• 제목/요약/키워드: Rehabilitation hospital

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고유수용성 감각 증진 운동이 뇌졸중 환자의 균형 능력에 미치는 영향 (The effects of proprioceptive exercises on balance ability after stroke)

  • 송현승;박혜령;배시절;박지성;조형태;장하희;김수진
    • PNF and Movement
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    • 제8권2호
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    • pp.1-8
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    • 2010
  • Purpose : The purpose of this study was to investigate the effects of proprioceptive exercise (PE) using a trampoline and a balance board on a balance ability after stroke. Method : Sixteen chronic stroke patients participated. Participants were randomly assigned to the PE group or control group (8 experimental, 8 control). All of participants were in-patients at local rehabilitation centre and had been receiving a traditional rehabilitation program, five days a week. The PE group have additionally undergone for four weeks, three days a week, the PE using a trampoline and a balance board under supervision by a physical therapist but control group was not received any additional program except the traditional rehabilitation program. The position sense test used to assess a proprioceptive sense at a knee joint. The Berg Balance Scale (BBS) and the Timed Up & Go (TUG) test to measure the balance ability were carried out before and after the training. Result : After the training the error of position sense at knee joint of PE group significantly decreased compared to the control group. The PE group demonstrated a significant improvement in the scores of the BBS and TUG. Conclusion : The present study suggests that the PE program using a trampoline and balance board may become a useful tool for enhancing a balance ability in chronic stroke patients through the ennced proprioceptive position senses.

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폐쇄신경 포착으로 인한 고관절 통증 환자의 복합한방치료: 증례보고 (A Case of Combined Korean Medicine Treatment of Hip Pain Caused by Obturator Nerve Entrapment: Case Report)

  • 추희영;이상운;배인수;윤경영;윤준흠;황동욱;조현우
    • 한방재활의학과학회지
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    • 제30권3호
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    • pp.163-169
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    • 2020
  • This study reports on the effectiveness of Korean traditional medicine treatment on a patient with right hip pain caused by obturator nerve entrapment due to ganglion cyst. The patient had been misdiagnosed for a stenosis at the other hospital, but he got a different diagnosis this time with the examination. The patient was treated with Korean traditonal medicine, which includes pharmacopuncture, acupuncture, manual treatment (Chuna), and herbal medicine. Numerical rating scale (NRS), Oswestry Disability Index (ODI) and Euroqol five dimension (EQ-5D) index were used as a objective tool for evaluating the patient's symptoms. After treatment, NRS and ODI were decreased, while EQ-5D index was increased. This study suggests that a combined Korean traditional medicine may be effective in reducing symptoms related to obturator nerve entrapment.

한방 복합치료를 진행한 회전근개 파열 환자 치험 41예: 후향적 관찰 연구 (Forty-one Cases of Rotator Cuff Injuries Treated by Complex Korean Medicine Treatment: A Retrospective Review)

  • 이기언;김영익;조경상;한시훈;김민균;민부기;허석원;임한빛;정연재
    • 한방재활의학과학회지
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    • 제28권4호
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    • pp.81-87
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    • 2018
  • Objectives The purpose of this study is to report the improvement of complex Korean Medicine treatment for patients with rotator cuff injuries and determine the clinical improvement by number of damaged lesion. Methods Forty-one patients who diagnosed with rotator cuff injury were included in the retrospective study. Patients were treated with acupuncture, electroacupuncture and pharmacopuncture. Clinical outcomes were assessed using Numeric Rating Scale (NRS), Shoulder Pain and Disablity Index (SPADI) and EuroQol-5 Dimension Index (EQ-5D Index). Results Both NRS and SPADI scores were significantly reduced after treatment (p<0.01), but EQ-5D for assessing quality of life and clinical improvement by number of damaged lesion were no significant improvement (p>0.05). Conclusions These results show that patients with rotator cuff injuries could gain improvement from complex Korean Medicine. Further research is required to confirm the effectiveness of Korean Medicine treatment.

한의 복합 치료가 어깨 관절경 수술 후 급성 통증에 미치는 영향: 후향적 관찰연구 (Effect of Integrative Korean Medicine on Acute Postoperative Pain after Arthroscopic Shoulder Surgery: A Retrospective Observational Study)

  • 안종현;고준혁;김형석;이성민;이승훈;김고운;정원석;송미연;정석희;이종수;김성수;조재흥
    • 한방재활의학과학회지
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    • 제31권2호
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    • pp.69-79
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    • 2021
  • Objectives The purpose of this study was to verify the effect of integrative Korean medicine on acute postoperative pain after arthroscopic shoulder surgery. Methods This study was conducted in a retrospective observational way. Patients who met the inclusion criteria were divided into integrative Korean medicine-treated group (IKM group) and no integrative Korean medicine treated-group (No IKM group). The primary outcome was the difference in the amount of change in pain intensity. The secondary outcome was the difference in pain intensity, opioid consumption over time, and the number of adverse events after surgery. Results The change of numerical rating scale for pain intensity from baseline to IKM group was 3.09±2.12, while 2.64±1.80 in no IKM group, and the difference of change between two groups was statistically significant (p<0.05). Difference in the use of opioid between two groups over time after surgery was also statistically significant (p=0.000). Conclusions The results of this study suggest that integrative Korean medicine can be effective for acute postoperative pain after arthroscopic shoulder surgery.

국내 임상연구 문헌고찰을 통한 단일 관절 질환의 봉약침요법 응용례 분석 (A Rev iew of Bee Venom Acupuncture for Articular Diseases of Single Type Joint in the Journal of Korean Medicine)

  • 김효준;김국범;박주언;권용수;유재은;이희원;배준효;최규철;배지은;한수빈;김양선
    • 한방재활의학과학회지
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    • 제31권1호
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    • pp.119-135
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    • 2021
  • Objectives This review aims to analyze the current research trend in the usage of bee venom (BV) acupuncture for articular diseases of single type joint. Methods We collected 74 articles on BV acupuncture clinical study for articular diseases of single joint by searching Korean web databases 'Journal of Korean Medicine Rehabilitation', 'Oriental Medicine Advanced Searching Integrated System', 'Korean Traditional Knowledge Portal' from 1999 to 2020 August. Results We summarized the most frequent clinical treatment methods of BV acupuncture for articular diseases of single type joint. Research focused on specific diseases in application of BV acupuncture about some articular type diseases of single joint. It is assumed that the details of treatment for each joint are not related to the type of joint. In clinical study of BV acupuncture, reproducibility was mostly insufficient. Conclusions BV acupuncture clinical study for articular diseases of single joint should be proceed for a number of subjects, to treat various types of disease, by using more safe and detailed treatments.

기침으로 악화된 요추 추간판 탈출증 환자 1례 (Herniated Lumbar Disc in a Patient Who Is Deteriorated by Coughing: A Case Report)

  • 윤현석;김석;반효정;염선규;조현철;정성엽;임형호
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.69-76
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    • 2010
  • The deterioration of neurologic symptoms, like disc rupture or cauda equina syndrome within short time caused by abdominal pressure, seems to be an uncommon event. We experienced a man who had a sudden deterioration to cauda equina syndrome for a day. We presume that the reason is the increase of abdominal pressure by coughing. He had also undergone to repetitive minute damage after degenerative condition. Therefore, doctors and patients should be aware about degenerative state, possibility of minute damage, and be careful to its cause like coughing.

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한방병원에 내원한 악관절 환자에 대한 추나치료의 임상적 고찰 (The Clinical Study for the Effects of Chuna Treatment on Patients with Temporomandibular Disorder)

  • 진은석;이진혁;김한겸;염선규;정해찬;임창선
    • 한방재활의학과학회지
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    • 제21권1호
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    • pp.125-135
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    • 2011
  • Objectives : The propose of this study is to find out the effects of Chuna treatment on temporomandibular disorder. Methods : The 52 patients were divided into 2 groups: a group was treated except Chuna treatment and B group was treated with Chuna treatment. Both groups were treated with acupuncture treatment. Patients were evaluated by visual analogue scale(VAS) and facial pain score scale(FPSC). Results : 1. Both groups were significantly decreased in VAS and FPSC after 4 weeks of treatment. 2. B group compared with A group was not significantly decreased in VAS and FPSC after 4 weeks of treatment. Conclusions : We found out that Chuna treatment and acupuncture is considered to be effective and useful on temporomandibular disorder.

Effects of a Modified Six-Sigma-Methodology-Based Training Program on Core Competencies in Rehabilitation Nurse Specialists

  • Gu, Jiayi;Luo, Lan;Li, Chengjuan;Ma, Sumin;Gong, Fanghua
    • 대한간호학회지
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    • 제53권4호
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    • pp.412-425
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    • 2023
  • Purpose: Nurses play an important role in ensuring patient rehabilitation and are involved in all aspects of multidimensional rehabilitation. Therefore, strengthening rehabilitation nursing education is vital to ascertain high-quality rehabilitation and optimum outcomes. This study examined the effectiveness of a new teaching reform-a modified Six-Sigma-based training program-against a conventional educational program on rehabilitation specialist nurses' core competencies, post-training performance, and satisfaction. Methods: A quasi-randomized controlled trial was conducted to assess the effectiveness of the modified training program. We recruited 56 learners from the 2020 training course at the Hunan Rehabilitation Specialist Nurse Training Base as the control group. Sixty learners from the base's 2021 training course were recruited as the intervention group. Data were collected in a consistent manner from both groups after the training program was implemented. Results: Those who underwent the modified training program showed better improvement in all core competencies than those who underwent the conventional training program (p < .05); the scores for theoretical knowledge, clinical nursing lectures, reviews, and nursing case management improved significantly following the teaching reform (p < 0.05). Further, overall satisfaction as well as base management and theoretical teaching satisfaction improved significantly (p < .05). Conclusion: The modified training program strengthens rehabilitation nurses' base management abilities; enhances their core competencies; expands their interest in and breadth, depth, and practicability of theoretical courses; and updates the teaching methods.