Abstract. [Purpose] This study examined the effect on stroke patients of a task-oriented training program for trunk control ability, balance and gait.[Methods] The subjects were 20 inpatients who were randomly divided into two groups; Ten patients in the experimental group performed the task-oriented training (3 times/wk) and received general physical therapy (5 times/wk) for 4 weeks, and 10 patients in the control group received only general physical therapy (5 times/wk) for 4 weeks. The Trunk Impairment Scale, Berg Balance Scale, Timed Up & Go test (TUG), and 10 m walking time, were measured before and after the 4 weeks of therapy.[Results] The experimental group showed significant improvements in trunk control ability, balance and gait after 4 weeks of task-oriented training. Except for TUG, significant differences in trunk control ability, balance and gait were observed between the experimental and control groups.[Conclusion] This study demonstrated that task-oriented training after a stoke can improve the trunk control ability, balance and gait, which be effective in stroke rehabilitation.
Objectives : The aim of this study is to observe clinical characteristics and treatment outcomes of inpatients admitted to a Korean medicine hospital for shoulder pain based on magnetic resonance imaging(MRI) findings. Methods : 28 patients with MRI data were included. Data on MRI findings, duration of pain, and treatment effects were collected. To measure treatment outcomes, verbal numerical rating scale(VNRS), range of motion(ROM), and a clinical condition grading system were used. Results : 1. The patient population was 75.0 % female and 39.3 %(n=11) belonged to the 51~ 60-year-old age group. In the under 40 population, 1 or less MRI findings were found. 2. As for the type of disorder, 82.1 % of the patients were diagnosed with 'Supraspinatus lesion', 39.3 % with 'subacromial-subdeltoid(SA-SA) bursitis', and 28.6 % with 'Adhesive capsulitis' 3. Numerous correlations could be made between duration of pain and MRI findings. 'rotator cuff full thickness tear' was more prevalent in acute shoulder pain patients, and 'Adhesive capsulitis' in chronic patients. 4. VNRS and ROM at the time of discharge had significantly improved as compared to VNRS and ROM at the time of admission. 5. As for correlation between MRI findings and clinical condition grade, patients diagnosed with 'rotator cuff partial tear' reported to be in 'good' condition or better whereas those with 'rotator cuff full thickness tear' reported to be in 'fair' condition or worse. Conclusions : Patients admitted to a Korean Medicine hospital for shoulder pain had varying degrees of severity as shown on MRI. Almost all lesions responded well to Korean medicine treatment.
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