• Title/Summary/Keyword: Early rehabilitation

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Understanding Parkinson's Disorders: Classification and Evaluation Methods, Movement Disorders, and Treatment Methods

  • Jung-Ho Lee
    • International Journal of Advanced Culture Technology
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    • v.11 no.3
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    • pp.9-17
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    • 2023
  • Parkinson's disease is a complex neurodegenerative disease characterized by the progressive loss of dopamine-producing neurons in the substantia nigra, resulting in a variety of motor and non-motor symptoms. This study aimed to provide a comprehensive overview of Parkinson's disease, including classification of Parkinson's disease, impairment due to impairment, how disability is assessed, and how it is treated. Major symptoms of Parkinson's disease include tremors, stiffness, bradykinesia, and postural instability, and treatment methods include rehabilitation through drugs, surgical procedures, physical therapy, and occupational therapy. Early diagnosis, individualized treatment interventions, and comprehensive treatment involving a multidisciplinary medical team will be essential to manage Parkinson's disease and improve patients' quality of life. In conclusion, this study will provide comprehensive information on the complex nature of Parkinson's disease and serve as a useful guide for healthcare providers designing treatment plans for Parkinson's patients.

Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair

  • Tae-Yeong Kim;Jung-Taek Hwang
    • Clinics in Shoulder and Elbow
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    • v.25 no.4
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    • pp.339-346
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    • 2022
  • Rotator cuff tear is the most common cause of shoulder pain in middle-age and older people. Arthroscopic rotator cuff repair (ARCR) is the most common treatment method for rotator cuff tear. Early postoperative pain after ARCR is the primary concern for surgeons and patients and can affect postoperative rehabilitation, satisfaction, recovery, and hospital day. There are numerous methods for controlling postoperative pain including patient-controlled analgesia, opioid, interscalene block, and local anesthesia. Regional blocks including interscalene nerve block, suprascapular nerve block, and axillary nerve block have been successfully and commonly used. There is no difference between interscalene brachial plexus block (ISB) and suprascapular nerve block (SSNB) in pain control and opioid consumption. However, SSNB has fewer complications and can be more easily applied than ISB. Combination of axillary nerve block with SSNB has a stronger analgesic effect than SSNB alone. These regional blocks can be helpful for postoperative pain control within 48 hours after ARCR surgery.

Emerging Machine Learning in Wearable Healthcare Sensors

  • Gandha Satria Adi;Inkyu Park
    • Journal of Sensor Science and Technology
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    • v.32 no.6
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    • pp.378-385
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    • 2023
  • Human biosignals provide essential information for diagnosing diseases such as dementia and Parkinson's disease. Owing to the shortcomings of current clinical assessments, noninvasive solutions are required. Machine learning (ML) on wearable sensor data is a promising method for the real-time monitoring and early detection of abnormalities. ML facilitates disease identification, severity measurement, and remote rehabilitation by providing continuous feedback. In the context of wearable sensor technology, ML involves training on observed data for tasks such as classification and regression with applications in clinical metrics. Although supervised ML presents challenges in clinical settings, unsupervised learning, which focuses on tasks such as cluster identification and anomaly detection, has emerged as a useful alternative. This review examines and discusses a variety of ML algorithms such as Support Vector Machines (SVM), Random Forests (RF), Decision Trees (DT), Neural Networks (NN), and Deep Learning for the analysis of complex clinical data.

A Study on the Factors Affecting on the Life of Bonded Concrete Overlay Pavement using the LTPP Data of U.S.A (미국 LTPP Data를 활용한 접착식 콘크리트 덧씌우기 포장 수명에 영향을 미치는 인자에 관한 연구)

  • Lee, Seung Woo;Son, Hyeon Jang
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.4D
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    • pp.555-564
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    • 2011
  • More than sixty percentages of the highway constructed by concrete pavements in South Korea and over half of the concrete pavements were twenty years or older. The most of South Korea road is hard to provide a bypass in conditions of network of roads. Asphalt concrete overlay has been used for the overlay of aged concrete pavement. However, the cost of maintenance and rehabilitation in an asphalt overlay is expensive by early damage. Therefore, bonded concrete overlay was recently attempted in South Korea as an alterative method of rehabilitation for aged concrete pavement. Hence, it needed to investigate the factors to find performance of the bonded concrete overlay life. However, there is no performance data of the concrete overlay in South Korea. This study was to make a database of an affecting of the pavement life and draws statistical analysis of the performance data on the LTPP (Long Term Pavement Performance) database of U.S.A.

The effect of postoperatively applied far-infrared radiation on pain and tendon-to-bone healing after arthroscopic rotator cuff repair: a clinical prospective randomized comparative study

  • Yoon, Ji Young;Park, Joo Hyun;Lee, Kwang Jin;Kim, Hyong Suk;Rhee, Sung-Min;Oh, Joo Han
    • The Korean Journal of Pain
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    • v.33 no.4
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    • pp.344-351
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    • 2020
  • Background: The effects of far-infrared radiation (FIR) on the treatment of rotator cuff diseases remains unknown. We evaluated the safety and efficacy of FIR after arthroscopic rotator cuff repair with regard to postoperative pain and healing. Methods: This prospective randomized comparative study included 38 patients who underwent arthroscopic rotator cuff repair due to a medium-sized tear. Patients were randomly divided into the FIR or control group (n = 19 per group). In the FIR group, FIR with an FIR radiator started 1 week postoperatively for 30 minutes per session twice daily. It lasted until abduction brace weaning at 5 weeks postoperatively. We assessed pain using a pain visual analogue scale (pVAS) and measured the range of motion (ROM) of the shoulder at 5 weeks, and 3 and 6 months, postoperatively. The anatomical outcome was evaluated using magnetic resonance imaging at 6 months postoperatively. Results: At 5 weeks postoperatively, the average pVAS score was lower in the FIR group than in the control group (1.5 ± 0.8 vs. 2.7 ± 1.7; P = 0.019). At 3 months postoperatively, the average forward flexion was higher in the FIR group (151.6° ± 15.3° vs. 132.9° ± 27.8°; P = 0.045), but there was no significant difference at 6 months postoperatively. There was no significant difference in healing failure between the groups (P = 0.999). Conclusions: FIR after arthroscopic rotator cuff repair could be an effective and safe procedure to reduce postoperative pain, thereby facilitating rehabilitation and better ROM in the early postoperative period.

The prosthetic approach and principle for an collapsed VDO : A clinical case of Class II div.2 patient (저위교합환자의 보철적 접근법과 이론 : Class II div.2 교합환자 증례)

  • Kwon, Kung-Rock
    • Journal of Dental Rehabilitation and Applied Science
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    • v.20 no.2
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    • pp.95-107
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    • 2004
  • The prosthodontic treatment of Class II division 2 malocclusions is challenging. Ideally, these malocclusions should be identified at an early age and corrected with orthodontic treatment; otherwise, the individual develops a habitual position characterized by deep overbite and significant retruded position of mandibular condyle at the TMjoint fossa. This article describes a clinical protocol for the occlusal rehabilitation of patients with Class II div.2 malocclusions. Within this protocol, an occlusal splint was used to locate the most suitable maxillary-mandibular relationship for function and range of motion. The splint increased the vertical dimension and reduced pain on TMjoints. After transfer this relationship to an articulator for fabrication of provisional restorations, the CR position and centric prematurity contact between maxilla and mandible was used to determine the tentative vertical dimension of occlusion(VDO). The amount of elevation of VDO was decided on the articulated model. The provisional restorations were accurately transfered to a patient's mouth in clinical procedures using tattoo points. The final restoration was delivered after some trial periods with provisional restorations. The theory behind this protocol and its associated clinical procedures is presented along with a discussion.

The Effects of Upper Limb Reaching task on Upper Limb Function and Self-Efficacy for Patients with Stroke: Case Study (팔 뻗기 과제가 뇌졸중 환자의 상지기능 및 자기효능감에 미치는 영향에 대한 사례연구)

  • Song, Seung-Il;Cho, Young-Nam
    • Therapeutic Science for Rehabilitation
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    • v.3 no.2
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    • pp.59-69
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    • 2014
  • Objective : This study was done to see that upper limb reaching task have an effect on stroke patient's upper limb function and self-efficacy. Methods : The object of the study was done to see for diagnosed with stroke man on the thirty-ninth of this month. upper limb reaching task was done to see three times a for 6 week and by a per for thirty minutes. To find changing upper limb function and self-efficacy before-after upper limb reaching task, they were measured using Box & block test and self-efficacy scale. Results : Box & block test and self- efficacy scale were increased mark of revaluation, evaluation result than one of early evaluation result. Conclusion : Through this study, upper limb reaching task applied to stroke patient was found that it improved stroke patient's upper limb function and self-efficacy.

Search for Movement Program for Recovery of Patient Using Cancer Center (암 센터 이용 환자의 회복을 위한 움직임 프로그램 탐색)

  • Jeon, Sang-Wan;Yi, Eun-Surk
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.353-362
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    • 2018
  • The purpose of this study is to suggest a professional consensus on the topics that should be dealt with importantly in the movement program for the recovery of cancer patients in Korea. As a result of calculating the importance of the finalized movement program component, First, the opinions about the environment for the promotion of movement were suggested as pleasant facilities, natural lighting, rest room space, facilities aspect of environment friendly space, education about diseases, participation programs, health feedback, information handouts. Second, the opinions on the purpose of the movement program were suggested to promote prevention and early screening of cancer, education, sharing effective treatment methods of cancer patients, cognitive aspect and psychological support for accurate information transmission, stress relief, and improvement of quality of life. Third, the opinions on the consideration of the movement program suggested stress relieving, cancer patient's needs, correct information delivery, quality of life, and participation of cancer patients. Fourth, the problems of the movement program were presented with different physical characteristics, physical inconvenience, the patient side of passive participation, space narrowness and lack, space aspect of program exclusive space etc.

Two cases of spinal muscular atrophy type 1 with extensive involvement of sensory nerves (광범위한 감각신경 침범을 동반한 척수성 근위축증 2예)

  • Lee, Ran;Chung, Sochung;Koh, Sung-Eun;Lee, In Kyu;Lee, Jongmin
    • Clinical and Experimental Pediatrics
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    • v.51 no.12
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    • pp.1350-1354
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    • 2008
  • Spinal muscular atrophy (SMA) is an autosomal recessive disease characterized by diffuse proximal and distal weakness due to deletion of the survival motor neuron (SMN) gene localized on chromosome 5 (5q11.2-13.3). SMA has been considered as a pure lower motor neuron disorder, and a definitive diagnosis can be established by molecular genetic testing. Here, we describe two patients with severe hypotonia and frequent aspirations at early infancy. Nerve conduction studies showed more extensive sensory involvement in these patients diagnosed to have SMA by genetic study than in classical cases of SMA. To the best of our knowledge, this is the first report of SMA Type 1 with sensory nerve involvement in Korea.

Surgical Treatment of Patello-Femoral Joint Lesions - Arthroscopic treatment - (슬개-대퇴관절의 수술적 치료 - 관절경적 치료를 중심으로 -)

  • Choi, Chong-Hyuk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.2
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    • pp.79-85
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    • 2005
  • The symptoms in patello-femoral joint can be occurred from various causes. Most of patients complained chronic discomfort and it is rare to have a characteristic acute pain. Initial management should be started conservatively and if it has no effect to relieve symptoms, surgical treatment would be considered. The selection of operative treatment should be decided in the consideration of patients age, activity and ability of performing rehabilitation. Before surgery, accurate diagnosis is essential and causative factors should be removed or corrected with surgery. Arthroscopic surgery is effective for the most of disease in the patello-femoral joint disorder with low morbidity and early rehabilitation. At arthroscopy, superomedial or superolateral portal can be used for the evaluation and treatment of articular surface in the patella. The structure of normal variants should be saved if it does not have pathological changes for prevention of post operative morbidity. If the arthroscopic surgery has difficulties during the procedure or no effect in removal of lesion, open surgery should be considered.

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