scholarly journals A Case Report on Korean Medical Treatment for a Patient with Quadriplegia and Impaired Cognition as Neurological Sequelae after Ingestion of Herbicides

2021 ◽  
Vol 42 (5) ◽  
pp. 904-915
Author(s):  
Sang-song Shim ◽  
Jae-yoon Ahn ◽  
Hyo-won Jin ◽  
Jong-min Yun ◽  
Byung-soon Moon
Keyword(s):  
Case Report ◽  
Medical Treatment ◽  
Clinical Symptoms ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Toxic Encephalopathy ◽  
Manual Muscle Test ◽  
Neurological Sequelae ◽  
Mini Mental Status Exam ◽  
Impaired Cognition

This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G →Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.

scholarly journals EVALUATING THE EFFECTIVENESS OF A TWO YEAR REHABILITATION OF A PATIENT WITH GUILLAIN-BARRE SYNDROME: A CASE REPORT

2021 ◽  
Vol 31 (5) ◽  
pp. 100-103
Author(s):  
Agnė Timlerytė ◽  
Lolita Grygalytė ◽  
Aleksandra Kubiliūtė ◽  
Raimondas Savickas
Keyword(s):  
Case Report ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Guillain Barre Syndrome ◽  
Upper Body ◽  
Outpatient Rehabilitation ◽  
Guillain Barré Syndrome ◽  
Tingling Sensation ◽  
Guillain Barré

Aim: To present a clinical case of multiple multidiscipli­nary rehabilitation courses after a total of three episodes of Guillain-Barre syndrome (GBS). Case report: A 72-year-old female was hospitalized to Lithuanian University of Health Sciences (LUHS) Hos­pital Kaunas Clinics Neurology department, complaining of lower back pain spreading to the lateral surfaces of both legs and a cold, tingling sensation in her feet that has been continuing for two months. Subacute demyelinating polyneuropathy was diagnosed. The patient suffered a total of three episodes of GBS and underwent a course of multidisciplinary rehabilitation after each of them. Despite the worsening condition during every episode of GBS, improvements were observed in the Barthel index, Functional Independence Measure, Lovett scores and dynamometry after each course of rehabilitation. Phy­siotherapy, occupational therapy, massage, transcutaneus electrical nerve stimulation, physical therapy, speech the­rapy, psychologist consultation and social worker consul­tation were applied. After the last course of rehabilitation, our patient was autonomous within the range of a ward, able to eat served food, put clothes on the upper body with minimal help, on the lower body – with moderate help. Moderate help was needed for all other activities. Conclusions: After undergoing multidisciplinary in and outpatient rehabilitation, the condition of our patient im­proved. This case highlights the importance of both early inpatient and continuous long-term rehabilitation for the achievement of the maximum functional recovery.

Use of Assistive Devices for Bathing by Elderly Who are Not Institutionalized

1996 ◽  
Vol 16 (4) ◽  
pp. 261-286 ◽  
Author(s):  
William C. Mann ◽  
Dianne Hurren ◽  
Machiko Tomita ◽  
Barbara Charvat
Keyword(s):  
Mental Status ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
The Body ◽  
Assistive Devices ◽  
Elderly Persons ◽  
Persons With Disabilities ◽  
Mini Mental Status Exam ◽  
Physical Dysfunction ◽  
Satisfied Users

For elderly persons with disabilities, bathing is a frequent activity that can be both pleasant and dangerous. Bathing involves using water in an environment with hard, smooth surfaces that become slippery when wet, and many falls occur in the bathroom. A variety of assistive devices are available to make bathing safer and more comfortable. Bathing devices rank as one of the most frequently used categories of assistive devices, yet many elders experience problems in the use of bathing devices. Study of bathing devices has been little beyond determination of the frequency of their use. In this article, we developed a hierarchical model for use in prescribing bathing devices related to mobility and support. This model, based on level of disability, is called the Bath Device Prescription Model (BDPM). Subjects were drawn from the University at Buffalo Consumer Assessments Study (n=319), which considers persons older than 60 years with disabilities. Subjects who reported difficulty with bathing (n=294) were divided into two groups based on mental status (Mini Mental Status Exam [MMSE] scores ⩾24 or ⩾23). This model was tested by first determining the level of disability of satisfied users of (1) bath mats, (2) grab bars in the bath area, (3) bath stools, (4) bath chairs, and (5) bath transfer benches. Level of disability was measured with the Sickness Impact Profile-physical dysfunction section (SIP-PDS), the body care and movement subsection of the SIP-PDS, the motor section of the Functional Independence Measure (FIM), and the bathing-washing and drying item of the FIM. Subjects who were having a problem with a bath device, other than installation, maintenance, or access to the bathroom, were considered. Disability scores for these dissatisfied owners of bath devices were compared with the mean score of satisfied users of each bath device. Typically, dissatisfied owners of bath devices were more disabled than satisfied users, suggesting that they would benefit from a higher level device, following the BDPM. This study represents the first reported investigation testing a model for use in the prescription of bath devices.

Responsiveness of five measures of arm function in acute stroke rehabilitation

2018 ◽  
Vol 32 (8) ◽  
pp. 1098-1107 ◽  
Author(s):  
Angela Vratsistas-Curto ◽  
Catherine Sherrington ◽  
Annie McCluskey
Keyword(s):  
Action Research ◽  
Effect Size ◽  
Stroke Rehabilitation ◽  
Large Range ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Range Effect ◽  
Manual Muscle Test ◽  
Standardized Response Mean ◽  
Block Test

Objective: To determine the responsiveness of five arm function measures in people receiving acute inpatient stroke rehabilitation. Design: Inception cohort study. Setting: Comprehensive stroke unit providing early rehabilitation. Subjects: A total of 64 consecutively admitted stroke survivors with moderately severe disability (Modified Rankin Scale score median (interquartile range (IQR)): 4.0 (1.0)). Main measures: Responsiveness was analyzed by calculating effect size, standardized response mean and median-based effect size. Floor/ceiling effects were calculated as the percentage of participants scoring the lowest/highest possible scores. Results: Average length of stay and number of therapy days were 34 (SD = 27.9) and 12 (SD = 13.1), respectively. Box and Block Test and Functional Independence Measure–Self-Care showed the highest responsiveness with values in the moderate–large range (effect size = 1.09, standardized response mean = 1.07 and median-based effect size = 0.76; effect size = 0.94, standardized response mean = 1.04 and median-based effect size = 1.0). Responsiveness of Action Research Arm Test and Upper Limb–Motor Assessment Scale were moderate (effect size = 0.58, standardized response mean = 0.69 and median-based effect size = 0.59; effect size = 0.62, standardized response mean = 0.75 and median-based effect size = 0.67). For Manual Muscle Test, responsiveness was in the small–moderate range (effect size = 0.42, standardized response mean = 0.59 and median-based effect size = 0.5). Box and Block Test showed the largest floor effect on admission (28%), and Action Research Arm Test and Manual Muscle Test showed the largest ceiling effect on discharge (31%). Conclusion: These five measures varied in their ability to detect change with responsiveness ranging from the small to large range. Box and Block Test and Functional Independence Measure–Self-Care showed a greater ability to detect change; both demonstrated moderate–large responsiveness.

scholarly journals A Patient with Intracerebral Hemorrhage Improved by Korean Medical Treatment including Pyung-Hyung Acupuncture: A Case Report

2021 ◽  
Vol 42 (5) ◽  
pp. 872-882
Author(s):  
Hae-yoong Kim ◽  
Seo-young Won ◽  
Jeong-hui Kim ◽  
Ju-young Ryu ◽  
Eun-sun Jung ◽  
...  
Keyword(s):  
Case Report ◽  
Herbal Medicine ◽  
Intracerebral Hemorrhage ◽  
Medical Treatment ◽  
Barthel Index ◽  
Ct Image ◽  
Manual Muscle Test ◽  
Brain Ct ◽  
Korean Version ◽  
Hemiplegic Patient

Objective: This study examined the effectiveness of Pyung-Hyung acupuncture and herbal medicine for a hemiplegic patient diagnosed with intracerebral hemorrhage.Methods: The patient was treated with Pyung-Hyung acupuncture and herbal medicine for one month. Intracerebral hemorrhage symptoms were evaluated using the Korean version of the Modified Barthel Index (K-MBI), the Manual Muscle Test (MMT), and brain CT images.Results: Following Pyung-Hyung acupuncture and herbal medicine, K-MBI, MMT, and brain CT image results improved.Conclusion: This case showed that Pyung-Hyung acupuncture and herbal medicine effectively treated intracerebral hemorrhage with hemiplegia.

Surgical treatment of alveolar echinococcosis: a single centre experience and systematic review of the literature

2019 ◽  
Vol 98 (4) ◽  
pp. 167-173
Keyword(s):  
Case Report ◽  
Echinococcus Multilocularis ◽  
Alveolar Echinococcosis ◽  
Lymphatic System ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Safety Margin ◽  
Surgical Removal ◽  
Single Centre Experience ◽  
Therapeutic Procedures

Introduction: Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis. AE is primarily localised in the liver. Echinococcus multilocularis imitates tumour-like behaviour. It can metastasise through blood or lymphatic system to distant organs. Echinococcosis often remains asymptomatic due to its long incubation period and indistinct symptoms. Clinical symptoms are determined by the parasite’s location. Diagnosis of echinococcosis is based on medical history, clinical symptoms, laboratory tests, serology results, imaging methods and final histology findings. Surgical removal of the cyst with a safety margin, followed by chemotherapy is the therapeutic method of choice. Case report: We present a case report of alveolar echinococcosis in a thirty-year-old female patient in whom we surgically removed multiple liver foci of alveolar echinococcosis. The disease recurred after two years and required another surgical intervention. Conclusions: Alveolar echinococcosis is a disease with a high potential for a complete cure provided that it is diagnosed early and that the recommended therapeutic procedures are strictly adhered to.

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