• 제목/요약/키워드: conventional therapy

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위축성 위염에 대한 반하사심탕과 표준치료 병용요법의 최신 연구 동향 (A Review of Recent Clinical Research about Banhasasim-tang Combined with Conventional Therapy on Atrophic Gastritis)

  • 이가영;안수빈;정민정;장인수
    • 대한한방내과학회지
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    • 제40권6호
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    • pp.1169-1178
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    • 2019
  • Objective: The purpose of this study was to investigate the effect of combined therapy with Banhasasim-tang and conventional treatment for atrophic Gastritis. Methods: The study collected data of clinical studies of combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. Electronic databases were used, including PubMed, Cochrane, CNKI, Wanfang, CINII, J-stage, NDSL, and OASIS. The main search terms included such as "Atrophic Gastritis", "Banhasasim-tang", "BanXia Xiexin Tang". This study only included randomized controlled trials (RCTs) that adopted combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. Results: A total of 18 RCTs were selected. They all adopted combined therapy with Banhasasim-tang and conventional treatment for atrophic gastritis. In all the studies, the intervention group significantly improved the score of effective rate, and in the 8 studies, Hp negative conversion rate was significantly improved when Banhasasim-tang was taken. Conclusion: Through the analysis of 18 RCTs, we found Banhasasim-tang combined with conventional therapy were more effective in the positive performance of atrophic gastritis than conventional therapy single contribution. However, due to the low quality of the selected studies and the lack of endoscopy, biopsy, follow-up observation, so there is a slight insufficient to prove its conclusion. Therefore, we hope that more systematic and diverse clinical studies will be conducted.

보바스치료와 일반적치료가 성인 편마비 환자의 보행능력에 미치는 영향 (The Effect of Bobath and Conventional Method in Gate of Adult Hemiplegic Patients)

  • 이근희;김형수;한동욱;김병조
    • 대한물리의학회지
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    • 제3권4호
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    • pp.277-284
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    • 2008
  • Purpose : The purpose of this study was to identify the influence of Bobath and conventional method has an effect on gait of adult hemiplegic patients. Methods : The data were collected by each 15 adult stroke patients. The treatment was based on Bobath and conventional approach. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. Results : The gait step (p<.05), gait velocity (p<.05), cadence (p<.05) and step length (p<.05) was significantly different with the Bobath method. The Gait step (p<.05) and gait velocity (p<.05) was significantly different with the conventional method. But the cadence and step length was not significantly increased in the conventional method. Conclusion : The Bobath method is more useful to improve the gait in hemiplegic patients than conventional method.

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환측 한발서기 훈련이 아급성기 편마비 환자의 균형과 이동능력에 미치는 영향 (Effects of single-leg stance training of the involved leg on standing balance and mobility in patients with subacute hemiplegia)

  • 이진;이강노
    • The Journal of Korean Physical Therapy
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    • 제23권4호
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    • pp.1-6
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    • 2011
  • Purpose: We investigated the effects of single-leg stance training on standing balance and mobility in patients with subacute hemiplegia. Methods: Seventeen matched subjects were assigned randomly to the experimental group or the control group. The experimental group comprising of 8 subjects received single-leg stance training and conventional physical therapy interventions 5 times per week for 4 weeks. The control group comprising of 9 subjects received only conventional physical therapy interventions 5 times per week for 4 weeks. Outcome measures were assessed before and after 4 weeks of intervention using the Berg Balance Scale (BBS), gait speed, and weight bearing index of the affected side. Results: Both the exercise groups showed significant improvements in BBS, gait speed, and weight bearing index (p<0.05). After 4 weeks of intervention, there were statistically significant differences in BBS and weight bearing index between the two groups (p<0.05). Conclusion: These findings suggest that conventional physical therapy interventions along with single-leg stance training could be more effective than conventional physical therapy alone for improving standing balance and mobility in patients with subacute hemiplegia.

균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향 (The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients)

  • 이남현;이진;이강노
    • 한국전문물리치료학회지
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    • 제17권3호
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    • pp.11-19
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    • 2010
  • The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

유방암의 접선조사 시 Field-in-Field Intensity Modulated Radiation Therapy와 Conventional Radiation Therapy의 전산화 치료계획에 관한 고찰 (A Comparison of Field-in-Field Intensity Modulated Radiation Therapy Planning and Conventional Radiation Therapy Planning with Tangential Beam for Breast Cancer)

  • 유순미;염미숙;김대섭;백금문;권경태
    • 대한방사선치료학회지
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    • 제22권1호
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    • pp.41-46
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    • 2010
  • 목 적: 유방암의 접선조사 시 쐐기필터를 이용한 Conventional RT 기법과 정적다엽조리개를 이용한 FiF-IMRT 기법을 이용하여 전산화 치료계획 시 발생하는 선량분포의 차이를 환자의 유방 크기와 형태에 따라 분류하여 비교 분석하고자 한다. 대상 및 방법: 유방암 환자 30명을 대상으로 Eclipse treatment planning system ($Varian^{TM}$, USA, V8.0)을 사용하여 전산화 치료 계획을 시행하여 유방의 크기와 형태에 따라 분류하고, Dose Volume Histogram (DVH)을 이용하여 Conformity Index (CI)와 Homogeneity Index (HI)를 비교 분석하였다. 결 과: CI값은 ${\pm}1.2%$의 차이를 나타냈으며 FiF-IMRT의 경우 Conventional RT보다 HI값이 평균 1.67% 낮은 값으로 유방의 크기와 형태에 따른 분류값과 ${\Delta}HI$ (%)값의 상관관계를 알아본 결과 단면길이와 부피에서 높은 상관관계를 보였으며 통계적으로 유의(P<0.01)하였다. 결 론: 유방의 단면 길이와 부피가 증가할수록 Conventional RT의 경우보다 FiF-IMRT로 전산화 치료계획 시 유방 내의 선량 균등성이 향상되었으며 유방의 크기에 따라 그 효과가 다르므로 유방의 크기에 따른 적절한 치료계획이 필요할 것으로 생각된다.

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치료적 마사지와 근재교육 훈련이 안면신경마비 환자의 회복에 미치는 영향 (Effect of Therapeutic Massage and Muscle Reeducation Training in People with Facial Nerve Paralysis)

  • 권오성;김선엽;오덕원;김진섭
    • 대한물리치료과학회지
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    • 제16권1호
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    • pp.1-10
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    • 2009
  • Background: The purpose of this study was to determine the effect of massage and muscle reeducation training with conventional treatment in patients with facial paralysis. Methods: Twenty-five patients with facial nerve paralysis were randomly allocated to 3 groups: massage, muscle reeducation training, and control groups. Therapeutic intervention for the massage (n=8) and muscle reeducation training (n=8) groups consisted of conventional therapy such as application of hot pack and electrical stimulation plus massage therapy and muscle reeducation training, respectively. The control group (n=9) received only conventional therapy. Therapeutic intervention for each group was performed 6 times per week for 4 weeks. The patients were assessed by using the House-Brackmann Grading System (H-B grade) and Yanagihara Unweighted Grading System (Y grade) once every week. Results: The H-B and Y grades improved significantly in all 3 groups after a 4-week intervention (p<.01). At 3 and 4 weeks, the H-B and Y grades of the massage group improved significantly when compared with those of the control group (p<.01). Muscle reeducation training group showed significant improvements in the scores of the two grades with time when compared with the massage and control groups (p<.01). The rate of change in the H-B grade was significantly different between the control and muscle reeducation training groups (p<.01), and that of change in the Y grade was significantly different between the control and muscle reeducation training groups (p<.01) and between the control and massage groups (p<.01). Conclusion: These findings suggest that massage and muscle reeducation training are more effective in improving the condition of patients with facial nerve paralysis than conventional therapy. In particular, the results of this study indicate that muscle reeducation training can be recommended by clinicians since it provides more benefits.

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골반압박벨트가 뇌졸중 환자에서 보행속도, 분속 수, 보장, 활보장, 및 동적 균형에 미치는 영향 (The Effect of Pelvic Compression Belt on Gait Velocity, Cadence, Step Length, Stride Length of Gait and Dynamic Balance in Stroke Patients)

  • 신영일;김진영;이호종
    • 대한정형도수물리치료학회지
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    • 제25권1호
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    • pp.63-70
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    • 2019
  • Background: The purpose of this study was to determine the effects of a pelvic compression belt on gait abilities and balance in subacute stroke patients. Methods: Twenty two patients with subacute were recruited and randomly assigned into two group: Two group offered conventional physical therapy and occupational therapy for five day. The group was composed of twelve patients. Participants in the experimental group were given the pelvic compression belt and conventional physical therapy, conventional occupational therapy, although conventional physical therapy and occupational therapy provided in the subjects in the control group. To assess the gait ability, the GAITRITE system was used and the Balance system SD was used to test balance. All measurements were performed before and after intervention. Results: The experimental group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05) and show significant increase in the dynamic standing balance (p<.05). However, control group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05), but shows no significant differences in dynamic standing balance. Furthermore, there were significant differences gait velocity, dynamic standing balance between two groups (p<.05). Conclusions: The results demonstrated that the elastic pelvic belt application is effective to improve gait velocity, dynamic balance in the subacute stroke patients. Thus, the elastic pelvic belt is seemed to be one of the potential methods to facilitate the active rehabilitation program for hemiplegia patients.

호흡운동 프로그램과 수중운동 프로그램이 아급성기 뇌졸중 환자의 폐기능에 미치는 영향 비교 (Comparison between the Effects of Combined Conventional Exercise Therapy Plus Respiratory Exercise Program with Combined Conventional Exercise Therapy Plus Aqua Exercise Program on the Pulmonary Function of Subacute Stroke Patients )

  • 이동협;유경태
    • 대한물리의학회지
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    • 제18권2호
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    • pp.115-123
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    • 2023
  • PURPOSE: This study examined the effects of combined conventional exercise therapy plus respiratory exercise program with combined conventional exercise therapy plus aqua exercise program in the pulmonary function of subacute stroke patients. METHODS: The respiratory exercise program group underwent inspiration and expiration training using the Threshold IMT and Threshold PEP three days per week for four weeks. The aquatic exercise program group had aquatic aerobics, halliwick, and bad ragaz ring training three days per week for four weeks. Before and after the experiment, Pony fx was used to examine the FVC, FEV1, FEV1/FVC, VC, and MVV. RESULTS: Significant improvement was found after the experiment in the FVC. FEV1, VC, MVV, excepting FEV1/FVC, of the pulmonary function in the aquatic exercise program group. After the experiment, significant improvement was found in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function in the respiratory rehabilitation therapy group. No significant difference in FVC, FEV1, FEV1/FVC, VC, and MVV of pulmonary function was observed in the inter-group comparison. CONCLUSION: Significant improvement was found after the experiment in both the aquatic exercise program group and the respiratory exercise program group. No difference in pulmonary function was noted in the inter-group comparison. Therefore, combining general exercise therapy and an aquatic or respiratory exercise program is expected to be effective for the pulmonary function of acute stroke patients. These results are expected to provide basic data to help research intervention of aquatic and respiratory exercise programs for subacute stroke patients.

Qi therapy as a complementary therapy in chronic myeloid leukemia

  • Lee, Myeong-Soo
    • Advances in Traditional Medicine
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    • 제4권4호
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    • pp.275-277
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    • 2004
  • We describe the successful treatment of a case of chronic myeloid leukemia with Qi therapy. The patient's disease was managed with conventional medical treatment and Qi therapy as a complementary therapy. Before Qi therapy, 95% of the patient's bone marrow showed evidence of disease. A second bone marrow sample five months after Qi therapy revealed that 38% of the bone marrow was normal; one year after Qi therapy the bone marrow was no longer producing any cancer cells. Although these results were obtained for a single case only and may not constitute conclusive evidence, the data suggest that Qi therapy given as a complementary therapy during conventional medical treatment may have beneficial effects on chronic myeloid leukemia.

Deep inspiration breath-hold (DIBH) 적용한 림프절이 포함된 왼편 유방암의 방사선 치료계획에 따른 주변 장기 선량 평가

  • 정다이;강효석;최병준;박상준;이건호;이두상;안민우;전명수
    • 대한방사선치료학회지
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    • 제29권1호
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    • pp.27-35
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    • 2017
  • 목 적: 왼편 유방암 환자의 경우 오른편 유방암 환자보다 심장과 폐 등 정상장기에 불필요한 선량이 일부 조사됨에 따라 부작용이 우려되고 있다. 이를 줄이기 위해 DIBH기법을 시행하고 있다. Conventional Radiation Therapy, Intensity Modulated Radiation Therapy, Volumetric Modulated Arc Therapy의 치료계획 방법에 따라 쇄골상 림프절과 내유 림프절을 포함한 왼편 유방암의 경우 주변 장기의 선량 값을 비교 평가하고자 한다. 대상 및 방법: 왼편 유방암 환자 중 쇄골상 림프절과 내유 림프절을 포함한 환자 8명을 대상으로 Free Breathing과 Deep inspiration breath-hold 기법을 적용하여 각각 CT-Simulation을 시행한다. 획득한 영상을 기반으로 체표윤곽을 그려 95 %$D_{max}$<110 %이 되도록 Conventional Radiation Therapy, Intensity Modulated Radiation Therapy, Volumetric Modulated Arc Therapy방법으로 계획하였다. Conventional Radiation Therapy는 쇄골상 림프절에 1문조사, 유방 부분에 접선 2문조사로 Field in Field 기법을 사용하였다. Intensity Modulated Radiation Therapy는 7개의 조사면으로 구성하였다. Volumetric Modulated Arc Therapy은 회전반경을 $290^{\circ}{\sim}179^{\circ}$으로 한 2 ARC를 이용하여 계획을 수행하였다. Eclipse의 선량체적용적을 참고하여 주변 정상 장기 선량을 분석하였다. 결 과: Deep inspiration breath-hold기법을 적용함으로 심장과 흉벽 사이의 간격은 평균 $1.6{\pm}0.6cm$ 증가하였다. 폐의 평균 선량은 $19.2{\pm}1.0Gy$로 Intensity Modulated Radiation Therapy에서 가장 작은 값이 나타났다. 심장의 $V_{30}(%)$$2.0{\pm}1.9$로 Intensity Modulated Radiation Therapy에서 가장 작은 값이었다. 좌전하행 관상동맥에서는 평균 선량이 $25.4{\pm}5.4Gy$로 Intensity Modulated Radiation Therapy에서 가장 작은 값으로 나타났다. 반대편 유방의 최대선량 값은 Intensity Modulated Radiation Therapy일 때 $29.7{\pm}4.3Gy$로 가장 작은 값으로 나타났다. 결 론: 주변 정상장기 선량의 값을 비교해 보았을 때, Intensity Modulated Radiation Therapy와 Volumetric Modulated Arc Therapy은 치료에 적용할 수 있는 값으로 나타났다. 이 중 Intensity Modulated Radiation Therapy가 적합한 치료계획 방법으로 사료된다.

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