• Title/Summary/Keyword: Leg weakness

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The Effect of Functional Strengthening Exercise of Standing Balance in a Child With Cerebral Palsy (기능적 근력강화 운동이 뇌성마비 아동의 기립균형에 미치는 영향)

  • Shin, Hwa-Kyung;Chung, Bo-In
    • Physical Therapy Korea
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    • v.8 no.3
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    • pp.97-105
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    • 2001
  • The purpose of this study was to investigate the effect of functional strengthening exercise on static and dynamic standing balance in a child with cerebral palsy. The subject was a 7 year old boy with diplegia whose Gross Motor Function Measure (GMFM) score was 80% along with G1 of the lower extremities in Modified Ashworth Scale. The subject was ambulatory with some degree of limitation and demonstrated muscle weakness and strength asymmetry in the lower extremities. A changing criterion design for a single-subject research was used for this study. The functional strengthening exercise consisted of lower extremity ergometer exercise and knee exercise with grading movement in standing position, each for 20 minutes, which lasted 18 sessions for 6 weeks. A knee extensor strength test on both extremities and standing balance test were conducted after each functional strengthening exercise. Two types of standing balance were tested: one leg stance test and functional reach test. One leg stance test was to evaluate static standing balance, and functional reach test was to evaluate dynamic standing balance. The results showed that the functional strengthening exercise had some positive effects on improvement of both static and dynamic standing balance, and there was a positive correlation between the knee strength and standing balance.

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A Case of Diabetes Mellitus Treated with Oriental and Western Medical Combination Theraphy (한양방협진으로 호전된 당뇨병 환자 1례)

  • Park, Song-Gi;Kwon, Eun-Hee;Song, Kwang-Kyu;Jeon, Kwi-Ok;Shin, Hyun-Cheol;Kang, Seok-Bong;Moon, Jung-Hwan
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.602-608
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    • 2004
  • Diabetes mellitus is a metabolic disorder characterized by hyperglycemia which results from one or both of decreased insulin secretion and increased insulin resistance. Chronic hyperglycemia causes damage to the eyes, kidneys, nerves, heart and blood vessels. The major goal in treating diabetes mellitus is controlling elevated blood sugars without causing abnormally low levels of blood sugar. A 67-year-old woman was admitted with hyperglycemia, thirst, Lt. leg numbness and both leg weakness. The patient was diagnosed as So-gal(消渴) due to dry ness-heat based on yin-deficiency(陰虛燥熱) through oriental medicine and NIDDM through western medicine. The patient was treated with oriental and western medicines. Specifically herbal medicine(Gamijihwangtang), acupuncture, moxa theraphy were used as well as oral medications. Clinical symptoms improved and hyperglycemia dramatically stablized.

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Study of the oriental medical literature for postpartum edema (산후부종(産後浮腫)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Byun, Hyung Kuk;Yoo, Dong Youl
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.147-158
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    • 2004
  • In the wide view as human, males and females can be same. But in pathological view, they have big differences. Compared to that males mostly follow the pathological process according to the paticular abnormal organs. Females could show pathological state totally apart from the abnormal organs when connected to delivery. For example, Postpartum abnormal pain, fever, edema, etc show totally different aspects when regardless of delivery. Here, We'll analyze postpartum edema that generally apppears after delivery from historical books, and find out previous conception of that in the oriental medicine, and summary them to be helpful to the cause, differentiation, and treatment. Result 1. A cause of postpartum edema is a bad blood that originate in poor postpartum care weakness of spleen and stomach and trouble of body flood metabolism. 2. General symptom of postpartum edema is edema of face, eye, arm, leg but postpartum edemas not edema of face, eye, arm, leg but asthma, red lighted skin and difficulty of urine. 3. edema is classified by Gi-Jong, Su-Jong and Hyul-Jong.

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Noncommunicating Spinal Extradural Meningeal Cyst in Thoracolumbar Spine

  • Kim, Il-Sup;Hong, Jae-Taek;Son, Byung-Chul;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.534-537
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    • 2010
  • Spinal extradural meningeal cyst has been rarely reported, whose etiologies are assumed to be the communication of cerebrospinal fluid (CSF) between intradural subarchnoid space and cyst due to the congenital defect in dura mater. Although the CSF communication due to this defect can be found, in most case, few cases in which there is a lack of the communication have also been reported. We report a case of the huge extradural meningeal cyst occurring in the thoracolumbar spine (from T10 to L2) where there was a lack of the communication between the intradural subarachnoid space and cyst in a 46-year-old man who presented with symptoms that were indicative of progressive paraparesis and leg pain. The patient underwent laminectomy and cyst excision. On intraoperative findings, the dura was intact and there was a lack of the communication with intradural subarachnoid space. Immediately after the surgery, weakness and leg pain disappeared shortly.

A Severe Cervical Spondylotic Myelopathy Patient Treated with Integrative Korean Medicine Including Acupuncture, Bee Venom Pharmacopuncture and Herbal Medicine: a case report

  • An, Da-young;Kim, Chae-eun;Han, Suzy;Kim, Mi-kyung;Yu, Jun-Sang;Sun, Seung-ho
    • Journal of Pharmacopuncture
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    • v.25 no.2
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    • pp.138-144
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    • 2022
  • Cervical spondylotic myelopathy (CSM) is common in elderly people and severe CSM patients are recommended to receive surgery. However, in some cases, surgery may fail to improve the patients' symptoms. An 80-year-old man diagnosed with CSM complained of right hemiplegia and right arm and leg pain with the presence of a Foley catheter, despite treatment with laminectomy and laminoplasty. Acupuncture, bee venom pharmacopuncture, and herbal medicine were administered for 129 days. As a result, manual muscle testing (MMT) and the Modified Barthel Index (MBI) improved, the pain in his right arm and leg decreased, and he was able to urinate by himself. This case report implies that integrative Korean medicine (IKM) can be an option for patients suffering from muscular weakness resulting from myelopathy.

One Case of The Hepatic Injury Suggested Toxic Hepatitis(Drug Induced Hepatatis) in the Treatment of Oriental Medicine for Cerebral Infarction (뇌경색 한방치료중 독성간염(약물유인성 간염)으로 추정되는 간기능 손상의 1례)

  • Lee, Min-Su;Song, Mi-Deok;Lee, Seung-Hi
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.869-872
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    • 2000
  • Although there are a few reports concerning the hepatic injury of herbal medicine in western medicine, there is no reports concerning the hepatic injury of herbal medicine in oriental medicine. We experienced one case of the hepatic injury suggested toxic hepatitis (drug induced hepatitis) in the treatment of oriental medicine for cerebral infarction. We make a reports for the progress of treatment. One patient of Rt hemiparesis diagnosed cerebral infarction in Brain MRI was administered Taeumin Yuldahanso-tang, treated with physical therapy and improved in the state of Rt hemiparesis(Gr 2/3,4). In the course of treatment, the patient intermittently complained of general weakness, dizziness, pericephalic discomfort(頭不淸), nausea, both leg weakness so we changed Taeumin Yuldahanso-tang to Soyangin Dokwhaljiwhang-tang. Alter that, the patient complained of general weakness, abdominal discomfort, heat and fever($38.4^{\circ}C$). We recognized the elevated total bilirubin(1.7mg/dl), serum transaminase(AST534U/L ALT720U/L), serum gammg glutamyl transpepridase (GGT106mg/dl) and Alk phosphatase124U/L. In the abdominal ultrasonogram there is hepatomegaly (16.5cm). We supposed hepatic injury suggested toxic hepatitis(induced hepatitis) of herbal medicine. After we administered Saeng gan gunbi-tang for 2days and Alk phosphatase and GGT inadequately was elevated. After that, we stopped administering medicine and the serum transaminase, total bilirubin, serum gamma glutamyl transpeptidase and Alk phosphatase level was decreased. In the abdominal ultrasonogram there was no signal. In the case, we supposed that the changing Sasang constitution and Sasang herbal medicine may induce hepatic injury. We are suggesting the necessity of a test for the hepatic injury of herbal medicine.

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Muscle Activity of Low Back Muscles During Isometric Back Extension Exercises (등척성 신전운동 시 요부근의 근 활성도)

  • Yu, Won-Gyu;Jung, Young-Jong;Lee, Jae-Ho;Kim, Chang-In
    • Physical Therapy Korea
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    • v.8 no.1
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    • pp.76-88
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    • 2001
  • Back extension exercises have been used for rehabilitation of the injured low back, prevention of injury, and fitness training programs. However, excessive loading on low back can exacerbate existing structural weakness. The purpose of this study was to compare muscle activity of low back muscles during back extension exercises. Twenty healthy male subject s were evaluated. Electromyographic (EMG) activities of low back muscles at L1 and L5 level were recorded during seven different back extension exercises and two reference tasks by surface EMG and saved for data analysis. Reference tasks of lifting 20% and 40% of their body weight were included for comparison. The result were as follows: 1) Single-arm extension and single-leg extension exercises on quadruped position appeared to constitute a low-risk exercise for initial extensor strengthening. 2) When arm extension was combined with contralateral leg extension on quadruped position, EMG activities of low back muscles were increased. 3) EMG activity of low back muscles was highest during the trunk extension exercises on prone position. 4) EMG activities of low back muscles during arm and leg extension exercises on quadruped position were less than those of reference task of lifting 40% of their body weight. These result s have important implications for progressive back extensor muscle strengthening exercises in patients with back pain.

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Misunderstanding of Foot Drop in a Patient with Charcot-Marie-Tooth Disease and Lumbar Disk Herniation

  • Han, Youngmin;Kim, Kyoung-Tae;Cho, Dae-Chul;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.57 no.4
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    • pp.295-297
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    • 2015
  • We report the case of 57-year-old woman diagnosed with Charcot-Marie-Tooth (CMT) disease and lumbar disk herniation (LDH). She had left leg weakness and foot numbness, foot deformity (muscle atrophy, high arch, and clawed toes). The lumbar spine MRI showed LDH at L4-5. Additionally, electrophysiology results were consistent with chronic peripheral motor-sensory polyneuropathy (axonopathy). In genetic testing, 17p11.2-p12 duplication/deletions characteristic of CMT disease were observed. We confirmed the patient's diagnosis as CMT disease and used conservative treatment.

Efficacy of Pharmacopuncture for Treating Children with Physical Disabilities in Uzbekistan

  • Zohidjon, Ismailov N.;Yu, Jun-Sang
    • Journal of Pharmacopuncture
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    • v.16 no.2
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    • pp.23-27
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    • 2013
  • Objective: This research was performed to investigate the efficacy of complex rehabilitation combined with pharmacopuncture treatment for the children with neuromotor system diseases. Methods: Fifty (50) patients aged from 5 to 15 yr old were compared. Twenty (20) patients received conventional treatments and complex rehabilitation as a control group, and fifty (50) patients received complex rehabilitation with pharmacopuncture. At their first visits, the patients had checkups and neurological scales, and after 10 days of pharmacopuncture treatments and 55 days of rehabilitation, they also took neurological scales. We studied the pre and post effects of the treatment group. Results: The number of patients with ankle joint disorder and contracture, knee joint contracture, steppage, horsey hoof, shoulder weakness and contracture, radio-carpal joint disorder and contracture, arm hypotrophia, arm atrophia, leg hypotrophia and total atrophia decreased after treatments. Conclusion: This study showed the efficacy of pharmacopuncture combined with complex rehabilitation for the treatment of neuromotor system diseases.

Third Ventricular Chordoid Glioma - Case Report - (제 3 뇌실의 유삭교종 - 증 례 보 고 -)

  • Hwang, Sung-Nam;Park, Seung-Won;Kim, Young-Baeg;Choi, Duck-Young;Kim, Mi-Kyung;Khang, Shin-Kwang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1103-1106
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    • 2000
  • We have recently experienced a third ventricular tumor from a 63-year old woman who presented with paraparesis, voiding difficulty and general weakness. Histopathologic study of the tumor was compatible with recently reported and newly termed chordoid glioma. Clinical behavior of the reported tumors were mostly benign but because of its very close proximity to the hypothalamus, some of the subtotally removed tumors recurred or some of the patients died of postoperative complications. The presenting patient regained normal leg power after removal of the tumor followed by ventriculoperitoneal shunt and discharged on her own feet.

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