• 제목/요약/키워드: effective stroke

검색결과 981건 처리시간 0.021초

체감각자극이 뇌졸중 환자의 인지기능과 일상활동 수행능력에 미치는 효과 (The Effects of Somatosensory Stimulation on Cognitive Function and ADL of Patients after Stroke)

  • 김대란;허혜경
    • 성인간호학회지
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    • 제20권2호
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    • pp.239-250
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    • 2008
  • Purpose: The purpose of this study was to determine the effect of a 2-week somatosensory stimulation program on cognitive function and ADL of patients with brain damage. Methods: The sample consisted of two groups of patients with stroke: 10 patients with a mean age of 59.0 years who were treated with somatosensory stimulation, and 9 patients with a mean age of 51.78 years, who were not treated with somatosensory intervention. A nonequivalent control group non-synchronized design was used to assess the functional recovery after stroke. Instruments used in this study were MMSE-K for cognitive function and FIM for ADL. Results: The hypothesis 1 that "Patients with stroke who were treated with the somatosensory stimulation program will show higher MMSE-K score than that of the non-treatment group" was supported(Z = -2.390, p = .017). The hypothesis 2 that "Patients with stroke who were treated with the somatosensory stimulation program will show higher FIM score than that of the non-treatment group", however, was partially supported(social cognition: Z = -2.204, p = .045). Conclusion: Somatosensory stimulation was effective to patients with stroke in improving their cognitive function. These findings suggest that somatosensory input can be adopted to nursing intervention for functional recovery after stroke.

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뇌졸중 환자에서 한양방협진과 양방단독 재활치료의 기능 회복 비교 (Comparison of the Functional Recovery of Stroke Patients Treated with Eastern-Western Integrative Medical Care and Western Single Rehabilitation Therapy)

  • 김민수;윤종민
    • 대한한방내과학회지
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    • 제37권4호
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    • pp.645-652
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    • 2016
  • Objectives: To compare the effects of Eastern-Western integrative medical care (EWIM) and Western single rehabilitation therapy (WSRT) on the functional recovery of stroke patients.Methods: Seventy-six stroke patients were recruited retrospectively. The participants were divided into two groups: EWIM and WSRT. Data on age, sex, stroke-related risk factors, stroke type, neurological deficits according to the National Institutes of Health Stroke Scale (NIHSS), elapsed time to the initiation of rehabilitation, duration from the onset to follow up, initial functional status, and function after therapy for 3 mon were obtained from a review of the patients’ medical records. Between-group differences in functional outcomes were analyzed before and after treatment using the functional ambulation category (FAC), Fugl-Meyer assessment (FMA), modified Barthel Index-Korean version (K-MBI), and Euro-Quality of Life-5 Dimension (EQ-5D).Results: At 3-mon poststroke, all the functional outcome measures had improved in both groups (P<0.05). However, the improvements were greater in the EWIM group, and the improvement was statistically significant in the K-MBI (P=0.048) and EQ-5D (P=0.042).Conclusions: With respect to activities of daily living and health-related quality of life, EWIM is a more effective stroke therapy than WSRT.

한·양방 병행치료를 시행한 뇌경색 환자의 변증지표 변화와 Scandinavian Stroke Scale의 상관관계에 대한 연구 (A Study of Correlation Between Change in Pattern Identification and Scandinavian Stroke Scale in Ischemic Stroke Patient Who had Receive Traditional Korean Medical Treatment and Conservative Treatment)

  • 여서원;김수경;이지현;심소라;박주영;조승연;박성욱;정우상;문상관;박정미;조기호;김영석;배형섭;고창남
    • 대한중풍순환신경학회지
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    • 제13권1호
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    • pp.24-32
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    • 2012
  • Object : The purpose of this study is to observe the correlation between change in pattern identification symptoms and scandinavian stroke scale in ischemic stroke patient who had receive traditional Korean medical treatment and conservative treatment. Methods : 43 subjects were recruited from patients with ischemic stroke within 30 days of onset. We chose the subjects who had at least one follow up session and had checked the score between last follow up session and first session in pattern identification and scandinavian stroke scale. We also assessed the correlation between pattern identification and scandinavian stroke scale. Results : There were significant negative correlation between pattern identification and scandinavian stroke scale in Fire-heat pattern and positive correlation in Dampness-phlegm pattern. Conclusions : This study provides evidence that collaborative treatment maybe effective in improving neurologic symptoms in ischemic stroke patients diagnosed as Fire-heat pattern. Further studies with larger scale and longer observation period, more neurologicscales scales, control group would be required.

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메니에르병 치험 1례 (One Case of Meniere's Disease)

  • 이승엽;김미영;김영지;최원우;민인규;박주영;정우상;문상관;조기호;김영석
    • 대한중풍순환신경학회지
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    • 제9권1호
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    • pp.40-45
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    • 2008
  • Meniere's disease is characterized by intermittent episodes of vertigo lasting from minutes to hours, with fluctuating hearing loss, tinnitus, and aural pressure. The primary histopathological correlate is endolymphatic hydrops, but its etiology is still disputed. Several medical therapies have been offered to patients with this disease since 1961 that the first report had been given by Prosper Meniere. Some will be helpful for relieving the symptoms but there is still no absolutely effective treatment to cure the disease. One male patient with Meniere's disease was hospitalized in Kyung-Hee medical center, and we treated him with oriental medical therapies. The treatment was effective to relieve his symptoms, and they had been successfully controlled until he was discharged from hospital. The result suggests that the oriental medical therapy is safe and helpful to patients with Meniere's disease, so we reported this case.

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The Effect of Backward Walking Training Methods on Walking in Stroke Patients

  • im, Sang-Jin;Jeon, Chun-Bae;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • 제23권3호
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    • pp.21-27
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    • 2011
  • Purpose: The purpose of the present study was to examine, in stroke patients, differences between backward walking training applied on a treadmill and the same training applied on the ground. Methods: Twenty seven stroke patients were divided into a treadmill backward walking group of 14 patients and a ground backward walking group of 13 subjects. Each group performed their respective training method for 8 weeks (15 min per day, 4 days a week). Walking ability was measured using a 10 m MWS (Maximal Walking Speed) test and the GAITRite system to examine changes in walking. Cadence, stridelength, step time, step length and symmetry index of the less affected side were measured to examine changes in stance phase of the lower extremity of the more affected side. Results: 10 m MWS, cadence, stride length, step time and step length of the less affected side significantly increased and symmetry index significantly decreased after training in both groups. The treadmill backward walking group experienced a significantly greater increase in step time and step length and a significantly greater decrease in symmetry index than the ground backward walking group. Conclusion: The two walking training methods were effective for improving stability in stance phase of the lower extremity of the more affected side, but the treadmill method was more effective. The present study is meaningful in that it analyzed the effects of backward walking training methods on walking and the differences of the training methods to provide information necessary for effective treatment of stroke patients.

뇌졸중 환자의 견관절 통증에 대한 봉독약침의 임상효과 (Effectiveness of Bee Venom Acupuncture on Shoulder Pain after Stroke)

  • 고창남;박성욱;정우상;문상관;박정미;조기호;김영석;배형섭;민인규
    • 대한한의학회지
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    • 제28권1호통권69호
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    • pp.11-24
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    • 2007
  • Objectives : Hemiplegic shoulder pain is one of the common sequelae of stroke. Although many different methods of treatment are applied, none have yet been proved to be effective. In this study we assessed the effectiveness of bee venom in patients with shoulder pain after stroke. Methods : This study was a double blinded, randomized, placebo-controlled clinical trial. All subjects received either 0.6 ml bee venom injection (venom:saline = 1:10000) or 0.6ml physiological saline solution (placebo) at three acupoints. The effectiveness was assessed by visual analogue scale, pain rating score, Fugl-Meyer assessment and passive external rotation. Results : There were 24 patients in the venom group and 22 patients in the placebo group. The venom group5,hewed more effectiveness in VAS and PRS than the placebo group. Conclusions : This study suggests that bee venom injection has significant analgesic effect on hemiplegic shoulder pain. Further study based on multi-centers, larger population, and long term 1311ow-up is needed to confirm this suggestion.

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Effect of Inspiratory Muscle Training with Elastic Taping on Forced vital capacity and Sway Area in Stroke Patients

  • Park, Shin Jun
    • The Journal of Korean Physical Therapy
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    • 제32권2호
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    • pp.121-125
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    • 2020
  • Purpose: The purpose of this study was to evaluate the forced vital capacity and sway area of respiratory muscles taping with threshold inspiratory muscles training for 1 week. Methods: Nineteen stroke patients were divided into two groups: experimental group (respiratory muscles taping with threshold inspiratory muscles training, n=10) and control group (threshold inspiratory muscles training, n=9). Forced vital capacity tests were performed using a spirometer. The instrument records the forced vital capacity (FVC). COP excursion test was performed using Zebris. The instrument records the sway area. All tests were measured before and after intervention. Results: The experimental group and control group showed significant increase in FVC (p<0.05). The sway area showed a significant decrease only in the experimental group (p<0.05). The FVC and sway area was no significant difference between the two groups (p>0.05). Conclusion: Threshold inspiratory muscles training is an effective intervention for improving FVC. Threshold inspiratory muscles training with respiratory taping is an effective intervention for improving FVC and sway area. Threshold inspiratory muscles training with respiratory taping can improve balance ability.

뇌졸중환자의 일상생활활동의 만족과 사회적응 능력 증진 사례연구 (A Case Study on the Improvement of Daily Living Activities, Satisfaction and Social Adaptation Performance Among Stroke Patients)

  • 김명섭;김정자
    • 한국임상보건과학회지
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    • 제5권3호
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    • pp.973-980
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    • 2017
  • Purpose. To understand the effectiveness of training programs to improve the daily living activities and social adaption abilities of stroke patients. Methods. The participant included 1 stroke patient in Jeonbuk, from March to August 2016. The test tools used was the Canadian occupational performance measurement, International classification of function, disability and health co-resets. After applying the training program, I compared the daily life satisfaction and social adaption abilities. Results. According to this study, both daily life satisfaction and social adaption abilities improved. Conclusion. In conclusion, after an exercise program, self- help program, and underwater exercise programs, daily life satisfaction and social adaptation levels were improved. Therefore, the programs that apply to stroke patients could be found to be effective.

A Systematic Review of Elastic Taping Effect of Patients with Stroke

  • Kim, Beom-Ryong;Kang, Tae-Woo
    • The Journal of Korean Physical Therapy
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    • 제30권4호
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    • pp.101-107
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    • 2018
  • This study was conducted to evaluate the effectiveness of taping intervention in patients with stroke through a review analysis of taping interventions used to enhance physical function and activity in patients with stroke. We searched randomized controlled trials using electronic databases. We also manually reviewed sources to identify additional relevant studies. Taping intervention is an approach to treat individuals with impaired physical function and activity. Taping interventions affect body functions by providing increased muscle strength, proprioceptive sensation, and range of motion, as well as decreased rigidity and pain. Taping interventions also improve walking, balance and arm functions, such as physical activity. Taping intervention for patients with stroke has been shown to be highly effective and is therefore strongly recommended; however, it is suggested that it be further developed to improve its efficacy as an intervention method and to create additional taping methods.

반하후박탕으로 호전된 뇌경색 환자의 연하곤란 치험 1례 (A Case Report of Treatment of Dysphagia in a Stroke Patient Treated with Banhahubak-tang)

  • 최현정;서윤정;임지현;유재환
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.253-258
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    • 2018
  • Objectives: The aim of this report is to report the effects of Banhahubak-tang on dysphagia in a stroke patient. Methods: A case of a 67-year-old female stroke patient with dysphagia is presented. The patient was treated with the herbal medicine Banhahubak-tang. Results : After administration of the herbal medicine Banhahubak-tang, dysphagia was improved, which reduced time per meal. Conclusion : Banhahubak-tang was an effective treatment for dysphasia in a stroke patient.