Pattern Identifications for Stroke Patients admitted to National Rehabilitation Center using Korean Standard Pattern Identification for Stroke-III

Uncoupling protein 2 (UCP2), a mitochondrial protein present in many organs and cell types, is known to dissipate the proton gradient formed by the electron transport chain. Its function is correlated with predictive parameters, such as obesity, diabetes, and metabolic syndromes. We analyzed the distribution of UCP2 polymorphisms in stroke patients diagnosed with one of the following four stroke subtypes based on the TKM standard pattern identification (PI): Qi-deficiency (QD), Dampness and Phlegm (D&P), Yin-deficiency (YD), and Fire and Heat (F&D). We studied a total of 1,786 stroke patients (397/QD, 645/D&P, 223/YD, and 522/F&D, 586/normal). Genotyping for the G-1957A, G-866A and A55V UCP2 polymorphisms was performed using the TaqMan. G-866A and A55V were significantly associated with the D&P and H&F subtypes. The frequency of subjects with the A allele of G-866A was significantly lower than the frequency of subjects with the GG type. The A55V polymorphism was also shown similar effect with G-866A in the dominant model. In contrast, no SNPs were shown to be associated with the QD or YD subtypes in this study. These results showed that the G-866A and A55V UCP2 polymorphisms may be genetic factors for specific PI types among Korean stroke patients.

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The Feasibility of Computer-Based Prism Adaptation to Ameliorate Neglect in Sub-Acute Stroke Patients Admitted to a Rehabilitation Center

Frontiers in Human Neuroscience ◽

10.3389/fnhum.2013.00353 ◽

2013 ◽

Vol 7 ◽

Cited By ~ 10

Author(s):

Miranda Smit ◽

Stefan Van der Stigchel ◽

Johanna M. A. Visser-Meily ◽

Mirjam Kouwenhoven ◽

Anja L. H. Eijsackers ◽

...

Keyword(s):

Acute Stroke ◽

Prism Adaptation ◽

Rehabilitation Center ◽

Stroke Patients ◽

Computer Based

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Ischemic Stroke patients in rehabilitation center and cause investigation

Annals of Physical and Rehabilitation Medicine ◽

10.1016/j.rehab.2014.03.098 ◽

2014 ◽

Vol 57 ◽

pp. e27

Author(s):

E. Mouza ◽

C. Ntasiopoulou ◽

I. Katsanos ◽

D. Skoutas ◽

K. Kyriakidou

Keyword(s):

Ischemic Stroke ◽

Rehabilitation Center ◽

Stroke Patients

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PATTERN IDENTIFICATION/SYNDROME DIFFERENTIATION: GENETIC ASSOCIATION OF CODING REGION POLYMORPHISM OF PON1 AMONG KOREAN STROKE PATIENTS

Journal of Hypertension ◽

10.1097/00004872-201106001-01425 ◽

2011 ◽

Vol 29 ◽

pp. e472-e473

Author(s):

J. H. Lim ◽

M. H. Cha ◽

M. M. Ko ◽

B. K. Kang ◽

H. Y. Ko ◽

...

Keyword(s):

Genetic Association ◽

Pattern Identification ◽

Syndrome Differentiation ◽

Coding Region ◽

Stroke Patients

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Reassessment of Poststroke Dysphagia in Rehabilitation Facility Results in Reduction in Diet Restrictions

Journal of Clinical Medicine ◽

10.3390/jcm10081714 ◽

2021 ◽

Vol 10 (8) ◽

pp. 1714

Author(s):

Anna Maria Pekacka-Egli ◽

Radoslaw Kazmierski ◽

Dietmar Lutz ◽

Katarzyna Pekacka-Falkowska ◽

Adam Maszczyk ◽

...

Keyword(s):

Oral Intake ◽

Diagnostic Procedures ◽

Rehabilitation Center ◽

Neurological Rehabilitation ◽

Stroke Patients ◽

Swallowing Evaluation ◽

Diet Management ◽

Functional Oral Intake Scale ◽

Clinical Swallowing Evaluation ◽

Diet Level

Background: Dysphagia assessment in postacute stroke patients can decrease the incidence of complications like malnutrition, dehydration, and aspiration pneumonia. It also helps to avoid unnecessary diet restrictions. The aim of this study is to verify if regular reassessment of dysphagia would change the diet management of postacute stroke patients in rehabilitation settings. Methods: This single-center retrospective study included 63 patients referred to an inpatient neurological rehabilitation center between 2018–2019. A standardized clinical swallowing evaluation and Fiberoptic Endoscopic Evaluation of Swallowing (FEES) were performed. Diet level according to Functional Oral Intake Scale (FOIS) was evaluated. As the primary endpoint, the FOIS values based on diagnostic procedures were assessed at hospital discharge, rehabilitation admission, and after FEES. Results: 19 women (30%) and 44 men (70%), with a mean age of 75 y (SD ± 10.08), were enrolled. The intergroup ANOVA revealed significant differences (p < 0.001) between dietary prescriptions in an acute care setting and following clinical and endoscopic reassessment in the rehabilitation center. Diet recommendations changed in 41 of 63 (65%) enrolled patients (p < 0.001). Conclusion: Instrumental diagnostic by FEES during the early convalescence period of stroke patients leads to clinically relevant changes to diet restrictions and lower rates of pneumonia. Our findings underline the need for regular and qualitative dysphagia diagnostics in stroke patients participating in neurological rehabilitation.

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Functional Assessment of Region-Specific Neglect: Are There Differential Behavioural Consequences of Peripersonal versus Extrapersonal Neglect?

Behavioural Neurology ◽

10.1155/2014/526407 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

T. C. W. Nijboer ◽

A. F. ten Brink ◽

M. Kouwenhoven ◽

J. M. A. Visser-Meily

Keyword(s):

Activities Of Daily Living ◽

Functional Assessment ◽

Daily Living ◽

Inpatient Rehabilitation ◽

Rehabilitation Program ◽

Body Parts ◽

Rehabilitation Center ◽

Stroke Patients ◽

Instrumental Activities ◽

Processing Information

Background.Region-specific types of neglect (peripersonal and extrapersonal) have been dissociated, yet, differential behavioural consequences are unknown.Objective.The aim of the current study was to investigate behavioural consequences at the level of basic activities of daily living of region-specific neglect, using the Catherine Bergego Scale (CBS).Methods.118 stroke patients were screened within the first two weeks after admission to the rehabilitation center for inpatient rehabilitation.Results.Patients with peripersonal neglect and patients with neglect for both regions had significantly higher total score on the CBS compared to nonneglect patients. Total scores for patients with extrapersonal neglect were comparable to non-neglect patients. ADL impairments were found across activities (e.g., looking towards one side, forgetting body parts, colliding) for both patients with peripersonal neglect and patients with neglect for both regions. Patients with extrapersonal neglect were only impaired on the item on way finding.Conclusions.When diagnosing neglect, it is relevant to distinguish the type of region-specific neglect and, where needed, to adjust the rehabilitation program accordingly. As the CBS isnotdeveloped to typically measure ADL in extrapersonal neglect, it would be of importance to add other (instrumental) activities that heavily rely on processing information in farther space.

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Clinical Approach to the Standardization of Oriental Medical Diagnostic Pattern Identification in Stroke Patients

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2011/768492 ◽

2011 ◽

Vol 2011 ◽

pp. 1-7 ◽

Cited By ~ 20

Author(s):

Han Jung Kim ◽

Hyung Sup Bae ◽

Seong Uk Park ◽

Sang Kwan Moon ◽

Jung Mi Park ◽

...

Keyword(s):

Regression Analysis ◽

Blood Stasis ◽

Diagnostic System ◽

Binary Logistic Regression ◽

Pattern Identification ◽

Binary Logistic Regression Analysis ◽

Clinical Approach ◽

Stroke Patients ◽

Logistic Equations ◽

Yin Deficiency

In Korea, many stroke patients receive oriental medical care, in which pattern-identification plays a major role. Pattern-identification is Oriental Medicine's unique diagnostic system. This study attempted to standardize oriental medical pattern-identification for stroke patients. This was a community-based multicenter study that enrolled stroke patients within 30 days after their ictus. We assessed the patients' general characteristics and symptoms related to pattern-identification. Each patient's pattern was determined when two doctors had the same opinion. To determine which variables affect the pattern-identification, binary logistic regression analysis was used with the backward method. A total of 806 stroke patients were enrolled. Among 480 patients who were identified as having a certain pattern, 100 patients exhibited the Fire Heat Pattern, 210 patients the Phlegm Dampness Pattern, nine patients the Blood Stasis Pattern, 110 patients the Qi Deficiency Pattern, and 51 patients the Yin Deficiency Pattern. After the regression analysis, the predictive logistic equations for the Fire Heat, Phlegm Dampness, Qi Deficiency, and Yin Deficiency patterns were determined. The Blood Stasis Pattern was omitted because the sample size was too small. Predictive logistic equations were suggested for four of the patterns. These criteria would be useful in determining each stroke patient's pattern in clinics. However, further studies with large samples are necessary to validate and confirm these criteria.

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The fundamental study for the standardisation and objectification of pattern identification in traditional Korean medicine for stroke (SOPI-Stroke): Development and interobserver agreement of the Korean standard pattern identification for stroke (K-SPI-Stroke) tool

European Journal of Integrative Medicine ◽

10.1016/j.eujim.2012.01.002 ◽

2012 ◽

Vol 4 (2) ◽

pp. e133-e139 ◽

Cited By ~ 11

Author(s):

Byoung-Kab Kang ◽

Tae-Woong Moon ◽

Ju Ah Lee ◽

Tae-Yong Park ◽

Mi Mi Ko ◽

...

Keyword(s):

Interobserver Agreement ◽

Pattern Identification ◽

Traditional Korean Medicine ◽

Standard Pattern ◽

Fundamental Study ◽

Korean Medicine

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Assessment of the Implementation of Critical Pathway in Stroke Patients: A 10-Year Follow-Up Study

BioMed Research International ◽

10.1155/2020/3265950 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Yun Jeong Jang ◽

Dahye Park ◽

Hyeong Seop Kim ◽

Chang Han Lee ◽

Ha Young Byun ◽

...

Keyword(s):

Functional Recovery ◽

University Hospital ◽

Rehabilitation Center ◽

Medical Conditions ◽

Stroke Patients ◽

Critical Pathway ◽

Significant Difference ◽

Before And After ◽

Specialized Care ◽

Functional States

Background. The complications after stroke inhibit functional recovery and worsen the prognosis of patients. The implementation of a critical pathway (CP) can facilitate functional recovery after stroke by enabling comprehensive and systematic structured rehabilitation. Objective. To evaluate the effects of the implementation of CP in stroke patients for 10 years. Methods. The data were collected from 960 patients who were diagnosed with a stroke at the university hospital emergency room, who were transferred to the rehabilitation center after the acute phase, and who were discharged after undergoing comprehensive rehabilitation. Based on data collected over a period of 10 years, changes in demographic and stroke characteristics, preexisting medical conditions, poststroke complications, and functional states, as well as length of stay (LOS), were evaluated before and after CP implementation. The modified Rankin Scale (mRS) and the Korean version of the Modified Barthel Index (K-MBI) were used to evaluate functional states. Results. There were no significant differences in demographic and stroke characteristics before and after CP implementation. For those with preexisting medical conditions, there was no significant difference between before and after CP implementation. The majority of the complications were significantly decreased after the implementation of CP. Except for hemorrhagic stroke patients, the Brunnstrom stage in the ischemic and total stroke patients after CP implementation was significantly increased in the upper and lower extremities. The total hospitalization LOS and rehabilitation center hospitalization times were significantly reduced in ischemic and total stroke patients. There was no statistically significant difference in the functional gain of K-MBI and the efficiency of rehabilitation between before and after CP implementation. Conclusion. The implementation of CP allows for better application of evidence- and guideline-based key interventions and helps to provide early, comprehensive, organized, and more specialized care to stroke patients. Despite limited evidence, CP is still recommended as a means of promoting best practices in hospital care for stroke patients.

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