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임재길(Lim, Chae-Gil),이강성(Lee, Gang-Seong) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.11
본 연구는 30명의 치매환자를 대상으로 균형반응 특성을 알아보고자 다음과 같이 실시하였다. 인지기능이 중등도와 중도인 환자로 나누어 인지 기능에 따른 균형과 감각상호작용(CTSIB), 균형수행력(BBS), 일상생활동작(BI) 의 상관관계를 각각 측정하였다. 그 결과 치매환자의 균형과 감각상호작용(CTSIB)은 두 그룹 간에 유의한 차이가 없 었다. 중등도와 중도의 치매환자에서 균형수행력(BBS)은 중등도 47.32±4.80점, 중도 43.09±4.18점으로 통계학적으로 유의한 차이가 있었으며(p<0.05), 일상생활동작에서도 중등도 92.89±9.33점, 중도 76.82±6.81점으로 통계학적으로 유의 한 차이가 있었다(p<0.05). 치매환자의 인지기능, 균형수행력, 일상생활동작도 통계학적으로 유의한 상관관계가 있었다 (p<0.05, p<0.01). 따라서 향후 치매환자를 위한 재활프로그램 개발이나 치매환자의 보호관리 시 기초자료로 이용 될 수 있을 것으로 생각된다. The purpose of this study was to investigate the balance reaction characteristics of dementia patients. Under the object of 30 dementia patients, they were divided into moderate group and severe group and examined the correlation among Clinical test of sensory interaction and balance(CTSIB), Berg balance scale(BBS) and Bathel index(BI) according to perceptional function. As a result, CTSIB was no significant difference between severe group and very severe group and BBS was significant difference between severe group (47.32±4.80) and very severe group (43.09±4.18)(p<0.05) and BI was significant difference between severe group (92.89±9.33) and very severe group (76.82±6.81)(p<0.05) and significant correlation among perceptional function, BBS and BI(p<0.05, p<0.01). Therefore, these results should be used the base data of developing rehabilitation program or protection management for dementia patients.
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출혈을 동반한 급성기 허혈성 뇌중풍 환자에 대한 한방치료 증례 보고 1례
전상우,이기향,강세영 대한한방내과학회 2019 大韓韓方內科學會誌 Vol.40 No.5
Objectives: The purpose of this study was to report the improvement of symptoms by Korean medicine in acute hemorrhagic infarction. Method: The patient was diagnosed with a cerebral infarction of the right temporal lobe accompanied by cerebral hemorrhage of the left basal ganglia. He did not receive intravenous thrombolytic treatment. Sunghyangjungi-san-gamibang was initially administered, and Gami-daebo-tang was administered during the recovery phase, together with Uhwangchungsim-won, Simjeok-hwan, and acupuncture. The prognostic observation was conducted using the manual muscle test (MMT), the Korean version of the modified Bathel index (K-MBI), and subjective assessment. Results: After Korean medicine treatment, the K-MBI score was improved from 52 to 93. The MMT score and subjective assessment also showed improvement. Conclusions: For patients who cannot be treated with intravenous thrombolytic treatment, Korean medicine treatment is effective during the early and recovery stages of stroke.
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뇌졸중 발병 6개월 후 한방치료로 호전된 환자 증례보고 2례
신재욱 ( Jae-wook Shin ),백경민 ( Kyung-min Baek ),장우석 ( Woo-seok Jang ) 대구한의대학교 제한동의학술원 2016 東西醫學 Vol.41 No.4
Objectives : The purpose of this study is to report the clinical application of accupunture, herbal medicine treatment to a patient with stroke patients who suffered over 6months. Methods : Stroke of the patients in this case occurred over 6months ago. They all have spasticity in their left side of bodies and suffered hemiparesis over six months. We treated them with acupuncture and herbal medicine. We measured the state of this case by Manual Muscle Test(MMT) & Modified Bathel Index(MBI) & Modified Ashworth scale(MAS). Results : After treatment, MMT & MBI increased, while MAS decreased. Conclusions : According to this study, traditional Korean medicine is effective for improve the post-stroke patient`s ability.
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신재욱 ( Jae-wook Shin ),우성진 ( Seong-jin Woo ),백경민 ( Kyung-min Baek ),장우석 ( Woo-seok Jang ) 대구한의대학교 제한동의학술원 2017 제한동의학술원논문집 Vol.15 No.1
Objective : The purpose of this study is to report the clinical application of accupunture, herbal medicine treatment to possible Idiopathic normal-pressure Hydrocephalus patient. Methods : The Patient in this case has gait disturbance, urinary incontinence and dementia. his Brain Magenetic Resonance Image revealed ventriculomegaly with an Evans' index of 0.34. We treated him with Accupuncture and herbal medicine. And We We measured the state of this case by Numeric Rating Scale (NRS), Modified Bathel Index(MBI), Korean Mini-Mental Steatus Examination (K-MMSE), number of urinary incontinence. Results : After treatment, MBI, K-MMSE increased, while NRS, number of urinary incontinence decreased. Conclusions : According to this study, traditional Korean medicine is effective for improve suspicious idiopathic normal-pressure hydrocephalus patient's ability.
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한글판 Wolf Motor Function Test 기능점수와 일상생활활동 능력간의 상관관계
우희순,박우권,차태현 대한작업치료학회 2012 대한작업치료학회지 Vol.20 No.3
목적 : 본 연구는 만성기 뇌졸중 환자를 대상으로 작업치료 영역에서 사용 빈도가 높은 한글 판 울프 운동 기능 검사 (Wolf Motor Function Test; WMFT) 기능점수와 일상생활 평가도구인 수정 바델 지수(Modified Bathel Index; MBI) 와의 영역별 상관관계를 알아보는데 그 목적이 있다. 연구방법 : 경기도 안산지역에 위치한 전문재활병원에서 신체기능 증진을 위해 치료를 받고 있는 성인 뇌졸중 환자 100 명을 대상으로 WMFT와 MBI를 적용하여, 대상자의 환측 상지 WMFT 기능점수와 MBI의 총점 및 개별항목 점수를 비교하였다. 결과 : 다양한 MBI 항목 중 상지의 전반적 움직임을 필요로 하는 목욕하기(r=.55), 개인위생(r=.52), 화장실 이용 (r=.50) 등의 일상생활항목에서 WMFT와의 상관관계가 비교적 높은 것으로 나타났다. 결론 : WMFT는 MBI 개별항목과 중등도(r=.50) 전후의 상관관계가 있는 것으로 나타났으며, 뇌졸중 환자들의 기능 회 복과 일상생활동작 수행의 독립성 향상을 위해 환측 상지의 기능에 대한 정확한 평가 및 평가에 근거한 객관적 목표 설정이 중요한 만큼, WMFT 활용의 타당성을 높이기 위한 다양한 후속 연구들이 진행되어야 할 것이다.
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김융기 ( Yeung Kee Kim ),홍서영 ( Seo Young Hong ),김경남 ( Kyung Nam Kim ),임형호 ( Hyung Ho Lim ) 한방재활의학과학회 2002 한방재활의학과학회지 Vol.12 No.4
Objects : The objects of this study are to evaluate the effects of rehabilitative treatments and to determine the relationship between recovery rate and variable factors.Methods : We performed a statistical study on 94 cases of stroke by the age, the gender, the ambulation status, the verbal disturbance, the visual problem, the sensory change, the side of stroke, the type of lesion, the mental and cognitive state, the interval between onset and rehabilitative treatment etc..Results and Conclusion : 1. In each group of the age, the gender, the ambulation status, the verbal disturbance, the visual problem, the sensory change, the side of stroke, the type of lesion, the mental and cognitive state, the interval between onset and rehabilitative treatment, the history of stroke, the existence of internal medicine disease, the initial NIHSS score, the initial MBI score have statistically significant increase in the MBI score after the rehabilitative treatment.2. In each group of the age, the gender, the verbal disturbance, the sensory change, the side of stroke, the type of lesion, the history of stroke, the existence of internal medicine disease, the interval between onset and rehabilitative treatment have not statistically significant difference in the MBI score after the rehabilitative treatment.3. In each group of the ambulation status, the visual problem, the mental and cognitive state, the initial NIHSS score, the initial MBI score have statistically significant difference in the MBI score after the rehabilitative treatment.4. The degree of initial MBI score has statistically significant correlation with the length of hospitalization and the rehabilitative treatment.
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