• Title/Summary/Keyword: Parkinson

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Effects of the Team Approach Rehabilitation Program on Balance, Gait, and Muscle Strength of Lower Extremities for Elderly Patients with Parkinson's Disease (팀 접근 재활프로그램이 노인 파킨슨병 환자의 균형, 보행 및 하지근력에 미치는 효과)

  • Choi, Jin-Young;Jo, Hyun Sook
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.199-206
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    • 2019
  • Purpose: The purpose of this paper was to verify effects of the team approach rehabilitation program on balance, gait, and muscle strength of lower extremities of elderly people with Parkinson's disease. Method: Subjects of this paper were 40 elderly people with Parkinson's disease, 20 control and experimental groups respectively, who could walk independently and were less than the 2.5 Hoehn &Yahr stage. The team approach rehabilitation program was applied to the experimental group for 12 weeks. Results: There was significant decrease in second at timed up &go test (p= .008), but no significant difference in reach length at functional reach test (p= .201) with partial improvement of balance. There was no significant difference in second at 10-meter walk test (p= .070), but showed tendency of improvement of gait. And number of times at 30s-chair stand test, indicating muscle strength on lower extremities, increased significantly (p= .029), Conclusion: The team approach rehabilitation program has demonstrated its effectiveness on improving balance, and muscle strength of lower extremities for the elderly with Parkinson's disease.

A Case Study of Parkinson's Disease Patient with Anxiety and Insomnia Treated with Korean-medicine Treatment, including Gyejigayonggolmolye-tang (계지가용골모려탕을 포함한 한방치료로 호전된 파킨슨병 환자의 불안 및 불면 치험 1례)

  • Eun-chai Cho;Ji-soo Yang;Jae-hwan Lew
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.846-854
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    • 2023
  • Objectives: The purpose of this study is to report the case of a patient with Parkinson's disease experiencing anxiety and insomnia treated with Korean medicine therapies. Methods: A patient diagnosed with Parkinson's disease with anxiety and insomnia was treated with Korean medicine therapies, including herbal medication (Gyejigayonggolmolye-tang), acupuncture, electro-acupuncture, and moxibustion, for 18 days. To evaluate the therapeutic effect, we checked the Beck Anxiety Inventory (BAI) and Insomnia Severity Index (ISI) scores to monitor anxiety and insomnia. Results: After treatment, the patient's BAI and ISI scores for anxiety and insomnia decreased. Further, the patient and her protector mentioned that their quality of life had improved. Conclusion: These results suggest that Korean medicine therapies with Gyejigayonggolmolye-tang have a beneficial effect on anxiety and insomnia in patients with Parkinson's disease.

Performance Comparison of Algorithm through Classification of Parkinson's Disease According to the Speech Feature (음성 특징에 따른 파킨슨병 분류를 위한 알고리즘 성능 비교)

  • Chung, Jae Woo
    • Journal of Korea Multimedia Society
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    • v.19 no.2
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    • pp.209-214
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    • 2016
  • The purpose of this study was to classify healty persons and Parkinson disease patients from the vocal characteristics of healty persons and the of Parkinson disease patients using Machine Learning algorithms. So, we compared the most widely used algorithms for Machine Learning such as J48 algorithm and REPTree algorithm. In order to evaluate the classification performance of the two algorithms, the results were compared with depending on vocal characteristics. The classification performance of depending on vocal characteristics show 88.72% and 84.62%. The test results showed that the J48 algorithms was superior to REPTree algorithms.

The Effects of Korean Traditional Rhythm Therapy on Voice of Parkinson's Disease Patients: A Preliminary Study

  • Heo, Soo-Min;Jeong, Ok-Ran
    • Speech Sciences
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    • v.12 no.2
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    • pp.59-72
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    • 2005
  • The purpose of this study was to investigate the effects of rhythm therapy program on MPT(Maximum Phonation Time) and acoustic parameters in patients with Parkinson's disease. The therapy program utilized 5 Korean traditional rhythms: jinngyang, jungmori, jungjungmori, jajinmori, and semachi. The therapy consisted of counseling regarding vocal hygiene and actual therapy procedures. Six subjects with Parkinson's disease participated in the study; 3 subjects in experimental group and the other 3 subjects in control group. The pre- and post- acoustic analyses were performed in both groups. The results of this study were as follows; 1) MPT was significantly increased in the experimental group, 2) mono-pitch was significantly improved in the experimental group, 3) mono-loudness was significantly improved in the experimental group, and finally, HNR was significantly increased in the experimental group compared to the control group.

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Diagnosing Parkinson's Disease Using Movement Signal Mapping by Neural Network and Classifier Modulation

  • Nikandish, Hajar;Kheirkhah, Esmaeil
    • ETRI Journal
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    • v.39 no.6
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    • pp.851-858
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    • 2017
  • Parkinson's disease is a growing and chronic movement disorder, and its diagnosis is difficult especially at the initial stages. In this paper, movement characteristics extracted by a computer using multilayer back propagation neural network mapping are converted to the symptoms of this disease. Then, modulation of three classifiers of C4.5, k-nearest neighbors, and support vector machine with majority voting are applied to support experts in diagnosing the disease. The purpose of this study is to choose appropriate characteristics and increase the accuracy of the diagnosis. Experiments were performed to demonstrate the improvement of Parkinson's disease diagnosis using this method.

Clinical Feasibility of Mental Practice for Gait Ability Improvement of Parkinson Disease Patients: ABA Single Subject Design

  • Song, Hyun Seung;Kim, Jin Young
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.398-402
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    • 2014
  • Purpose: This study was carried out in order to verify actual applicability of mental practice in the clinical field by applying it to Parkinson disease patients. Methods: : The number of subjects was three and they were aged between 65 and 69. One year or longer period has passed since they were diagnosed with Parkinson disease. The baseline A consisted of three sessions. After the baseline period, the researcher applied mental practice to the subjects once per day, for 20 minutes per each time, for 10 sessions. The no-intervention withdrawal phase was composed of three sessions. Outcome measures 10 meter walking test(10MWT), timed up and go (TUG) test, 8-figure walk test (8FWT). Results: All results indicated that 10 MWT, TUG, F8WT was improved when compared mental practice(B) to pre base line(A). base line(A) after mental practice intervention(B) was also sustained. Conclusion: As a result of the mental practice, we can know that it helps straight gait, dynamic balance, curved gait to improve.

Drug-Induced Gastrointestinal Dysfunction in Parkinson's Disease: Treatment with Korean Medicine

  • Hwang, Ji Hye;Kim, Deok-Hyun;Kang, Mi Suk;Song, Ho-Seub
    • Journal of Acupuncture Research
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    • v.36 no.2
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    • pp.113-117
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    • 2019
  • Parkinson's disease (PD) is a neurodegenerative disease, where treatment with medication may lead to gastrointestinal (GI) symptoms. The objective of this case study was to investigate the effectiveness of Korean medicine (KM) in treating PD with drug-induced GI dysfunction. A 70-year-old female participant was diagnosed with PD in 2010 and drug-induced gastritis in 2016. Her major symptoms were related to GI, PD, and overall feeling of weakness. She was treated with KM including pharmacopuncture, acupuncture, moxibustion, and herbal medicines, in combination with Western medicines during 46 days of in-patient care. This study showed an improvement in symptoms and scores on the GI symptom scale, Unified Parkinson's disease rating scale, Hoehn and Yahr staging, Berg balance scale, PD quality of life, and stress index at discharge. This case demonstrated that the symptoms of drug-induced GI dysfunctions in PD was improved by treatment with KM.

The Effects of Obstacle Height on the Stepping Over Gait in Parkinson's Patients (장애물 높이가 파킨슨 환자들의 장애물 보행에 미치는 영향)

  • Kim, Mi-Young;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.11-17
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    • 2008
  • Falls associated with tripping over an obstacle can be dangerous, yet little is known about the strategies used for stepping over obstacles by Parkinson's patients. The purpose of this study was to investigate stepping over gait characteristics according to obstacle height in Parkinson's patients. The gait of 7 Parkinson's patients was examined during a 5.0 m approach to, and while stepping over, obstacles of 0, 2.5, 5.2, and 15.2 cm. Only five Parkinson's patients were able to clear all obstacles successfully; as such, only their data were analyzed. A one-way ANOVA for repeated measures was employed for selected kinematic variables to analyze the differences of the height of four obstacles. The results showed significant differences between obstacle height and: approaching speed (AS), foot clearance from the obstacle(FC), and step width (SW). The results showed no significant differences between obstacle height and: crossing speed (CS), toe distance (TD), and heel distance (HD). This strategy tends to reduce the risk of toe contact with the obstacle. Parkinson's patients were stepping over the obstacle slowly, stably and inefficiently.

Assessment of Potentially Inappropriate Medication Use in Korean Elderly Patients with Parkinson's Disease (국내 노인 파킨슨병 환자에서의 잠재적으로 부적절한 약물사용 현황에 대한 연구)

  • Seo, Mi-Kyung;Bae, Min Kyung;Lee, Iyn-Hyang;Jeon, Seongsill;Yoon, Jeong-Hyun
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.4
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    • pp.254-263
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    • 2015
  • Objectives: The present study assessed the prevalence of the potentially inappropriate medication (PIM) use in Korean elderly patients with Parkinson's disease. In addition, this study examined risk factors that affect PIM use. Method: A retrospective, observational study was conducted using Korean National Health Insurance claims database of 2009. PIM use in Parkinson's disease patients aged 65 years or older was examined based on 2012 Beers Criteria. Multivariable logistic regression was conducted to identify risk factors for PIM use. Results: Among 5,277 elderly patients with Parkinson's disease, 88.9% of patients used PIM(s) at least once. The average number of PIM items used per patient was 4.2. PIM use ratio, the proportion of total amount of PIMs to all medications per patient, was 12.6%. Frequently used PIM therapeutic classes were benzodiazepines (32.7%), first-generation antihistamines (19.2%), and prokinetics (17.5%). Individual PIMs most commonly used included chlorpheniramine (11.4%), levosulpiride (10.9%), diazepam (9.0%), and alprazolam (7.6%). Women (odds ratio [OR] 1.14, 95% confidence interval [CI] 1.11-1.16), medical aid (OR 1.18, 95% CI 1.15-1.21), and long-term facilities (OR 2.43, 95% CI 2.22-2.65) were shown to be risk factors associated with PIM use. Of particular, wide variation in PIM use was associated with the types of healthcare facility. Conclusion: The PIM prevalence was very high in elderly Parkinson's disease patients. Nationally effective and systematic efforts to identify and prevent PIM use should be made to ensure patient safety and to improve quality of care in the elderly.