14 results on '"Chung Reen Kim"'
Search Results
2. 'Teachable Moment': Effects of an Educational Program on Knowledge and Quality of Life of Korean Breast Cancer Survivors
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Chung Reen Kim, Ju Hee Kim, Jin Sung Kim, Yunsuk Choi, Jaekyung Cheon, Byung Kyun Ko, and Su-Jin Koh
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medicine.medical_specialty ,Teachable moment ,Breast Neoplasms ,Anxiety ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Cancer Survivors ,Quality of life ,Humans ,Medicine ,Survivors ,030212 general & internal medicine ,skin and connective tissue diseases ,Cancer survivor ,business.industry ,Public Health, Environmental and Occupational Health ,Cancer ,medicine.disease ,humanities ,Oncology ,030220 oncology & carcinogenesis ,Quality of Life ,Physical therapy ,Female ,medicine.symptom ,business ,Psychosocial ,Educational program - Abstract
Due to prolonged survival and the relatively young median age of patients, the quality of life (QOL) of breast cancer survivors is an important issue in Korea. We conducted an educational program for breast cancer survivors, and evaluated its impact on knowledge, QOL, and lifestyle changes. This study utilized a single-arm pretest-posttest design. Participants were tested before and after an educational program to measure changes in knowledge. To measure QOL change, we conducted a QOL survey at the time of enrollment and again 6 months later. Regarding the knowledge test, mean scores increased from 9.62 to 14.74 points following education (p
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- 2020
3. Changes in Grip Strength and Associations with Grip Strength in Breast Cancer Survivors Treated with Adjuvant Chemotherapy
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Sungwook Son, Dong Seok Yang, Chung Reen Kim, Ju Yeon Lee, and Changbae Lee
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medicine.medical_specialty ,Chemotherapy ,Adjuvant chemotherapy ,business.industry ,medicine.medical_treatment ,Anthropometry ,medicine.disease ,Gastroenterology ,Radiation therapy ,Grip strength ,Breast cancer ,Internal medicine ,medicine ,Breast reconstruction ,business ,Cohort study - Abstract
Purpose: The aim of this study was to identify the change in hand grip strength (HGS) for consecutive 6 months in breast cancer survi vors (BCS) undergoing postoperative adjuvant chemotherapy (adjCTX) and to determine the factors relevant to HGS after chemotherapy completion Methods: This study was a retrospective observational cohort study. BCS (N=38) who underwent breast cancer surgery and subsequent adjCTX were enrolled. The HGS of both sides was measured before adjCTX and 3 weeks, 2 months and 6 months after adjCTX. And we also collected body composition, anthropometric measurements, social demographics and clinical data. Then we analyzed the changes in HGS over time, and correlation of collected data with HGS at 6 months. Results: A significant increase in HGS of the unaffected side was observed within the first 3 weeks of adjCTX and maintained up to 6 months. In correlation analysis, HGS of both sides was positively correlated with the ipsilateral HGS at 3 weeks, and contralateral HGS at 6 months. And skeletal muscle mass was also positively correlated with the HGS of the unaffected side. In addition, subjects treated with targeted therapy had lower HGS of the unaffected side. However, HGS of the affected side was significantly lower in subjects with breast reconstruction and treated without radiotherapy. Conclusions: To maintain the early recovery of HGS, active and continuous exercise intervention for strengthening might be necessary.
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- 2020
4. Fahr’s Disease With Intracerebral Hemorrhage at the Uncommon Location: A Case Report
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Seong Wook Son, Baek Hee Jang, and Chung Reen Kim
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Intracerebral hemorrhage ,030506 rehabilitation ,medicine.medical_specialty ,business.industry ,Rehabilitation ,Idiopathic Basal Ganglia Calcification 1 ,lcsh:R ,lcsh:Medicine ,Case Report ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Hypoparathyroidism ,Idiopathic basal ganglia calcification 1 ,Intracranial hemorrhages ,Basal ganglia ,medicine ,Brain lesions ,Radiology ,Spontaneous intracerebral hemorrhage ,0305 other medical science ,Fahr's disease ,business ,030217 neurology & neurosurgery ,Calcification - Abstract
Fahr's disease (FD) is a rare neurologic disorder characterized by the symmetric and bilateral intracerebral calcification in a patient. We describe the case of a 65-year-old woman who presented with gait disturbance, abnormal mentality, and visual field defect. The result of a brain computerized tomography showed spontaneous intracranial hemorrhage in the right parieto-occipital area, and also showed the incidence of symmetric and bilateral intracerebral calcification. Moreover, laboratory studies indicated characteristic hypoparathyroidism. This brings us to understand that additionally, one of her sons also presented with similar intracerebral calcification, and was subsequently diagnosed with FD. Thus, her case was consistent with that of a patient experiencing FD. The patient had hypertension, which we now know might have caused the intracerebral hemorrhage. However, this patient's brain lesions were in uncommon locations for spontaneous intracerebral hemorrhage, and the lesions were noted as occurring away from the identified heavily calcified areas. Thus, it seemed that the massive calcification of cerebral vessels in the basal ganglia, the most common site of intracerebral hemorrhage, might have prevented a hypertensive intracerebral hemorrhage. Eventually, an intracerebral hemorrhage occurred in an uncommon location in the patient's brain.
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- 2019
5. Using a wireless touch screen tablet personal computer is feasible to assess the quality of Breast Cancer Survivorship
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JinShil Kim, Yunsuk Choi, Su-Jin Koh, Jaekyung Cheon, Ju Hee Kim, and Chung Reen Kim
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Cultural Studies ,Linguistics and Language ,History ,medicine.medical_specialty ,media_common.quotation_subject ,lcsh:RC254-282 ,Language and Linguistics ,03 medical and health sciences ,0302 clinical medicine ,Breast cancer ,Older patients ,Survivorship curve ,medicine ,Quality (business) ,Medical physics ,030212 general & internal medicine ,Systemic approach ,media_common ,business.industry ,Cancer ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,030220 oncology & carcinogenesis ,Anthropology ,Personal computer ,Pilot test ,business - Abstract
Background: Evidence supporting a tablet personal computer (PC)-based mode for a systemic approach to managing the breast cancer survival is limited. Objective: The objective of this study was to evaluate whether a tablet personal computer (PC) survey is feasible for screening the risks of the recurrence of breast cancer and the survivor issues associated with breast cancer treatment. Materials and methods: A descriptive study design was used. A pilot test of the tablet PC survey for its feasibility was undertaken using 40 breast cancer survivors at a university affiliated cancer management-survivorship clinic. The tablet PC survey was evaluated by structured questionnaires designed to assess patient experiences responding to the tablet PC-based surveys and user friendliness of the device itself. Results: Older patients and those with a lower education were more likely to have difficulty with the tablet PC administration and required assistance. Both physicians and nurses reported that the tablet PC survey was a useful tool that assisted healthcare professionals with providing quality of care. Conclusion: This pilot test supported the feasibility of a tablet PC survey as a vehicle for breast cancer survivorship management. Keywords: Breast cancer, Survivorship, Tablet, Survey
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- 2018
6. Effects of Anodal Transcranial Direct Current Stimulation on Somatosensory Recovery After Stroke
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Chung Reen Kim, Baek Hee Jang, and Woo Ram Koo
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Male ,030506 rehabilitation ,medicine.medical_specialty ,medicine.medical_treatment ,Physical Therapy, Sports Therapy and Rehabilitation ,Sensory system ,Stimulation ,Transcranial Direct Current Stimulation ,Somatosensory system ,law.invention ,Lesion ,Disability Evaluation ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Double-Blind Method ,Randomized controlled trial ,law ,Activities of Daily Living ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Stroke ,Aged ,Transcranial direct-current stimulation ,business.industry ,Rehabilitation ,Stroke Rehabilitation ,Recovery of Function ,Middle Aged ,medicine.disease ,Treatment Outcome ,Female ,medicine.symptom ,0305 other medical science ,business ,030217 neurology & neurosurgery - Abstract
Objective The aim of this study was to evaluate the effect of anodal transcranial direct current stimulation over the primary somatosensory cortex on the recovery of somatosensation, motor function, and the activities of daily living in patients with subacute stroke. Design This study was a prospective, randomized sham controlled, double-blinded study. Patients with subacute stroke having somatosensory deficits (N = 24) were enrolled and assigned randomly to the anodal and sham stimulation groups. Patients received 10 consecutive anodal or sham transcranial direct current stimulations over the primary somatosensory cortex on the side of the stroke lesion. Before and after each stimulation session, Nottingham sensory assessments, Semmes Weinstein monofilaments examination, and manual function tests were performed, and modified Brunnstrom classification, modified Barthel index, and functional ambulation categories were assessed. Results Although there was no clear significant difference between the two groups, when the changes from baseline to posttreatment evaluation were compared between the groups, a partially significant improvement was observed in the anodal stimulation group compared with the sham stimulation group. Interestingly, the tactile sensation of the unaffected side also improved. Moreover, the greater improvement in activities of daily living function was observed in the anodal stimulation group too. Conclusion Anodal transcranial direct current stimulation over the primary somatosensory cortex may be a useful adjuvant therapy for the recovery of somatosensation and activities of daily living function in patients with sensory deficits after stroke.
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- 2018
7. Abdominal Muscles and Metabolic Syndrome According to Patient Sex: A Retrospective Cross-Sectional Study
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Young-Jee Jeon, Gyung-Min Park, Chung Reen Kim, Tae Young Lee, and Byung Ju Kang
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medicine.medical_specialty ,Leadership and Management ,Cross-sectional study ,Health Informatics ,Computed tomography ,Lumbar vertebrae ,Gastroenterology ,Article ,metabolic syndrome ,abdominal muscle ,Health Information Management ,Abdominal muscles ,Internal medicine ,medicine ,attenuation ,biology ,medicine.diagnostic_test ,business.industry ,Health Policy ,Skeletal muscle ,computed tomography ,Lama ,biology.organism_classification ,medicine.disease ,medicine.anatomical_structure ,Medicine ,sex characteristics ,Metabolic syndrome ,business ,Sex characteristics - Abstract
Computed tomography (CT) is a reference method for measuring skeletal muscle mass, and the amount of fat in the skeletal muscle can be calculated based on CT attenuation. This study aimed to comprehensively investigate the effect of muscle quality and quantity on metabolic syndrome (MetS) according to sex. This retrospective cross-sectional study enrolled 8081 individuals aged ≥20 years who underwent self-referral abdominopelvic CT at our hospital. The total abdominal muscle area (TAMA), low-attenuation abdominal muscle area (LAMA), normal-attenuation abdominal muscle area (NAMA), and extramyocellular lipid area (EMCLA) were measured using cross-sectional CT data of the L3 lumbar vertebrae. The TAMA and NAMA showed negative correlations with risk factors for MetS and a positive correlation with high-density lipoprotein cholesterol, whereas the LAMA and EMCLA showed an inverse trend in both the sexes (p <, 0.001). After adjusting for various factors, a higher LAMA index and the ratio of LAMA to TAMA were associated with a higher prevalence of MetS. High TAMA indices were associated with a lower prevalence of MetS. Furthermore, muscle quality and quantity were associated with the prevalence of MetS in both males and females. However, the LAMA showed a stronger association with MetS in males than in females.
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- 2021
8. Risk factors associated with low handgrip strength in the older Korean population
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Young-Jee Jeon, Tae-Heum Jeong, and Chung Reen Kim
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Male ,Sarcopenia ,Social Sciences ,Comorbidity ,Pathology and Laboratory Medicine ,Elderly ,0302 clinical medicine ,Sociology ,Risk Factors ,Medicine and Health Sciences ,Public and Occupational Health ,Mass index ,030212 general & internal medicine ,Geriatrics ,education.field_of_study ,Alcohol Consumption ,Multidisciplinary ,Hand Strength ,Nutrition Surveys ,Sports Science ,Socioeconomic Aspects of Health ,Cohort ,Income ,Educational Status ,Medicine ,Female ,0305 other medical science ,Research Article ,Social status ,medicine.medical_specialty ,National Health and Nutrition Examination Survey ,Science ,Population ,Education ,03 medical and health sciences ,Signs and Symptoms ,Diagnostic Medicine ,030502 gerontology ,Environmental health ,Republic of Korea ,medicine ,Humans ,Sports and Exercise Medicine ,education ,Exercise ,Life Style ,Socioeconomic status ,Educational Attainment ,Nutrition ,Aged ,business.industry ,Biology and Life Sciences ,Physical Activity ,medicine.disease ,Health Surveys ,Diet ,Health Care ,Physical Fitness ,Age Groups ,People and Places ,Population Groupings ,business - Abstract
Hand grip strength (HGS) is a means to assess health status and physical abilities indirectly. Various factors are known to be related to HGS, but data on the factors influencing HGS in the Korean population are lacking. Recently, the Korea National Health and Nutrition Examination Survey (KNHANES) conducted by the Korea Centers for Disease Control and Prevention surveyed social status, nutrition, physical status, and other medical history including HGS. This study aimed to investigate the social, physical, and individual health behavior factors associated with low HGS in the elderly Korean population. This population-based cross-sectional study was based on the 2014-2016 KNHANES. Community-dwelling Korean elderly (aged ≥65 years) were included in this survey. The relationship between HGS and socioeconomic status, nutrition, exercise, and other clinical characteristics were analyzed using multivariate logistic regression. The sample size was 3,634 (weighted: 6,006,406). Elderly men and women with low HGS showed lower body mass index, reduced physical activity and lower education level. Among elderly men, excessive carbohydrate and inadequate protein intake were observed in the low HGS group. Meanwhile, older women who did not drink alcohol and had diabetes were at higher risk of low HGS. In conclusion, various physical, nutritional, socioeconomic and comorbidity statuses were seemed to be the factors associated with HGS in Korean elderly. However, further cohort or case-control study will be necessary to determine the causal relationship of those factors and HGS.
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- 2019
9. Gait Analysis for Evaluating the Relationship Between Increased Signal Intensity on T2-Weighted Magnetic Resonance Imaging and Gait Function in Cervical Spondylotic Myelopathy
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Chung Reen Kim, Sang Hoon Lee, Dong Ho Lee, Jong Yoon Yoo, and Seung Chul Rhim
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Physical Therapy, Sports Therapy and Rehabilitation ,Spinal Cord Diseases ,Myelopathy ,Physical medicine and rehabilitation ,Gait (human) ,medicine ,Humans ,Range of Motion, Articular ,Gait ,Physical Therapy Modalities ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Rehabilitation ,Laminectomy ,Magnetic resonance imaging ,Middle Aged ,medicine.disease ,Laminoplasty ,Magnetic Resonance Imaging ,humanities ,medicine.anatomical_structure ,Gait analysis ,Orthopedic surgery ,Cervical Vertebrae ,Physical therapy ,Female ,Spondylosis ,Ankle ,Range of motion ,business ,human activities - Abstract
Kim CR, Yoo JY, Lee SH, Lee DH, Rhim SC. Gait analysis for evaluating the relationship between increased signal intensity on T2-weighted magnetic resonance imaging and gait function in cervical spondylotic myelopathy. Objective To determine relationships between increased signal intensity (ISI) on T2-weighted cervical spine magnetic resonance imaging (MRI) and parameters of gait analysis in patients with cervical spondylotic myelopathy (CSM). Design Retrospective comparative study. Setting Gait analysis laboratory. Participants Patients (N=36) who undertook cervical laminectomy or laminoplasty because of CSM. Interventions Not applicable. Main Outcome Measures Subjects were evaluated by using the modified Japanese Orthopaedic Association (JOA) scale, the Nurick scale, cervical spine MRI, and gait analysis. Two radiologists classified patients into 3 groups: intense, faint, and no ISI. Results Relative to patients without ISI, those with ISI showed significantly slower gait speed, longer step time, decreased single-limb support time, increased double-limb support time, and limited range of motion of knee and ankle ( P Conclusions In patients with CSM who received surgical treatment, more intense ISI on T2-weighted MRI correlated preoperatively with increased difficulties in gait function. Gait analysis may be a useful tool for evaluating gait functions in cervical myelopathy.
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- 2010
10. Reference values for hand grip strength in the South Korean population
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Young-Jee Jeon, Chung Reen Kim, Tae-Heum Jeong, Moon Chan Kim, and Woo Ram Koo
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Male ,Sarcopenia ,Cross-sectional study ,lcsh:Medicine ,Hands ,Pathology and Laboratory Medicine ,Grip strength ,Elderly ,0302 clinical medicine ,Reference Values ,Medicine and Health Sciences ,Ethnicities ,Medicine ,Biomechanics ,030212 general & internal medicine ,lcsh:Science ,Child ,Musculoskeletal System ,Aged, 80 and over ,Multidisciplinary ,Hand Strength ,Anthropometry ,Muscles ,Age Factors ,Middle Aged ,Nutrition Surveys ,Arms ,Korean People ,Female ,Anatomy ,Research Article ,Adult ,Adolescent ,National Health and Nutrition Examination Survey ,Young Adult ,03 medical and health sciences ,Signs and Symptoms ,Diagnostic Medicine ,Hand strength ,Republic of Korea ,Humans ,Aged ,business.industry ,lcsh:R ,Limbs (Anatomy) ,Biology and Life Sciences ,medicine.disease ,Confidence interval ,Cross-Sectional Studies ,Skeletal Muscles ,Age Groups ,People and Places ,lcsh:Q ,Population Groupings ,business ,Body mass index ,030217 neurology & neurosurgery ,Demography - Abstract
Objective To establish reference values for hand grip strength (HGS) in a healthy Korean population and to identify the dependent anthropometric variables that affect HGS. Methods Based on the sixth Korea National Health and Nutrition Examination Survey from 2014 to 2015, we analyzed the HGS data of 7,969 South Koreans. Individuals with specific chronic diseases and who reported poor subjective health status were excluded to ensure a healthy population sample. Means with standard deviations (SDs) and 95% confidence intervals were calculated for each 5-year interval starting from 10 years of age. To determine the relationship between HGS and anthropometric variables, we performed correlation analyses between HGS and height, weight, and body mass index (BMI). Additionally, based on these findings, the cut-off value for low HGS was presented by deriving -2SD values of healthy young adults as recommended by the European Working Group on Sarcopenia in Older People. Results The mean age and BMI of men and women were 38.3 and 38.2 years and 23.8 and 22.4 kg/m2, respectively. Mean HGS of the dominant hand in men and women was 39.5 and 24.2 kg, respectively. The peak in HGS was at 35–39 years of age, after which HGS decreased in both sexes. HGS was significantly correlated with height, weight, and BMI. The cut-off values for weak HGS were < 28.9 and < 16.8 kg in men and women, respectively. Conclusion These results provide useful reference values to assess HGS in patients who undergo hand surgery or who have various diseases that affect HGS. Moreover, a cut-off value for low HGS may help in defining sarcopenia among the Korean population.
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- 2018
11. Feasigility study using tablet PC for assessment of quality of life and risk factors of breast cancer survivors
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Yunsuk Choi, Kim Ju Hee, Chung Reen Kim, and Su-Jin Koh
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Cancer Research ,medicine.medical_specialty ,business.industry ,Cancer ,medicine.disease ,Tertiary referral hospital ,Institutional review board ,Distress ,Breast cancer ,Oncology ,Quality of life ,Survivorship curve ,Physical therapy ,Medicine ,business ,Prospective cohort study - Abstract
81 Background: The aim was to assess the feasibility of using tablet PC for assessment of risk of breast cancer recurrence and primary cancer, physical and psychological effect of breast cancer and treatment, health promotion at first visit among breast cancer survivors. Methods: The prospective study was carried out in the survivorship clinic, university teaching and tertiary referral hospital. After clearance from the Institutional Review Board, 40 breast cancer patients first visiting survival clinic received surgical treatment and adjuvant chemotherapy were included in the study after informed written consent, irrespective of the age and stage of disease. The patients were answered as per quality of life, physical function and activity, pain, fatigue, anxiety and depression, distress by using tablet PC. We evaluated the information of education, marriage, job, economic status and health, knowledge about management of cancer survivors, feasibility (difficulty, simplicity, necessity, comfort, satisfaction, recommendation) of using tablet PC and difficulty of the questionnaire in understanding, psychological, social and documenting aspect. Results: Most of patients using tablet PC agree with easy (85.7%), simplicity (75.4%), necessity (75.5%), comfort (72.1%), satisfaction (83.9%), recommendation to others (77.8%). Age over 60 years (83% vs 96%, p=0.037), general health status (r=0.491, p=0.001) affect to the difficulty of using tablet PC. And age, knowledge, education, general health status affect to the understanding of questionnaire. In multivariation analysis, educational status (elementary school (β=-0.312, p= 0.016), middle school (β=-0.452, p=0.001) and general health status (β=-0.344, p=0.010) affect to the understanding of questionnaire. Conclusions: We can use tablet PC in outpatient cancer surviors clinic effectively. But we need careful evaluation for who are not good in general health status.
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- 2017
12. Effects of Cervical Kyphosis on Recovery From Dysphagia After Stroke
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Sang Jun Mo, Po Song Jun, Won Sik Moon, Suk Kyoung Kim, and Chung Reen Kim
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medicine.medical_specialty ,genetic structures ,Subacute stroke ,Kyphosis ,030507 speech-language pathology & audiology ,03 medical and health sciences ,0302 clinical medicine ,stomatognathic system ,Swallowing ,otorhinolaryngologic diseases ,medicine ,cardiovascular diseases ,Stroke ,Degulgitation disorders ,Cervical kyphosis ,business.industry ,digestive, oral, and skin physiology ,Rehabilitation ,medicine.disease ,Dysphagia ,Surgery ,Respiratory aspiration ,Fluoroscopy ,Original Article ,medicine.symptom ,0305 other medical science ,business ,030217 neurology & neurosurgery - Abstract
Objective To determine the effects of cervical kyphosis on the recovery of swallowing function in subacute stroke patients. Methods Baseline and 1-month follow-up videofluoroscopic swallowing studies (VFSSs) of 51 stroke patients were retrospectively analyzed. The patients were divided into the cervical kyphosis (Cobb's angle
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- 2016
13. Effects of hypnotics on sleep patterns and functional recovery of patients with subacute stroke
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Eun Young Han, Min Ho Chun, and Chung Reen Kim
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Adult ,Male ,medicine.medical_specialty ,Subacute stroke ,Physical Therapy, Sports Therapy and Rehabilitation ,Neuropsychological Tests ,Physical medicine and rehabilitation ,Internal medicine ,Sleep Initiation and Maintenance Disorders ,Brief Psychiatric Rating Scale ,medicine ,Insomnia ,Humans ,Hypnotics and Sedatives ,In patient ,Stroke ,Inpatients ,Memory Disorders ,business.industry ,Rehabilitation ,Case-control study ,Stroke Rehabilitation ,Recovery of Function ,Middle Aged ,medicine.disease ,Functional recovery ,Sleep patterns ,Case-Control Studies ,Female ,medicine.symptom ,business - Abstract
To identify relationships between sleep patterns and functional outcomes in patients with subacute stroke with insomnia.We prospectively studied 30 patients with subacute stroke. Each patient completed the St. Mary's Hospital sleep questionnaire, the Korean modified Barthel index, a computerized neuropsychological test, and the Beck depression inventory. The time interval between baseline and follow-up was 3 wks. Patients with insomnia were all treated with hypnotics, and patients were divided into two groups according to sleep patterns.Poor sleep quality, decreased total sleep time, and increased frequency of nocturnal awakening were observed in patients with insomnia, but sleep patterns improved, when hypnotics were administered, to levels comparable with those of the (noninsomnia) control group. There was no significant difference in functional, cognitive, or depressive status between the insomnia and noninsomnia groups at baseline, but attention in patients with insomnia tended to be lower. At follow-up, functional and cognitive status had improved in both groups, and there was no significant difference between the two groups in sleep quality, sleep time, or nocturnal awakening.Patients with stroke with insomnia showed poor sleep patterns. Active management improved sleep patterns and helped such patients achieve functional and cognitive outcomes equivalent to those attained by patients without insomnia.
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- 2010
14. Effect of Chronic Obstructive Pulmonary Disease on Swallowing Function in Stroke Patients
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Gun Woong Park, Dong Kyu Kim, Suk Kyoung Kim, Chang Hwa Lee, Ho Joong Jeong, and Chung Reen Kim
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medicine.medical_specialty ,COPD ,business.industry ,Rehabilitation ,Chronic obstructive pulmonary disease (COPD) ,medicine.disease ,Deglutition disorders ,respiratory tract diseases ,Pulmonary function testing ,Surgery ,Stroke ,Bolus (medicine) ,medicine.anatomical_structure ,Swallowing ,Respiratory aspiration ,Statistical significance ,Respiratory Aspiration ,Internal medicine ,Vallecula ,Cardiology ,Medicine ,Original Article ,business ,Mastication - Abstract
Objective To investigate the prevalence of chronic obstructive pulmonary disease (COPD) in stroke patients, and to assess the difference in swallowing function between stroke patients with COPD (COPD group) and stroke patients without COPD (control group). Methods The subjects included 103 stroke patients. They underwent the pulmonary function test and were assigned to either the COPD group or the control group. Their penetration-aspiration scale (PAS) scores and functional dysphagia scale scores were compared by performing a videofluoroscopic swallowing study. The intergroup differences in lip closure, bolus formation, mastication, and the oral transit time, laryngeal elevation, cricopharyngeal dysfunction, oronasal regurgitation, residue in pyriform sinus and vallecula, pharyngeal transit time, aspiration, and esophageal relaxation were also compared. Results Thirty patients were diagnosed with COPD. The COPD group showed statistically higher PAS scores (4.67±2.15) compared to the control group (2.89±1.71). Moreover, aspiration occurred more frequently in the COPD group with statistical significance (p
- Published
- 2015
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