• Title/Summary/Keyword: Rehabilitation department

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A Rehabilitation for Ankle Fracture in Korean Medicine: A Report of 4 Cases (발목 골절 수술 후 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고)

  • Ha, Won-Bae;Lee, Jong-Ha;Lee, Yoon-Seung;Jo, Dong-Chan;Lee, Jin-Hyun;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.171-184
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    • 2017
  • The objective of this study was to propose a rehabilitation protocol for ankle fracture in Korean Medicine and to report its effectiveness. Four patients who had undergone ankle fracture by car accident were treated using the rehabilitation protocol in Korean Medicine. We estimated the outcome evaluating physical examination findings of the ankle joint, numeric rating scale, Olerud-Molander score, and walking state. After the treatment, we observed that ankle movement and muscular strength were improved. Moreover numeric rating scale, Olerud-Molander score, and walking state of patients were improved. A rehabilitation in Korean Medicine can be effectively used for ankle fracture patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean Medicine.

Three-dimensional kinematic motion analysis of door handling task in people with mild and moderate stroke

  • Lee, Jung Ah;Kim, Eun Joo;Hwang, Pil Woo;Park, Han Ram;Bae, Jae Hyuk;Kim, Jae Nam
    • Physical Therapy Rehabilitation Science
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    • v.5 no.3
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    • pp.143-148
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    • 2016
  • Objective: This study aimed to quantify one of the useful upper extremity movements to evaluate motor control abilities between the groups of people with mild and moderate arm impairments performing a door handling task. Design: Cross-sectional study. Methods: Twenty-one healthy participants and twenty-one persons with chronic stroke (9 mild stroke and 12 moderate stroke) were recruited for this study. Stroke participants were divided into 2 groups based on Fugle-Meyer Assessment scores of 58-65 (mild arm) and 38-57 (moderate arm). All they performed door handling task including the pronation and supination phases 3 times. We measured some movement factors which were reaction time, movement time, hand of peak velocity, hand of movement units to perform door handling task using the three-dimensional motion analysis. Results: The majority of kinematic variables showed significant differences among study groups (p<0.05). The reaction time, total and phase of movement time, hand of peak velocity, the number of movement units discriminated between healthy participants and persons with moderate upper limb stroke (p<0.05). In addition, reaction time, total and phase of movement time, the number of movement units discriminated between those with moderate and mild upper limbs of stroke patients (p<0.05). Conclusions: Three-dimensional kinematic motion analysis in this study was a useful tool for assessing the upper extremity function in different subgroups of people with stroke during the door handling task. These kinematic variables may help clinicians understand the arm movements in door handling task and consist of discriminative therapeutic interventions for stroke patients on upper extremity rehabilitation.

Knowledge, Satisfaction, and Education Needs in Sexual Rehabilitation of Male Patients with Spinal Cord-Injury (척수장애 남자 환자의 성재활 지식, 성생활 만족 및 성재활 교육 요구)

  • Kim, Sun-Joung;Lim, Ji-Young;Cho, In-Sook;Ham, Ok-Kyung
    • Journal of Home Health Care Nursing
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    • v.15 no.2
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    • pp.91-98
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    • 2008
  • Purpose: We measured the knowledge, satisfaction, and education needs in sexual rehabilitation of male patients diagnosed with a spinal cord injury. Methods: We recruited 104 patients from a general rehabilitation hospital. Data were collected between April 4 and May 9, 2008. Knowledge of sexual rehabilitation, satisfaction, and educational needs were measured using self-report questionnaires. Results: Points for knowledge of sexual rehabilitation were 6.75 out of 20, sexual satisfaction was 3.02 out of 5, and demand for sexual rehabilitation education were 3.54 out of 5. Most (93.27%) of the patients wanted to have a sex life, and many (75%)were willing to participate in sexual rehabilitation education. There were no differences in knowledge or satisfaction based on general characteristics. However, sexual satisfaction of the university graduates was higher than the lower education group. Conclusion: Male patients with spinal cord disorders are interested in a sex life and demand sexual rehabilitation education. These findings should support the development of sexual rehabilitation programs.

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Postoperative Rehabilitation of Foot Fracture in Korean Medicine Treatment: Clinical Case Report (족부 골절수술 후 한방 재활치료의 효과: 증례보고)

  • Park, Na-Ri;Lee, Yun-Jin;Ahn, Hee-Duk;Yang, Doo-Hwa
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.165-172
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    • 2019
  • The objective of this study is to propose postoperative rehabilitation for foot fracture in Korean Medicine and to report its effectiveness. There were three patients who were got foot fracture surgery received korean medicine with acupuncture, herbal medicine, cupping and exercise treatment. Patients were evaluated numeric rating scale (NRS), range of motion (ROM), American Orthopaedic Foot and Ankle Society (AOFAS) ankle hindfoot score, foot function index (FFI) and EuroQol-5 dimension (EQ-5D) index. Case 1 and 2 were improved NRS from 6 to 3. Case 3 was improved NRS from 5 to 2. These cases were improved ROM in all directions, AOFAS score, FFI, EQ-5D and walking status. This study suggest that Korean medicine rehabilitation could be effective for patients who have received foot fracture operation.

Detection of Colorectal Cancer with Spine Metastasis During Conservative Treatment for Lumbar Disc Herniation:A Case Report (요추 추간판 탈출증 치료 중 척추 전이가 발생한 대장암 환자 1예)

  • Kwon, Yong-Su;Bae, Jun-Hyo;Yu, Jae-eun;Kim, Hyo-Jun;Park, Joon;Kim, Gook-Beom;Lee, Hee-Won;Kim, Min-Kyun;Hong, Jung-soo
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.187-194
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    • 2020
  • The objective of this study is to report an accidental detection of colorectal cancer (CRC) metastasis to spine during conservative treatment for lumbar disc herniation. We treated a 65-year-old female who was diagnosed with lumbar disc herniation on September 2019 by acupuncture, pharmacopuncture, cupping treatment, chuna manual therapy, herbal medicine treatment, medicine treatment and physical therapy. After that we analyzed medical record from December 12, 2019 to February 11, 2020. The patient was diagnosed with CRC and received tumor resection in 2014. After 2 times of chemotherapy, she arbitrarily interrupted the treatment. Since she stated that CRC treatment was terminated, we had difficulty in finding connection between symptom and CRC. During the treatment period, compression fracture at L3 body was found, which was caused by CRC metastasis. Rigorous question, appropriate radiological and clinical tests are required to patients who have history of malignant tumor.

Overflow Urinary Incontinence with Herniated Lumbar Disc Managed by Korean Medicine Therapy: A Case Report (요추 추간판 탈출증 환자의 일류성 요실금에 대한 한의 진료의 경과: 증례 보고)

  • Koo, Ji-Eun;Lee, Hee-Won;Kwon, Yong-Su;Yu, Jae-Eun;Bae, Jun-Hyo;Park, Ji-Won;Yoon, Joo-Young;Choi, Sung-Won;Kim, Ka-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.125-131
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    • 2021
  • This study reports the effectiveness of Korean medicine therapy by improving symptoms in patients with herniated lumbar disc (HLD) diagnosed with chronic overflow urinary incontinence (OUI). The patient was treated with two types of herbal medicine and electroacupuncture for 10 days. We used diary of voiding and incontinence, Overactive Bladder Symptom Score (OABSS), Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTS) and numeral rating scale (NRS) to assess the symptoms. After treatment, the number of nocturia decreased from 5 to 2.5. OABSS decreased from 9 to 2 and BFLUTS decreased from 95 to 87. The NRS of back pain decreased from 7 to 3. This study may suggest that Korean medicine therapy can be effective therapy for OUI with HLD.

Utilization Exercise Rehabilitation Using Metaverse (VR·AR·MR·XR) (메타버스(가상·증강·혼합·확장현실)를 이용한 운동재활의 활용 방안)

  • Yang, Jeong Ok;Lee, Jook Sook
    • Korean Journal of Applied Biomechanics
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    • v.31 no.4
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    • pp.249-258
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    • 2021
  • Objective: The aim of this study was to analyze domestic and foreign studies using virtual reality or metaverse for exercise rehabilitation in order to help the disabled or elderly patients with exercise rehabilitation, and suggest a method for using metaverse for exercise rehabilitation. Method: In this study, after analyzing and discussing various information related to the metaverse and exercise rehabilitation through electronic search of recently published papers, academic journals, books, and internet websites, the exercise rehabilitation plan using the metaverse was proposed. Results: In the case of domestic research, the diversity of virtual reality application technology for the rehabilitation of disabled and elderly patients was not secured, but recently, virtual reality or metaverse-related technologies were developed and specialized in a form suitable for exercise rehabilitation. In the case of overseas studies, it was analyzed that exercise rehabilitation using virtual reality and metaverse games for the rehabilitation of disabled and elderly patients can help improve brain, physical ability, and anti-aging by activating the body and mind. Conclusion: Smart metaverse health care is actively introduced to exercise rehabilitation, metaverse telemedicine business is applied to exercise rehabilitation programs, and digital twin games and exercise rehabilitation programs developed by metaverse related companies take into account the characteristics of disabled and elderly patients. If customized smart metaverse healthcare is used for exercise rehabilitation, it is analyzed that it can lead this field.

The Exploratory Analysis on the Registry Data of Patients with Low Back Pain Applying Correlation Analysis Method (Correlation 분석 기법을 적용한 요통 환자에 관한 레지스트리 데이터의 탐색적 분석)

  • Park, Chang-Hyun;Park, Mu-Sun;Kim, Hyung-Suk;Cha, Yun-Yeop;Kim, Soon-Joong;Ko, Youn-Suk;Oh, Min-Seok;Hwang, Eui-Hyoung;Shin, Byung-Cheul;Kim, Chang-Eop;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.97-109
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    • 2017
  • Objectives The aim of this study is to analyze the patients who have low back pain through registry. Methods We registered patients with low back pain who visited department of korean rehabilitation medicine in university hospitals on study. We collected data from 116 subjects consisted of 51 inpatients and 65 outpatients and ruled out 8 who didn't have pattern identification data at the point of inpatient or outpatient visit so we analyzed 108 in total. We used Pearson's product moment correlation to find correlationship among variables, and analyzed statistical data using Phyton scipy library stats package. Results We set general features, region of the pain, physical examination, ROM, questionnaire results, pattern identification as variables and draw a conclusion by analyzing these variables. Conclusions Registry aimed at low back pain patients was established in department of korean rehabilitation medicine of university hospitals and exploratory analysis based on data were made. Through the registry, we expect that more advanced studies will be performed; for example, executing research which verifies effectiveness and stability of korean medical treatment or developing tools to fill the gap between pattern identification and disease identification.

Ultrasound-Guided Greater Occipital Nerve Block for Primary Headache: Comparison of Two Techniques by Anatomical Injection Site (일차성 두통에서 초음파 유도 하 후두신경 차단술: 해부학적 주사부위에 따른 두 가지 테크닉의 비교)

  • Yoo, Myung Chul;Kim, Hee-Sang;Lee, Jong Ha;Yoo, Seung Don;Yun, Dong Hwan;Kim, Dong Hwan;Lee, Seung Ah;Soh, Yunsoo;Kim, Yong;Han, Young Rok;Kwon, Jung Ho;Jang, Haneul;Chon, Jinmann
    • Clinical Pain
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    • v.18 no.1
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    • pp.24-30
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    • 2019
  • Objective: Greater occipital nerve block (GONB) is a widely accepted treatment of primary headaches. Two ultrasound (US)-guided blockade techniques exist: 1) the classical distal nerve block technique performed medial to the occipital artery at the superior nuchal line, and 2) the new proximal nerve block technique performed at the obliquus capitis inferior muscle at the level of C2. Our study aim was to perform a head-to-head comparative study of these two US-guided techniques. Method: Forty-nine patients with primary headache treated in our university hospital were recruited. Patients were randomized into two groups of the classical nerve block and the new proximal nerve block techniques. The headache questionnaire was made to assess the intensity of the pain of headache attacks, number of days they experience headache, duration of headache, and amount of pain medication they consumed. Results: In both groups, a decrease in the severity and frequency of the headache was observed. There was no measurable difference in outcome between the two groups. Conclusion: Our study showed that the classic and new proximal techniques are equally effective in decreasing the headache severity and frequency.

The Correlation Analysis of Low Back Pain, Stress by Event, and Fear-Avoidance Beliefs Caused by Traffic Accidents (교통사고에 의한 요통, 사건 스트레스, 공포-회피 반응 간의 관련성 분석)

  • Choi, Hee-Seung;Kim, Min-Yeong;Kim, Jin-Soo;Ro, Hae-Rin;Jung, Yoon-Gyu;Choi, Young-Il;Shin, Dong-Jae;Eom, Tae-Woong
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.203-212
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    • 2013
  • Objectives This study was to investigate the correlation of low back pain, stress by event, and fear-avoidance beliefs caused by traffic accident. Methods We investigated 103 cases of out-patient with traffic accident. The patients answered that Visual Analogue Scale (VAS), Impact of Event Scale Revised Korean Version (IES-R-K), and Fear-Avoidance Beliefs Questionnaire (FABQ) on the first medical examination. We calculated statistical significance with this data. Results VAS, IES-R-K, and FABQ scores of the female patients with the traffic accident were higher than the male patients. VAS, IES-R-K, and FABQ scores showed low significant positive correlation and showed partial correlation between IES-R-K and FABQ, controlled by VAS, had no statistical significance in this research. Conclusions More considerations on pain, stress by event, and fear avoidance belief should be needed in treatment of the traffic accident patients.