• 대한물리치료과학회지
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• 제8권1호
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• pp.813-820
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• 2001

Objectives: The objective of this study was to investigate function evaulation and related factors in the elderly. Methods: Korean version of ADL and IADL were measured for 40 normal in the Elderly in July 15-20. 2000. Their ages were 65 or more in years. 14 items from Modified Barthel Index and 14 items from Modified Lambeth Disability Screening Questionnaire were used. Results: The frequency of disability was the highest in Heavy homework(85.0%) folliwed by Walking on level 50 yards or moer(5.0%), Up&down stairs for 1 flight(5.0%) in 28 items from Modified Barthel Index and Modified Lambeth Disability Screening Questionnaire. Conclusions: Results indicated that no smoking and drinking at onset had high Modified Barthel Index. Modified Lambeth Disability Screening Questionnaire was associated with age.

• Journal of Acupuncture Research
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• 제37권4호
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• pp.275-280
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• 2020

This study reports the effectiveness of traditional Korean medicine in treating tetraplegia and respiratory symptoms (including dyspnea) after traumatic cervical spinal cord injury surgery. The patient was treated with complex Korean medical treatment including electroacupuncture, pharmacopuncture, and herbal medicine. The manual muscle test (expanded Medical Research Council system) was used to measure the patient's muscle strength. The Korean version of the modified Barthel index and the functional independent measure were used to evaluate the patient's independence in performing daily activities. Following 2 hospitalizations and treatments, the patient's muscle strength improved > 4+ score for all joints, and the Korean version of the modified Barthel index and functional independent measure scores increased from 26 to 79 and 56 to 95, respectively. Symptoms of dyspnea, coughing, and sputum gradually improved and finally disappeared during hospitalization. This study suggests complex Korean medicine treatment may be effective in the rehabilitation of post-surgical cervical spinal cord injury patients.

• 한국산학기술학회논문지
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• 제13권9호
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• pp.4119-4125
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• 2012

이 연구는 뇌졸중 환자를 대상으로 한국판 수정바델지수(Korean Version of Modified Barthel Index: K-MBI)의 타당도, 신뢰도와 문항변별도를 알아보기 위해 실시되었다. 223명의 뇌졸중 환자를 대상으로 K-MBI를 사용하여 일상생활활동을 측정하였다. 타당도를 알아보기 위해 요인분석을 실시하였고, 문항내적 합치도, 문항변별도를 알아보았다. 요인분석 결과, K-MBI의 10개 항목의 공통성은 .50이상으로 나타났으며, 하나의 요인에 적재되는 것으로 나타났다. 설명량은 72.184%이었다. 요인적재량은 용변처리, 개인위생, 의자/침대 이동, 보행/의자차, 옷 입기, 식사하기, 대변조절, 목욕하기, 소변조절, 계단 오르기 순으로 나타났다. K-MBI의 Cronbach ${\alpha}$ 값은 .944로 나타났으며, 각 항목의 문항변별도는 .783~.909로 만족할 만한 수준이었다. 요인분석을 통해 K-MBI의 일상생활활동이라는 하나의 구성요인을 확인하였으며, 신뢰도와 문항변별도를 확인하였다. 뇌졸중 환자의 일상생활활동의 타당한 평가를 위해, 앞으로의 연구에서는 K-MBI의 다양한 심리측정학적 특성을 알아보는 연구가 필요할 것으로 생각된다.

• 대한한방내과학회지
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• 제43권5호
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• pp.817-826
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• 2022

Objectives: The aim of this study is to report a case in which a patient showed recovery from hemiparesis after a head injury. Methods: A 60-year-old woman who suffered a head injury received Korean medicine treatment, including herbal decoctions, acupuncture, electroacupuncture, and physical treatment for 32 days. The response before and after treatment was evaluated using the Manual Muscle Test, the Korean version of the Modified Barthel Index, and walking status. Results: After treatment, the range of the Manual Muscle Test grades of her left lower extremity increased from 1-3 to 2-4. Her score on the Korean version of the Modified Barthel Index improved from 60 to 90. The patient, who was in a wheelchair at the time of admission, walked with a cane upon discharge. Conclusion: This study suggests that intervention with Korean medicine could be one of the therapeutic options for improving hemiparesis after head injury.

• 대한물리치료과학회지
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• 제30권4호
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• pp.29-43
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• 2023

Background: In the rehabilitation of stroke patients, regular physical activity is very important not only as a treatment for maximal functional recovery but also as a strategy to prevent the recurrence of stroke. The purpose of this study was to objectively measure the amount of physical activity in people with stroke, and to examine the differences in motor and cognitive function according to a level of physical activity. Design: A cross-sectional study. Methods: Physical activity (GENEActiv), motor function (Fugl-Meyer Assessment), cognitive function (Montreal Cognitive Assessment-Korean version), and the Korean version of Modified Barthel Index were evaluated in adult stroke patients with hemiplegia. Results: There was no statistically significant difference in the level of physical activity according to the motor and cognitive function. There was no statistically significant difference in motor and cognitive function according to the level of physical activity, but there was a statistically significant difference in the MBI (p<.01). Conclusion: As a result of the difference in the MBI according to the level of physical activity, it was found that the more moderate to vigorous physical activities are performed, the higher the independence in daily living. These results can be interpreted as that the more often you participate in physical activities such as physical therapy (gait training), the better your independence in ADL. Since regular physical activity participation of adult stroke patients can improve daily living performance, it is considered necessary to participate in physical activities such as continuous physical therapy.

• 한국콘텐츠학회논문지
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• 제19권8호
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• pp.293-302
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• 2019

이 연구의 목적은 Stroke Impact Scale 3.0(SIS 3.0)의 신뢰도와 타당도를 조사하는 것이었다. 연구에서 SIS 3.0은 125명의 뇌졸중 환자를 대상으로 측정하였다(평균 = 62.7, 표준 편차 = 9.43). SIS 3.0 하위 영역들 간에 상관 분석을 통해 구성타당도를 확인하였고, MBI(Modified Barthel Index)와 K-MMSE(Mini-Mental State Examination-Korean)간의 상관을 분석하여 수렴타당도를 조사하였다. 각 항목의 특성은 고전적 문항 이론을 바탕으로 내적 합치도와 문항 변별도를 분석하였다. 이 연구를 통해 SIS 3.0의 구성타당도와 수렴타당도가 확인되었다. 감정 영역에 포함된 i 항목은 문항 변별도가 낮았지만 이 항목을 제외하고는 모두 변별도가 높았다. 하위 영역의 문항내적합치도는 0.858~0.941로 나타났다. 이 연구는 지역사회에 거주하는 뇌졸중 환자를 대상으로 임상 현장에서 SIS 3.0 사용을 위한 신뢰도와 타당도를 확인하였다는데 그 의의가 있다.

• 한방재활의학과학회지
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• 제31권3호
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• pp.105-114
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• 2021

A 38-year-old Korean man without any other history was diagnosed with myelopathy due to a spinal dural arteriovenous fistula. Following embolization and high-dose steroid therapy, the patient was treated with complex Korean medical therapies including acupuncture, pharmacopuncture, electro-acupuncture, Chuna manual therapy, herbal medicine, and cupping therapy in addition to conventional treatment. To assess the patient's improvement, international standard for neurological classification of spinal cord injury, Korean version of modified Barthel index, functional independence measure, spinal cord independence measure III, walking index for spinal cord injury II, modified Ashworth scale were used. After treatment, the muscle strength and sensory function of the lower extremities were improved, and the spasticity was reduced, resulting in a rapid improvement in performance of daily activities. These results suggest that complex Korean medical therapies may be effective for myelopathy, and further clinical studies are needed to clarify their effects.

• Korean Journal of Acupuncture
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• 제39권1호
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• pp.16-21
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• 2022

The purpose of this study is to report the case mental health of people with disabilities has improved through visit treatment at public health centers. From October 26, 2021 to January 04, 2022, 6 visits were conducted and Patient Health Questionnaire-9 (PHQ-9), Beck Depression Inventory (BDI), Korean version of Center for Epidemiological Studies-Depression Scale (K-CES-D), Visual Analog Scale (VAS), Euro Qol-Visual Analogue Scale (EQ-VAS), Modified Barthel Index (MBI) were used to check changes. After Korean Medicine treatments such as acupuncture, electroacupuncture, electromoxibustion, PHQ-9 decreased from 18 to 8, BDI decreased from 22 to 15, K-CES-D decreased from 42 to 21. And VAS decreased from 85 to 50, EQ-VAS increased from 30 to 50. But There was no change in the MBI. Confirmation of improvement in mental health-related indicators of disabled patients through Korean Medicine treatments.

• 대한한의학회지
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• 제22권3호
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• pp.169-178
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• 2001

After initial recovery from acute carbon monoxide (CO) intoxication, some patients occasionally undergo severe neuropsychiatric deterioration, which is called postanoxic delayed encephalopathy (sequelae). This is the clinical report about one patient, a 73-year-old man, diagnosed with delayed encephalopathy after acute CO intoxication. The symptoms of the patient were mental dysfunction including memory impairment and disorientation, abnormal behavior, incontinence and mutism. He had completely recovered after an aonxic episode, but the neurological symptoms that developed were preceded by an interval of apparent normality (the 'lucid interval'). We characterized him as suffering deficiency syndrome of the heart and prescribed for him Bokreongbosim-tang and Guipi-tang, and thereafter his symptoms were remarkably improved. For the evaluation of clinical improvement, we use the Modified Barthel Index (MBI), Canadian Neurologic Scale (CNS), and the Korean version of the Mini-Mental State Examination (K-MMSE)

• 한방재활의학과학회지
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• 제28권4호
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• pp.103-112
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• 2018

Pathological laughing and crying (PLC) is a condition defined by relatively uncontrollable episodes of laughter, crying or both. PLC is an uncommon symptom usually caused by cerebral lesions. Midbrain involvement causing PLC is extremely unusual and the exact mechanism by which this condition develops is poorly understood. We recently experienced a 51-year-old woman who were diagnosed as PLC after midbrain infarction. She was treated by acupuncture, pulsed electromagnetic therapy (PEMT). After 6 weeks treatment, Pathological Laughter and Crying Scale (PLACS), Korean version of the Scale for the Assessment and Rating of Ataxia (K-SARA) are decreased and Korean version of Modified Barthel Index (K-MBI) is increased. Treatment of traditional Korean Medicine could be effective for stoke rehabilitation including post-stroke PLC. And we have considered mechanism of PLC associated with midbrain lesion, dysfunction of cortex-thalamus-hypothalamus-basal ganglia-mesencephalon and faciorespiratory nuclei pathways, cerebro-ponto-cerebellar pathways and damaged serotonergic neurotransmission can cause this based on recent neurobiology of emotion. To define exact mechanism and find effective treatment, further studies are needed.