• The Journal of the Korean life insurance medical association
• /
• v.21
• /
• pp.33-42
• /
• 2002

• Physical Therapy Rehabilitation Science
• /
• v.2 no.2
• /
• pp.81-86
• /
• 2013

Objective: The objective of this study was to investigate the feasibility and effects of balance training using a newly developed elastic band orthosis (aider) for improvement of mobility and balance in chronic stroke patients. Design: Cross-sectional study. Methods: Ten patients with chronic hemiplegia participated in this study. There were six males and four females; two patients had right hemiplegia and eight had left hemiplegia. This study investigated the effect of the elastic band orthosis on balance and gait ability compared with bare foot condition. Gait parameters were measured using the opto-gait system for analysis of the spatial and temporal parameters of walking in stroke patients. In addition, balance ability in stroke patients was evaluated using the Timed Up and Go (TUG) and Berg Balance Scale (BBS). Results: This study investigated the effect of the elastic band orthosis on balance compared with bare foot condition. The TUG and BBS showed significant improvement with use of the elastic band orthosis (p<0.05). Use of the Elastic band orthosis resulted in significantly improved velocity, cadence, less-affected step length, less-affected stride length, and less-affected single limb support in stroke patients (p<0.05). Conclusions: We demonstrated a significant improvement in dynamic balance and gait ability in chronic stroke patients using the elastic band orthosis. This orthosis may aid in prevention of spastic foot drop, leading to improvement of walking ability.

• Journal of Yeungnam Medical Science
• /
• v.38 no.4
• /
• pp.361-365
• /
• 2021

Stroke patients have reduced aerobic capacity. Therefore, intensive structured exercise programs are needed. We report the case of a patient with stroke and cardiac disease who underwent early inpatient cardiac rehabilitation (CR). A 38-year-old male patient with atrial fibrillation, heart failure, and cerebral infarction underwent a symptom-limited exercise tolerance test (ETT) without any problems on day 45 after admission. He completed a 2-week inpatient program and an 8-week home-based CR program. Follow-up ETT showed increased exercise capacity. The present case might be the first to report a safely performed CR program in a patient with stroke and cardiac comorbidity in Korea. Systematic guidance is needed for post-stroke patients to receive safe and effective CR for the secondary prevention of stroke and cardiovascular risk.

• The Journal of Korean Medicine
• /
• v.28 no.1 s.69
• /
• pp.25-34
• /
• 2007

Objectives : The present study was carried out to provide basic information necessary for the prevention and efficient treatment of stroke through a comparison between thr patients of the first attack and those of recurrence. Methods : The observation f3r the current study was made on 210 cases of stroke that were confirmed through brain CT-scan. The patients were hospitalized at one of two oriental medical hospitals in Seoul during 2006. Result : The main results were as follows. First, the male-to-female ratio of stroke patients were 1:1.26, with more primary stroke far females and more recurrent stroke for males. Second, in the age distribution, seventies was the top, and sixties, fifties, and forties were next in the order of frequency. A large city was the most frequent residential site and unemployment was the most frequent occupation to have stroke. The incidence of stroke became higher as patients had a taste for spicy and salty food. Third, the most common preceding disease was hypertension. In the relationship of diastolic blood pressure with recurrence, there was significance in the test of independence. Fourth, the most important precipitating conditions at the onset of stroke were rest and steeping. The most common precedent symptoms were verbal disturbance, numbness, and dizziness. In the stroke patients with hemiparesis, male and female patients usually showed It. hemiparesis. Fifth, as a result of brain CT-scan, cerebral hemorrhage was inclined to reduce but cerebral infarction was inclined to increase due to senility and change of lifestyle. Finally, total cholesterol findings disclosed that 22.4% were hypercholesteremia, 18.6 % were hyperlipemia in triglyceride findings, and 19.0% were glycosemia in glucose findings. Conclusions : The above results suggested avoidance of meat and salty fDod and positive control of hypertension and diabetes mellitus in order to prevent stroke.

• The Journal of the Society of Stroke on Korean Medicine
• /
• v.9 no.1
• /
• pp.54-58
• /
• 2008

Transient Ischemic Attack(TIA) is an important risk factor of stroke but often underestimated by clinicians. In this case, we administered oriental-western cooperative therapy to a 72 years old female TIA patient with severe MCA stenosis. After treatment, all symptoms were disappeared and has not reappeared until 1 year follow-up.

• Journal of Sasang Constitutional Medicine
• /
• v.30 no.1
• /
• pp.7-13
• /
• 2018

Objectives On the point of modern preventive medicine, Sasang Constitutional Meidicine(SCM) has the thoughts of preventive medicine. Modern preventive medicine has the three dimensional prevention; primary, secondary and tertiary prevention. The preventive thoughts of SCM concerning three dimensional prevention have been investigated in this article. Method Materials and references were collected about the prevention of SCM. Lee Jema's books such as Donguisusebowon, Gyeokchigo and Donguisusebowon Chobonguen were included. Result and Conclusions As the primary prevention of SCM, Regimen according to ages, explanation according to health index as Myeongmaeksilsu(命脈實數), moderation of four ruinous causes such as intoxication, seduction, opulence and authority, adequate social life and control of 4 kinds of emotions(sorrow, anger, joy and pleasure) are included. As the secondary prevention of SCM, explanation according to disease index, fragile Organs and frequently acquired diseases according to constitutions are included. As the tertiary prevention of SCM, rehabilitation for the stroke patients according to constitutions is included. In conclusion, SCM has all of 3 dimensional prevention methods although that might be applied with modern considerate modification.

• Journal of Haehwa Medicine
• /
• v.11 no.1
• /
• pp.285-294
• /
• 2002

The purpose of this study was to find the way of treatment and prevention the stroke by Sasang constitutional medical therapy. I came to get some conclusions after considering literatures of ${\ll}$Dongyi Suse Bowon${\gg}$ and the conclusion as follows. 1. In ${\ll}$Dongyi Suse Bowon${\gg}$ the stroke of Soumin is caused by 'Interior cold disease'. When 'Interior Yin' can not descend, the disease arise. In this case Lee Je-ma used 'Sohabhyang-won(蘇合香元)', 'Chulaek-su(鐵液水)'. 2. The stroke of Soyangin is caused by 'Interior heat disease'. When the hot Qi of stomach and spleen is blocked, the disease arise. In this case Lee Je-ma used 'Dokhwal-jihwang-tang(獨活地黃湯)', 'Jihwang-baekho-tang(地黃白虎湯)'. 3. The stroke of Taeumin is caused by 'Dry and heat disease'. When the heat of liver and the dryness of lung is excessive, the disease arise. In this case Lee Je-ma treated with 'Woohwang-chungsim-hwan(牛黃淸心丸)', 'Wonji-sukchangpo-tang(遠志石菖蒲湯)', and 'Kwache-san(瓜帶散)' etc. Above results indicate that not only taking medicine but also filling up the Healthy energy(保命之主) is important to treat stroke.

• International Journal of Advanced Culture Technology
• /
• v.6 no.4
• /
• pp.124-130
• /
• 2018

Proper management and prevention of dysphagia are urgently needed in acute care of stroke patients in Korea. However, no highly sensitive and accessible nurse-led screening tools have been validated within the Korean settings. The purpose of this study was to validate a screening tool led by nurses to identify dysphagia and aspiration risks among acute stroke patients. Registered nurses (RNs) screened 131 residents from a university hospital in South Korea using the Korean version of the Standardized Swallowing Assessment (K-SSA). Results were validated against those from the Gugging Swallowing Screen (GUSS). Compared to results from the GUSS, with 9- and 14-point cutoffs, the K-SSA had a sensitivity of 0.80 and specificity of 0.90 [95% CI 0.806, 0.992] for screening dysphagia and 1.00 sensitivity and 0.94 specificity [95% CI 0.862, 1.000] for screening aspiration risks. The K-SSA demonstrated excellent sensitivity and specificity for screening individuals at risk of dysphagia and aspiration when led by RNs for acute stroke patients.

• Journal of Acupuncture Research
• /
• v.23 no.4
• /
• pp.69-80
• /
• 2006

Objectives : The occurrence of shoulder pain after attack of stroke varies from 15% to about 80% in patients. Hemiplegic shoulder pain has been shown to affect stroke outcome in a negative way that it interferes with recovery after a stroke. These following processes have been all postulated as causes of a shoulder pain: glenohumeral subluxation, spasticity, impingement, soft tissue trauma, glenohumeral capsulitis, shoulder hand syndrome. And stroke patients may suffer from pain caused by stroke itself(central post-stroke pain). The aim of this study is to investigate the effectiveness of Bee venom therapy for shoulder pain in stroke patients. Methods : To evaluate the effectiveness of Bee Venom Acupuncture Therapy, 40 patients were allocated into control and treatment group. They were monitored for 3 weeks and followed up with VAS score(with the interval of Initial(YAS1)), 1 week later(VAS2), 2 weeks later(VAS3), 3 weeks later(VAS4), Motor Grade and Passive ROM. Results : VAS score decrease in treatment group compared to control group. Bee Venom Acupuncture Therapy seems to decrease hemiplegic shoulder pain and this effect was statistically significant after 3 weeks. Therefore this therapy could be recommended for the treatment of patients with shoulder pain after stroke and further extensive clinical studies are expected. Conclusion : We suggest that GDS oral administration and electro-acupuncture at $BL_{52}$ & $GB_{39}$ are available for prevention and curing about the postmenopausal osteoporosis.

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