• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.167-174
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• 2021

Objective: Single leg bridge exercise (SLBE) improves trunk muscle activation and provides muscle stability by aligning joints related to posture. This preliminary study aimed to investigate the effects of SLBE on abdominal muscle activation in subacute stroke patients. Design: Cross-sectional study. Methods: Fifteen subacute stroke patients (9 males, 6 females) voluntarily participated in this study. SLBE was performed on the affected side. Each individual patient performed an SLBE ten times in three sets and was asked to hold their position for 5 s. Muscles activity was recorded using a surface electromyography (EMG) system before and after the SLBE. A surface EMG system was used to analyze the muscle activity during general bridge exercise, including the rectus abdominis (RA), internal oblique (IO), and external oblique (EO) abdominal muscles. Results: Muscle activity of both EO and IO on the affected side significantly increased (p<0.05), whereas the muscle activity of the RA and the three muscles on the unaffected side did not show a significant difference. In addition, improvement in muscle asymmetry of the EO and IO showed a significant change after SLBE (p<0.05). Conclusions: SLBE is effective in activating the abdominal muscles of stroke patients on the affected side and is a helpful exercise intervention that activates the muscles to transform asymmetric abdominal muscles into symmetric patterns.

• 대한중풍순환신경학회지
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• 제8권1호
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• pp.40-47
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• 2007

Many patients have difficulties after stroke. Spasticity is an important one of that difficulties. So in these days, its management is becoming a major issue in rehabilitation. Gagamyounjo-tang was administered to a patient have had spasticity after stroke include Hyulhu(血虛) symptoms. And check the modified Ashworth Scale, Motor grade and VAS for being in the hospital. After treated with Gagamyounjo-tang, Modified Ashworth Scale, Motor grade and VAS have improved, and most of all symptoms about hyulhu(血虛) was disappeared. Based on this result, this study shows that Gagamyounjo-tang was effective in spasticity after stroke especially included Hyulhu(血虛) symptoms.

• 디지털융복합연구
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• 제13권9호
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• pp.361-368
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• 2015

본 연구는 뉴로피드백 훈련이 뇌졸중 환자의 편측무시와 우울에 미치는 영향을 알아보고자 실시하였다. 대상자는 기본적인 입원치료와 추가적으로 뉴로피드백을 중재한 실험군 14명, 기본적인 입원치료와 추가적으로 전통적인 편측무시 치료를 중재한 대조군 14명으로 나누어 실시하였으며 본 연구의 결과는 다음과 같다. 첫째, 실험군과 대조군 모두 중재 전후를 비교하여 편측무시가 감소되었다. 하지만 중재후 두 집단간의 유의한 차이는 보이지 않았다. 둘째, 실험군과 대조군 모두 중재 전후를 비교하여 우울이 감소되었다. 그리고 실험군이 대조군에 비해 우울이 통계학적으로 유의하게 감소됨을 확인할 수 있었다. 이러한 결과들로 보아 편측무시와 우울을 나타내는 뇌졸중 환자들의 재활에서 뉴로피드백 훈련이 긍정적인 효과가 있음을 기대할 수 있다.

• Journal of Acupuncture Research
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• 제25권5호
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• pp.97-104
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• 2008

Objectives : Investigate the effectiveness of an acupuncture at Palsa(BaXie) in hemiparetic patients after stroke. Methods : Acupuncture at Palsa(BaXie) applied to thirty one hemiparetic patients who had been by general treatment after stroke. The other thirty one hemiparetic patients had only general treatment. Outcomes were assessed by Medical research council scale motor grade(MRCSMG) of wrist, grip power, Fugl-Meyer Motor Scale(FMS) of hand, and Motricity Index(MI) of fingers. Results : The patients exhibited substantial improvements on grip power and Fugl-Meyer Motor Scale of hand, but Medical research council scale motor grade of wrist and Motricity Index of fingers have not significantly meaningful differences between sample and control group. Conclusions : Acupuncture at Palsa(BaXie) may be an effective method of improving hand function of hemiparetic patients after stroke.

• 대한한방내과학회지
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• 제30권4호
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• pp.719-731
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• 2009

Objectives : Stroke is the most common disabling neurological disease of adult life. The treatment and rehabilitation of stroke patients is an important and challenging area in the field of medicine. In Korea, a lot of stroke patients are treated using oriental medicine and there have been reports on their functional recovery. The aim of this study was to prove the therapeutic effect of oriental medicine on ischemic stroke. We also tried to identify characteristics of patients whose functional recovery was prominent and studied whether or not the use of fluids, anticoagulants, antiplatelets and neuroprotective agents increased the functional recovery of patients. Methods : We studied 794 patients within 2 weeks after first attack of ischemic stroke who were admitted to Kyung-Hee Oriental Medical Center from 1999 to 2000. Their maximum admission period was 60 days. Results : Motor power grade, NIHSS and MBI scores of patients improved during hospitalization significantly. Factors affecting functional recovery were admission period, motor power grade, NIHSS and MBI at admission. Age, waist-hip ratio and HDL cholesterol also affected functional recovery of patients. Whether or not fluids, anticoagulants, antiplatelets and neuroprotective agents were administered had nothing to do with functional recovery. Conclusion : Oriental medicine is effective for treatment and rehabilitation of ischemic stroke patients. When we manage stroke, we have to consider some important factors.

• 대한지역사회작업치료학회지
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• 제2권1호
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• pp.49-63
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• 2012

목적 : 본 연구는 한국형 전산화 인지재활 프로그램인 코드라스(CoTras)가 뇌졸중 환자의 시지각 기능 및 일상생활동작 수행능력에 미치는 효과를 알아보고자 실시되었다. 연구방법 : 재활전문 C 요양병원에 거주하고 있는 뇌졸중 환자 14명을 대상으로 실험 전과 후를 측정하였다. 처치 전 후 시지각 기능의 변화를 알아보기 위하여 사용한 시지각 평가도구는 비운동성 시지각 평가를 사용하였고 일상생활동작 수행능력을 알아보기 위하여 Fisher(1999)에 의해 개발된 운동 및 처리기술 평가도구를 이용하여 일상생활수행능력을 평가하였다. 전산화 인지재활 프로그램 전과 후를 측정하였으며, 수집된 자료는 SPSS 15.0 통계프로그램을 사용하여 분석하였다. 연구대상자의 치료 전과 후의 시지각 기능 및 일상생활동작 수행능력의 효과를 알아보기 위하여 짝비교(Paired t-test)를 이용하여 분석하였다. 연구결과 : 첫째, 코트라스(CoTras)치료 전과 후의 시지각 기능의 차이를 짝비교(Paired t-test)를 이용해 분석한 결과, 통계학적으로 유의한 차이가 있었다(0.000, p <.05). 둘째, AMPS 운동기술 평균점수는 0.90에서 1.11으로 증가되었으나 통계학적으로 유의한 차이는 없었다. 처리기술 평균점수는 0.08에서 0.46점으로 증가되었으나 통계학적으로 유의한 차이가 없었고, 임상적으로 유의하게 일상생활동작 수행능력이 향상되었다(logit >0.3). 결론 : 한국형 전산화 인지재활 프로그램인 코트라스는 뇌졸중 환자의 시지각 기능을 향상시키는 효과가 있었고, 일상생활 동작 수행능력에 임상적으로 긍정적인 영향을 주었다. 시지각에 장애를 가지고 있는 뇌졸중 환자에게 코트라스(CoTras)가 시지각 기능 증진에 기여할 수 있는 기초자료로 제시할 수 있다.

• Nutrition Research and Practice
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• 제4권5호
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• pp.393-399
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• 2010

Enteral nutritional support has been used via tube feeding for dysphagic stroke patients. We performed long and short term trials to evaluate the effects of commercial enteral nutritional supports on nutrition and health in stroke patients (mRS = 3~5) and quality of life in their caregivers. For a long term study, we recruited chronic (${\geq}$ 1 yrs) stroke patients (n = 6) and administered them 6 cans/day (1,200 kcal) of the commercial enteral formula N for 6 months according to IRB-approved protocol. We collected peripheral blood at 0, 2, 4 and 6 months. For a short term study, we recruited acute (${\leq}$ 3 months) stroke patients (n = 12) and randomly administered them two different commercial enteral formulas, N or J, for 2 weeks. We collected their blood at 0, 4, 7 and 14 day of the administration. Blood samples were analyzed to quantify 19 health and nutritional biomarkers and an oxidative stress biomarker, malondialdehyde (MDA). In order to evaluate quality of life, we also obtained the sense of competence questionnaire (SCQ) from all caregivers at 'before' and 'after trials'. As results, the enteral formula, N, improved hemoglobin and hematocrit levels in the long term trial and maintained most of biomarkers within normal ranges. The SCQ levels of caregivers were improved in the long term treatment (P < 0.05). In a case of the short term study, both of enteral formulas were helpful to maintain nutritional status of the patients. In addition, MDA levels were decreased in the acute patients following formula consumption (0.05 < P < 0.1). Most of health and nutrition outcomes were not different, even though there is a big difference in price of the two products. Thus, we evaluate the formula N has equal nutritional efficacy compared to the formula J. In addition, long term use of enteral formula N can be useful to health and nutrition of stroke patients, and the quality of life for their caregivers.

• 대한통합의학회지
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• 제7권4호
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• pp.13-21
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• 2019

Purpose : The purpose of this study was to investigate the effect of abdominal muscle strengthening exercise on abdominal muscle strength and respiratory function in stroke patients. Methods : The subjects were 14 stroke patients (10 males, 4 females) hospitalized at W rehabilitation hospital in Busan City and randomly assigned to 7 exercise groups and 7 control groups. Exercise was performed in combination with an upper and lower extremity pattern of proprioceptive neuromuscular facilitation. Measurements of abdominal muscle strength and respiratory function were made before intervention and 4 weeks after intervention. Abdominal muscle strength was assessed using a digital manual dynamometer, and respiratory function was assessed by spirometry. The collected data were analyzed with a paired t-test and independent t-test and the significance level was set as α =.05. Results : The results showed that applying abdominal muscle strengthening exercise to stroke patients showed a significant increase in abdominal muscle strength and a significant difference between groups (p<.05). Maximal-effort expiratory spirogram (MES) readings were significantly increased in forced vital capacity (FVC), and forced expiratory volume in one second (FEV₁), in the exercise group, and there were a significant differences between the groups in terms of FEV1 (p<.05). Slow vital capacity (SVC) was significantly increased in vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), and expiratory capacity (EC), and there were significant differences between the groups in VC, TV, expiratory reserve volume (ERV), EC, and inspiratory capacity (IC) (p<.05). Conclusion : Abdominal muscle strengthening exercise was effective in the abdominal muscle strength of stroke patients, and it was confirmed to have a positive effect on the enhancement of respiratory function. Therefore, it seems that exercise programs for stroke patients with respiratory weakness should include abdominal muscle strengthening exercises.

• 재활간호학회지
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• 제5권2호
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• pp.193-204
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• 2002

This study was a quasi-experimental study of nonequivalent control group pretest- posttest design to investigate the effect of aerobic walking exercise program on the physical & psychological functions of home stayed stroke patients. The data were collected during the period of May 20th to August 15th, 2001. The subjects for this study were 40 hemiplegic stroke patients with the experimental group consisting of 19 patients and the control group being composed of 21 patients. The patients selected for this study were: (a)living in J city who had been diagnosed with stroke and at home after being discharged from the hospital, (b)suffering from stroke for 6 months to 5 years, (c)without recognition disorder with the MMSE-K score above 25, (d)below 2 on the modified Ashworth scale, (e)free from heart and pulmonary disease (f)able to walk beyond 15 minutes for themselves. The aerobic walking exercise program for the experimental group was aerobic exercise and education and supportive care. The aerobic exercise was 8 weeks' period, three times a week, 35 to 50 minutes a day. And the education and supportive care was consisted of one home visiting and 2 times telephoning a week. The data were analysed by $X^2$-test, paired t-test and unpaired t-test and ANCOVA through SAS/PC program. The results of the study were as follows: 1. There was insignificant difference in the gait length experimental and control group. There was significant difference in the gait speed between the two groups. 2. There was significant difference in the dynamic valance between the two groups. 3. There was significant difference in ADL score between the two groups. 4. There was no significant difference in the depression between the two groups. As shown above, the results of 8 weeks' the aerobic walking exercise program for home stayed stroke patients produced positive effects on gait speed, dynamic valance, ADL score. And this program was expected that it was more effective in different intervention period, verified program. Also it was needed follow study.

• 재활간호학회지
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• 제3권2호
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• pp.196-211
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• 2000

The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care centers in Seoul. This was pre-experimental study, and the subjects were 27 post stroke hemiplegic patients. The program was composed of five sessions and each session had health education on stroke, ROM exercise and recreation. Data were collected from May to November, 2000, and all subjects were asked to complete the Questionnaires, be measured vital signs and grasping power. Data were analyzed with frequency, percent, paired t-test, and Pearson's correlation coefficient using SAS(version 6.12) program. The results were as follows : 1) The scores of ADLs were increased from 27.04 to 28.22 after program, and that was statistically significant(p=.005). 2) The scores of IADLs were increased from 18.70 to 19.78 after program, and that was statistically significant(p=.004). 3) The grasping power of right hand were increased from 21.87kg to 26.93kg after program, and that was statistically significant(p=.002). But the grasping power of left hand were statistically insignificant(p=.919). 4) The scores of depression were decreased from 39.63 to 35.30 after program, and that was statistically significant(p=.030). 5) The scores of hope were increased from 30.89 to 34.15 after program, and that was statistically significant(p=.002). 6) The scores of self-efficacy were increased from 67.70 to 76.37 after program, and that was statistically significant(p=.000). According to the results of this study, the scores of Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings (IADLs), hope, and self-efficacy and the grasping power were improved and depression was reduced in post stroke patients participating in self-help management program. Therefore we recommend to use self-help management programs as a nursing intervention for the post stroke patient.