• Title/Summary/Keyword: the number of stroke

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Daoyin Exercise Therapy for Stroke : A Systematic Review (뇌졸중에 대한 도인 운동요법의 효과: 체계적 문헌 고찰)

  • Lee, Sang-Hyun;Shin, Byung-Cheul;Hwang, Eui-Hyoung;Heo, In;Park, Sun-Young;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.29-42
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    • 2019
  • Objectives : This study aimed to review the effects of Daoyin exercise on stroke patients in clinical studies. Methods : In this study, we reviewed 11 electronic databases (CAJ, EMBASE, Cochrane Library, Web of Science, Pubmed, RISS, Dbpia, NDSL, KISTI, KISS, KMBASE) on October 27, 2019. We included only randomized controlled trials (RCTs) which evaluated the effect of Daoyin exercise on stroke patients. The methodological quality of the included studies was checked using the Cochrane risk of bias tool. Results : After screening the papers, eleven RCTs fulfilled the inclusion criteria. The results of the meta-analysis showed that Daoyin exercise improves the measurement value on the Fugl-Meyer Assessment, Modified Barthel Index and National Institutes of Health Stroke Scale in stroke patients. Conclusions : We concluded that Daoyin exercise has therapeutic effects in functional recovery and in enhancing the independence of daily living activities for stroke patients. However, the quality of the original articles was low and the number of papers included were few. Thus, to confirm these results, further well-designed RCTs should be conducted.

A Comparative Study on Risk Factors Related to Patient with Recurrent Stroke Between Recurrent Group and Non-recurrent Group: Single Hospital Based Cohort Study (뇌졸중 재발자와 비재발자의 뇌졸중 재발 위험 요인의 비교 분석: 일개 병원의 뇌졸중 환자 코호트를 기반으로)

  • Jeon, Mi Yang;Cho, Hyung Je;Park, Mingyeong;Jin, Mi Jeong;Ha, Youngmi
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.219-228
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    • 2020
  • Purpose: This study was a comparative analysis of stroke-related factors between recurrent patients and non-recurrent patients. Methods: A retrospective cohort study design was used, and data were collected from March 2020 to April 2020 using electronic medical records. 244 patients (221 first-timers and 23 recurrent) were included in this study. Results: The stroke recurrence rate in 5 years was 9.4%, the readmission rate was 39.3%, and the mortality rate was 2.0%. The number of patients hospitalized for stroke was greater among men than among women. Of the patients, 60.7% had an underlying disease. With regard to daily life abilities, over 70% of participants needed more than moderate dependence and about 40% of participants had more than mild cognitive impairment. More than 50% were moved to wheelchairs or stretcher cars. The difference in the stroke readmission rate between recurrent and non-recurrent patients was statistically significant. Conclusions: Based on our findings, a program to prevent recurrence of stroke should be developed to considering age, ability of daily living, place of discharge, gait ability at discharge, and place of discharge.

Effects of One-to-one Fall Prevention Education on Decrease in Falls of Adults with Stroke (뇌졸중 성인의 낙상 감소를 위한 1대 1 낙상 예방 교육의 효과)

  • Kim, Hee;Jung, Min-Ye
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.426-435
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    • 2015
  • The aim of this study was to investigate the effects of an one-to-one fall prevention education on the falls and fall factors of adults who have had a stroke. 17 adults who have had a stroke were recruited and a total of four sessions of weekly one-to-one fall prevention educational program was developed considering the stroke population's cognitive abilities. Each sessions were composed of different fall-related subjects of introduction of fall, fall prevention exercise, fall prevention assistive device, and fall prevention environment modification. Dependent variables were the number of fall and fall danger in the recent month, balance ability, fear of falls, fall efficacy and depression. After four sessions of one-to-one fall prevention education, participants showed significantly positive changes in all dependent variables except for the balance ability(p<.05). An one-to-one fall prevention education to adults with stroke could decrease the number of fall and fall danger, fear of falls, depressive symptoms and fall efficacy. In order for the stroke adults to remain safely in their community and hospital, an one-to-one fall preventive education considering their cognitive level is needed.

A Study on Risk Factor Found in the Patients with Stroke in Physical Therapy (물리치료를 받는 뇌졸중 환자의 발병 관계요인에 관한 조사연구)

  • Kim, Yong-Nam
    • Journal of Korean Physical Therapy Science
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    • v.3 no.3
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    • pp.57-64
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    • 1996
  • The purpose of this study is to investigate risk factor found in the patients with stroke in physical therapy. A questionnaire survey was carried out for 130 the patients, who had comparatively alert mentality, hospitalized in kyung hee oriental medical hospital with stroke from January, 1st to May 31st, 1996. Major findings of this stuty were as follows. 1. The stroke patients 67(51.5%)were males and 63(48.5%) femals. The age groups of 50 to 69 years accounted for 67.6% of the total stroke patients are the highest. The job groups of commerce and business of patients 58.5%. The living groups of major citys of the revealed the highest incidence(40.8%). 2. There were 40 patients (30.8 %) who had hemorrhage related condions as the direct cause of their stroke, and 90 patients (69.2 %) who had cerebral infarction with no hemorrhaging as the cause. of the disease that the patients suffered from before their stroke, blood pressure related problems were most numberous 76 patients(58.5%) had such problems. 3. A month before their attack of stroke, were asked what thay thought could become the causes of their strokes. The most frequently mentioned answers were fatigue, drinking too much, and smoking, as chosen by 45 patients(34.6 %). 4. In regarding the relation between stress and stroke, (37.7%), of the surveyed belonged to the most numerous group had of people who said they were not under stress. Yet this group had a large number of parents. And 22.3 % of the surveyed named conflicts among parents, siblings, and relatives. 5. Questions were asked to find out the relationship between complications of stroke and smoking or drinking. It was surprising to see a high rate of attack among the 55.4 % majority who answered that they did not smoke nor drink. 6. To sum up the affect of food on attack of stroke, 42.5% of the people who had a sprcey and salty diet had a higher rate of attack then the group of people with leisurely nature. 7. Looking at the family history, 40.4% of the patients said their parents also suffered the disease. This percentage is the highest. And 40.0% answered that there is no one who suffered in their family history. Judging from the percentages and family.

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Characteristics the Pressure Variations according to the Exhaust Pipe of 4-Stroke Single Engine (4행정 단기통 엔진의 배기관에 따른 압력 변동 특성)

  • Lee, Hyo-Deok;Choi, Seok-Cheun;Lee, Sang-Chul;Lee, Kwang-Young;Jeong, Hyo-Min;Chung, Han-Shik
    • Proceedings of the KSME Conference
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    • 2004.04a
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    • pp.1666-1671
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    • 2004
  • In this study, a experimental method has been introduced for the various exhaust pipe geometry of 4-stroke single engine. The main experimental parameters are the variation of exhaust pipe diameters and lengths, to measuring the pulsating flow when the intake and exhaust valves are working, As the results of experimental test, the various exhaust geometry were influenced strongly on the exhaust pressure. As the exhaust pipe diameter was decreased, the amplitude and the number of compression wave in exhaust pressure was increased. According to decreasing pipe diameter, the number of compression wave in exhaust pressure was decreased. When the pipe diameter was increase, the second amplitude was increased.

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Comparison Study on the Characteristics among Sasang Constitution in Acute Stroke Patients (급성기 중풍 환자의 사상체질에 따른 제특성 분포에 관한 임상적 연구)

  • Sun, Jong-Joo;Jung, Jae-Han;Choi, Chang-Min;Kim, Seok-Min;Kim, Chang-Hyun;Min, In-Gyu;Jeong, Dong-Won;Park, Sung-Uk;Jung, Woo-Sang;Moon, Sang-Kwan;Park, Jung-Mi;Ko, Chang-Nam;Cho, Ki-Ho;Kim, Young-Suk;Bae, Hyung-Sup
    • The Journal of Internal Korean Medicine
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    • v.28 no.1
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    • pp.34-46
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    • 2007
  • Objectives: This study was to assess characteristics in acute stroke patients according to Sasangconstitution (SC). Methods : We assessed the type of SC of acute stroke patients in $2^{nd}$ Department of Internal Medicine at KyungHee University Oriental Hospital from October 2005 to September 2006. Each subject's SC type was confirmed when the result of QSCC II+ was in accordance with the opinion of the Sasangconstitutional medicine specialist. We investigated general characteristics, stroke type, blood test results, alcohol drinking, smoking and dietary preferences according to SC. Results: 108 subjects were included in the final analysis. This study showed that out of the total patients, the proportion of So-yang to Tae-eum to So-eum was equal to 5.5 to 3.5 to 1. Especially, men were higher proportion So-yang while women recorded a more significant ratio of Tae-eum. Also, the BMI, waist circumference, hip circumference, and WC/HC ratio recorded significantly high results. The result indicated that even though the Tae-eum let on the highest numerical value in the aspect of their past history and the final diagnosis, no significant difference was revealed according to SC. The ratio of cerebral infarction to cerebral hemorrhage was 9 to 1. SVO, LAA, SUE are the 3 types of cerebral infarction classified by TOAST; SVO ranked the highest while SUE ranked the lowest in all constitutions. The blood test result displayed that averages of both TL and the T-chol were the highest in Tae-eum while that of hematocrit in So-yangand that of HDL-chol in So-eum. However, there was no significant difference. There were no significant differences classified by gender or by SC in the aspect of the alcohol drinking and smoking history. The majority of So-yang and Tae-eum demonstrated a preference for meat while So-eum and So-yang displayed high preferences for sea food. Conclusions : With respect to these results. we could observe the general disposition of various characteristic distributions according to SC of acute stroke patients. For further research in this field. it seems necessary to construct fundamental databases for the prevention and treatment of stroke by increasing the number of patients observed and by analyzing delicate characteristics of each constitution type.

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Characteristics on the Pressure Variations According to the Exhaust Pipe Shape of 4-Stroke Gasoline Engine (4행정 가솔린 엔진의 배기관 형상에 따른 압력 변동 특성)

  • Lee, H.D.;Choi, S.C.;Koh, D.K;Lee, C.J.;Jeong, H.M.;Chung, H.S.
    • Journal of Power System Engineering
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    • v.8 no.1
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    • pp.13-17
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    • 2004
  • In this study. an experimental study has been introduced for the various exhaust pipe geometry of 4-stroke single cylinder engine. The main experimental parameters are the variation of exhaust pipe diameters and lengths to measure the pulsating flow when the intake and exhaust valves are working. As the results of experimental test, the various exhaust geometry were influenced strongly on the exhaust pressure. As the exhaust pipe diameter was decreased, the amplitude and the number of compression wave in exhaust pressure was increased. According to decreasing pipe diameter, the number of compression wave in exhaust pressure was decreased.

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ANALYSIS OF HCCI COMBUSTION CHARACTERISTICS BASED ON EXPERIMENTATION AND SIMULATIONS-INFLUENCE OF FUEL OCTANE NUMBER AND INTERNAL EGR ON COMBUSTION

  • Iijima, A.;Yoshida, K.;Shoji, H.;Lee, J.T.
    • International Journal of Automotive Technology
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    • v.8 no.2
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    • pp.137-147
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    • 2007
  • Homogenous Charge Compression Ignition (HCCI) combustion systems can be broadly divided for the process applied to 4-stroke and 2-stroke engines. The former process is often referred to as simply HCCI combustion and the latter process as Active Thermo-Atmosphere Combustion (ATAC). The region of stable engine operation tends to differ greatly between the two processes. In this study, it was shown that the HCCI combustion process of a 4-stroke engine, characterized by the occurrence of autoignition under a high compression ratio, a lean mixture and wide open throttle operation, could be simulated by operating a 2-stroke engine at a higher compression ratio. On that basis, a comparison was made of the combustion characteristics of high-compression-ratio HCCI combustion and ATAC, characterized as autoignited combustion in the presence of a large quantity of residual gas at a low compression ratio and part throttle. The results showed that one major difference between these two combustion processes was their different degrees of susceptibility to the occurrence of cool flame reactions. Compared with high-compression-ratio HCCI combustion, the ignition timing of ATAC tended not to change in relation to different fuel octane numbers. Furthermore, when internal EGR was applied to high-compression-ratio HCCI combustion, it resulted in combustion characteristics resembling ATAC. Specifically, as the internal EGR rate was increased, the ignition timing showed less change in relation to changes in the octane number and the region of stable engine operation also approached that of ATAC.

A Case Report of Craniosacral Therapy and Acupuncture for Chronic Migraine (두개천골요법과 침치료로 호전된 만성 편두통 환자에 대한 증례보고)

  • Su-jin Lee;Seong-Uk Park;Jung-Mi Park;Chang-Nam Ko;Seung-Yeon Cho
    • The Journal of Korean Medicine
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    • v.44 no.3
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    • pp.140-149
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    • 2023
  • Objectives: This case report aims to describe the effects of craniosacral therapy and acupuncture in a patient with chronic migraine. Methods: A 33-year-old man with chronic migraine was treated with 20 sessions of craniosacral therapy and acupuncture for 8 weeks. The number of migraine and headache days were monitored every month. The pain intensity of headache was measured on the visual analog scale (VAS). Korean Headache Impact Test-6 (HIT-6) and Migraine Specific Quality of Life (MSQoL) were also used. Results: The number of headache days per month reduced from 28 to 7 after 8 weeks of treatment and to 3 after 3 months of treatment. The pain intensity of headache based on VAS reduced from 7.5 to 3 after 8 weeks and further to < 1 after 3 months of treatment. Furthermore, the patient's HIT-6 and MSQoL scores improved during the treatment period, which was maintained or further improved at the 3 month follow-up. No side effects were observed during or after the treatment. Conclusion: This case indicates that craniosacral therapy and acupuncture could be effective treatments for chronic migraine. Further studies are required to validate the efficacy of craniosacral therapy for chronic migraine.

The Effects of Neuromuscular Electrical Stimulation for Dysphagia in Stroke Patients (신경근전기자극치료가 뇌졸중 환자의 연하장애에 미치는 효과)

  • Kim, Jeong Ja;Lee, Jong Won
    • Journal of Korean Physical Therapy Science
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    • v.26 no.2
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    • pp.13-23
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    • 2019
  • Background: The purpose of this study was to provide the basis for the treatment intervention by identifying the treatment effect when rehabilitation intervention is applied to patients with dysphagia due to stroke and by comparing the results of the treatment mediation according to the differences of the treatment methods and frequency. Design: Randomized Controlled Trial. Methods: 30 people diagnosed with dysphagia due to stroke were divided in accordance with the differences in treatment mediation techniques and treatment frequency- traditional swallowing rehabilitation coupled with neuromuscular electrical stimulation group and only neuromuscular electrical stimulation group/ 5 times per week group and 2 times per week group, and ten weeks of treatment intervention was performed. Paired t test was employed to show the efficacy of treatment intervention, Independent sample t test was used to compare the results according to difference and number of treatment intervention techniques. Results: There was a significant positive effect of treatment on traditional swallowing rehabilitation coupled with neuromuscular electrical stimulation group, only neuromuscular electrical stimulation group, 5 times per week group and 2 times per week group (p<0.05). There was no statistically significant difference in treatment effect between traditional swallowing rehabilitation coupled with neuromuscular electrical stimulation group and only neuromuscular electrical stimulation group (p<0.05). There was no statistically significant difference in treatment effect between 5 times per week group and 2 times per week group (p<0.05). Conclusion: There was no significant difference according to the technique or number of treatments of swallowing rehabilitation treatment interventions, but it was confirmed that rehabilitation intervention for dysphagia showed positive treatment effect.