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단순형 및 혼합형 유착성 견관절낭염 환자의 치료효과 비교
양승남,윤준식,김우섭,김세주 대한재활의학회 2004 Annals of Rehabilitation Medicine Vol.28 No.4
Objective: This study was designed to divide the patients with adhesive capsulitis into two groups by ultrasonographic findings, such as simple capsulitis and mixed capsulitis patients and to compare the improvement of range of motion and shoulder pain in one month. Method: We examined 50 patients with adhesive capsulitis diagnosed by physical examination. In accordance to ultrasonographic findings, we divided the patients into two groups such as capsulitis and mixed capsulitis in patients with adhesive capsulitis. We treated shoulder pain by intraarticular injection and medication. We examined the range of motion of shoulder and visual analogue scale at each visiting time in a month. Results: The mean age of patients was 55.3 (range: 39~77) years. There were 26 patients with simple capsulitis and 24 patients with mixed capsulitis. The average duration of pain was 16.1±23.9 months. There was meaningful difference of shoulder range of motion and visual analogue scale between pretreatment and posttreatment in patients with simple capsulitis and mixed capsulitis. But, there was no meaningful difference of shoulder range of motion and visual analogue scale between two groups. Conclusion: No specific difference was noted between the simple and the complex groups of adhesive capsulitis in the effect of treatment.
뇌졸중 이후 발생한 연하장애에서 비침습적 뇌 자극술의 적용
양승남 대한연하장애학회 2014 대한연하장애학회지 Vol.4 No.2
Dysphagia is a major complication after cerebrovascular disease. Non- invasive brain stimulation such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) was recently used in many part of stroke rehabilitation. There are several researches about non-invasive brain stimulation adjusting dysphagia after stroke. The objective of this review is to verify the effificacy of non-invasive brain stimulation in patients with dysphagia after stroke. All studies showed statistically signifificant effect in treatment group with non-invasive brain stimulation compared to control group at immediately after treatment period. However, long term follow up was not sufficient and there was large heterogeneity among the studies in the type of assessments that were used for dysphagia evaluation, study population, etiology, characteristics of stroke, and the time of intervention after onset. Further studies for the long term effect of non-invasive brain stimulation on dysphagia subsequent stroke will be needed.
양승남,Si-Woon Park,정한영,나은우,김연희,Min Ho Chun,백남종,유승돈,편성범,김민욱,이삼규,박병규,신희석,신용일,Heeyeon Lee,한태륜 대한의학회 2012 Journal of Korean medical science Vol.27 No.6
This first annual report provides a description of patients discharged from rehabilitation facilities in Korea based on secondary data analysis of Korean Brain Rehabilitation Registry V1.0 subscribed in 2009. The analysis included 1,697 records of patients with brain disorders including stroke, traumatic brain injury, brain tumor and other disorders from 24rehabilitation facilities across Korea. The data comprised 1,380 cases of stroke, 104 cases of brain injury, 55 cases of brain tumor, and 58 cases of other brain diseases. The functional status of each patient was measured using the Korean version of the Modified Barthel Index (KMBI). The average change in the KMBI score was 15.9 for all patients in the inpatient rehabilitation facility. The average length of stay for inpatient rehabilitation was 36.9 days. The transfer rates to other hospitals were high, being 62.4% when all patients were considered. Patients with brain disorders of Korea in 2009 and measurable functional improvement was observed in patients. However, relatively high percentages of patients were not discharged to the community after inpatient rehabilitation. Based on the results of this study, consecutive reports of the status of rehabilitation need to be conducted in order to provide useful information to many practitioners.