• The Journal of Internal Korean Medicine
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• v.41 no.2
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• pp.111-121
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• 2020

Objectives: In 2019, we conducted a 12-week public health promotion program on the use of Korean medical treatments for elderly people who are at potential risk for stroke. A significant improvement effect was obtained through the program. The objective of this study was to report the results of this public health promotion program. Methods: Fifty people participated in the program. The participants were received herbal medicine and acupuncture treatments for stroke prevention for 12 weeks. Systolic blood pressure, diastolic blood pressure, blood sugar, weight, and body fat were evaluated twice. A questionnaire was used to assess the European Quality of Life-5 Dimensions (EQ-5D) score, the stroke danger signs, the recognition of stroke signs, and treatment satisfaction. Results: During the 12-week Korean medical treatment program, systolic blood pressure was significantly decreased by 119.40±19.32 mmHg, diastolic blood pressure was decreased by 79.80±8.92 mmHg, and weight was decreased by 58.24±9.70 Kg. The EQ-5D score was increased by 13.82±1.2 and the stroke danger signs score was increased by 26.76±3.59. Sex and EQ-5D score, stroke danger signs score, weight, and body fat were correlated. Age and weight were correlated. Conclusions: For elderly people with the potential risk for stroke, the 12-week Korean medical treatment program was effective and their satisfaction with the treatment was high. This study has significance because this is an unusual report in Korea on the effect of a Korean medical treatment program for stroke using a Korean medicine public health promotion.

• Korean Journal of Clinical Laboratory Science
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• v.52 no.3
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• pp.188-193
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• 2020

Stroke is a major cause of death and disorder, and diabetes mellitus (DM) is a significant risk factor of stroke. This study examined the importance of target blood pressure (<140/<90 mmHg) management in patients with DM. Based on the data of the 6th National Health and Nutrition Examination Survey, a total of 16,389 patients aged 18 to under 80 were assessed through regression analysis to estimate the risk of stroke through blood pressure control. The prevalence of stroke according to the presence or absence of DM was higher in the diabetic group, and a longer duration of DM indicated a higher risk of hypertension and stroke. The hazard ratio of stroke was lower in the maintenance group (0.57) of target blood pressure (<140/<90 mmHg) compared to the high blood pressure group(>140/>90 mmHg). Despite the accompanying treatment for DM and hypertension, the frequency of hypertension increased, and the prevalence of stroke increased after five years of DM. Hence, effective blood pressure management at this time is important. The risk of stroke should be reduced by continuously managing blood pressure in DM.

• The Journal of Internal Korean Medicine
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• v.24 no.2
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• pp.283-289
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• 2003

Background and Purpose : Hemiplegic upper extremity is a problem frequently encountered in the rehabilitation of patients with stroke. In Korean traditional medicine, moxibustion has been used clinically in treatment of stroke patients with hemiplegia. So far, its efficacy has not been proven clinically. The purpose of this study was to evaluate the efficacy of the moxibustion in treating hemiplegic upper extremity in stroke patients. Design : Randomized Control Trial. Subjects and Methods : Forty hemiplegic stroke patients admitted to Kyunghee oriental medicine hospital were randomized into the treatment with standard physiotheraphy combined with Moxibustion-group or Control-group with standard physiotherapy alone. It took them 2-5 weeks from the onset to start this study. Moxibustion was applied at LI4(合谷), LI11(曲池), TE3(中渚), TE5(外關) in hemiplegic hand, once a day for 2weeks. The effect of treatment on hemiplegic upper extremity was assessed using Fugl-Myer motor scale, Motricity Index and Modified Barthel Index(drinking/feeding, dressing upper body, grooming) Results : These 2 groups had comparable clinical characteristics; sex, age, plegic side (Rt., Lt.), pretreatment impairment. After two weeks, patients in the moxibustion group perfomed better on Fugl-Myer test and Motricity index test. The differences were significant.(P=0.038, 0.002) But Results on the Modified Barthel Index revealed no effect.(P=0.348) Conclusion : This results suggest that moxibustion is an effective treatment for improvement of motor function of hemiplegic upper extremity.

• The Journal of the Society of Stroke on Korean Medicine
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• v.24 no.1
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• pp.67-76
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• 2023

Post-stroke aggression refers to aggressive behaviors and languages which are occurred after stroke. In stroke patients, over 15% suffer from the anger and the symptom lowers the quality of life of the patients, family, and caregivers. After diagnosing post-stroke aggression, selective serotonin re-uptake inhibitor(SSRI) and beta-blocker, beta adrenergic agonist treatment usually underwent to treat the anger and anxiety of the patient. In the present case, a 81-year-old female patient with post-stroke aggression underwent Korean medical treatment by Jodeungsan and Ukgansan for 49 days. The effect of the treatment was assessed with State-Trait Anger Expression Inventory(STAXI) per a week, roaming time per a week and roaming frequency per a week. After the treatment, STAXI score, roaming time, and roaming frequecy decreased, and the patient could successfully cease to take beta-blocker, which she started to take for treating her aggression, without any side-effects. This case report suggests that Ukgansan might be an effective option with post-stroke aggression patients taking medication including beta-blocker.

• Journal of Digital Convergence
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• v.12 no.8
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• pp.423-430
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• 2014

The purpose of this article is to present the environmental enrichment(EE) method used to improve the functional recovery and change of brain plastic in animal experimental models of stroke. In animal experimental models of stroke, the environmental enrichment is effective in altering the morphological, biochemical and behavioral characteristics of the brain and thereby improving the functional outcomes. In this review article, we address the effects of EE in achieving a functional recovery in animal experimental models of stroke, thus attempting to describe them in patients with stroke from both occupational and rehabilitation perspectives.

• Physical Therapy Rehabilitation Science
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• v.1 no.1
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• pp.1-5
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• 2012

Objective: Dual-task walking deficits impact functional daily life, which often requires walking while performing simultaneous tasks such as talking, thinking or carrying an object. This study is to find out the latest trend of dual-task training's influence on ambulatory abilities of a stroke patient. Design: Systematic review of randomized controlled trials. Methods: This literature review was conducted in Pubmed and Sciencedirect with the follwing key words:stroke, cerebro-vascular accident, hemiplegia, gait, rehabilitation, exercise. 7 studies were chosen in findings by search tool. 3 studies were case study, 3 studies were cross sectional observational study and 1 study was randomized controlled trial. Results: It was found that stroke patients have difficulties in doing 2 motor tasks simultaneously and when they do 2 tasks, one is done in a naturally preferred activity areas. Moreover, when simply applying dual-tasks, the walking speed decreased. Meanwhile, when applying them through training, the speed increased. This showed the improvement of effective task-implementation abilities after dual-task training using task-integration models. Conclusions: In the beginning of the 2000s, dual-tasks were implemented by simply combining walking and cognition or exercise task, and the results of this study suggest that subjects with stroke have difficulty performing dual task. However, the latest trend is to let patients do the dual-task training by combining it with virtual reality. Therefore, dual task training could be performed in a safe in the environment such as virtual reality or augment reality.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.4
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• pp.31-39
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• 2017

Purpose : The purpose of this study was to examine the effects of short neck flexor strengthening in proprioceptive neuromuscular facilitation and neuromuscular electrical stimulation on swallowing function in patients with chronic stroke and to provide basic data for swallowing rehabilitation in stroke patients. Method : The study involved 30 chronic stroke patients who visited ${\bigcirc}{\bigcirc}$ General Hospital in Daegu Metropolitan City between March and July, 2017. The subjects were randomly assigned to either an experimental group (n=15) or a control group (n=15). Both groups underwent traditional swallowing rehabilitation therapy for 30 minutes five times a week over a six-week period. The experimental group performed short neck flexor exercises, which are part of the proprioceptive neuromuscular facilitation, for 30 minutes three times a week over a six-week period. The control group performed neuromuscular electrical stimulation for 30 minutes three times a week over a six-week period. Based on its results, changes in the patients' swallowing function and degree of food intake were analyzed. Result : In terms of the ASHA NOMS scale and new VFSS scale, the experimental group and the control group showed statistically significant changes in ten sub-items and six sub-items, respectively. Statistically significant differences in one sub-item were found between the groups. Conclusion : PNF-based short neck flexion exercise appear to be effective at improving swallowing function of stroke patients with dysphagia.

• Herbal Formula Science
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• v.15 no.2
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• pp.171-178
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• 2007

This study is clinical report for a acute stroke patient who was improved by treatment of a herbal medication. Stroke patients often shows spirit disorder in early stage. However, the cases which applied Onbyung theory are rare. This paper aims to show that Onbyung theory can be effective to acute stroke. We diagnosed the patient as invasion of the yong system by heat(熱入營分), which showed confusion, insomnia, delirium, anxiety, reddened tongue and dry mouth with cracked lip. After administration of Chungyung-tang(淸營湯) in Wen bing Tiao (溫病條辨), the patient showed those symptoms were highly improved. Thus, we concluded that Onbyung Theory can the patient be adapted to improve the symptom of acute stroke.

• The Journal of the Korea Contents Association
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• v.8 no.1
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• pp.16-26
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• 2008

Despite intensive therapy, a large proportion of stroke survivors are left with significant disabilities. To improve the disable condition, a major component of stroke management is aimed at facilitating functional independence and community reintegration. There are many evidences that community-based rehabilitation after stroke is most effective when provided by a well-organized multidisciplinary team. Key to the implementation of community-based rehabilitation(CBR) is that the disabled person, their family and their community decide on what the priorities of the service should be. The stroke patients in the community need a wide range of services, including the traditional rehabilitation services of physiotherapy, occupational therapy, speech therapy, social workers, orthotists, nurses and so on. The purpose of this research was to investigate necessity and methods of community-based rehabilitation system in Korea.

• The Korean Journal of Rehabilitation Nursing
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• v.4 no.2
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• pp.187-197
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• 2001

The purpose of this study was to determine the effects of self-help management program which strengthens self-efficacy for post stroke elders who attend day care center in Chongju. One group pretest-posttest design was used, and the subjects were 7 post stroke elders with hemiparesis. The self-help management program consisted of 5 sessions and each session included group education on stroke, ROM exercise, recreation and self-care strategies. Those strategies for encouraging and reinforcing self-efficacy provided verbal persuasion, performance accomplishment and vicarious experience. All subjects were questioned before and after the program about ADLs, IADLs, self-efficacy, self-care behavior and depression. The analysis of data revealed that the program was effective to increase the IADLs, self-efficacy and self-care behavior. However, there was no significant difference between pre and post ADLs and depression. The results indicated that this program may be adopted to improve the physical and psychological function of post stroke elderly patients in community settings.