Effect of East-West Integrative Rehabilitation on Activities of Daily Living and Cognitive Functional Recovery in Stroke Patients: A Retrospective Study

Abstract

Objectives This study was conducted to verify the effectiveness of east-west integrative rehabilitation therapy on activity of daily living and cognitive functional recovery in stroke patients by comparing with integrative rehabilitation therapy group and conventional rehabilitation therapy group in a single institution. Methods The medical records of 106 stroke patients hospitalized in Department of Rehabilitation Medicine, Dongguk University Bundang Oriental Hospital from January 1, 2017 to February 28, 2019 were reviewed. After screening and dividing it into conventional rehabilitation (CR) group and integrative rehabilitation (IR) group, Korean version of Modified Barthel Index (K-MBI), functional independence measure (FIM), clinical dementia rating-sum of boxes (CDR-SB) were statistically analyzed. Results IR group showed significant improvement in K-MBI, FIM, and CDR-SB after treatment (p<0.001) and there was a statistically significant difference in K-MBI and CDR-SB score changes than CR group (p<0.05). And chronic patient of IR group showed significant improvement in K-MBI, FIM, and CDR-SB after treatment (p<0.01) and there was a statistically significant difference in CDR-SB score changes than CR group (p<0.05). In particular, the earlier the treatment initiation time, the more the improvement in function and when the treatment started within 2 years from the onset and patients took acupuncture and pulsed electromagnetic therapy, all scales significantly improved (p<0.001). Conclusions IR showed more improvement on activities of daily life and cognitive functional recovery than CR in this study.

Identifying the Relationship between the Korean Medicine and Western Medicine in Factors Affecting Medical Service Use

“…This study indicated that the main reason for these findings and the differences from the results of the previous study was the recent increase in the use of KM and KM&WM as CT among elderly individuals [ 20 , 21 , 22 ]. Therefore, we investigated the social, policies, economic and scientific causes based on the above research results.…”

“…However, the limitation of this finding was that it only included consultations for acupuncture medicine. Although the validation of the medical effect of CT in several medical fields is incomplete, the efficacy of Non-HM for disease is gradually being scientifically proven [ 21 , 22 ].…”

Effects of Group Rehabilitation Gymnastics for Stroke Patients

“…As a result, more than 30% of stroke patients have difficulties in performing independent activities of daily living [4]. Therefore, a rehabilitation treatment approach is important for stroke patients to overcome obstacles and independently perform daily life [5], and evaluating and performing the patient's daily activities after stroke is very important in achieving the patient's rehabilitation goal. It is important and is the most basic for the patient's independent life [6].Stroke patients require long-term rehabilitation, and this burden causes them to experience financial stress [7].…”