• Title/Summary/Keyword: Rehabilitation medical

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Effects of a Rehabilitation Program on Quality of Life, Cardiopulmonary Function and Fatigue During Radiotherapy for Breast Cancer Patients (유방암 환자의 방사선 치료 기간 동안 재활치료 프로그램이 삶의 질, 심폐기능, 피로에 미치는 영향)

  • Do, Jung-Hwa;Seong, Jun-Hyuk;Ahn, Jun-Su;Cho, Young-Ki
    • Physical Therapy Korea
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    • v.19 no.1
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    • pp.56-65
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    • 2012
  • This study examines the effects of a rehabilitation program on quality of life (QOL), cardiopulmonary function and fatigue during radiotherapy for breast cancer patients. The program includes aerobic exercise, stretching and strengthening exercises. Sixty-five women participated in this study and they were asked to perform supervised exercises that last for 60 minutes five times a week for six weeks. The European organization for research and treatment of cancer-cancer (EORTC QLQ-C30) and the breast (EORTC QLQ-BR23), predicted maximal volume of oxygen consumption ($VO_{2max}$) and fatigue severity scale (FSS) were assessed before and after the rehabilitation program. The 60-minute program consisted of a 10-minute warm-up, 30-minute of aerobic exercises, and 15-minute of strengthening exercises, followed by a five-minute cool-down. Heart rates were monitored throughout the exercise class to ensure that patients were exercising at the target heart rate of 40~75% of the age-adjusted heart rate maximum. There were statistically significant differences in the changes of physical function and cancer related symptoms in the EORTC QLQ-C30 and EORTC QLQ-BR23 (p<.05). There was a statistically significant improvement in the predicted $VO_{2max}$ (p<.05), although there were no significant differences in the FSS (p>.05). The results of our study suggest that a supervised rehabilitation program may benefit the physical aspects and QOL of patients receiving radiotherapy for breast cancer.

A Clinical Case of the Korean Medical Treatment for the Patient with Ligamentum Teres Tear of the Hip (고관절 원형인대 파열 환자에 대한 한의학적 치료: 증례보고)

  • Lee, Dong Hyun;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.155-162
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    • 2022
  • The purpose of this clinical case is to evaluate the efficacy of the Korean medical treatment on a ligamentum teres tear of the hip. One patient, admitted to Daejeon Jaseng Hospital of Korean Medicine was diagnosed with a ligamentum teres tear of the hip by hip magnetic resonance imaging. We treated the patient using the Korean medical treatments, including acupunture, pharmacopuncture, herbal medication, and cupping. We measured the numerical rating scale (NRS), passive range of motion (PROM) and the changes of symptoms. After 13 days, NRS decreased from 8 to 1 respectively, PROM of hip joint has recovered, and the symptoms of the patient improved. In conclusion, this study shows that Korean medical treatment might be effective in treating the patient with a ligamentum teres tear of the hip.

Successive Acute Calcific Tendinitis at Different Sites (다른 신체 부위에 순차적으로 발생한 급성 석회화 건염)

  • Kim, Young Je;No, Seung-Wook;Jin, Hyo Joon;Kim, Du Hwan
    • Clinical Pain
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    • v.18 no.2
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    • pp.115-120
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    • 2019
  • Acute calcific tendinitis (ACT) is a benign painful inflammatory disorder characterized by resorptive process of calcific deposits following the formation of calcium hydroxyapatite crystals in the tendons. It can occur at various sites, especially in the shoulder or hip joint. ACT involving the lateral epicondyle of the humerus and the cervical spine is very rare. Few reports have demonstrated successive ACT at different sites. We report three cases of successive ACT in women, occurring at the subscapularis followed by the lateral epicondyle, flexor carpi ulnaris followed by the supraspinatus, and longus colli followed by the iliopsoas, respectively.

Looking beyond Piriformis Syndrome: Is It Really the Piriformis?

  • Shivam Sharma;Harmanpreet Kaur;Nishank Verma;Bibek Adhya
    • Hip & pelvis
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    • v.35 no.1
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    • pp.1-5
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    • 2023
  • Piriformis syndrome is a common differential diagnosis related to sciatica. The following review provides a concise synopsis of the diagnosis, management, history, and alternatives to diagnosis of piriformis syndrome. A search of the literature for research articles related to piriformis syndrome and associated differential diagnosis of sciatica was conducted. A thorough review of the included articles found that the condition known as piriformis syndrome is over-diagnosed and that potential anatomic and biomechanical variations originating in the pelvic region might be related to the complaint of sciatica. The criteria for diagnosis are based on findings from both physical examination and radio imaging. Piriformis syndrome resembles a variety of clinical conditions; therefore, conduct of future studies should include development of a validated method for evaluation as well as clinical criteria for diagnosis of piriformis syndrome.

A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Temporomandibular Disorders (턱관절 질환의 한의진료 임상현황조사를 위한 웹기반 설문조사)

  • Kim, Chang-Eun;Do, Ho-Jeong;Song, Hyun-Seop;Shin, Jae-Kwon;Lee, Won-Jun;Kim, Jong-Ho;Lee, Keun-Jae;Yoon, Young-Suk;Kim, No-Hyeon;Suh, Chang-Yong;Lee, Yoon-Jae;Kim, Mi-Riong;Cho, Jae-Heung;Kwon, Mi-Jung;Ha, In-Hyuk
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.73-84
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    • 2018
  • Objectives While Temporomandibular disorders (TMD) is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for TMD. Methods A preliminary questionnaire was developed to investigate current practice patterns of TMD treatment and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results The response rate was 2.23%. Most participants replied that they received multiple Korean medicine interventions for TMD treatment consisting of such methods as acupuncture, chuna manipulation, electroacupuncture. The percentage of treatment services among uncovered services, which need to be covered by national health insurance was high in the order of pharmacopuncture, chuna manipulation, and herbal medicine. The most commonly used diagnostic examination tools for TMD was Physical examination and next was Imaging diagnosis. The frequency of TMD treatment was the highest at 2~3 times per week (76%) and the period was from 4 to 12 weeks (63%). Conclusions This survey study helps determine current practice patterns of TMD, and recognizes the need for use of diagnostic devices in TMD treatment. These results are further anticipated to provide basic data for clinical practice guide lines (CPGs).

A Clinical Study of Oriental Medical Treatment on a Patient with Polyneuropathy

  • Hong, Seo-Young;Cho, Hyun-Chol;Kim, Yeung-Kee;Lee, Seong-No;Lim, Hyung-Ho
    • The Journal of Korean Medicine
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    • v.24 no.4
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    • pp.139-148
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    • 2003
  • Objectives : Polyneuropathies are diseases of multiple peripheral nerves. They are usually characterized by symmetrical, bilateral distal motor and sensory impairment with a graded increase in severity distally. It is generally regarded that the natural courses are poor, so we wanted to study the effects of Oriental medical treatment on a patient with polyneuropathy. Methods : We treated by conservative Oriental medical treatment a woman of 68 years who was diagnosed as a polyneuropathy and was hospitalized at Seoul Oriental Hospital, Kyungwon University, from 12th Mar. to 31st May, 2003. Changes of functional disability were checked by Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS), muscle atrophy was checked by measuring circumference of the thighs, calves, arms, and sensory impairment was checked by a sensory test. Results : 1. Functional disability caused by motor impairment was reduced after the Oriental medical treatment 2. Muscle atrophy was reduced after the Oriental medical treatment 3. Sensory impairment was reduced after the Oriental medical treatment Conclusion : We treated a patient who was diagnosed with polyneuropathy for over 80 days and recorded good effects of Oriental medical treatment on polyneuropathy.

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A Study on the Interaction of Rehabilitation Service and Life Satisfaction of Industrially Injured Workers (산재장애인 재활서비스와 일상생활만족도의 상호작용에 관한 연구)

  • Jang, Y.M.;Yeum, D.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.4
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    • pp.275-283
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    • 2015
  • This study was to find out the relationship between the rehabilitation service and the life satisfaction of industrially injured workers and how medical rehabilitation service, psycho-social rehabilitation service, and occupational rehabilitation service influence in this relation. For this, it analyzed 977 people who were using rehabilitation service with industrial disaster disability among 2,000 research subjects using the first year materials of industrial disaster insurance panel of Workers' Compensation & Welfare Service. For the relationship of variables on the suggested 3 models, the mediating effect of the occupational rehabilitation service in the relation of medical rehabilitation of the industrially injured workers and life satisfaction by applying SPSS Macro and Sobel method and did the regression analysis to find out the control effect of psycho-social rehabilitation service by the mean centering of the material. The result of the analysis showed; when the satisfaction on the medical rehabilitation service was increased the satisfaction on the voacational rehabilitation was increased, when the satisfaction on the occupational rehabilitation service was increased, the satisfaction on the life satisfaction was increased, and when the satisfaction on the psycho-social rehabilitation service was increased the medical rehabilitation service had a indirect effect on the daily life satisfaction.

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Safety and effectiveness of early cardiac rehabilitation in a stroke patient with heart failure and atrial fibrillation: a case report

  • Lee, Sang Cheol;Ko, Eun Jae;Lee, Ju Yeon;Hong, Ae Lee
    • Journal of Yeungnam Medical Science
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    • v.38 no.4
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    • pp.361-365
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    • 2021
  • Stroke patients have reduced aerobic capacity. Therefore, intensive structured exercise programs are needed. We report the case of a patient with stroke and cardiac disease who underwent early inpatient cardiac rehabilitation (CR). A 38-year-old male patient with atrial fibrillation, heart failure, and cerebral infarction underwent a symptom-limited exercise tolerance test (ETT) without any problems on day 45 after admission. He completed a 2-week inpatient program and an 8-week home-based CR program. Follow-up ETT showed increased exercise capacity. The present case might be the first to report a safely performed CR program in a patient with stroke and cardiac comorbidity in Korea. Systematic guidance is needed for post-stroke patients to receive safe and effective CR for the secondary prevention of stroke and cardiovascular risk.

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.