• 제목/요약/키워드: Rehabilitation's Hospital

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ICF 모델을 적용한 소뇌손상환자의 재활관리 사례보고 (Using ICF model Rehabilitation Management Case Report on Patients with Cerebellum Disorder)

  • 공선웅;김지선;배시절;황기경
    • PNF and Movement
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    • 제11권1호
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    • pp.79-88
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    • 2013
  • Purpose : Currently, ICF to describe the functions and disability in the world has been used as a universal language. ICF tools based on ICF, the rehabilitation management of clients have been developed to be efficient. This study was designed to describe clinical decision for functional goal of clients to used ICF tools. Methods : In the following the utilization of all developed ICF tools will be described within a case example of a 53-year-old women, suffering from cerebellum disorder. As problems in the subject's functional activities was difficulties in changes sitting postures, standing postures and maintaining standing postures. Activity limitation was determined change sitting, standing posture as a goal through discussion with the patient. Results : After setting the identified problems as the purpose of intervention through the assessment, we find out the outcomes using the ICF evaluation display. Consequently, with functional activities limitation that discovered from assessment(categorical profile, assessment sheet), sitting postures to standing postures and maintaining standing postures were improved. Conclusion : This study was showed ICF tools based on Rehab-cycle for the patient's functional goals clinical practice. The future study, the ICF in clinical practical tools for effective use will require more attempt.

한냉물리치료기의 개발 (Development of the Cryotherapy System)

  • 김영호;양길태;임송학;장윤희;유진상;김종성;박시복;백승석;정우성
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.388-391
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    • 1997
  • A cryotherapy system using the low temperature air was developed. The developed cryotherapy system had superior low temperature characteristics and many safety devices. For a clinical evaluation, skin and intra-articular temperatures of the knee joint were measured during and after the cryotherapy. After 5-minute therapy, skin and intra-articular temperature decreased by $23.3{\pm}4.7(^{\circ}C)$ and $4.1{\pm}1.0(^{\circ}C)$ respectively. A 5-minute cryotherapy therapy is good enough to maintain low intra-articular temperatures or 2-3 hours.

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신경과 먼 부위 근육 내 주사 후 발생한 좌골신경병증 (Sciatic Neuropathy after Intramuscular Injection at a Site Remote from the Nerve)

  • 윤수인;박지수;고윤담;송대헌;박지혜
    • Clinical Pain
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    • 제20권1호
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    • pp.43-48
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    • 2021
  • Sciatic nerve can be injured by various mechanism such as compression, traction during surgery, and direct trauma. This case reports a sciatic neuropathy caused by compression due to hematoma occurring after intramuscular injection in the gluteus medius muscle far from the nerve. In order to avoid occurrence of sciatic neuropathy after buttock injection, the injection was made in the upper outer quadrant of the buttock, but sciatic neuropathy occurred. Sciatic neuropathy can be confused with lumbar radiculopathy, so differential diagnosis is important.

Transfer Energy Capacitive and Resistive (TECAR) Therapy와 한방치료를 병행한 경부 근 긴장성 사경 환자 증례 보고 1예 (Clinical Study on 1 Case of Cervical Dystonia Treated by Korean Medicine and Transfer Energy Capacitive and Resistive (TECAR) Therapy)

  • 이원준;윤영석;김종호;이근재;김미혜;류호선;한수빈;박병학;손재민;이남우;한정훈;서혜진;김지훈
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.109-115
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    • 2019
  • Cervical dystonia (CD) is a disorder characterized by sustained or intermittent, involuntary muscle contractions which cause twisting, repetitive movements and abnormal postures. In this case report, a CD patients was treated with transfer energy capacitive and resistive (TECAR) therapy and conventional Korean medicine, which consists of acupuncture, Chuna manual medicine, pharmacopuncture and herbal medicine. For outcome measures, this study evaluated Cobb's angle, EuroQol five dimension scale (EQ-5D), numerical rating scale (NRS), neck disabillity index (NDI) and cervical range of motion. As a result, improvements were found in Cobb's angle ($18.65^{\circ}$ to $15.90^{\circ}$), EQ-5D score (0.808 to 0.862), NRS (5 to 3), NDI (16 to 8) and angle of cervical lateral bending ($15^{\circ}$ to $25^{\circ}$). In conclusion, this study shows that combined therapy of conventional Korean medicine treatment and TECAR therapy can be effective for CD patients.

파킨슨병 환자의 요통에 대한 한의학 치료 증례 (A Case Report of Korean Medicine Treatment on Back Pain of a Parkinson's Disease Patient)

  • 김두리;김주원;류원형;전용현;문희영;박지원;박주희
    • 한방재활의학과학회지
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    • 제28권1호
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    • pp.153-160
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    • 2018
  • The purpose of the study is to explore the possibility of Korean medicine treatment on back pain of Parkinson's disease patient through a case study. A Parkinson's disease patient suffering from back pain and both limbs pain was hospitalized and treated with acupuncture and traditional medicine. We evaluated the treatment effect with Numerial Rate Scale (NRS), Oswestry low back pain disability questionnaire (ODI), EuroQol-Five Dimensions (EQ-5D), and Unified Parkinson's Disease Rating Scale (UPDRS). As a result, back pain NRS, lower limbs pain NRS, ODI, EQ-5D, UPDRS turned out to be greatly improved from 9 to 3, 5 to 2, 80 to 64, -0.014 to 0.513, 122 to 37, respectively. This study suggested that Korean Medicine could be effective treatment for back pain of Parkinson's Disease. Further clinical studies are needed to obtain definite conclusion.

Pontine Necrosis Related with Radiation Therapy, Complicated with Spontaneous Hemorrhage

  • Kim, Ha Min;Hong, Bo Young;Lee, Jong In;Kim, Joon Sung;Lim, Seong Hoon
    • Brain & NeuroRehabilitation
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    • 제10권1호
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    • pp.1-6
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    • 2017
  • The brain necrosis induced by radiation therapy (RT) is an uncommon pathology of brain. A case of spontaneous hemorrhage at necrotic brain is also rare. A 52-year-old man who had nasopharyngeal carcinoma and had been treated with RT, presented with gait disturbance, dizziness, ataxia, dysarthria, and dysphagia. Magnetic resonance imaging (MRI) demonstrated progressed radiation necrosis of pons, and spontaneous hemorrhage at the site of necrosis. The hematoma was diminished by conservative treatment. However, the patient's neurologic symptoms did not recover. Two years later, spontaneous bleeding recurred at necrotic brain. His neurologic symptoms worsened. One year later, his neurologic symptoms were more progressed. He showed severe dysphagia, profound weakness and respiratory failure. This case provides the description of relapsed spontaneous hemorrhage and medullary dysfunction caused by pontine necrosis and progressed post-radiation injury, complicated with hemorrhage, and urges caution in that the necrotic brain tissue may be vulnerable to bleeding.

근에너지기법(Muscle Energy Technique)과 Schroth Method를 이용한 특발성 척추 측만증 호전 1례 (A Clinical Case of Muscle Energy Technique and Schroth Method for Idiopathic Scoliosis)

  • 이성준;박재현;남수현;강준혁
    • 한방재활의학과학회지
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    • 제24권3호
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    • pp.173-179
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    • 2014
  • The purpose of this study is to report the effect of muscle energy technique (MET) and Schroth method on idiopathic scoliosis. A patient with idiopathic scoliosis was treated by MET and Schroth method. To investigate the outcome of the patient's improvement, we observed the X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability, visual analog scale (VAS) were used to measure changes during treatment. After treatment, Cobb's angle and correctability, VAS were improved significantly. MET and Schroth method are proved to be helpful to improve idiopathic scoliosis. And, further studies will be needed.

입원환자의 재활요구도 (Rehabilitation Need on-Hospital with Disabilities)

  • 김금순;김정화;박종임;조복희;조남옥;유경희;전미영;이차연;이혜영
    • 재활간호학회지
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    • 제8권2호
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    • pp.102-109
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    • 2005
  • Purpose: The purpose of this study were to investigate the health status, the currency of rehabilitation therapy, and the patient learning needs on hospital with disabilities. Method: The subjects consisted of 87 disabled adults on hospital. Data was collected from February until to June 2005, where they asked structured questionnaires. A descriptive survey design was used and the SPSS 12.0 program was used for data analysis, which included t-test, ANOVA and Duncan's multiple comparison test. Result: There are a lot of patient through the transfer from the general hospital and the rehabilitation hospital. Their heath status changed good after hospital admission. Patients took exercise therapy the most, which is one of the rehabilitation therapy. But they need to enough physical therapy because patients have limited time for treatment. The education-need-level was high on hospital with disabilities, especially the need of support and care are the highest on the subscale of patient learning need. There are significant patient learning need differences in income and admission location(p<.05). Conclusion: Disabled persons on hospital needs to help and learning exercise by nurses. There should be rehabilitation programs for patients who are ready to leave the hospital. After discharging, there needs to be various rehabilitation services, support and care for the community based rehabilitation.

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Rehabilitation of spinal muscular atrophy: current consensus and future direction

  • Yi, You Gyoung;Shin, Hyung-Ik;Jang, Dae-Hyun
    • Journal of Genetic Medicine
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    • 제17권2호
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    • pp.55-61
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    • 2020
  • Spinal muscular atrophy (SMA) is a neuromuscular disease that requires multidisciplinary medical care, including rehabilitation management. The emergence of a genetic therapy-based approach for SMA has markedly changed the disease course. Nonetheless, currently, updated physical therapy and rehabilitation are warranted for individuals with SMA in the era of gene therapy. In this review, we discuss the physical therapy and rehabilitation strategies currently performed for people with SMA, such as positioning and bracing, supported standing, management of musculoskeletal deformities, stretching, physical exercise training like aerobics and strengthening exercises, assistive devices, pulmonary rehabilitation, and dysphagia treatment.