• Title/Summary/Keyword: Hemiparesis

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A Study of Digital Infrared Thermal Imaging(DITI) about Symptoms of 55 Stroke Patients' Hemiparesis (뇌졸중(腦卒中) 환자(患者) 중 편마비(偏痲痺) 환자(患者) 55명의 컴퓨터적외선체열진단과 증상(症狀)과의 비교 연구)

  • Koog, Yun-Hyung;Min, Jae-Young;Oh, Sang-Deog;Lim, Seung-Man;Ra, Su-Yoen;Paik, Eun-Tan
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.813-817
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    • 2000
  • Objectives : This study had been done to evaluate the effectiveness of DITI about hemiparesis in 55 patients with cerebral vascular disease who admitted to Dong-seo oriental hospital from November. 10. 1999 to October. 13. 2000, Methods : 55 stroke patients who had hemiparesis not only numbness nor quadriparesis were taken picture with DITI to measure infrared streamed from body's surface. And we compared DITI' results with hemiparesis to evaluate the effectiveness of DITl. Results : There was significant results between DITI and hemiparesis. Above 80%, we could find abnormality in the DITI pictures, which were exactly corresponding to symptom of hemiparesis. Conclusions : We thought that we can use DITI' results as a evaluation of stroke patients with hemiparesis.

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Clinical study on a case of somatoform disorder with chronic pelycalgia and hemiparesis (만성골반통과 편마비를 동반한 신체형 장애 환자 1례(例)의 임상보고)

  • Choi, Woo-Jin;Jung, Min-Yung;Lee, Seung-Gi;Kang, Hee-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.203-210
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    • 2004
  • Objectives: The purpose of this study was to investigate the clinical application of oriental medical therapy(OMT) and psychotherapy to a somatoform disorder patient with chronic pelycalgia and hemiparesis. Methods: We treated the patient with psychotherapy such as relaxation therapy and suggestion. OMT that we used is represented by retention enema therapy. The recovery of the pelycalgia was evaluated by Visual Analogue Scale(VAS). Results: Following the treatment the patient's pelycalgia and hemiparesis was improved. The sum of VAS score was rapidly decreased(from 113 to 28). Conclusion: OMT and psychotherapy have positive effects on the patient with chronic pelycalgia and hemiparesis.

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Two Cases of Aphasia without Hemiparesis after Stroke (편마비를 동반하지 않은 뇌경색 후 실어증 환자 치험 2례)

  • Kim, Dong-Uk;Lee, Ru-Da;Lee, Sang-Won;Cho, Hye-won;Hwang, Seon-Hye;Park, Se-jin
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.16 no.1
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    • pp.57-66
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    • 2015
  • This report is about two cases of aphasia without hemiparesis after stroke. Most of aphasia after stroke accompanies hemiparesis. However, aphasia without hemiparesis after stroke occurs rarely and only a few cases have been reported. We used Korean herbal medication, acupuncture, language therapy. To evaluate speech ability we used K-WAB(Korean version of Western Aphasia Battery) and word span test. After treatment, patients' word span abilities and language abilities including reading, writing, speaking were improved. This report suggests that Korean medicine and language therapy could have a therapeutic effect for aphasia without hemiparesis after stroke.

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Motor Cortex in Hemiparetic Patients due to Deep Intracerebal Hematoma

  • 백현만;최보영;손병철;정성택;이형구;서태석
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.73-73
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    • 2003
  • Purpose: To determine the motor cortex dysfunction in hemiparetic patients due to deep intracerebral hematoma, authors performed proton magnetic resonance spectroscopy (lH MRS) for the evaluation of biochemical changes in the cortex on affected hemisphere according to axonal injury at the level of internal capsule. Methods: Ten control subjects and 14 patients with documentable hemiparesis of varying severity hemiparesis were included. All the hemiparesis was caused by deep intracerebral hematoma (putaminal and thalamic hemorrhage). In vivo 1H MRS study was performed on a 3T MRI/MRS system using STEAM sequence. As a single-voxel technique, Spectral parameters were: 20 ms TE, 2000 ms TR, 128 averages, 2500 Hz spectral width, and 2048 data points. Results: We found that the mean N-acetylaspartate (NAA)/phosphocreatine (Cr) and NAA/choline (Cho) ratios were significantly decreased in the motor cortex of the hemiparesis patients compared with control subjects. Conclusions: 1H MRS examinations of the motor cortex might help to differentiate distinct clinical entities of hemiparesis and to monitor pharmacological effects in therapeutic trials, providing a quantitative biological marker for motor neuron dysfunction. Acknowledgement: This study was supported by a grant of the Center for Functional and Metabolic Imaging Technology, Ministry of Health & Welfare, Republic of Korea. (02-PJ3-PG6-EV07-000).

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A Case Study of Stroke Patients with Hemiparesis Treated by Catgut-Embedding Therapy on Scalp Acupoints (두침경혈 매선요법을 이용한 중풍 편마비 환자 치험 3례)

  • Han, Hyun-Jin;Kim, Min-Ji;Jang, In-Soo;Kang, Sei-Young
    • The Journal of Internal Korean Medicine
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    • v.34 no.3
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    • pp.312-321
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    • 2013
  • Objectives : This study was to report the effect of catgut-embedding therapy on scalp acupoints in stroke patients with hemiparesis. Methods : Three stroke patients with hemiparesis were treated by catgut -embedding therapy on scalp acupoints twice a week. After three weeks, the score of manual muscle test (MMT) and modified Barthel index (MBI) were improved compared with the first examination. Results and Conclusions : After the treatment, MMT and MBI score improved in all three patients. These results showed that catgut-embedding therapy on scalp acupoints is possible to be effective for treating hemiparesis in stroke patients, and further studies should be conducted to provide more valuable information.

Effect of an Arm Sling on Gait with Hemiparesis (팔걸이가 편마비환자의 보행에 미치는 영향)

  • Song, Geun-Ho;Lee, Hyun-Ok
    • The Journal of Korean Physical Therapy
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    • v.18 no.4
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    • pp.27-40
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    • 2006
  • Purpose: This study was to investigate the effect of an arm sling on gait with hemiparesis. Methods: Fifteen patients(8 male, 7 female) with hemiparesis participated in this study and walked self-selected speed over 10m walkway, randomly without arm sling, with Single strap hemisling and Rolyan humeral cuff sling. It were filmed by 5 video camera and used with 3-dimensional motion analyzer system. The following gait variables were analyzed: temporo-spatial parameters, kinematic parameters. Results: In the comparison of temporo-spatial parameters each trial, walking velocity and single support time on affected side was significantly increased and step length on affected side, step length asymmetry ratio, single support time asymmetry ratio was significantly decreased in the Single strap hemisling and Rolyan humeral cuff sling. In the comparison of kinematic parameters each trial, maximal angle of the hip flexion on affected side was significantly increased in the Single strap hemisling and Rolyan humeral cuff sling and maximal angle of the knee flexion on affected side was significantly increased in the Rolyan humeral cuff sling and maximal angle of the ankle dorsiflexion on affected side was significantly increased in the Single strap hemisling. Conclusion: An arm sling improved walking velocity and decreased asymmetry and increased maximal angle of hip, knee, ankle flexion on affected side with hemiparesis caused by stroke.

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Physiological Review of Weakness in Patients with Hemiparesis (편부전마비 환자에서의 근육약화에 대한 생리학적 고찰)

  • Kim, Jong-Man;Kim, Tack-Hoon
    • Physical Therapy Korea
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    • v.3 no.2
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    • pp.84-94
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    • 1996
  • This paper reviews physiological changes in the nervous system of patients with hemiparesis that may contribute to muscle weakness. The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakeness. This role is compared with the lesser role that spasticity of the antagonist muscle group appears to play in determining the weakness of agonist muscles. The contribution of other factors that result in mechanical restraint of the agonist by the antagonist is discussed relative to muscle weakness in patients with hemiparesis. More studies on patients with hemiparesis are required to assess what role muscle strength training should play in rehabiliting patients after a stroke.

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Effects of the Aroma Massage on Shoulder Pain, Depression, Sleep Disturbance in Hemiparesis Patients (아로마 마사지가 편마비 환자의 견통, 우울 및 수면장애에 미치는 효과)

  • Jung, Hyang-Mi;Jeon, Young-Sun
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.231-237
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    • 2004
  • Purpose: The purpose of this study is to find out the effects of the aroma massage on shoulder pain, depression, and sleep disturbance in hemiparesis patients. Method: The research design was a nonequivalent control group nonsynchronized design. The data was collected from July 1 to August 31, 2003 at D medical Center in Busan. The subjects were 37 patients that they were assigned to two groups, nineteen subjects in the experimental group and seventeen subjects in the control group. The oil made from a blend of lavendar, clarysage, bergamot at a ratio 3:1:2 used for relieving shoulder pain, depression, sleep disturbance. The instruments used for this study were Visual Analogue Scale(VAS) for shoulder pain, Zung' depression scale, 4 score's scale for sleep disturbance. The data were analyzed using SPSS and hypotheses were examined with ANCOVA. Results: Shoulder pain, depression, and sleep disturbance were significantly lower in the experimental group compared than the control group. Conclusion: The aroma massage using selected essential oils is an effective intervention for relieving shoulder pain, depression, sleep disturbance in hemiparesis patients. However differences between aroma massage and massage were not clear, further study needs to be done.

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Influence of Head-Neck Rotation on Static Elbow Extension Force in Patients with Hemiparesis (머리-목 회전이 편부전마비 환자의 팔꿈치 신전근력에 미치는 영향)

  • Yoo, Wook-Jae;Lee, Sang-Eun;Lee, Jeong-Weon
    • Physical Therapy Korea
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    • v.4 no.1
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    • pp.39-47
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    • 1997
  • The purpose of this investigation was to examine the influence of head and neck(HN) position in the transverse plane on the static production of elbow extension force in the involved(paretic) upper extremity of patients with hemiparesis. On this study, thirty patients who had experienced a cerebrovascular accident were matched with neurologically intact subjects. Force of static elbow extension was tested with a hand-held dynamometer, twice with the HN rotated toward the paretic side and twice with the HN rotated toward the non-paretic side. Elbow extension force differed significantly with the HN in the two position in patients with hemiparesis but not in normal persons(${\alpha}$=0.05). Results of this study support the conclusion that HN position in the transverse plane influences the production of static elbow extension force on the paretic side in patients with hemiparesis.

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Traumatic Brainstem Hemorrhage Presenting with Hemiparesis

  • Se, Young-Bem;Kim, Choong-Hyun;Bak, Koang-Hum;Kim, Jae-Min
    • Journal of Korean Neurosurgical Society
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    • v.45 no.3
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    • pp.176-178
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    • 2009
  • Traumatic brainstem hemorrhage after blunt head injury is an uncommon event. The most frequent site of hemorrhage is the midline rostral brainstem. The prognosis of these patients is poor because of its critical location. We experienced a case of traumatic brainstem hemorrhage. A 41-year-old male was presented with drowsy mentality and right hemiparesis after blunt head injury. Plain skull radiographs and brain computerized tomography scans revealed a depressed skull fracture, epidural hematoma, and hemorrhagic contusion in the right parieto-occipital region. But, these findings did not explain the right hemiparesis. T2-weighted magnetic resonance (MR) image of the cervical spine demonstrated a focal hyperintense lesion in the left pontomedullary junction. Brain diffusion-weighted and FLAIR MR images showed a focal hyperintensity in the ventral pontomedullary lesion and it was more prominent in the left side. His mentality and weakness were progressively improved with conservative treatment. We should keep in mind the possibility of brainstem hemorrhage if supratentorial lesions or spinal cord lesions that caused neurological deficits in the head injured patients are unexplainable.