• Title/Summary/Keyword: Rehabilitation Therapy

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Pontine Necrosis Related with Radiation Therapy, Complicated with Spontaneous Hemorrhage

  • Kim, Ha Min;Hong, Bo Young;Lee, Jong In;Kim, Joon Sung;Lim, Seong Hoon
    • Brain & NeuroRehabilitation
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    • v.10 no.1
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    • pp.1-6
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    • 2017
  • The brain necrosis induced by radiation therapy (RT) is an uncommon pathology of brain. A case of spontaneous hemorrhage at necrotic brain is also rare. A 52-year-old man who had nasopharyngeal carcinoma and had been treated with RT, presented with gait disturbance, dizziness, ataxia, dysarthria, and dysphagia. Magnetic resonance imaging (MRI) demonstrated progressed radiation necrosis of pons, and spontaneous hemorrhage at the site of necrosis. The hematoma was diminished by conservative treatment. However, the patient's neurologic symptoms did not recover. Two years later, spontaneous bleeding recurred at necrotic brain. His neurologic symptoms worsened. One year later, his neurologic symptoms were more progressed. He showed severe dysphagia, profound weakness and respiratory failure. This case provides the description of relapsed spontaneous hemorrhage and medullary dysfunction caused by pontine necrosis and progressed post-radiation injury, complicated with hemorrhage, and urges caution in that the necrotic brain tissue may be vulnerable to bleeding.

Complex Korean Medical Treatment of Postoperative Ankylosis in Septic Arthritis of the Knee: A Case Report (화농성 무릎관절염의 수술 후 관절강직에 대한 한의복합치료: 증례보고)

  • Woo, Hyeon-Jun;Han, Yun-Hee;Lee, Jung-Han;Ha, Won-Bae
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.3
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    • pp.161-169
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    • 2022
  • A 50-year-old Korean male tour guide without any medical or family history complained of left knee pain. After receiving umbilical cord blood injection treatment, the pain gradually worsened. After being diagnosed with septic arthritis in the left knee, arthroscopic lavage, debridement, antibiotic treatment, and routine rehabilitation therapy were performed, but the symptoms persisted. In the hospital, acupuncture, pharmacopuncture, acupotomy, Chuna manual therapy, and cupping therapy were performed in addition to the usual treatment for 59 days. To evaluate the patient's improvement, the numeric rating scale, EuroQol 5-dimension, pain disability index, and Lysholm knee scoring system were used. After treatment, the symptoms improved in all assessment tools, swelling, and range of motion of the joint. Through this study, it was found that complex Korean medical therapies may be effective for postoperative ankylosis in septic arthritis of the knee, and further studies are needed to clarify the therapeutic effect.

Effects of Kinesio Taping Therapy in Patients with Stenosing Tenosynovitis (협착성 건초염에 대한 키네시오 테이핑치료의 효과)

  • Lee, Moon-Hwan;Ma, Sang-Yeol;Lee, Hyeon-Hee;Kim, Seong-Hak;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.19 no.1
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    • pp.1-9
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    • 2007
  • Purpose: Stenosing tenosynovitis is a stenosing condition of the sheath of the abductor pollicis longus and extensor pollicis brevis tendons at the radial styloid process. The purpose of this study was to investigate the effects of kinesio taping on the pain and grip power in patients with de Quervain's disease. Method: 20 female with de Quervain's disease was recruited. This procedure was performed with or without taping procedure. Pain levels were assessed using a visual analogue scale, and spherical and pinch grip powers were assessed using a dynamometer. Results: 1. Resting pain, Finkelstein test pain, and Tenderness using VAS scale was showed significantly reduced after taping application(p<0.01). 2. Spherical grip power using dynamometer was showed significantly increased after taping application(p<0.01). 3. Pinch grip power using dynamometer was showed significantly increased after taping application(p<0.01). Conclusion: So we thought that kinesio taping therapy had effects on the pain release and grip power increasing to the small or local muscle groups and joints.

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Modified constraint-Induced Movement Therapy (CIMT) for the Elderly With Parkinson's Disease: A Preliminary Study (파킨슨병 노인을 위한 수정된 강제-유도운동치료: 사전연구)

  • Hwang, Su-Jin;Hong, Young-Ju;Yoo, In-Gyu;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.16 no.1
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    • pp.70-78
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    • 2009
  • This study was designed to examine a 3-week modified constraint-induced movement therapy (CIMT) to the less-affected arm of patients with Parkinson's disease (PD) would improve function of the more-affected arm in PD. The subjects were 6 institutional older adults with PD and clients of the social welfare facilities. The subjects (2 men, 4 women) ranged in age from 66 to 90 years (mean age 77.2 yrs). Three clinical tests were used to determine the improvement of functional activity between before and after modified CIMT. The tests included Unified Parkinson's Disease Rating Scale (UPDRS). Wolf Motor Function Test (WMFT), and Action Research Arm Test (ARAT). There were significantly differences after the modified CIMT for time performance in WMFT and pinch in ARAT (p<.05), No significant difference was noted after the modified CIMT for UPDRS and functional ability scale in WMFT. Therefore, the modified CIMT might improve time performance and is available to therapeutic program helping them improve functional ability for upper extremity in Parkinson's disease.

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The Effect of Bobath Therapy on Balance and Walking in Patients with Stroke (보바스 치료가 뇌졸중 환자에 균형과 보행에 미치는 효과)

  • Lee, Sang-Ho;Kim, Moon-Jeong;Lee, Tae-Han;Kim, Sang-Yeong;Yoon, Se-Won
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.11 no.1
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    • pp.1-6
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    • 2013
  • Purpose : The purpose of this study was to examine the effect of bobath treatment on the balance and gait in adult hemiplegia. Methods : The study was performed with patients of hemiparesis caused by cerebral stroke. The participants were based on random sampling method. The hemiplegia patient received Bobath therapy. Each rehabilitation program lasted 40 minutes a day, 5 days a week, for 6 weeks. Pertinent indicators Berg's balance scale (BBS), gait velocity, and static balance analysis were recorded before and after the programs, as well as every 2 weeks during the rehabilitation programs. Results : There was showed a significantly increase of BBS score. Static open and close showed statistically significant in interaction by time and groups. There was significant difference of gait velocity. Conclusion : These findings in this study that the Bobath therapy was effective therapy in improving dynamic balance and gait velocity.

A Case Report on Osgood-Schlatter Disease Treatment Using Complex Korean Medicine Therapy Including Chuna Therapy (추나 요법을 포함한 복합 한방치료를 이용한 오스굿-슐라터 병의 치료 증례보고)

  • Ji-Won Lee;Youn-Seok Ko;Min-Su Ju
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.51-62
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    • 2022
  • Objectives This case study aimed to investigate the effect of complex Korean medicine therapy and fascia Chuna therapy on Osgood-Schlatter disease. Methods Hospitalization treatment was performed on a 13-year-old Osgood-Schlatter patient who visited Woosuk University Korean Medicine Hospital. The patient complained of pain in both the tibial tuberosity and restriction on the range of knee joint movement. The results were evaluated using the visual analogue scale, knee injury and osteoarthritis outcome score, and range of motion. Results After treatment, knee pain decreased and range of movement angle improved. Conclusions This study suggests that complex Korean medicine therapy, including myofascial Chuna therapy, are effective in improving the range of motion and improving pain in early Osgood-Schlatter disease. The limitation of this study is that the subject of the study was limited to one case. Further clinical studies are required.

Study for Safety of Oriental Medical Therapy and Continuous Intravenous Urokinase combined Therapy in Acute Cerebral Infarction. (급성기 뇌경색 환자에서 한방치료와 지속적 유로키나제 정주요법 병용시 안전성에 대한 임상적 고찰)

  • Kim, Sung-keun;Lim, Chang-sun;Yim, Jun-hyok;Yang, Dong-ho;Shin, Hyon-seung;Park, Joon-ha;Jeong, Seung-cheol
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.10 no.1
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    • pp.1-7
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    • 2009
  • Objectives : This Study was prepared for investigating the safety of oriental medicine and continuous intravenous urokinase combined therapy in acute cerebral infarction. Methods : We prospectively estimate safety of hemorrhagic transformation occurred in oriental medical therapy and continuous intravenous urokinase combined therapy. We estimate National Institute of Health Stroke Scale Score and Modified Barthel Index. Results : Hemorrhagic transformation was not noted. and Others are not fatal complication. Conclusions : oriental medical therapy and continuous intravenous urokinase combined therapy are safety method in treatment of acute cerebral infarction. We think this can be a good model of Oriental and western cooperative therapy.

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Case Reports : The Effect of Burning Acupuncture Therapy on the Sacroiliac Joint Syndrome (천장관절증후군에 대한 화침(火鍼)치료 1례 보고)

  • Kim, Hyun-Suk;Hong, Seo-Yeong;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.133-138
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    • 2007
  • Objectives : The purpose of this study IS to evaluate the effect of burning acupuncture therapy on the sacroihac Joint syndrome. Methods : This study was carried out on the 1 patient with sacroihac Joint syndrome Subject was treated by acupuncture, negative, burning acupuncture therapy Lumbar ROM and Visual Analog Scale(VAS) were evaluated before and during treatment. Results and Conclusions : VAS was improved 10 to 2 and lumbar Rom was improved In the study, burning acupuncture therapy was effective 10 sacroihac joint syndrome.

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Review of the muscle plasticity (근육의 가소성에 대한 고찰)

  • Baek Su-Jeong;Kim Dong-Hyun;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.15 no.2
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    • pp.100-110
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    • 2003
  • The purpose of this article is to understand of the muscle adaptation based on myosin heavy chain. Especially, skeletal muscle dadptation in related to aging, unloading, training will discussed. MHC expression is highly plastic in muscles of adult mammals in accordance with the environmental conditions. These changes is called muscle plasticity. The plasticity is the atility of muscle cell to alter either the quantity of protein or the type of protein. MHC is both an important structural and regulatory protein comprising the contractile apparatus.

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The Effects of Blood Flow Change to Amplitude Modulated Frequency (진폭변조주파수가 혈류량변화에 미치는 효과)

  • Lee Mun-Hwan;Nam Hyung-Cheon;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.17 no.2
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    • pp.88-106
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    • 2005
  • AMF(amplitude modulated frequency) is defined as currents in the frequency range 1 to 100Hz. The aim of this study was to determine the effects of blood flow and skin temperature according to different stimulating frequency($1{\sim}30Hz,\;30{\sim}50Hz,\;50{\sim}100Hz$) of interferential currents. The results were as follow; 1. There were statistical significance on the blood flow with IFC 1, IFC 2, and IFC 3 group, and inter-groups(p<0.05). 2. There were statistical significance on the skin temperature with IFC 1 and IFC 3 group, and inter-groups(p<0.05). 3. IFC 1 was more statistical significance than IFC 3 group on blood flow(pP<0.05) 4. There was no statistical significance between IFC 1 and IFC 3 group on skin temperature(p>0.05).

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