• The Journal of Korean Physical Therapy
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• 제31권3호
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• pp.141-146
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• 2019

Purpose: To investigate the effect of an augmented reality (AR) system on muscle strength and function level of the paretic lower limb and the balance ability in the early rehabilitation program of acute stroke patients. Methods: The participants (30 or fewer days after stroke) were randomly assigned to receive intervention with an early rehabilitation program using an AR system (n=1) or an early rehabilitation program consisting of functional electrical stimulation and tilt table use (n=1). Patients in both subjects received interventions 4-5 times a week for 3 weeks. Results: In the paretic limb muscle strength, AR subject was increased from 15 to 39.6 Nm and Control subject was increased from 5 to 30.2 Nm. The paretic limb function of AR subject motor function was increased from 8 to 28 score and Control subject motor function was increased from 6 to 14 score. But sensory function was very little difference between the two subjects (AR subject: from 4 to 10 score, Control subject: from 3 to 10 score). In the balance ability, AR subject had more difference after intervention than control subject (AR subject: 33 score, Control subject: 22 score). Conclusion: The early rehabilitation program using the AR system showed a slightly higher improvement in the motor function of the paretic lower limb and balance ability measurement than the general early rehabilitation program. The AR system, which can provide more active, task-oriented, and motivational environment, may provide a meaningful environment for the initial rehabilitation process after stroke.

• 국제물리치료학회지
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• 제12권1호
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• pp.2267-2271
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• 2021

Background: Recently, a new home-based dysphagia rehabilitation method using information and communications technology (ICT) has been reported, but clinical evidence is still lacking. Objectives: To investigate the effects of home-based dysphagia rehabilitation using ICT on tongue muscle strength and volume in patients with developed dysphagia after stroke. Design: Randomized controlled trial design. Methods: Twenty patients who developed dysphagia after stroke were enrolled. The experimental group received dysphagia rehabilitation in the form of ICT-based home care. In contrast, the control group received traditional rehabilitation based on swallowing under the supervision of occupational therapists. All interventions were conducted five times a week for four weeks. Results: Both groups showed statistically significant increases in tongue muscle strength and volume after the intervention (P<.05, both). However, there were no significant differences in tongue strength or volume between the two groups after the intervention (P>.05, both). Conclusion: Home-based dysphagia rehabilitation using ICT showed effects similar to those of conventional swallowing rehabilitation in patients who developed dysphagia after stroke. These findings suggest that dysphagia rehabilitation can be conducted at home without the help of a therapist.

• 대한물리의학회지
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• 제18권2호
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• pp.103-114
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• 2023

PURPOSE: This study compared the effects of computer-based and virtual reality-based cognitive rehabilitation programs on the cognitive function, upper limb function, activities of daily living, and their impact on the prefrontal cortex in convalescent stroke patients. METHODS: Ten recovering stroke patients were assessed for their cognitive function, upper limb function, and daily living activities using the Neurobehavioral Cognitive Status Examination, the Korean version of the Fugl-Meyer Assessment, and the Korean version of the Modified Barthel Index. The prefrontal cortex activity was measured with functional Near Infrared Spectroscopy. The virtual reality-based cognitive rehabilitation group utilized a program of daily living activities delivered via a laptop and Oculus Rift. The computer-based cognitive rehabilitation group performed various cognitive tasks on an all-in-one PC. Both groups underwent cognitive rehabilitation training for 30 minutes per day, three times a week, for six weeks, with identical conventional rehabilitation therapies in the hospital. RESULTS: Both programs positively impacted the cognitive and physical functions. On the other hand, the virtual reality-based cognitive rehabilitation program had a larger influence on improving the cognitive and physical functions of convalescing stroke patients. CONCLUSION: The virtual reality program suggests its potential to enhance cognitive and physical functions in convalescent stroke patients through increased engagement, focus, real-time feedback, and game elements, making it a promising rehabilitation approach.

• 척추신경추나의학회지
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• 제2권2호
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• pp.57-68
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• 2007

Objectives : The purpose of this study is to investigate the efficacy of Sacro-Occipital Technique with stroke on activity of daily living(ADL), leg function balance. Methods : Sacro-Occipital Technique at pelvic girdle was applied to six stroke-originated hemiplegic patients who had been treated by general oriental medicine rehabilitation therapy(sample group). The other five stroke-originated hemiplegic patients had only general oriental medicine rehabilitation therapy(control group). Outcomes were assessed by Modified Barthel Index(MBI), Berg Balance Scale(BBS) before and after treatment in each group. Results : Both sample and control group exhibited substantial improvements on the MBI and BBS. And BBS showed significantly meaningful differences between sample and control group. Conclusions : Sacro-Occipital Technique may be efficacious method of improving ADL, leg function balance of patients after stroke.

• 한국콘텐츠학회논문지
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• 제8권1호
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• pp.16-26
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• 2008

노인인구의 증가와 더불어 뇌졸중 환자들이 증가하고 있다. 치료에도 불구하고 대부분의 뇌졸중 환자들은 장애를 갖게 된다. 이런 장애를 개선하기 위한 뇌졸중 치료의 주요 목적은, 환자들의 기능적 독립을 촉진시키고, 지역사회에 통합하도록 하는 것이다. 지역사회재활 적용시 중요한 점은 장애인과 그들의 가족 그리고 지역사회가 서비스의 우선순위가 무엇인지를 결정하는 것이다. 지역사회 뇌졸중 환자는 물리치료, 작업치료, 언어치료, 보장구, 간호 등 포괄적인 서비스를 필요로 한다. 본 논문의 목적은 우리나라 뇌졸중 환자들에 대한 지역사회재활의 필요성에 대해 논구하는 것이다.

• 동서간호학연구지
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• 제20권2호
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• pp.145-153
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• 2014

Purpose: The purposes of this study were to evaluate the degree of social support, self-esteem, and motivation for rehabilitation in stroke patients and examine correlations between activities of daily living and study variables. Furthermore, this study explored factors that influence on activities of daily living. Methods: The study population was 192 stroke patients admitted in two general hospitals and two rehabilitation hospitals in M city. We collected the data using the structured questionnaires from July 11 to September 30, 2013. Results: The higher degree of social support, self-esteem, motivation for rehabilitation, the higher performance level for activities of daily living. Influencing factors of activities of daily living in the participants were motivation for rehabilitation(${\beta}$=.32, p<.001) and social support(${\beta}$=.31, p<.001). The model explained 45.9% of the variance. Conclusion: This study shows that intrinsic motivation of change in stroke patients themselves, a strong will to return to society and social supports are important factors on activities of daily living. Therefore, it is needed to develop a systemic nursing intervention improving activities of daily living in stroke patients through positive social support from patients' family members and health care providers.

• The Journal of Korean Physical Therapy
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• 제32권1호
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• pp.39-43
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• 2020

Purpose: This study examined whether the motivation for rehabilitation influences the functional performance of stroke patients. Methods: To elucidate the same, correlation analysis between the 'rehabilitation motivation level' and 'functional performance improvement' was performed. Thirty-three stroke patients, who were hospitalized in rehabilitation and nursing hospitals, were enrolled in this study. Functional performance was assessed using the 10MWT, FRT, and the BBS. Statistical analysis was performed to determine the correlation between the reactivation symptoms and rehabilitation therapy at four weeks, eight weeks, and 12 weeks. Results: The results showed a significant correlation between the reactivation symptoms and rehabilitation therapy, as evidenced by the 10MWT, FRT, and BBS (8-12 weeks 10M gait test, Berg balance scale for 4-8 weeks, and 8-12 weeks). The FRT did not reveal any significant correlation between the rehabilitation program and reactivation. Conclusion: The present study confirmed that a higher motivation for rehabilitation in stroke patients resulting in a higher likelihood of it acting as a factor in improving their functional ability. Based on the above-mentioned results, this study suggests that a rehabilitation program could be considered for the motivation of patients to participate in a rehabilitation program.

• The Journal of Korean Physical Therapy
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• 제12권3호
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• pp.293-310
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• 2000

This study was performed to investigate rehabilitation service patterns of stroke patients in metropolis of Korea. Seoul, Taegu. Taejon, Pusan and Kwangju from April-July. 2000. Authors developed questionnair, and distributed it to each physical therapist. Total number of distributed questionnaire was 800, and 622 questionnaire were collected and analysed. 1. The occurrence rate of ischemic stroke$(51.1\%)$ was higher than hemorrage stroke$(48.9\%)$. The highest incidence of the stroke was noted in the group or60 years and ratio of male to female 1.3:1 2. The several warning sign is motor deficit$(50.3\%)$, headache. dizziness. vomitting$(32.6\%)$ and difficulty speaking or understanding$(8.2\%)$. 3. The most important contributing factor of stroke was hypertension both hemorrage stroke$(50.7\%)$ and ischemic stroke$(47.2\%)$. 4. In the painful stroke patients$(53.4\%)$, the major problems were shoulder pain$(55.1\%)$ and shoulder-hand syndrome$(31.9\%)$. There is no clinical method for relieving the pain. 5. The seasonal preference was winter and autumn followed by summer and spring in regardless of diagnosis. 6. In the surgery, hemorrage stroke$(61.2\%)$ was higher than ischemic stroke$(13.5\%)$. 7. The major associated impairment were motor deficit$(99.0\%)$, hearing and speech deficit$(30.9\%)$.perception deficit$(15.9\%)$. psychological deficit$(14.1\%)$ and vision deficit$(10.6\%)$. We need more role of speech pathologist and psychotherapist. 8. The rehabilitation services for stroke patients were given only $15\%$ by onset. 9. Medical doctor did not checking everyday$(41\%)$. 10. Patents said that the physical therapist well understanding$(60.1\%)$ than medical doctor$(36.2\%)$ about their conditions.

• 센서학회지
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• 제22권2호
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• pp.118-123
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• 2013

Most serious stroke patients have the paralysis of their wrists, and can't use of their hands freely. But their wrists can be recovered by rehabilitation exercise. Recently, professional rehabilitation therapeutists exercise the wrists of stroke patients in hospital. But the wrists of stroke patients have not rehabilitated, because the therapeutists are much less than stroke patients in number. Therefore, the wrist bending-exercise rehabilitation robot that can measure the bending force of the patients' wrists is developed. In this paper, the three-axis force sensor was designed for the wrist bending-exercise rehabilitation robot. As a test results, the interference error of the three-axis force sensor was less than 0.85%. It is thought that the sensor can be used to measure the wrist bending force of the patient.

• 성인간호학회지
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• 제17권4호
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• pp.573-582
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• 2005

Purpose: This study was to examine the effect of morning stretching on depression and motivation of rehabilitation for stroke patients. Method: Design of this study was noneqivalent control pre-test post-test design. Subjects were total 62 patients (Experimental: 30 subjects, Control: 32 subjects) being hospitalized for stroke in a national medical center. Measures were CES-D for depression and PAREMO for motivation of rehabilitation. Data were collected from 1st March to 30th July, 2004. Data have been processed using SPSS/WIN 11.0. Results: The results of this study were as followings: 1) Experimental group was showed lower level of depression than that of control group (t=8.934, P=.000). 2) Experimental group was showed higher motivation of rehabilitation than control group (t=-12.43, P=.000). Conclusion: As a result, it was confirmed that morning stretching which was intervened in this study was one of the nursing intervention that lowers the level of depression and promotes motivation of rehabilitation for stroke patients, that helps to improve their psychological and mental problems.