• Title/Summary/Keyword: Stroke Rehabilitation

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Effects of Gastrocnemius Neuromuscular Electrical Stimulation Training on Ankle mobility and Gait in Patients with Stroke

  • Yusik Choi;Hyunjoon Cho;Sooyong Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.300-309
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    • 2023
  • Objective: The purpose of this study was to investigate the effects of gastrocnemius neuromuscular electrical stimulation training on ankle mobility and gait in patients with stroke. Design: A randomized controlled trial. Methods: 31 patients with stroke were selected and classified into an experimental group (n=16) and a control group (n=15). Both groups were assessed for ankle mobility using the Knee to Wall Test and gait parameters using G-walk before and after the intervention. The intervention was applied five times a week for four weeks. The experimental group performed gastrocnemius neuromuscular electrical stimulation followed by ankle control exercises, while the control group only applied NMES to the tibialis anterior muscle of the paretic side for 30 min per session five times a week for 4 weeks. Results: Experimental group showed significant improvements in Knee to wall test. and lumbar flexibility after the intervention. both group showed significant improvements in gait parameters after the intervention. However, when comparing between the two groups, the experimental group showed a more significant effect than the control group. Conclusions: Gastrocnemius neuromuscular electrical stimulation training can be considered an effective approach to improve ankle mobility and gait ability in patients with stroke.

Effects of Interactive Metronome(IM) Training on Executive Function of Stroke Patients (상호작용식 메트로놈 훈련이 뇌졸중 환자의 관리기능에 미치는 효과)

  • Jung, Jae-Hun
    • Journal of Convergence for Information Technology
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    • v.9 no.7
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    • pp.145-152
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    • 2019
  • The aim of this study was to evaluation the effect of Interactive Metronome(IM) training on executive function for stroke patients. Twenty patients with stroke were randomly assigned to experimental group(n=10) or control group(n=10). The patients in the experimental group received IM training with basic rehabilitation and those in the control group received traditional rehabilitation with basic rehabilitation. The patients were assessed before and after intervention using Kims frontal-executive function neuropsychology test II to evaluate executive function. The result of the present study was experimental group demonstrated more increased than control group in stroop interference, word fluency, delayed recall, executive function quotient(EFQ). Therefore, IM training was effective in improving the executive function. It is deemed that IM training can be usefully applied to improve executive function.

The Relationship Between Activities of Daily Living and Cognitive Score in Stroke Patients (뇌졸중 환자의 인지기능이 일상생활활동에 미치는 영향)

  • Lee, Seong-Ran;Kwon, Hyuk-Cheol
    • Physical Therapy Korea
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    • v.10 no.3
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    • pp.41-51
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    • 2003
  • The purpose of this study was to examine the effects of stroke patients' cognitive score on their the activities of daily living. The subjects of this study were 30 stroke patients who were admitted to T$\breve{a}$e-Bong hospital from November, 2002 to March, 2003. The subjects were administerd an MMSE as a cognitive assessment and an MBI as a functional assessment upon referral to physical therapy initially. The results were as follows: 1. The MMSE scores for the stroke patients were related to the patients' abilities to perform their activities of daily living. The changes of MBl scores significantly correlated with the changes of MMSE scores (p<.05). 2. The subjects with left hemispheric lesion scored higher in MMSE than those with right hemispheric lesions (p<.05). 3. The hemispheric lesions did not significantly affect the activities of daily living score (p>.05).

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An Effects of Aquatic Exercise on in Home Stroke Patients (수중운동이 재가 뇌졸중 환자의 재활에 미치는 효과)

  • Park, Sang Youn
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.798-808
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of aquatic exercise on rehabilitation in home stroke patients. Method: A quasi-experimental pretest and posttest design was used to examine the change of balance, ADL, IADL, pain, depression and self-efficacy atthe completion of 6-weeks aquatic exercise program. The subjects consisted of 25 adults who had a stroke. Thirteen experimental and twelve control subjects completed pre and post test measures. Outcome variables were balance, ADL, IADL, pain, depression and self-efficacy. Chi-Square test(Fisher's exact method) was used to examine the equality of the subjects and Wilcoxon Rank Sum Test used to examine the group difference by using SAS. Results: There was no significant difference in balance and depression between the two groups. However, there was a significant difference in ADL, IADL, pain and self-efficacy between the two groups. Conclusion: Aquatic exercise can improve ADL, IADL, self-efficacy and reduce pain. Therefore, further research is recommended by increasing the length of aquatic exercise and number of subjects, so that its effects can be more generalizable.

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A Clinical cases Study of Shoulder Dislocation in Patients Undergoing Stroke (뇌졸중 후유증 환자에서 발병한 견관절 아탈구 치료 2례)

  • Han, Joo-Won;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.17 no.1
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    • pp.145-155
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    • 2008
  • Objective: There are some case reports on treatment of shoulder dislocation in Patients Undergoing Stroke. We report the electronic needle and the Bee venom Acupunure Theraphy about under using shoulder dislocation in patients Undergoing Stroke got a good remedial value. Methods : The patients diagnosed as shoulder dislocation and treated mainly with Bee venom Acupunture Therapy and electronic needle Results & Conclusions : Symptoms of the patientes such as shoulder pain, Range Of Motion(ROM) were improved after above treatments. The interval in X-ray film comes to be narrow. So, it is suggested that oriental medical treatment are effective on post stroke with shoulder dislocation.

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A Case Report of a TIA Patient with Severe MCA Stenosis (Severe MCA Stenosis로 인한 TIA 환자 1례)

  • Yoon, Chang-Joon;Kim, Jong-Hwa;Lee, Soo-Gil
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.9 no.1
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    • pp.54-58
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    • 2008
  • Transient Ischemic Attack(TIA) is an important risk factor of stroke but often underestimated by clinicians. In this case, we administered oriental-western cooperative therapy to a 72 years old female TIA patient with severe MCA stenosis. After treatment, all symptoms were disappeared and has not reappeared until 1 year follow-up.

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Effect of Empowerment Program on Rehabilitation Motivation, Depression, Activities of Daily Living Among the Patients with Stroke (임파워먼트 프로그램이 뇌졸중 환자의 재활동기, 우울, 일상생활수행능력에 미치는 효과)

  • Kong, Hee-Kyung;Lee, Hae-Jung
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.406-417
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    • 2008
  • Purpose: The purpose of this study was to develop an empowerment program as a nursing intervention for the patients having an acute stroke and to determine the effects of the program on their motivation, depression, and activities of daily living(ADLs). Methods: An non-equivalent control group pretest-posttest design was used in this study. Sixty subjects were recruited from two separated institutions: 31 patients were allocated into experimental group and 29 were into control group. Six week empowerment program was provided to the experimental group. The study was conducted from November 2006 to March 2007. Results: After 6 week empowerment program, rehabilitation motivation was significantly increased in the experimental group in comparison to the control group(t=-2.173, p=.036). There were no significant differences in depression and ADLs between experimental and control groups. Conclusion: The empowerment program effectively increased rehabilitation motivation of patients with stroke, while did not improve the levels of depression and ADLs. Future long-term intervention may benefit the patients more in terms of depression and ADLs when considering the acute stage of the patients in this study.

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Clinical study of stroke patients in Korea (뇌졸중 환자의 임상적 연구 -대전과 진주지역을 중심으로-)

  • Rha, Ki-Yong;Jung, Byong-Ok;Kim, Gi-Won;Oh, Young-Taek
    • Journal of Korean Physical Therapy Science
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    • v.6 no.4
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    • pp.209-220
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    • 1999
  • This study was conducted in order to determined the risk factors and general characteristics in stroke patients. This study was performed by interviewing a total of 92 hospitalized in Hanil hospital, Chinju and Eulji Medical Collage Hospital, Taejon from January 1, 1998 to February 28, 1999. The results are as follow; 1. Of the types of the strokes, hemorrhagic was 58.8%, ischemic was 41.1%. 2. The family history was appeared to 72.2% of total and did not exercise 64.1% of male and 59.5% of female during weak. 3. The korean peoples as the likes rather Chinese medicine and folk remedy than Wes-ern medicine so late treatment of early stage. 4. Generally, in drinking, smoking, fatness and overeating meat known to affect on stroke both male and female had signification difference. 5. These 75.5% of the subjects was recognizing to necessity of physical therapy.

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The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients (균형능력 운동치료 시스템을 이용한 치료가 급성기 뇌졸중 환자의 균형과 이동능력에 미치는 영향)

  • Lee, Nam-Hyun;Lee, Jin;Lee, Kang-Noh
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.11-19
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    • 2010
  • The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.

Effect of Simulation Evacuation Training Improvement Activity through Wheelchair Skill Training (휠체어 이동 및 조작 훈련을 통한 모의 대피훈련 향상 활동의 효과)

  • Joo, Min-Cheol;Jung, Yu-Jin;Chae, Su-Min;Cho, Sung-Tae
    • Quality Improvement in Health Care
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    • v.26 no.2
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    • pp.77-85
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    • 2020
  • Purpose: The purpose of this study was to determine the effect of simulation evacuation training improvement activity through wheelchair skill training. Methods: The study included 40 patients with early stroke who were randomly allocated to a wheelchair skill training group (Experimental group, n=20) and a general exercise group (Control group, n=20). Both groups performed the exercise 3 times a week for 3 weeks. Outcomes were assessed using Wheelchair Skills Test Skills Performance (WSTSP), Wheelchair Skills Test Skills Safety (WSTSS) and Wheelchair Propulsion Velocity (WPV). Results: After 3 weeks of training, both groups showed significantly improved WSTSP, WSTSS and WPV (p<.01 in both groups). However, the WSTSP, WSTSS and WPV in the experimental group were very significantly better than in the control group (p<.01). Conclusion: These findings indicate that wheelchair skill training may be effective at improving wheelchair skill ability and wheelchair propulsion velocity in stroke patients who cannot walk independently. Therefore, short-term wheelchair skill training could be useful for patient safety in simulated evacuation situations.