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      • KCI등재

        이마관자엽 치매 환자에서 나타난 하지 근력 저하와 복합부위 통증증후군에 대한 증례 보고

        이광민(Kwang Min Lee),노세응(Se Eung Noh),주민철(Min Cheol Joo),황용(Yong Hwang),김지희(Ji Hee Kim) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.12

        이마관자엽 치매는 조기 발현형 치매 중 두 번째로 흔한 형태로 행동, 언어, 인지 장애를 보이는 신경퇴행성 질환이다. 이마관자엽 치매에서 운동 기능 이상이 동반되는 경우는 운동 신경원 질환과 파킨슨증, 진행성 핵상 마비 등으로 대표되나, 다른 동반 질환 없이 이마관자엽 치매가 중추신경계의 운동신경영역을 직접 침범하여 나타난 운동 기능 이상은 보고된 바가 없다. 또한, 임상적 치매 집단과 복합부위 통증 증후군 사이의 연관성은 보고된 바가 없다. 저자들은 이마관자엽 치매환자에서 나타난 중추신경계 원인의 하지 근력 저하를 뇌 자기공명영상과 전기진단학적 검사를 통해 진단하였고, 동반된 복합부위 통증증후군을 삼상 골주사 검사를 통해 진단하였으며, 이에 따른 임상적 치료를 시행하였다. 스테로이드를 이용한 복합부위 통증증후군 치료 후에 환자의 통증은 호전되었고, 입원 상태에서 하지 근육에 대한 기능적 전기 자극 치료, 근력강화 운동 및 보행 훈련을 포함한 포괄적 재활치료를 시행한 후에 저명한 기능적 호전을 보였다. 이마관자엽 치매에서 관찰된 중추신경계 원인의 근력 저하에 대한 재활 치료는 전반적 기능의 향상에 효과적일 것으로 추정된다. Frontotemporal dementia, the second most common cause of early onset dementia, is a neurodegenerative clinical syndrome characterized by progressive deficits in behavior, executive function and language. Although motor symptoms in frontotemporal dementia are represented by motor neuron disease, parkinsonism and progressive supranuclear palsy syndrome, there have been no reports of motor weakness caused by the direct involvement of central motor nervous systems in frontotemporal dementia. Moreover, no association between clinical dementia groups and complex regional pain syndrome has been reported. We diagnosed a rare case with motor weakness and complex regional pain syndrome of lower limbs due to central nervous system lesion in a patient with frontotemporal dementia by magnetic resonance imaging, electrodiagnostic study and three phase bone scan. Following steroid therapy for complex regional pain syndrome, pain was improved. Functional improvement was noted after rehabilitation therapy, including functional electrical stimulation, muscle strengthening exercise and gait training during hospitalization. This case report suggests that rehabilitation therapy for motor weakness in frontotemporal dementia could be effective for improving overall function.

      • KCI등재

        뇌졸중환자의 변비에서 지실 열수 추출물의 효과

        문효정 ( Hyo Jeong Moon ),이수경 ( Su Kyung Lee ),노세응 ( Se Eung Noh ),주민철 ( Min Cheol Joo ) 한방재활의학과학회 2016 한방재활의학과학회지 Vol.26 No.2

        Objectives To evaluate the effects and safety of the aqueous extract of the dried, immature fruit of Poncirus trifoliate (L.) Raf. (Rutaceae) (PF) in stroke patients with constipation. Methods A total of 22 patients were recruited. Patients were interviewed about the clinical informations, constipation score and Bristol stool form scale at twice, before intake PF and after intake PF 2 weeks. The total and segmental colon transit time (CTT) were measured by using radio-opaque markers (Kolomark®). The degree of stool retention was evaluated by the plain abdominal radiography and was scored by Leech score. Results Before intake PF, constipation scores ranged from 3 to 12, average 6.54±2.87 and Bristol stool form scale ranged from 1 to 6, average 3.86±1.21. CTTs were 9.05± 6.89 hours, 14.29±10.68 hours, 12.11±7.19 hours and 35.40±19.5 hours in the right, left, rectosigmoid and total colon, respectively. Stool retention score was 2.45±0.61, 2.3±0.86, 1.9±0.85, 6.65±1.56 in the right, left, rectosigmoid and total colon, respectively. After 2 weeks, constipation scores ranged from 2 to 8, average 4.28±2.05 and Bristol stool form scale ranged from 1 to 6, average 4.17±1.04. CTTs were 7.41±8.86 hours, 11.12±9.12 hours, 8.83±8.75 hours and 27.3±20.2 hours in the right, left, rectosigmoid and total colon, respectively. Stool retention score was 1.9±0.64, 2.2±0.69, 1.4±0.88, 5.5±1.39 in the right, left, rectosigmoid and total colon, respectively. There were statistically significant difference in the total and rectosigmoid colon CTT and constipation score, Stool retention score in right and rectosigmoid colon (p<0.05) after PF therapy. Conclusions These results suggest potential for PF therapy in stroke patient with constipation. (J Korean Med Rehab 2016;26(2):97-103)

      • KCI등재후보

        컴퓨터보조 인지재활훈련이 초기 뇌졸중 환자의 시지각 기능과 인지에 미치는 효과

        정경만 ( Kyeoung-man Jung ),정유진 ( Yu-jin Jung ),노세응 ( Se-eung Noh ) 대한신경치료학회 2016 신경치료 Vol.20 No.3

        Purpose This study was aimed at determining the effect of computer assisted cognitive rehabilitation on visual perception and cognition in early stroke patient. Methods Twenty early stroke patients were participated voluntarily and were assigned randomly into experimental group and control group. Participants in the experimental group received computer assisted cognitive rehabilitation (RehaCom program) training (20min) and conventional occupational therapy (20min), but participants in the control group received conventional occupational therapy(40min). Both group received training for three times per week for six weeks. Before and after 6weeks of intervention, an motor_free visual perception test(MVPT), Line Bisection Test(LBT), Mini Mental State Exam_Korean (MMSE_K) were performed and results were analyzed. Results Experimental group and control group improved more significantly after 6 weeks after treatment in MVPT, LBT, MMSE_K(p<.05). However, experimental group was more effective than control group in increasing the MVPT, MMSE_K (p<.05) and decreasing LBT(p<.05). Conclusion we suggest that the computer assisted cognitive rehabilitation(RehaCom program) training may be effective in improving the visual perception function in the early stroke patients

      • KCI등재

        통합의료병원의 환자 미충족 의료서비스 및 경영개선을 위한 IPA

        정문주 ( Moon-joo Cheong ),전병현 ( Byeong-hyeon Jeon ),노세응 ( Se-eung Noh ) 대한통합의학회 2021 대한통합의학회지 Vol.9 No.1

        Purpose : This study explores unmet medical services within a region for patients admitted to a single medical institution in one region and was to analyze the importance and satisfaction of hospital selection attributes. Through this, we tried to solve the unmet medical needs of patients and provide useful basic data in terms of hospital management in the region. Methods : It were collected to a total of 250 questionnaires for patients admitted to the regional integrative medical hospital. However, 232 samples were used for the final analysis, excluding 18 copies not reported in good faith. For the analysis, first, demographic frequency analysis of inpatients and inpatients was performed, and second, characteristics of patients, including frequent disease receiving treatment, were analyzed. Next, descriptive statistics analysis was conducted on unmet medical service intentions. In terms of hospital selection attribute, the items of continuity maintenance (I quadrant), priority visibility (II quadrant), low priority (III quadrant), and excessive effort (IV quadrant) were derived using the IPA (importance-performance analysis) matrix technique. Results : The derived results were classified by item and area. In the priority administration area, it was the reputation and recognition of medical institutions and the service area of medical institutions. In the case of items, there were 6 items including the importance of surgery and medical expenses, and diet at hospitalization. Conclusion : Thus a result of this study, resources are efficiently allocated to priority correction areas with high importance but low satisfaction and circulatory medical treatment is performed in the departments required by patients who use medical care and, various methods, such as preparing a policy to support medical expenses, should be sought.

      • KCI우수등재SCOPUS

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