• Title/Summary/Keyword: Neurologic

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The Effect of 2Hz vs. 120Hz Frequency Electrical Acupoint Stimulation on Motor Recovery after Stroke by Motor Evoked Potential Study (뇌경색(腦硬塞) 환자(患者)의 운동장애(運動障碍)에 대(對)한 2Hz와 120Hz 전침(電鍼) 치료(治療)의 효과(效果) 비교(比較) : 운동유발전위검사를 통한 비교)

  • Hong, Jin-Woo;Choi, Chang-Min;Park, Young-Min;Shin, Won-Jun;Jeong, Dong-Won;Park, Seong-Uk;Jung, Woo-Sang;Park, Jung-Mi;Moon, Sang-Kwan;Go, Chang-Nam;Cho, Ki-Ho;Bae, Hyung-Sup;Kim, Young-Suk
    • The Journal of Internal Korean Medicine
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    • v.27 no.1
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    • pp.265-275
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    • 2006
  • Objectives : Electrical acupoint stimulation(EAS) has been used to treat motor dysfunction of stroke patients with reportedly effective results. The purpose of this study is to evaluate the efficacy of the EAS with different frequencies in treating motor dysfunction of ischemic stroke patients. Methods : The subject of this study were forty-two ischemic stroke patients with motor dysfunction in Kyunghee oriental medicine hospital who were hospitalized for one week to one month from onset. They were treated with 2Hz or 120Hz EAS for two weeks, and motor evoked potentials(MEP) were measured before and after EAS treatment. To compare the effect of 2Hz EAS with 120Hz, the number of patients who showed MEP responses after two weeks among those who had no previous response was checked. Also measured were latency, central motor conduction time(CMCT), amplitude of MEP before and after EAS treatment. Results : After two weeks of treatment, 4 out of 15 patients(27%) in the 2Hz EAS group and lout of 19 patients(5%) in the 120Hz group showed potential responses. Yet there was no significant difference between the two groups. When MEP data of the affected side between the 2Hz group and the 120Hz group was compared, the former showed more significant improvement than the latter in latency, CMCT and amplitude(P=0.040, 0.019,0.021). When the proportion of the affected side and unaffected side in MEP data was examined, the 2Hz group showed improvement on only latency and CMCT with significant differences(P=0.040, 0.014). Conclusions : These results show that EAS with low frequency is more helpful for motor recovery after ischemic stroke than that with high frequency. This suggests that low frequency EAS activates the central motor conduction system better than high frequency EAS.

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Effects of Korean Ginseng, Korean Red Ginseng and Fermented Korean Red Ginseng on Cerebral Blood Flow, Cerebrovascular Reactivity, Systemic Blood Pressure and Pulse Rate in Humans (인삼, 홍삼 및 발효 홍삼이 정상인의 뇌혈류, 평균혈압, 맥박수에 미치는 영향)

  • Jeong, Dong-Won;Hong, Jin-Woo;Shin, Won-Jun;Park, Young-Min;Jung, Jae-Han;Kim, Chang-Hyun;Min, In-Kyu;Park, Seong-Uk;Jung, Woo-Sang;Park, Jung-Mi;Go, Chang-Nam;Cho, Ki-Ho;Moon, Sang-Kwan
    • The Journal of Korean Medicine
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    • v.27 no.3 s.67
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    • pp.38-50
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    • 2006
  • Objectives: The aim of this study was to evaluate the effects of Korean ginseng (KG), Korean red ginseng (KRG) and fermented Korean red ginseng (FKRG) extracts on cerebral hemodynamics and to compare distinction of each extract. Methods: Ten healthy male volunteers $(26.0{\pm}1.8yrs)$ participated in the study according to double-blind and cross-over protocols. Each volunteer was blindly administered 500mg of KG, KRG, FKRG extract or placebo (Dextrin). Blinded researchers measured changes of hyperventilation-induced cerebrovascular reactivity (CVR), mean blood flow velocity (MBFV) of middle cerebral arteries (MCAs) and corrected blood flow velocity at $P_{ETCO2}=40mmHg$ (CV40) using transcranial Doppler ultrasound (DWL Co., Germany). Researchers also observed changes of mean blood pressure (MBP), pulse rate (PR) and expiratory $CO_2$ using S/5 Collector (Datex-Ohmeda Co., Finland). The evaluation was performed at basal condition, and repeated at 1, 2, 3, 4 and 5 hours after administration. Results: MBFV and CV40 in the KRG group tended to rise at I hour after administration, while those of the FKRG group tended to rise at 2 hours after administration. CVR increased significantly after 1 hour in the KRG group (p=0.009) and after 2 hours in the FKRG group (p=0.035), respectively. The KG group showed increasing tendency at 4 hours after administration. No group showed significant difference from the placebo in changes of MBP and PR. Conclusions: It is suggested that KG, KRG and FKRG extracts have effects of enhancing CVR and thus of increasing cerebral blood flow in human subjects.

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Motor Control Models and Neurologic Rehabilitation Approaches: A Literature Review (운동조절이론과 중추신경계 손상환자를 위한 치료 접근법의 재검토)

  • Kim, Jong-Man;Cynn, Heon-Seock
    • Physical Therapy Korea
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    • v.8 no.1
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    • pp.97-106
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    • 2001
  • Physical therapists should under stand motor control models and apply various models to evaluation and treatment of neurologically impaired patients. Thus, this paper reviews motor control models and applications in clinical settings. Assumptions and limitations of reflex models, hierarchical models, and systems models are presented. This paper also delineates goals and dissatisfaction of neurologic rehabilitation approaches for neurologically impaired patients. Muscle reeducation approach, neurotherapeutic facilitation approach, and contemporary task-oriented approach are explained.

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The use of ketogenic diet in special situations: expanding use in intractable epilepsy and other neurologic disorders

  • Lee, Mun-Hyang
    • Clinical and Experimental Pediatrics
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    • v.55 no.9
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    • pp.316-321
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    • 2012
  • The ketogenic diet has been widely used and proved to be effective for intractable epilepsy. Although the mechanisms underlying its antiepileptic effects remain to be proven, there are increasing experimental evidences for its neuroprotective effects along with many researches about expanding use of the diet in other neurologic disorders. The first success was reported in glucose transporter type 1 deficiency syndrome, in which the diet served as an alternative metabolic source. Many neurologic disorders share some of the common pathologic mechanisms such as mitochondrial dysfunction, altered neurotransmitter function and synaptic transmission, or abnormal regulation of reactive oxygen species, and the role of the ketogenic diet has been postulated in these mechanisms. In this article, we introduce an overview about the expanding use and emerging trials of the ketogenic diet in various neurologic disorders excluding intractable epilepsy and provide explanations of the mechanisms in that usage.

A clinical Study on the case of Neurologic bladder Treated with Korean Medicine, especially Acupuncture & Moxibustion (침구치료(鍼灸治療)를 위주(爲主)로 시행(施行)한 복합치료(複合治療)가 특발성(特發性) 신경곤성(神經困性) 방광(膀胱)에 대(對)한 증례보고(證例報告))

  • Ahn, Koang-hyun;Kim, Kee-hyun;Lee, Yun-ho
    • Journal of Acupuncture Research
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    • v.19 no.6
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    • pp.247-255
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    • 2002
  • Objective : By precess of treatment for a case which diagnosed as Unknown Neurologic bladder and admitted from the 15th, April, 2002 to the 27th, June, 2002, the result is as follows. Methods : The change in clinical symtom of Urinary Retension was described when this patient was treated with Korean Medicine, especially Acupuncture & Moxibustion. Results : Acute Urinary Retension at admission is improved remarkably. Conclusion : We could get the effective result that case of Neurologic bladder treated with Korean Medicine, especially Acupuncture & Moxibustion.

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Post-Stroke Oculomotor Nerve Palsy Treated by Traditional Korean Medicine: Three Case Reports

  • Lee, Yoo-na;An, Yu-min;Jang, Woo-seok;Baek, Kyungmin
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1237-1247
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    • 2019
  • Post-stroke oculomotor nerve palsy occurs more frequently than previously reported, but only a few studies of traditional Korean medicine treatments have been reported. The symptoms are severe and difficult to treat, and current treatments are high-cost, short-lasting, insufficient for shortening the therapeutic period and promoting better recovery, or involve the risk of post-operative over-correction or under-correction. Traditional Korean medicine treatments may be comparatively effective at lower cost and less harmful. Thus, we report three cases of post-stroke oculomotor nerve palsy treated with traditional Korean medicine.

Two cases of abdominal distension treated with oriental medical treatment (한방치료로 호전된 창만 치험 2례)

  • Yang, Na-rae;Kim, Mi-kyung;Choi, Dong-jun;Han, Chang-ho
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.10 no.1
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    • pp.81-88
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    • 2009
  • The purpose of this study is to report the effectiveness of oriental medical treatment including Hubaksenggangbanhagamchoinsam-tang(厚朴生薑半夏甘草人蔘湯) and moxibustion (and acupuncture) on abdominal distension. Two patients complainted of abdominal distension, vomiting, dyschezia and so on. According to the pattern identification (辯證論治), the distension of both patients were diagnosed as deficiency distension(虛脹). So we decided to treat the patients by means of tonification the deficiency(補虛) including Hubaksengganggamchoinsam-tang and moxibustion. And the symptoms improved after treatment. So we report these cases.

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Two Cases of Chest Fever with Dysphoria in Stroke Patients Treated with Yangkyuksanhoa-tang (중풍환자의 흉중번열증(胸中煩熱症)에 대한 양격산화탕(凉膈散火湯)투여 2례(例))

  • Kim, Eun-Ju;Jeong, Gi-Hyeon;Kim, Young-Suk;Bae, Hyung-Sup;Lee, Kyung-Sup;Kim, Jung-Yul
    • The Journal of Internal Korean Medicine
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    • v.23 no.2
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    • pp.292-297
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    • 2002
  • Fire is known as one of the most common causes of stroke. Chest fever with dysphoria caused by heat in the stomach is one of the fire symptoms, meaning feeling oppressed in the chest. We observed two stroke patients who had chest fever with dysphoria. These patients' clinical symptoms were headache, thirst, heat in the upper part of the body and constipation. They were diagnosed as Chest fever with dysphoria. It is assumed that Exuberance of Yang causes heat. We treated them with Yangkyuksanhoa-tang(凉膈散火湯) based on Dong Ui Su Se Bo Won for about 2 weeks. During this period, we observed that their symptoms of heat in the upper part of the body and constipation had been improved. We suggest that Yangkyuksanhoa-tang makes the balance between water and fire, and improves chest fever with dysphoria of stroke patients.

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One Case of Sick Sinus Syndrome Accompanied by 'Abdominal Pulsation' Treated with Yeonggyechulgam-tang (ling-gui-shu-gan-tang) (복부동계를 동반한 동기능부전 증후군에 영계출감탕 투여 1례)

  • Kim, Tai-Kyung;Ryu, Soon-Hyun;Kim, Jung-Yul;Go, Chang-Nam;Kim, Young-Suk;Kim, Eun-Ju
    • The Journal of Internal Korean Medicine
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    • v.23 no.2
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    • pp.274-279
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    • 2002
  • The sick sinus syndrome refers to a combination of symptoms (dizziness, confusion, fatigue, syncope, and congestive heart failure) caused by sinus node dysfunction and marked sinus bradycardia, sinoarterial block, or sinus arrest. 'Abdominal pulsation' means a disagreeable symptom that is defined as sensation of beating at the abdomen. We experienced a 84 year-old female patient who had dizziness, fatigue, abdominal pulsation and frequent voiding. These symptoms were related to previous episodes and presumed sick sinus syndrome by symptoms, ECGs and 24 hrs of holter monitoring. In the point of Differentiation of Syndrome (辨證), this patient was diagnosed as 'Water retention(水氣)' and was administered with Yeonggyechulgam-tang(岺桂朮甘湯). After the treatment, abdominal pulsation (frequency) and dizziness (VAS) were improved. Futhermore, the interval of voiding was longer and each volume of urination increased.

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Study on Characteristics of Abdominal Obesity among Acute Stroke Patients (뇌졸중 환자의 복부비만에 따른 제특성 연구)

  • Choi, Won-Woo;Kim, Mi-Young;Park, Su-Kyung;Leem, Jung-Tae;Park, Sung-Wook;Jung, Woo-Sang;Cho, Ki-Ho
    • The Journal of Internal Korean Medicine
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    • v.30 no.4
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    • pp.799-805
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    • 2009
  • Objectives : This study was aimed to assess characteristics in acute stroke patients according to abdominal obesity. Method : 1,506 subjects were included from the patients admitted to the Internal Medical Department at Kyunghee University Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University Songpa Oriental Medical Center, Kyungwon University Incheon Oriental Medical Center, and D ongguk University Ilsan Oriental Medical Center from April 2007 to August 2009. Results : 1. Considering the demographic variables of the patients, the gender, older age, diabetes, hyperlipidemia and multiple infarction were significantly higher in the abdominal obesity group than in the control group. 2. Sasang constitution and oriental medical diagnosis showed significant difference in the abdominal obesity group. By oriental medical diagnosis, the D amp ness-Phlegm group was significantly higher in abdominal obesity group than in the control group. According to this analysis, we observed the general disposition of various characteristic distributions according to abdominal obesity in acute stoke patients These results can be utilized in the future as a basis material.

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