• Title/Summary/Keyword: CVA patients

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The Correlation analysis of Hydrotherapy and pulse wave velocity in patients with sequelae of CVA (중풍후유증 환자에 있어서 맥파전달속도와 초음파 족욕에 따른 상관관계에 관한 임상적 연구)

  • Yun, Dae-Chul;Kim, Hee-Taek;Ryu, Ju-Hyun;Choi, Jong-Min
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.1
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    • pp.135-144
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    • 2006
  • Objective : The purpose of this study was to know the clinical effects of hydrotherapy based Ultrasonic spa using SoPung-Tang on pulse wave velocity in patients with sequelae of CVA. Methods : PWV(Pulse wave velocity), Bio Chemistry, Hematology, Blood Pressure were investigated in 20 patients(Experimental group 13, Control group 7) who have been in Semyung Oriental medicine hospital from December 2005 to February 2006. Results : 1. In experimental group, Rt PWV diminished 4.8%, Lt PWV 5.1%. 2. In control group, Rt PWV diminished 3.3%, Lt PWV 1.8%. Conclusion : Hydrotherapy based Ultrasonic spa using SoPung-Tang showed useful effects in patients with sequelae of CVA.

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Effect of Joint Movement on CVA in Forward Head Posture

  • Hong, Seong bum
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.2
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    • pp.1508-1512
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    • 2018
  • This study was conducted to examine the effect of joint mobilization on forward head posture and to propose an effective method to improve correct body posture and balance. A total of eight patients from a Maitland-applied group (n=8) received mobilization therapy to increase the mobility of the cervical joint, with Maitland's movement grade III intensity for 30 seconds of treatment and 30 seconds of rest, for ten intervals, three times a week for four weeks. The craniovertebral angle (CVA) changes before and after the intervention with the Maitland technique were measured as $56.85{\pm}2.31^{\circ}$ before, $63.23{\pm}2.23^{\circ}$ two weeks after, and $64.98{\pm}1.27^{\circ}$ four weeks after joint intervention. There were significant CVA changes before and after the Maitland technique (P <.05). The results of this study suggest that the Maitland technique is useful for improving the head vertebral angle in patients with forward head posture.

Three Cases Report of the Sequela of CVA Threated with Seongnoe-gaegyubeop (성뇌개규법(醒腦開竅法)을 이용한 뇌졸중으로 인한 운동장애 환자 치험 3례)

  • Gu, Ja-Hwan;Kim, Se-Ran;Lee, Je-Won;Son, Ji-Young;Park, Mee-Yeon;Choi, Hae-Yun;Kim, Jong-Dae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.6
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    • pp.1142-1148
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    • 2010
  • This case study was reported to show the effects of Seongnoe-gaegyubeop acupuncture treatment. The methods were applied to patients who had the sequela of cerebral vescular accident(CVA) and had no progression for 3~6 months after the onset of CVA. The patients had no progression in spite of receiving medical treatment for 3~6 months after the onset of CVA. The patients were treated with Seongnoe-gaegyubeop acupuncture treatment. The patient's standing, sitting state and activities of daily life like dressing, feeding etc were assessed by Berg balance scale, Barthel Index and Manual Muscle Testing. After 3 months of this treatment, the standing, sitting state and activities of daily life were improved. I think that acupuncture treatment of Seongnoe-gaegyubeop is effective treatment method to treat the patient who caused the sequela of CVA.

A Study on the Care Needs of Family-Caregivers and the Level of Self Care for Patients of Cerebral Vascular Accident(CVA) (뇌졸중환자의 자가간호 수준과 가족구성원의 간호요구)

  • Cho Young-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.2
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    • pp.239-255
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    • 2000
  • The purpose of this study was to explore the care needs of family-caregivers caring for patients with a CVA and the level of self care of the patients. The subjects for the study were 112 patients with a CVA and their caregivers. These patients were seen in a hospital or out-patient-department(OPD) at two oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL checklist for self care of patients and Kim's Likert-style checklist for care needs of family-caregivers to patient with CVA. The survey was conducted from July 4 to August 30, 1999. Internal validity by calculation of Cronbach's alpha was 0.95, which was regarded as high. The survey results were analyzed using the SPSS program, with percentages, means, t-test, ANOVA and Pearson's correlation coefficients. The results of this study are as follows : 1. The level of self care for patients with a CVA was : 1) complete dependence(M=14.9, 13.1%), 2) complete independence(M=23.6, 20.9%), 3) incomplete independence(M=23.9, 21.0%), 4) incomplete dependence(M=26.6, 25.0%), 5) dependence and independence(M=23.0, 20.0%). The items for which there was a high level of self care were : 1) drinking(M=3.62), 2) eating (M=3.25), 3) position returning(M=3.18) : and the items for which there was a low level of self care were : 1) ascending and descending stairs(M=2.08), 2) walking(M=2.47). 3) putting on and taking off trousers(M=2.55). 2. The mean score of the sum of the care needs of the family-caregivers was : 1) need for immediate care and help: 2) need of the way to communicate with patient: 3) need for education and assistance related to physical functional level: 4) need to be informed about the disease, treatment and care: 5) need for social support and consultation: 6) need for appreciation: 7) need for management of nursing problems related to immobility. The highest meed factor was the need for immediate care and help(M=3.47): and lowest need factor was the need for management of nursing problems related to immobility(M=2.80). 3. There were significant differences between the level of care need and general characteristic of the caregivers, there were family-caregivers age(P=0.001), marital status (P=0.276), occupation (P=0.006), monthly income(P=0.000), Patient's relationship to caregivers(P=0.004) and health(P=0.000). 4. There were significant differences between the level of self care and general characteristic of the patients, there were patient paralytic condition(P=0.01), blood pressure(P=0.01), and length of suffering(P=0.03). 5 There were significant differences between the level of care need and the general characteristic factors, which were CVA patient's blood pressure (P=0.05), problem of medical fee (P=0.05). 6. There was significantly correlation with the family-caregivers care need and the level of self care in the CVA patient(r=0.300, P=0.000). As a result, need to promote the level of self care in patients and to meet the care need of family-caregivers for more efficient nursing of CVA patients, is emphasized. Therefore more study is needed on an efficient way to provide rehabilitation and quality nursing interventions for family-caregivers and patients with CVA.

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Case Report of Post-CVA Voiding Dysfunction Treated with Gamidaejihwang-tangaggam (중풍 환자의 배뇨장애에 대한 가미대지황탕가감 치료 증례보고)

  • Hong, Sang-Hoon;Park, Sang-Eun
    • Herbal Formula Science
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    • v.23 no.2
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    • pp.261-269
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    • 2015
  • Objectives : The purpose of this case reports is to report the possibility of Post-CVA voiding dysfunction treated with Gamidaejihwang-tangaggam(加味大地黃湯加減). Methods : Three patients with Post-CVA voiding dysfunction were treated by Gamidaejihwang-tanggagam. Effect of treatment is assessed as Bladder Function Parity. Results and conclusions : Bladder function parity score improved, in three case. Additional research is needed on the effects of Gamidaejihwang-tanggagam for a Post-CVA Voiding disfunction.

Yearly Report on CVA Patients(VI) (뇌졸중환자에 대한 연례보고(VI))

  • 이청정;홍의실;백은기;최유경;고승희;박세기;김동우;한양희;전찬용
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.81-91
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    • 2001
  • Objectives : This study was prepared for investigating the clinical features of stroke patients. Methods : We retrospectively reviewed the medical records of 177 patients who were admitted to the Dept. of Internal Medicine, College of Oriental Medicine, Kyungwon University with a diagnosis of stroke from Jan. I, 1999 to Dec. 31, 1999. Results : Ischemic stroke (74.0%) was more common than hemorrhagic stroke (19.8%). The proportion of males was 53.7%, of females was 46.3%, and the most prevalent age group is those in their sixties. Cerebral infarction was most frequently noticed in MCA territory, hemorrhage in putamen. Hypertension was the most common preceding disease, followed by diabetes mellitus. The rate of recurrence was high in cerebral infarction. The onset mode of cerebral infarction was sleeping and rising and of cerebral hemorrhage was acting. Most patients visited the hospital within 24 hours. The most common symptoms at admission were motor weakness and speech disorder. The most common complication was urinary tract infection. Admission period was 29.5 days. Physical treatment from onset in cerebral infarction and in cerebral hemorrhage was 17.4 and 22.0 days, respectively. Conclusions : Our study of CVA patients was similar to previous studies from 1994 to 1998. In most cases, western and oriental treatment and medicine were given synthetically. Prescription of sasang constitutional medicine had wide application.

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The Effects of Visual Feedback Self Exercise on Postural Control in Stroke Patients

  • Hwang, Seong-Soo;Lee, Je-Hyeok;Choi, Yul-Jung
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.4
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    • pp.105-112
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    • 2017
  • PURPOSE: The purpose of this research was to know the effect of visual feedback self exercise (VFSE) on postural control in stroke patients. METHODS: 26 CVA patients were participated. The experimental group (EG) 12 (46.2%) and the control group (CG) 14 (53.8%), 17 males and 9 females. The subjects preformed VFSE on training instrument 10 minutes for 20 times in 2-3 weeks. The test was done 3 times. RESULTS: There were no statistically significant differences of the general characteristics of subjects between EG and CG by sex, affected site, muscle tone, sensory deficit, unilateral neglects, and vestibular dysfunction. The postural control effects of VFSE, in the EG showed that there were statistically significant differences among the tests during VFSE. However in the CG there were no statistically significant differences among the tests during VFSE. Also there was statistically significant difference between EG and CG after VFSE (p<.05). On the right hemiplegic EG showed that there was statistically significant difference between premid test and pre-post test after VFSE. But, the left hemiplegic EG showed that there was no statistically significant difference between before and after VFSE with all of tests. CONCLUSION: CVA patients had significant different of body weight ratio between hemiplegic side and the other side. This research suggested that CVA patients need self exercise with visual feedback for the improvement postural control ability. Therefore Physical therapist should not only prescribe hand-on exercise but also need to teach them self sensory feedback exercise to help them improve their postural control.

Effects of Cervico-Thoracic Mobilization Technique and Therapeutic Exercise on Muscle Activity, Functional Disability, Craniovertebral angle in Patient with Neck Pain (목 통증 환자에게 목-등뼈 가동술과 치료적 운동이 근활성도, 기능장애, 머리척추각에 미치는 영향)

  • Je-ho Kim;Jong-uk Choi;Yoon-hwan Kim;Hyun-seung Song;Yong-sik Jeong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.1
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    • pp.11-23
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    • 2023
  • Purpose: This study aimed to determine the effects of cervico-thoracic (C-T) mobilization technique and therapeutic exercise on muscle activity, craniovertebral angle (CVA), and neck disability index (NDI) in patients with neck pain. Methods: : A total of 30 patients with neck pain were included and divided into C-T mobilization combined with Pilates group (Experimental group; EG) and thoracic mobilization and self-exercise (Control group; CG) group; each group consisted of 15 patients. The exercises were performed by patients in both groups three times a week, for four weeks. NDI was used to measure functional disability and sEMG was used to measure muscle activity. Results: The EG participants showed significant improvement in the CVA and NDI after the intervention than the CG (p<.05). While both groups presented after intervention decreased muscle activity(upper trapezius), there were no statistically significant differences between the groups (p>.05). Conclusion: The findings of this study suggest that thoracic mobilization technique combined with Pilates exercise may have beneficial effects on CVA and NDI in patients with neck pain and forward head posture.

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Yearly Report on CVA Patients (뇌졸중 환자에 대한 연례보고(2005년))

  • Rhee, See-hyung;Jung, Ki-yong;Yeo, Hyun-soo;Hsia, Yu-chun;Baek, Jong-woo;Choi, You-kyung;Jun, Chan-yong;Kim, Dong-woo;Park, Chong-hyeong
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.8 no.1
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    • pp.1-11
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    • 2007
  • Objectives : This study was prepared for investigating the clinical features of stroke patients. Methods : We retrospectively reviewed the medical records of 75 patients who were admitted to Department of Internal Medicine, College of Oriental Medicine, Kyung-Won University with a diagnosis of stroke from Jan. 1, 2005 to Dec. 31, 2005. Results : Ischemic stroke(include TIA, 93.3%) was more common than hemorrhagic stroke(6.7%). The incidence in male was 36.0%, in female was 64.0% and the most prevalent age group is over-sixties. Cerebral infarction was most frequently noticed in MCA-infarction and hemorrhage in putamen & thalamus. Hypertention, the most preceding diseases, followed by diabetes mellitus and CVA. The rate of recurrence was 21.3%. Cerebral infarction and cerebral hemorrhage was much occurred after rising. The most patients visited the hospital within 24 Hours. The most common symptoms in admission time were motor weakness and speech disorder. The complication was mostly urinary tract inflamation. Conclusions : Our study on CVA patients was similar to previous studies from 1994 to 2004. In most cases, western and oriental treatment and medicine were given synthetically.

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Yearly Report on CVA Patients (뇌졸중 환자에 대한 연례보고(2004년))

  • Park, Jung-sup;Jung, Seung-min;Lee, Si-hyung;Jung, Ki-yong;Yeo, Hyun-soo;Hsia, Yu-chun;Choi, You-kyung;Jun, Chan-yong;Kim, Dong-woo;Park, Chong-hyeong
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.7 no.1
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    • pp.23-33
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    • 2006
  • Objectives : This study was prepared for investigating the clinical features of stroke patients. Methods : We retrospectively reviewed the medical records of 102 patients who were admitted to Department of Internal Medicine, College of Oriental Medicine, Kyung-Won University with a diagnosis of stroke from Jan. 1, 2004 to Dec. 31, 2004. Results : Ischemic stroke(include TIA, 82.4%) was more common than hemorrhagic stroke(17.6%). The incidence in male was 41.2%, in female was 17.6% and the most prevalent age group is over-sixties. Cerebral infarction was most frequently noticed in lacunar-infarction and hemorrhage in putamen. Hypertention, the most preceding diseases, followed by diabetes mellitus and CVA. The rate of recurrence was 27.45%. Cerebral infarction and cerebral hemorrhage was much occurred after rising. The most patients visited the hospital within 24 Hours. The most common symptoms in admission time were motor weakness and speech disorder. The complication was mostly mental disorder. Conclusion : Our study on CVA patients was similar to previous studies from 1994 to 2003. In most cases, western and oriental treatment and medicine were given synthetically.

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