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RISS 인기검색어
- 검색키워드
- 저자 : Bomi Sul (검색결과 4 건)
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The Prognosis and Recovery of Aphasia Related to Stroke Lesion
Bomi Sul,김준성,홍보영,Kyoung Bo Lee,Woo Seop Hwang,Young Kook Kim,임성훈 대한재활의학회 2016 Annals of Rehabilitation Medicine Vol.40 No.5
Objective To investigate the effects of specific brain lesions on prognosis and recovery of post-stroke aphasia, and to assess the characteristic pattern of recovery.Methods Total of 15 subjects with first-ever, left hemisphere stroke, who were right handed, and who completed language assessment using the Korean version of the Western Aphasia Battery (K-WAB) at least twice during the subacute and chronic stages of stroke, were included. The brain lesions of the participants were evaluated using MRIcron, SPM8, and Talairach Daemon software.Results Subtraction of the lesion overlap map of the participants who showed more than 30% improvement in the aphasia quotient (AQ) by the time of their chronic stage (n=9) from the lesion overlap map of those who did not show more than 30% improvement in the AQ (n=6) revealed a strong relationship with Broca’s area, inferior prefrontal gyrus, premotor cortex, and a less strong relationship with Wernicke’s area and superior and middle temporal gyri. The culprit lesion related to poor prognosis, after grouping the subjects according to their AQ score in the chronic stage (a cut score of 50), revealed a strong relationship with Broca’s area, superior temporal gyrus, and a less strong relationship with Wernicke’s area, prefrontal cortex, and inferior frontal gyrus.Conclusion Brain lesions in the Broca’s area, inferior prefrontal gyrus, and premotor cortex may be related to slow recovery of aphasia in patients with left hemisphere stroke. Furthermore, involvement of Broca’s area and superior temporal gyrus may be associated with poor prognosis of post-stroke aphasia.
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Subtle Dysphagia as an Initial Presentation of Hidden Malignancy: A Report of 2 Cases
Hyehoon Choi,최현섭,김준성,Bomi Sul,홍보영,임성훈 대한연하장애학회 2019 대한연하장애학회지 Vol.9 No.1
Subtle dysfphagia, which is increased post-swallowing remnants, is a frequent finding in the elderly with variousetiologies. These changes in swallowing are frequently overlooked by physicians. On the other hand, subtlechanges evident on a videofluoroscopic swallowing study (VFSS) may suggest hidden disease. Therefore, cliniciansshould evaluate incidental dysphagia. Case 1: A 65-year-old man with no relevant medical history, presented withdysphagia and residual sensation during meals. VFSS showed moderate post-swallowing remnants in the vallecularfossa and pyriformis sinus. Further examination revealed prostate cancer with multiple bone metastases including theskull. Case 2: A 60-year-old man complained of residual sensation after swallowing, which started 2 months ago. He had a history of lung cancer. Pharyngeal residue was observed on VFSS. A brain metastasis was observed onMRI. Post-swallowing residue is often neglected or overlooked by clinicians who regard them as the features ofaging. The present cases show that mild dysphagia with increased post-swallowing remnants may be an initial presentationof a hidden malignancy with metastasis. Physicians should consider unexplained dysphagia or tongue atrophyas possible initial presentations of hidden malignancies.
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The Role of Regular Physical Therapy on Spasticity in Children With Cerebral Palsy
Heewon Lee,Eun Kyung Kim,Dong Baek Son,Youngdeok Hwang,Joon-Sung Kim,Seong Hoon Lim,Bomi Sul,Bo Young Hong 대한재활의학회 2019 Annals of Rehabilitation Medicine Vol.43 No.3
Objective To investigate the effect of physical therapy (PT) intervention on spasticity in patients with cerebral palsy (CP), and to assess the degree of deterioration of spasticity when regular PT is interrupted in those patients. Methods We recruited 35 children with spastic CP who visited our hospital for PT, and whose Modified Tardieu Scale (MTS) scores were serially recorded including before and after a 10-day public holiday time frame period. The outcome measures were the angle of range of motion (ROM) of dorsiflexion of the ankle joint (R1 and R2) in the knee flexion and extension positions as assessed using the MTS. Results The range of dorsiflexion of the ankle joint (R1 and R2) after the holiday period was significantly decreased as compared with that measured ROM noted before the holiday period, regardless of the knee position, age, or gross motor function. The dynamic component of the MTS (R2–R1) showed a slight decrease in the knee flexion position. Conclusion Interruption of regular PT aggravated spasticity and decreased ankle joint ROM in children with spastic CP. Our findings suggest that regular PT in the care continuum for children with CP is crucial for the maintenance of ROM in the spastic ankle joints.
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