• Title/Summary/Keyword: side of impairment

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Effect of Gait Training in Chronic Hemiplegia Patients with Inducement to Vision and Rhythmic Auditory Stimulation (마비측 시야 유도 보행 훈련과 리듬 청각 자극 훈련이 만성 뇌졸중 환자들의 보행에 미치는 효과)

  • Kim, Tae-Hyun;Choi, Jong-Duk;Youn, Hae-Jin
    • PNF and Movement
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    • v.12 no.3
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    • pp.151-158
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    • 2014
  • Purpose: The purpose of the study is to see the effect of walking when training for chronic stroke patients, Affected side vision impairment induced gait training with rhythmic auditory stimulation in parallel. Methods: This study was the general walking training group, the training group was divided damage induced affected side view, affected side view damage induced by rhythm auditory stimulation training three groups. Intervention period was 4 weeks. 5 times per week, per 30 min entered arbitration. Affected Side vision impairment induced induction training was conducted by installing a red cones, rhythmic auditory stimulation was applied to a regular rhythm training using a smartphone application (Metronome). Paired t-test was performed to see the difference between each group and before the intervention. One-way ANOVA was used to find out the significance probability between each group. Statistical significance was set at 0.05 probability. Results: Regular walking group, rather than affected side vision guided walking group could see increases in the FGA and DGI (P<0.05). And vision impairment induced affected side view and rhythmic auditory stimulation induction training this group than in the combination group walking group obtained higher scores on the FGA, DGI score(P<0.05). Conclusion: If you want to enforce certain rhythmic auditory stimulation of the visual field and side damage induced during gait training for stroke patients will be able to expect a better effect.

Development of Fruit and Vegetable Peels Extracts for Memory Improvement of Prevention and Treatment of Cognitive Impairment

  • Kim, Hyun-Kyoung
    • International journal of advanced smart convergence
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    • v.7 no.3
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    • pp.1-7
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    • 2018
  • This study relates to a composition for improvement of memory or prevention and treatment of cognitive impairment using waste resources rich in beneficial substances. This study makes good effects to inhibit the activity of acetylcholinesterase in brain tissue and to improve the cognitive functions in a simulation model of cognitive impairment induced by scopolamine, so it can be available in the promotion of memory and the prevention and treatment of cognitive impairment. The composition uses the extract of fruit peels, which have long been used without causing toxicity in a wide range of food applications; therefore, it can be used safely without a risk of side effects, even in the case of a long-term administration for the preventive purpose. Furthermore, this research is a very beneficial invention in the environment-friendly aspect in association with the recycling of resources, as it is based on the novel efficacies of fruit peels, which have been conventionally disposed as a refuse of fruits due to their poor sensory qualities despite the content of beneficial substances.

Dong-Qi Therapy of Dong-Si Acupuncture to Movement System Impairment Syndrome of Lumbar Spine and Knee (요부.슬부 동태손상증후군에서의 동씨침 동기요법의 활용)

  • Youn, Woo Seok;Park, Young Jae;Park, Young Bae
    • Journal of Acupuncture Research
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    • v.30 no.1
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    • pp.13-22
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    • 2013
  • Objectives : The aim of this study was to show the application to add the Dong-Qi therapy of the Dong-Si acupuncture to exercise therapy of the movement system impairment syndrome(MSIS) and to determine the best acupuncture point for the Dong-Qi therapy. Methods : We reviewed Diagnosis and Treatment of Movement Impairment Syndrome and Movement System Impairment Syndromes Of The Extremities, Cervical and Thoracic Spines written by Sahrmann SA. to show the exercise therapy of the sort of MSIS. We reviewed complete works of Yang Wei Jie to show the acupuncture points of the Dong-Si acupuncture and the Dong-Qi therapy. Results : We showed the acupuncture point of the Dong-Si acupuncture by each type of MSIS based on the reference book of MSIS, the Dong-Si acupuncture. Also, we selected and tabulated the best possible acupuncture point of the Dong-Si acupuncture which could minimize a side effect of acupuncture during the therapeutic exercise by each type of MSIS. Conclusion : A specific acupuncture point of the Dong-Si acupuncture could be chosen for a specific MSIS therapeutic exercise. The best possible acupuncture point could be chosen when selecting an acupuncture point of the Dong-Si acupuncture.

Study on the relation between Diabetes Mellitus during 4 Weeks after the Onset and the Score of ADL(Activity Daily Living) of Patients with Acute Cerebral Thrombosis (급성혈전성 뇌경색환자에서 당뇨군과 비당뇨군의 기능회복도에 관한 연구 - MBI, PULSES profile을 이용하여 -)

  • Koh, Kyong-Duk;Lee, Dong-Weon;Shin, Gil-Cho;Lee, Won-Chul
    • The Journal of Korean Medicine
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    • v.19 no.2
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    • pp.296-312
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    • 1998
  • BACKGROUND The purpose of this study was to find out predictors influencing on the clinical course of stroke during the first 4 weeks after the onset through statistical research, especially whether the blood glucose level after stroke and the stroke with Diabetes Mellitus correlate with functional impairments and neurological outcome or not. METHOD During 7 months period(from 1-1-1997 to 7-31-1997), 32 selected patients prognosed as acute cerebral thrombosis were studied by using Modified Barthel Index, PULSES profile in an attempt to correlate Diabetes Mellitus and hyperglycemia(more than $120mg/d{\ell}$, $150mg/d{\ell}$) with functional impairment and neurological outcome and to evaluate the influence of sex, the side of hemiparesis and age at admission, 1 week and 4 weeks after admision(admitted within 2 days after the onset). RESULT 1. The sex, side of hemiparesis and age had no significant effect upon functional impairment during first 4 weeks after the onset, but recurrent-stroke resulted in significantly higher degree of functional impairment than first-stroke during first 4 weeks after the onset. 2. The patients with Diabetes Mellitusin in acute cerebral thrombosis resulted in significantly higher degree of functional impairment than the patients without Diabetes Mellitus in acute cerebral thrombosis during first 4 weeks after the onset. 3. The patients with hyperglycemia in acute cerebral thrombosis resulted in significantly more severe neurological outcome than the patients without hyperglycemia in acute cerebral thrombosis within 2 days after the onset. CONCLUSION The study suggested that recurrent-stroke and Diabetes Mellitus were the poorer prognosis factors of functional impairment in acute cerebral thrombosis patients during first 4 weeks after the onset. and the poorer prognosis factor of neurological outcome in acute cerebral thrombosis patients was hyperglycemia within 2 days after the onset.

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Side Information Transmission Using Pilot Tones for PAPR Reduction of OFDM Signal

  • Wang, Lei;Yoon, Dong-Weon;Park, Sang-Kyu
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.4A
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    • pp.467-472
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    • 2008
  • One of the maindisadvantages of Orthogonal Frequency Division Multiplexing (OFDM) is the Peak to Average Power Ratio (PAPR) problem. To reduce PAPR and improve the error performance of the OFDM signal over a fading channel, an OFDM system combining an Adaptive Symbol Selection Scheme (ASSS) and channel estimation can be used. Because of the side information of ASSS, however, the data rate decreases in the conventional ASSS OFDM system. In this letter, to overcome this impairment, we propose a technique to transmit side information by using pilot tones, and demonstrate that the proposed technique can give reasonable bit error rate (BER) performance.

A Case Report of Gait Disturbance, Cognitive Impairment, Dysuria, and Dysphagia in a Stroke Patient Treated with Traditional Korean Medical Treatment (한의 복합 치료를 통해 보행 장애, 인지 장애, 배뇨 장애, 연하 장애에 개선을 보인 중대뇌동맥 폐색에 의한 뇌경색증 환자 1례에 대한 증례보고)

  • Kim, Kwang-ho;Lee, Young-ung;Chu, Hongmin;Lim, Hyeon-seo;Kim, Cheol-hyun;Lee, Jeong-youn;Lee, Sang-kwan;Sung, Kang-keyng
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.204-212
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    • 2020
  • This study aimed to investigate the effect of traditional Korean medical treatments on a stroke patient with gait disturbance, cognitive impairment, dysuria, and dysphagia. A 78-year-old female with chronic middle cerebral artery infarction had symptoms of gait disturbance, cognitive impairment, dysuria, and dysphagia. After being treated with Korean medicine therapies, including acupuncture and herbal medicine, the patient's symptoms were significantly improved. During all the treatments, Indices including manual muscle test, functional ambulation category, functional independence measuring, mini-mental state examination-K, global deterioration scale, pelvic symmetry, functional ambulation profile used to evaluate her symptoms indicated improvement in her symptoms, without any side effects. Traditional Korean medical treatments, such as acupuncture and herbal medicine, can be considered to be effective therapies for a stoke patient who has symptoms of gait disturbance, cognitive impairment, dysuria, and dysphagia.

Cognition and Memory Impairment after Operation in Ruptured Cerebral Aneurysm Patients (뇌동맥류 파열 환자의 수술후 인지기능과 기억력장애에 관한 연구)

  • Kim, Byung Joo;Choi, Chang Hwa;Kim, Dae Jin
    • Journal of Korean Neurosurgical Society
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    • v.30 no.7
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    • pp.842-848
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    • 2001
  • Objectives : The mortality rate of subarachnoid hemorrhage(SAH) has been reduced recently due to refinement of microsurgical technique and improved perioperative management. Also, many survivors of SAH show excellent neurological recoveries. However, we found that a high proportion of the survivors do not fully regain their premorbid status in cognitive and memory function. Object of this study is to evaluate which factors might influence on cognitive and memory impairment in ruptured aneurysmal SAH patients. Methods : In this prospective study, a series of 66 patients with aneurysmal subarachnoid hemorrhage(SAH) from 1996 to 1998, most of whom had a "good" or "fair" neurological outcome, were assessed with various tests of cognition and memory function. All patients underwent clipping operation by pterional approach. Right side approach was performed in 16 case and left 21 cases. K-WAIS(Korean-Wechsler Adult Intelligence Scale) was used as method of cognition and memory function test. The time interval between SAH and assessment varied between 4 months and 8 months, averaging 6.2 months. Statistical analyses were carried out for each test score to see whether aneurysm site(A-com : non A-com), route of approach, age and sex, vasospasm, Hunt-Hess grade and Fisher CT group at admission, Glasgow Outcome Scale(GOS) at discharge affect cognitive and memory function. Results : Aneurysm site was not shown to be associated with performance on any test, and the initial grade (Hunt-Hess grade, Fisher CT group) of SAH and vasospasm had only minimal predictive values. The grade at discharge( GOS) was proved to be the best predictor of impairment of cognition and memory function within 1 year after operation. Conclusion : The authors conclude that the diffuse effects of SAH are more important than focal neuropathology in relation to cognitive impairment in this group of patients.

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Effect of Paretic Side and Non-paretic Side Arm Training on Trunk Control and Upper Limb Functions in Stroke Patients

  • Kim, Teahyun;Son, Yuhyeon;Park, Shinjun
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.1
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    • pp.1734-1738
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    • 2019
  • Background: Stroke patients usually have arm weakness, which affects trunks and arms. Objective: To investigate the effects of paretic side and non-paretic side arm training on trunk control and upper limb functions. Design: Randomized Controlled Trial (single blind). Methods: Twenty patients with stroke in hospital were enrolled in the study. Twenty subjects were randomly assigned to paretic side arm training group (PATG, n = 10) or non-paretic side arm training group (NATG, n = 10). Trunk impairment scale (TIS) was used for trunk control, and box and block test (BBT) was used for upper limb function. Training was conducted for 4 weeks. Results: PATG showed significant difference in TIS (static balance, dynamic balance, coordination, total score) and BBT. NATG showed significant differences in static balance, and dynamic balance and total score except for coordination and BBT. PATG also showed a more significant difference in BBT and coordination and total score than NATG. Conclusions: The arm training performed on the paretic side are more effective than those performed on the non-paretic side in improving both upper limb function and trunk control in stroke patients.

Walking behaviors for stroke survivors: comparison between straight line and curved path

  • Hwang, Wonjeong;Choi, Bora;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.8 no.3
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    • pp.141-145
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    • 2019
  • Objective: The purpose of this study was to compare walking conditions (straight line and curved path) on walking patterns in persons who had experienced hemiplegic stroke and to determine whether if they adapt their walking pattern and performances according to changes in environmental conditions. Design: Cross-sectional study. Methods: Forty-four hemiplegic stroke survivors participated in this study. This study measured walking performance in three different walking conditions, such as straight walking, the more-affected leg in the inner curve walking, and less-affected leg in the inner curve walking conditions, and a 2-dimentional gait analysis system was used as a primary measurement. This study also measured secondary clinical factors including the Timed Up-and-Go Test, the Trunk Impairment Scale, and the Dynamic Gait Index. Results: After analyzing, cadence and step length of the less-affected side, stride length in the more-affected side, and stride length in less-affected side were significantly different among the three different walking conditions in this study (p<0.05), but other temporospatial parameters were not significant. Cadence was the largest in the straight walking condition. Step length in the less-affected side, stride length in the more-affected side, and stride length in less-affected side were also the longest in the straight walking condition. Conclusions: The results of the study suggest that hemiplegic stroke survivors show walking adaptability according to changes in walking demands and conditions, and moreover, cadence and step and stride lengths were significantly different between straight and curved walking conditions.

Correlation of the Neuropsychological Screening Battery (NSB) and Neuroanatomy for the Parkinson's Disease with Mild Cognitive Impairment by Using the Analysis of Cerebral Cortex Thickness in the Brain MRI (뇌 자기공명영상에서 대뇌 피질 두께 분석법을 이용한 파킨슨병의 경도인지장애 신경심리검사와 신경해부학적 상관관계)

  • Lee, Hyeonyong;Park, Hyonghu;Lee, Jaeseung;Im, Inchul
    • Journal of the Korean Society of Radiology
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    • v.8 no.4
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    • pp.163-170
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    • 2014
  • This study is to investigate neuro-anatomical correlation between neuropsychological results and cerebral cortex thickness of cognitive ability in the brain MRI targeting the patients with mild cognitive impairment. It was that 78 people who were diagnosed as first Parkinson's disease followed by neuropsychological screening battery(Parkinson's disease with mild cognitive impairment: 39 people; Parkinson's disease with normal cognition: 39 people) and 32 people of normal group were selected. Correlation between mild cognitive impairment and normal cognitive impairment and correlation between neuropsychological screening battery and cerebral cortex thickness in the brain MRI were performed by independent sample t-test or Pearson correlation coefficient and then level of significance of collected data was verified in p<0.05. As a result, cerebral cortex thickness of the Parkinson's disease with mild cognitive impairment in both side precuneas and right inferiortemporal lobe had statistically significant decrease. In addition, function of visuospatial ability, verbal and visual memory was reduced in neuropsychological screening battery for cognitive assessment. Especially, there was correlation between neuropsychological screening battery of verbal and visual memory anatomical left precuneus.