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뇌졸중 환자에 있어서 물리치료가 운동기능과 인지기능의 회복에 미치는 영향
김희한,김유섭,이혜진,송명수,Kim, Hee-Han,Kim, Yoo-Sup,Lee, Hye-Jin,Song, Myung-Soo 대한물리치료과학회 2002 대한물리치료과학회지 Vol.9 No.4
In order to find the effects of physical therapy on the recovery of motor functions and mental state, a survey was conducted to 63 patients who, diagnosed as stroke by brain CT, had been hospitalized in a university medical center located in Jeonbuk provincial area from December 2000 to August 2001. The outcomes of the survey are as follows: 1. The subjects of the study were composed of 35 males(55.6%) and 28 females(44.4%), with 34(54.0%) below 60 in age and 29(46.0%) older than 60 years. 2. As to type of lesion, the surveyed patients were divided into 28(44.4%) with cerebral infarction, 24(38.1%) with cerebral hemorrhage, and 11(17.5%) with subarachnoid hemorrhage. In terms of size of lesion, they were divided into 29(46.0% with less than tan 1cm, 15 (23.8%) with $1{\sim}2cm$ and 19(30.2%) with longer than 2cm. Thirty-five patients(55.7%) reported paralysis in their right side, while 28(44.8%) complained paralysis in their left side. No recidivation was reported by 51(81.1%) while recidivation was asserted by 12(19%). Among them, 27(42.9%) had no past history but 36(57.1%) had such. 3. Regarding the time hour onset to admission to physical therapy, 46patients(73.0%) experienced it for less than one month, while 17(27.0%) for longer than one month. In terms of period of physical therapy, 30(47.6%) underwent the therapy for less than one month, 18(28.6%) for 1-2 months and 15(23.8%) for longer than 2 months. As is shown in the above study, the longer the period of physical therapy is, the more changes might occur in points of MMSE-K and MMAS. It may, therefore, be concluded that sufficiently longer period of physical therapy ensures the increased recovery of physical functions from stroke.
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체간 안정성 강화 운동이 뇌졸중 환자의 균형 및에너지 소모량에 미치는 효과 : 단일사례연구 대한심장호흡
김희한(Hee-Han Kim),정경만(Kyeoung-Man Jung) 대한심장호흡물리치료학회 2017 대한심장호흡물리치료학회지 Vol.5 No.1
Purpose : This study was to determine the effect of core stability exercise on balance and energy consumption during walk in stroke patients. Method : This study used a single subject research design. The subjects were participated two stroke patients and received general rehabilitation therapy five times per week. The core stability exercise program was modified from preceding studies and composed of trunk muscle strengthening exercise. The balance of was evaluated by Timed Up and Go Test (TUG), the energy consumption was measured by the energy expenditure index (EEI) as the difference of heart rate, in a session. Result : The results of the evaluation in each subject were indicated that the balance test was improved, energy expenditure index were decreased during the intervention period. These effects were maintained even during the regression baseline period. Conclusion : These results showed that core stability exercise was effective in the improvement of balance and decrease energy consumption. This study suggests that core stability exercise is effective in the improvement of energy efficiency during walk in stroke patients.
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스마트폰 동영상 교육 프로그램이 일개 대학병원에서의 재활병동 입원환자 교육 만족도에 미치는 영향
정경만,주민철,정유진,김희한,이경화,이동순,최준완,Jung, Kyeong- Man,Joo, Min-Cheol,Jung, Yu-Jin,Kim, Hee-Han,Lee, Kyeong-Hwa,Lee, Dong-Sun,Choi, Jun-Wan 한국의료질향상학회 2017 한국의료질향상학회지 Vol.23 No.1
Purpose: This study was to determine the effect of a smartphone video educational program on educational satisfaction of patients in rehabilitation units at a university hospital. Methods: The subjects of this study were 60 stroke patients recruited and divided into two groups; experimental group (n=30) and control group (n=30). Subjects in the experimental group and control group conducted conventional physical and occupational therapy. In addition, only the experimental group provided smartphone video information for a total of 15 sessions. The video consisted of five episodes (10 minutes each) viewed a total of 15 times (for each video three times). The outcome was assessed by educational satisfaction. Result: After inervention, both groups revealed significant increased awareness of prevention of infection educational satisfaction and prevention from falling educational satisfaction and exercise program educational satisfaction. However, the experimental group was more effective than the control group relative to heightened awareness of increasing prevention of infection prevention from falling and exercise program. Conclusion: We suggest that a smartphone video educational program may be effective in improving awareness of the prevention of infection, prevention from falling, and exercise program educational satisfaction. Therefore, video-based information is beneficial for such patients. Further studies are needed for better understanding of the effectiveness of a smartphone video educational program in rehabilitation units at a university hospital.
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체간 훈련 운동이 만성기 뇌졸중 환자의 균형 및 에너지 소모에 미치는 효과 : 단일사례연구
정경만 ( Kyeoung-man Jung ),정유진 ( Yu-jin Jung ),김희한 ( Hee-han Kim ),박상현 ( Sang-hyun Park ) 대한신경치료학회 2017 신경치료 Vol.21 No.3
Purpose This study was to determine the effect of trunk training exercise on dynamic balance and energy expenditure during walk in chronic stroke patients. Methods This study used a single subject research design. Two chronic stroke patients were participated and received general training five times per week. The trunk training exercise program was modified from preceding studies and composed of trunk muscle strengthening and selective and coordinated movement. The subjects performed exercise program five times a week, forty minute a day, four weeks. Pre base line(A) was only collected participant information without intervention in 5 times. Trunk training exercise(B) was carried out 10 times and 5 times to base lime(A) after intervention. The dynamic balance of was evaluated by Timed Up and Go Test(TUG), the energy consumption was measured by the oxygen cost as the oxygen consumption per unit distance, energy expenditure index(EEI) as the difference of heart rate, in a session. Results The results of the evaluation in each subject were indicated that the dynamic balance test was improved, both oxygen cost and energy expenditure index were decreased during the intervention period. These effects were maintained even during the regression baseline period. Conclusion These results showed that trunk training exercise was effective in the improvement of dynamic balance and decrease energy consumption. This study suggests that trunk training exercise is effective in the improvement of energy efficiency during walk in chronic stroke patients.
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