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일개 한의원에 내원한 소화불량 환자의 사상인 분포에 관한 연구
홍해진,박유경,김윤희,황민우,Hong, Hae-Jin,Park, Yu-Gyeong,Kim, Yun-Hee,Hwang, Min-Woo 사상체질의학회 2011 사상체질의학회지 Vol.23 No.2
1. Objectives: The purpose of this study was to find out the distributional characteristics of dyspepsia according to Sasang Constitution. 2. Methods: The medical records of 108 subjects who have received prescriptions and diagnosis of Sasang constitution from June 2007 to April 2009 at a Korean Medical clinic in Seoul were reviewed. General factors and the frequency of the prescriptions according to Sasang constitution are compared and analyzed. 3. Results: Among the 108 subjects, 57(52.78%) persons were Soyangin, 27(25.00%) Taeumin, and 24(22.22%) Soeumin. The frequencies of the prescriptions of interior and exterior disease were compared. Exterior disease(89.47%) was higher than interior disease in Soyangin and interior disease was higher than exterior disease in Taeumin(88.89%) and Soeumin(91.67%). (p-value<0.001) The most common disease was Mangeum-syndrome(73.68%) of exterior disease in Soyangin, Dry-febrile symptom(88.89%) of interior disease in Taeumin and Taeum-syndrome(66.66%) of interior disease in Soeumin. 4. Conclusion: There were significant differences on the distribution of dyspepsia in interior or exterior disease according to Sasang Constitution.
뇌졸중 후 편마비 환자의 보행능력 향상에 따른 기립 시 질량중심 변화 : 예비연구
홍해진,김철현,이일석,이동환,박영웅,송인자,주지용,성강경,이상관,Hong, Hae-jin,Kim, Cheol-hyun,Lee, Il-suk,Lee, Dong-hwan,Park, Young-woong,Song, In-ja,Joo, Ji-yong,Sung, Kang-keyng,Lee, Sang-kwan 대한한방내과학회 2015 大韓韓方內科學會誌 Vol.36 No.4
Objectives: The purpose of this study was to analyze the change of area and average velocity of the center of pressure (COP) according to gait improvement in post-stroke hemiplegic patients.Methods: We measured the area and the average velocity of COP displacement of ten post-stroke hemiplegic patients while they stood quietly on a force plate at the time of dependent and independent gait . We also measured the area and the average velocity of COP displacement of normal persons to verify differences between them and post-stroke hemiplegic patients.Results: The area of COP displacement decreased significantly, and the average velocity of COP displacement tended to decrease, but not significantly. There were significant differences in the area and the average velocity of COP displacement between post-stroke hemiplegic patients and normal persons.Conclusions: The results of this study show that postural control ability improves as gait improves.
아급성 기저핵 뇌졸중 후 편마비 환자의 보행양상의 변화 : 후향적 연구
홍해진,김철현,성강경,이상관,Hong, Hae-jin,Kim, Cheol-hyun,Sung, Kang-kyung,Lee, Sang-kwan 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.6
Objectives: This study observed changes in gait pattern according to the motor grade of the paretic lower limb in patients with basal ganglia stroke who are in the subacute phase. Methods: We used the Manual Muscle Test (MMT) to evaluate the motor grade of the paretic lower limb of 21 patients with subacute basal ganglia stroke and then divided them into two groups based on the MMT results. Stroke patients with a motor grade above Gr. III were put in group I (15 people) and those with a grade less than Gr. III in group II (6 people). We also estimated spatiotemporal factors using treadmill gait analysis equipment. The values were gait velocity, step length, step time, double support phase, and cadence. The first measure was conducted during the early period of admission and the second was between four and five weeks after admission. Results: In Group I, the gait velocity and step length of both legs significantly increased. In Group II, the step length and step time of the paretic side and the gait velocity tended to decrease, but not significantly. The step length of the paretic side in Group II was significantly longer than that in Group I at the first measure. The step time of the paretic side in Group I was significantly shorter than that in Group II and gait velocity and cadence in Group I were significantly higher than in Group II at the second measure. Conclusions: The gait parameters of all stroke patients improved in terms of time. In addition, the changes in gait pattern were different depending on the motor grade of the paretic lower limb.
홍해진,최산호,이일석,오재건,성강경,이상관,Hong, Haejin,Choi, Sanho,Lee, Ilsuk,Oh, Jaegun,Sung, Kang-keyng,Lee, Sangkwan 대한중풍순환신경학회 2013 대한중풍.순환신경학회지 Vol.14 No.1
■ Objectives The goal of this pilot study is to observe the change of gait pattern according to the clinical status in a patient with ataxic gait by cerebellar infarction. ■ Methods We measured the spatiotemporal gait parameters of a patient with ataxic gait four times, in which, first, the patient was not able to walk independently, second, able to walk independently, third, unable to walk independently by general tremor, and, last, able to walk independently after disappearing of general tremor. ■ Results When a patient with cerebellar ataxic gait was able to walk independently and the cerebellar tremor was disappeared, the change of gait pattern was that step and stride length decreased and total double support and stance phase increased. ■ Conclusion When different clinical characteristics were improved, the change of gait showed same pattern.
소양인(少陽人) 신열두통망음증(身熱頭痛亡陰證)과 신한복통망음증(身寒腹痛亡陰證)의 소증(素證) 특성에 관한 단면연구
박유경,홍해진,김윤희,황민우,Park, Yu-Gyeong,Hong, Hae-Jin,Kim, Yun-Hee,Hwang, Min-Woo 사상체질의학회 2011 사상체질의학회지 Vol.23 No.2
1. Objectives: The purpose of this study was to survey the Original symptoms(素證) of Soyangin's and to compare the tendency of their symptoms between Soyangin Heat-related diarrhea accompanied by headache(身熱頭痛亡陰證) and Soyangin Cold-related diarrhea accompanied by abdominal pain(身寒腹痛亡陰證). 2. Methods: We recruited 56 Soyangin subjects in the Korean Medicine clinic and researched their original symptoms. Subjects were diagnosed by the Sasang Constitutional specialists and Sasang Constitutional Medication. Subjects were two groups, confirmed to Soyangin Heat-related diarrhea accompanied by headache and Soyangin Cold-related diarrhea accompanied by abdominal pain. All subjects answered the questionnaire about their Original symptoms. We found the differences between 2 groups using the Independent-Samples T-test. Analysis was conducted using SPSS 12.0 for Korean. 3. Results and Conclusions: In Original symptoms, Tendency of overeating(p=0.01), Condition of digestion(p=0.04), Perspiration after exercise (p=0.02), Usual perspiration(p=0.00), Tiredness after perspiration(p=0.05) Cold intolerance on extremities(p=0.04), General edema(p=0.01) etc. are different between 2 groups. We found the differences of heat and cold in symptoms between two Soyangin syndromes.
중량조끼를 착용한 뇌졸중으로 인한 보행장애 환자의 즉각적인 보행 개선 효과 1례
김철현,홍해진,이상관,Kim, Cheol-hyun,Hong, Hae-jin,Lee, Sang-kwan 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.5
Objective: To confirm the immediate gait improvement in a post-stroke gait disturbance patient equipped with a weighted vest. Methods: We selected a patient who was able to walk without another’s help or with tools. The selected patient had an unstable gait because she had only started an independent gait within the past week, so we thought that a weighted vest could be very helpful for her. We first collected gait parameters using a treadmill gait analysis system while the patient walked on the treadmill without the weighted vest. After a 10-minute break, gait parameters were collected again while the patient walked on the treadmill while wearing the weighted vest. The gait parameters we collected included step length (cm), stance phase (%), swing phase (%), SW/ST, and gait line length (mm). For objective evaluation of gait improvement, we calculated the ratio of gait parameters of the right and left limbs. Results: The gait of the post-stroke patient was more symmetrical when wearing the weighted vest than without the weighted vest. Without the weighted vest, her step length ratio was 0.78, stance phase ratio was 0.88, swing phase ratio was 1.50, SW/ST ratio was 1.70, and gait line length ratio was 0.91. With the weighted vest, her step length ratio was 0.88, stance phase ratio was 0.90, swing phase ratio was 1.38, SW/ST ratio was 1.54, and gait line length ratio was 0.98. No side effects were observed due to the weighted vest.
최산호,이일석,홍해진,오재건,성강경,이상관,Choi, Sanho,Lee, Ilsuk,Hong, Haejin,Oh, Jaegun,Sung, Kang-keyng,Lee, Sangkwan 대한중풍순환신경학회 2013 대한중풍.순환신경학회지 Vol.14 No.1
■ Objectives The goal of this study is to find the correlation between the motor function and gait pattern of stroke patients. ■ Methods We measured Manual muscle test(MMT), Motricity index(MI) and Spatiotemporal gait parameters of admitted hemiplegic patients with stroke. The gait parameters were measured using a Treadmill gait system. ■ Results There is a significant correlation between motor function and spatiotemporal parameters such as step length, stride length, step time, stride time, total double support or cadence, in stroke patients. ■ Conclusion The better motor function of stroke was, the more gait improved.