마비환자의 물리치료 - 사례연구)

  • Kim, Yong-Seon
    • Journal of Korean Physical Therapy Science
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    • v.14 no.1_4
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    • pp.55-60
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    • 2007
  • The purpose of this case report is to investigate whether an attempt to hold the repeated upright posture under blocking the patient's vision affects the deficits to push away from the paralytic side and the relapse time from down to stand up position without push away in patients with hemiplegia with pusher syndrome. Two hemiplegic patients with pusher syndrome were assessed. The task was performed 4 times per day for 6 weeks. The modified barthel index (MBI) was performed to assess activities of daily living (ADL). For assessing balance, the "balanced sitting" and "sit to stand" are analyzed using by modified motor assessment scale (MMAS). The scale for contraversive pushing (SCP) was used for determination of push away from paralyzed side. MBI, MMAS and SCP were assessed before and after trial of the task. In patient 1, total score of the scale is 0 in sitting posture and standing posture within 3 weeks and 4 weeks, respectively, In patient 2, total score of the scale is 0 in sitting posture and standing posture within 4 weeks and 6 weeks, respectively. These results demonstrated that pusher syndrome was completely resolved in at least 6 weeks. Our findings indicate that this physical therapy seems to be relevant for the hemiplegic patients with pusher syndrome.

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A Patient with Liver Fire Flaming Upward and Metabolic Syndrome Improved by Korean Medicine: A Case Report (대사증후군이 동반된 간화상염 변증 환자에 대한 한의정신요법 병행 한의치료 증례보고)

  • Jun-Hee, Cho;Jung-Hwa, Lim;Bo-Kyung, Kim
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.485-495
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    • 2022
  • The purpose of this study is to report a case of a patient with pattern identification of liver fire flaming upward and metabolic syndrome improved by Korean medicine. The patient felt completely lost. She was treated for headache, insomnia, and metabolic syndrome with Korean medicine and psychotherapy. Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Pattern Identification Tool for Insomnia (PIT-Insomnia), Minnesota multiphasic personality inventory-2 (MMPI-2), and bioelectrical impedance analysis (BIA) were used for assessment. During treatment for six months, the patient stopped taking headache pills. Her blood pressure was stabilized. Her body weight, body fat, body mass index (BMI), and visceral fat decreased significantly. The sum of ISI, PSQI, PIT-insomnia also decreased significantly. Her Ego strength increased in the MMPI-2 supplementary scale. We assume that Korean medicine treatment through acupuncture, herbal medicine, and psychotherapy is effective in treating pattern identification of liver fire flaming upward and metabolic syndrome.

A Quality Evaluation Study of Case Reports in the Journal of Korea CHUNA Manual Medicine for Spine & Nerves According to the CARE(CAse REport) Guidelines (CARE(CAse REport) 지침에 의거한 척추신경추나의학회지 증례보고의 질 평가 연구: 2013년 이후 증례보고를 중심으로)

  • Choi, Seung-Kwan;Oh, Kyeong-Jin;Lee, Jung-Han
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.1
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    • pp.91-105
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    • 2021
  • Objectives A case report is a detailed medical description of previously unreported observations or complications of medical conditions, unique use cases of tests, or new side effects. The purpose of this study was to evaluate the quality of case reports published in the Journal of Korea CHUNA Manual Medicine for Spine & Nerves (JKCMSN). Methods Case reports published in the JKCMSN from January 2013 to December 2020 were selected using the Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports was assessed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guidelines. Results Sixty case reports that met the inclusion criteria were included in the assessment. Our analysis revealed that 71.42% of the case reports included all the necessary information and their level of reporting was good. However, their scores in the qualitative subdivisions of the reporting level parameters showed that the quality level was uneven. More than 65% of the papers did not report in the following categories: "Keywords," "Patient information," "Timeline," "Diagnostic assessment," "Therapeutic interventions," "Follow-up and outcomes," "Patient perspective," and "Informed consent." Conclusions Our analysis shows that CARE guidelines need to be followed more rigorously to improve the quality of reporting in the JKCMSN. Further efforts are necessary to develop reporting guidelines and evaluation tools relevant to the Korean clinical context.

Chronic Rhinitis Treated by Dangguisayeokgaosuyusaengang-tang Based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 당귀사역가오수유생강탕(當歸四逆加吳茱萸生薑湯) 투여 후 호전된 만성 비염 증례 1례)

  • Ryu, Hee-Chang
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.189-196
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    • 2021
  • Objective : This study aimed to report the improvement of a patient with chronic rhinitis treated with herbal medication using the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods : According to the Shanghanlun DPIDS and an etymological interpretation of Chinese characters, the patient was diagnosed with Reverting yin disease (provision 352) and took Dangguisayeokgaosuyusaengang-tang herbal medication for 50 days. The change in symptoms of chronic rhinitis were estimated using the Total Nasal Symptom Score (TNSS), the Rhinitis Control Assessment Test (RCAT), and a visual analog scale (VAS). Results : The TNSS score decreased from 8 to 3, the RCAT score decreased from 14 to 24, and the VAS decreased from 10 to 2. Conclusions : The main causes of the disease were 厥 and 內. This is the first case report of describing the treatment of chronic rhinitis with Dangguisayeokgaosuyusaengang-tang.

A Case Report of a Medial Medullary Infarction Patient with Menopausal Hot Flashes (갱년기장애 상열감을 호소하는 내측 연수 경색 환자에 대한 치험 1례)

  • Ye-chae Hwang
    • The Journal of Internal Korean Medicine
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    • v.45 no.1
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    • pp.119-130
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    • 2024
  • This case study reports on the effectiveness of Korean medicine treatment for menopausal hot flashes in stroke patients. During hospitalization, a female patient with medial medullary infarction was diagnosed with menopausal hot flashes and received treatment with traditional Korean medicine and acupuncture. The assessment was performed by monitoring daily habits to relieve hot flashes. The hot flash index, menopause rating scale (MRS), menopause-specific quality of life (MENQoL) questionnaire, and Kupperman index (KI) were also used. After 28 days of treatment, the hot flash index improved from 27 to 2, MRS improved from 11 to 2, MENQoL improved from 40 to 21, and KI improved from 22 to 6. Thus, this case suggests that Korean medicine treatment may be effective for menopausal hot flashes in stroke patients.

Case Report Combined Therapy of Acupuncture and Fire Needling is Effective to Treat Frozen Shoulder (일반침과 화침의 병용 요법의 동결견 환자에 대한 응용 증례 보고)

  • Hong, Seung Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.122-127
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    • 2014
  • Fire needling is an acupuncture procedure involving the swift pricking of diseased part with a red hot needle. The purpose of the present study is to report the therapeutic effect of acupuncture and fire needling combined therapy on the frozen shoulder patients. Each of patient received combined therapy of acupuncture and fire needling. Fire needling was carried out 2 or 3 times a week. Shoulder pain was evaluated by measuring visual analoge scale (VAS), range of movement (ROM), and global assessment and grade. All of the patinets treated with combined therapy exhibited decreasing of VAS and grade, increasing of ROM and global assessment.

Medical Service Variation of Urinary Incontinence Surgery and Uterine Polypectomy Using a Multilevel Analysis (다수준 분석을 이용한 요실금수술과 자궁폴립제거술의 의료서비스 변이)

  • Kim, Sang Me;Ahn, Bo Ryung;Kim, Jeong Lim;Lee, Hae Jong
    • Health Policy and Management
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    • v.30 no.1
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    • pp.82-91
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    • 2020
  • Background: This study investigates the influence factors of medical service variations using medical charge and the length of stay (LOS) for urinary incontinence surgery and uterine polypectomy. Methods: The National Health Insurance claims data and Medical Resource Report by the Health Insurance Review & Assessment Service in 2016 were used. Frequency analysis, one-way analysis of variance, and Bonferroni post-hoc tests were executed for each surgery. A multilevel analysis was executed to assess the factors to the medical charge and LOS for each surgery in patient, doctor, and hospital level. Results: Fifty-two point eight percent of urinary incontinence surgery and 87.1% of uterine polypectomy were distributed in general and tertiary hospitals. Among three levels, the patient level variation was 61.5% or 77.2% in medical charge and 93.9% or 96.3% in LOS, respectively. The doctor level variation was 29.6% or 22.6% in medical charge and 0.6% or 0.0% in LOS, respectively. The institution level variation was 8.9% or 0.2% in medical charge and 5.5% or 3.7% in LOS, respectively. Number of other disease and organizational type were main factors that affected the charge and LOS for urinary incontinence surgery and uterine polypectomy. Conclusion: Medical service variations of the urinary incontinence surgery and uterine polypectomy were the largest for the patient level, followed by doctor level for the medical charge, and the institution level for the LOS.

A Case Report of Korean Medical Treatment on Atypical Parkinsonism Patient Complaining of Gait Disturbance Using 3-Demensional Gait Analysis System (3차원 보행분석기를 통해 보행장애의 호전이 확인된 비정형 파킨슨증후군 환자 한방치험 1례)

  • Hye-Min Heo;Kyeong-Hwa Lee;Kyeong-Hwa Heo;Ye-Chae Hwang;Seung-Yeon Cho;Jung-Mi Park;Chang-Nam Ko;Seong-Uk Park
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.24 no.1
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    • pp.13-24
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    • 2023
  • ■Objectives This case study is to report the effects of Korean medicine on parkinsonism patient's Gait Disturbance. ■Methods During 12 days of hospitalization, the patient was treated by acupuncture, pharmaco-acupuncture, moxibustion, herbal medicine, especially Cheongsimyeonjatang-gamibang. In order to assess the change of symptoms, we used a 3-Dimensional(3D) gait analysis system, Unified Parkinson's Disease Rating Scale(UPDRS), analysis of gait video and self-evaluation of discomfort. ■Results After treatment, The improvements of walking pattern were observed in both objective analysis results of gait analysis system and subjective video analysis. And the UPDRS score decreased, especially Part III score decreased more than minimal clinically important difference(MCID). In addition, There was improvement in self assessment of the patient. ■Conclusion This study suggests that Korean medical treatment might be effective in motor disorder of parkinsonism patient.

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A Case Report of a Soyangin Patient with Chest Discomfort of Unknown Cause (원인불명의 흉부불편감을 호소하는 소양인(少陽人) 치험례)

  • Kang, Min-Su;Yang, Sung-Pil;Kim, Jin-Young;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.3
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    • pp.280-287
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    • 2017
  • Objectives The purpose of this study is to investigate the effect of Jihwangbaekho-tang on chest discomfort of unknown cause in a 52-year-old male patient diagnosed with Soyangin. Methods Patient had chest discomfort. But, the cause of this symptom was not identified by various cardiac examinations. The patient was treated with Soyangin Jihwangbaekho-tang for 2 weeks on the basis of Sasang Constitutional Medicine and the symptoms were evaluated by GAS(Global Assessment Scale). Results After using Jihwangbaekho-tang, GAS score has been decreased from 7 to 3. Conclusions This case study suggests that chest discomfort, whose cause is unknown, can be treated when using Sasang Constitutional Medicine.

Effects of Trunk Stability Exercise by using PNF on Trunk Control Ability and Balance, Gait in a Patient with Hemiplegia: A Single Case Study (PNF를 이용한 체간안정화운동이 뇌졸중 환자의 체간조절능력과 균형, 보행에 미치는 영향: 단일사례연구)

  • Jung, Du-Kyo
    • PNF and Movement
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    • v.13 no.4
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    • pp.203-213
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    • 2015
  • Purpose: Deficits in lower-extremity function and trunk control ability have a negative impact on individuals with hemiplegia. This case report aimed to describe the effect of trunk stability exercises using proprioceptive neuromuscular facilitation (PNF) on trunk control ability, balance, and gait in a patient with hemiplegia. Methods: A 77-year-old man with hemiplegia and trunk and lower extremity impairment participated in this four-week training intervention. Results: The patient demonstrated improvements in trunk control ability, balance, and gait performance. Outcome measures (Fugl-Meyer Assessment Lower Extremity (FMA-LE), Trunk Control Test, Berg Balance Scale, Timed Up and Go test, 10 Meter Walk test) were measured before and after the training program. Conclusion: The results of this case suggest that a trunk stability exercise using a PNF program may improve trunk control ability, balance, and gait in a patient with hemiplegia.