• Title/Summary/Keyword: Post stroke

Search Result 619, Processing Time 0.027 seconds

Gait analysis methods and walking pattern of hemiplegic patients after stroke (뇌졸중환자의 보행분석방법과 보행특성)

  • Han, Jin-Tae;Bae, Sung-Soo
    • PNF and Movement
    • /
    • v.5 no.1
    • /
    • pp.37-47
    • /
    • 2007
  • Objective : A large proportion of stroke survivors have to deal with problems in gait. Proper evaluation of gait must be undertaken to understand the sensorimotor impairment underlying locomotor disorders post stroke. Methods : The characteristics of gait pattern with post stroke are reviewed in this paper. In particular, temporal distance parameters, kimematics, kinetics, as well as energy cost, EMG are focused. Results : The technology for gait analysis is moving rapidly. The techniques of 3D kinematic and kinetic analysis can provide a detailed biomechanical description of normal and pathological gait. This article reviews gait analysis method and characteristics of post stroke. Finally current method of gait analysis can provide further insight to understand paretic gait and therapeutic direction.

  • PDF

The Effect of Recovery of disability on Post-stroke Depression (뇌졸중 환자의 장애 회복이 뇌졸중 후 우울증에 미치는 영향)

  • Ha, Mi-Sook;Park, Min-Chull;Goo, Bong-Oh
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.5 no.4
    • /
    • pp.623-632
    • /
    • 2010
  • Purpose : The purpose of this study was to identify the effect of recovery of disability on post-stroke depression in stroke patients. Methods : Fifty patients with stroke were participated in this study. The stroke impact scale(SIS) was used to assess the recovery of disability according to stroke and short form of geriatric depression scale(SGDS) was used to assess the poststroke depression(PSD). Results : The suspicious for depression were exhibited in 38%(n=19) and patients with depression were 58% (n=26) of 50 patients with stroke. In correlation between recovery of disability and depression, emotion and recovery of stroke negatively correlated with depression(p<.05). Conclusion : These results demonstrates that patients with stroke need to manage and treat emotion for the prevention and management of PSD.

The Relationship between Pain and Quality of Life in Stroke Patients (뇌졸중 후 통증 발생과 삶의 질과의 관계)

  • Kwon, Mi-Ji
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.12 no.2
    • /
    • pp.83-90
    • /
    • 2017
  • PURPOSE: Central post-stroke pain (CPSP), a chronic pain condition of stroke patients, can impair activities of daily living and worsen the quality of life (QOL), thereby negatively influencing the rehabilitation process. However, CPSP remains an underestimated complication of stroke. This study aimed to describe the prevalence and types of new-onset chronic pain and to identify the relation between pain and QOL in stroke patients. METHODS: All patients hospitalized because of a diagnosis of stroke were included. Questionnaire was used. Pain intensity was measured using Numerical rating scale (NRS), and pain characteristics were assessed using DN4. QOL was measured using SF-36. Descriptive statistics were used to analyze the characteristics and pain data, and chi-square test was used to compare QOL categorical data between the nociceptive and neurological pain groups. RESULTS: CPSP development was reported by 34% of the post-stroke pain patients. Perceived QOL was low in both groups, especially with respect to the physical functioning, bodily pain, physical-role functioning, emotional-role functioning, and mental health domains. However, no significant difference was observed in QOL between the nociceptive and neurological pain groups (p<.05). CONCLUSION: Our results indicated that CPSP is a common and disabling complication that is difficult to treat, often decreases QOL, and may negatively affect rehabilitation treatment.

The Effects of a Rehabilitation Program Including Koryo Hand-Acupuncture on Elderly People Post-stroke (재가 뇌졸중 노인에게 적용한 고려수지요법을 포함한 재활프로그램의 효과)

  • Choi Young-A;Suh Soon-Rim;Suh Boo-Deuk
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.11 no.3
    • /
    • pp.281-291
    • /
    • 2004
  • Purpose: This study was done to investigate the effects of a rehabilitation program including Koryo Hand-Acupuncture on physical function, self-esteem, and quality of life of post-stroke elderly patients. Method: A nonequivalent control group pre-post test research design was used. Participants in the study were 44 post-stroke elderly people (22 in an experimental group, 22 in a control group) enrolled in a social welfare center and a hospital in K city. Data were collected from April 6 to August 20, 2004. The program consisted of Koryo Hand-Acupuncture, ROM exercise, health education and supportive care. The analyses were carried using frequencies, percentages, $x^2$-test, Fisher exact and t-test with SPSS 10.0. Results: The patients in the experimental group, who took part in the 10-weeks rehabilitation program including Koryo Hand-Acupuncture, had significant increases in shoulder joint flexion, shoulder joint abduction, elbow joint flexion, hip joint flexion, knee joint flexion, knee joint extension, flexibility, self-esteem and quality of life as compared to the control group. Conclusion: These results suggest that a rehabilitation program including Koryo Hand-Acupuncture may be utilized as an effective nursing program to improve physical function, self-esteem and quality of life for post-stroke elderly patients.

  • PDF

A Case Series of Post-stroke Vision Disorders Using Korean Medical Treatment (뇌졸중 후 시야장애의 한의치료 증례집적연구)

  • Jung, Min-ho;Kim, Jae-hak;Kim, Se-won;Cho, Ki-ho;Mun, Sang-kwan;Jung, Woo-sang;Kwon, Seung-won
    • The Journal of Internal Korean Medicine
    • /
    • v.39 no.2
    • /
    • pp.217-223
    • /
    • 2018
  • In this study, five cases of post-stroke vision disorders are presented. The patients had no distinctive change in vision disorders before Korean medical treatment, which included herbal medicine, acupuncture, and electroacupuncture. After 11 to 28 days of Korean medical treatment, the patients experienced the first improvement of vision disorders after stroke. Also, patients who received Korean medical treatment after 30 days from onset, the duration in which the most improvement of post-stroke vision disorders occurs, progressed their vision disorders by the start of Korean medical treatment. Korean medical treatment might be effective in treating vision disorders after stroke.

Case series of Post Stroke Bed-ridden Patients with Constipation Using Yukganja-tang (육군자탕을 이용한 뇌졸중 후 침상안정 상태의 변비 환자 치험 3례)

  • Jung, Min-ho;Kim, Gyeongmuk;Son, Jeong Hwa;Mun, Sang-Kwan;Jung, Woo-sang;Kwon, Seungwon;Cho, Ki-ho
    • The Journal of the Society of Stroke on Korean Medicine
    • /
    • v.18 no.1
    • /
    • pp.31-35
    • /
    • 2017
  • Case series of 3 post stroke bed-ridden patients with constipation is presented. They were treated with dietary herbal medicine - 六君子湯(Yukgunja-tang, Liujunzi-tang, Rikkunshi-to) After Yukgunja-tang treatment, there was notable improvement in constipation. Yukgunja-tang treatment may be effective in treating post stroke bed-ridden patients with constipation.

  • PDF

The Clinical pilot study of Hwangryunhaedok-tang Pharmacopunctue therapy on Post-stroke depression (뇌졸중 후 우울증에 대한 황련해독탕 약침의 안전성 및 유효성 평가를 위한 임상 시험)

  • Je, Jun-Tae;Lee, Sang-Kwan
    • Journal of Pharmacopuncture
    • /
    • v.13 no.2
    • /
    • pp.67-73
    • /
    • 2010
  • Objective : The purpose of this study is to determine the efficacy and safely of Hwangryunhaedok-tang Pharmacopuncture (HHT-PA) therapy on post-stroke depression (PSD) in stroke patients. Methods : Fifteen PSD patients has been recruited and evaluated with liver function test (LFT) and renal function lest (RFT) and depression scales, Beck Depress ion Inventory (BDI) and Hamilton Depression Rating Scale (HAM-D) before and after HHT-PA treatment. Results : HAM-D score significantly decreased after HHT-PA treatment regard less of improving of motor function. But BDI score did not decrease significantly. All results of LFT and RFT were in normal range before and after HHT-PA treatment Conclusion : These results showed that HHT-PA decrease PSD symptoms and has safety on stroke patients, although has no effect on improving of motor impairment.

Two Cases of Post-Stroke Dysphagia by Korean Medical Treatment with Electroacupuncture (전침을 포함한 한의학적 치료로 호전된 2명의 뇌졸중 환자의 연하장애 : 증례보고)

  • Kim, Yoon-jung;Je, Yu-ran;Kim, Koang-lok
    • The Journal of Internal Korean Medicine
    • /
    • v.40 no.2
    • /
    • pp.236-245
    • /
    • 2019
  • Objectives: The aim of this study is to report the effects of Korean medical treatment with electroacupuncture on post-stroke dysphagia. Methods: Two stroke patients with dysphagia received Korean medical treatment including electroacupuncture for about six months and three months respectively. A Numerical Rating Scale (NRS), Video Fluoroscopic Swallowing Study (VFSS) were used to confirm efficacy of electroacupuncture therapy as outcome measurements. Results: After treatment, swallowing function was improved, and symptoms related to dysphagia were decreased. NRS, VFSS showed improvement in stroke patients with dysphagia. Conclusions: This study shows that Korean medical treatment with electroacupuncture can be useful for dysphagia.

Cerebral Postischemic Hyperperfusion in PET and SPECT (PET과 SPECT에서 나타나는 뇌허혈후 과관류)

  • Cho, Ihn-Ho
    • The Korean Journal of Nuclear Medicine
    • /
    • v.35 no.6
    • /
    • pp.343-351
    • /
    • 2001
  • Cerebral post-ischemic hyperperfusion has been observed at the acute and subacute periods of ischemic stroke. In the animal stroke model, early post-ischemic hyperperfusion is the mark of recanalization of the occluded artery with reperfusion. In the PET studios of both humans and experimental animals, early post-ischemic hyperperfusion is not a key factor in the development of tissue infarction and indicates the spontaneous reperfusion of the ischemic brain tissue without late infarction or with small infarction. But late post-ischemic hyperperfusion shows the worse prognosis with reperfusion injury associated with brain tissue necrosis. Early post-ischemic hyperperfusion defined by PET and SPECT may be useful in predicting the prognosis of ischemic stroke and the effect of thrombolytic therapy.

  • PDF

A Study on Post Stroke Cognitive Deficit by CERAD-K Test (CERAD-K를 이용한 한방병원 입원환자의 뇌졸중후 인지기능 저하에 대한 고찰)

  • Kim, Jae-Kyu;Min, Sung-Soon;Lee, Sang-Hee;Lee, Kyung-Hee;Kim, Hyo-Jin;Heo, Tae-Yool;Kwon, O-Sun;Kim, Young-Kyun
    • The Journal of Internal Korean Medicine
    • /
    • v.28 no.4
    • /
    • pp.838-849
    • /
    • 2007
  • Backgrounds & Objectives : The aim of study was to evaluate post stroke cognitive deficit. We applied CERAD-K for post-stroke cognitive deficit, and revalued after treatment for 4 weeks. Methods : We applied CERAD-K test to 25 patients with post stroke cognitive deficit and compared with previous literature. After acupuncture treatment, moxa treatment, herb medicines, physical and occupational therapy for 4 weeks, we revalued changes by CERAD-K to 13 people that received treatment. Results : The stroke group's points were lower than the normal group in general cognition. Verbal fluency, MMSE-KC, and constructional praxis scores was lower than the AD group. Boston Naming Test, word list immediate recall, word list delayed recall, wordlist recognition, and praxis delayed recall scores were higher than the AD group. Verbal fluency (p=0.017), MMSE-KC (p=0.026), and word list immediate recall (p=0.005) scores of 13 patients participating in this study showed a statistically significant increase after treatment. Conculsions : Acupuncture treatment, moxa treatment, herb medicines, physical and occupational therapy are effective for improvement of post-stroke cognitive deficit, but this study could not demonstrate whether some treatments influenced cognition and there was a limitation in lacking a control group.

  • PDF