No abstract available.
Hemiplegia*

No abstract available.
Hemiplegia ; Scabies*

Background: Shoulder pain is a common secondary complication of hemiplegia patients after stroke. To treat and rehabilitate shoulder pain is not only helpful to the recovery of movements for the arms, hands and keeping balance, but also to relieve the pain for patients. Objectives: (1) To determine the prevalence, risk factors of shoulder pain of hemiplegia patients after a stroke; and (2) To assess the treatment results of shoulder pain in hemiplegia patients after a stroke. Subjects: 110 stroke-related hemiplegia patients with the mean age of 60.2 years, treated at the Rehabilitation Department, Bach Mai Hospital from March to November 2007. Method: Descriptive, prospective, interventional study. Data was analyzed by Epi-Info software, version 6.13. Results and conclusion: The prevalence of shoulder pain was 47.27%.Risk factors of shoulder pain were the level of arm movement (r= - 0.75) and duration of disease (r= 0.53). After 1 month of treatment and rehabilitation, compare with the self-exercise group. The level of arm movement and shoulder pain of the intervention group were significantly improved.
shoulder pain ; hemiplegia

Cerebro-vascular accident occurs mainly in subjects of > 60 years old (84%). The rehabilitation carried out in 59 patients with hemiplegia using physiotherapy gave good results on 69.5% of patients. Functional restoration by physiotherapy diminished with the rise of age
Cerebrovascular Accident ; Rehabilitation ; Hemiplegia

OBJECTIVE: This study was designed to investigate the effect of arm sling on static balance of hemiplegic patients. METHOD: 23 hemiplegic stroke patients were evaluated. Subjects rested about for twenty minutes in sitting position before examination. Balance was examined by Mediance (Human-Tech Inc, Korea) for 30 seconds in three conditions (no-sling, with cuff-type arm sling and with Kang's Multi support). The order of examination was randomly selected. These tests were repeated for three times. Balance was represented as weight asymmetry and postural sway. RESULTS: There was no significant difference in weight asymmetry between no sling group and cuff-type arm sling group, but with Kang's Multi-support group, weight asymmetry was significantly decreased compared to no-sling group and cuff-type arm sling group. Postural sway was identical with no-sling group, cuff-type arm sling group and Kang's Multi-support group. CONCLUSION: Kang's Multi-support was helpful to reduce weight asymmetry compared with no-sling or cuff-type sling, nd to improve standing balance of hemiplegic patients.
Arm* ; Hemiplegia ; Humans ; Stroke

OBJECTIVE: To investigate the effect of virtual reality training on unilateral spatial neglect in stroke patients. METHOD: Twenty-four stroke patients (14 males and 10 females, mean age=64.7) who had unilateral spatial neglect as a result of right hemisphere stroke were recruited. All patients were randomly assigned to either the virtual reality (VR) group (n=12) or the control group (n=12). The VR group received VR training, which stimulated the left side of their bodies. The control group received conventional neglect therapy such as visual scanning training. Both groups received therapy for 30 minutes a day, five days per week for three weeks. Outcome measurements included star cancellation test, line bisection test, Catherine Bergego scale (CBS), and the Korean version of modified Barthel index (K-MBI). These measurements were taken before and after treatment. RESULTS: There were no significant differences in the baseline characteristics and initial values between the two groups. The changes in star cancellation test results and CBS in the VR group were significantly higher than those of the control group after treatment. The changes in line bisection test score and the K-MBI in the VR group were not statistically significant. CONCLUSION: This study suggests that virtual reality training may be a beneficial therapeutic technique on unilateral spatial neglect in stroke patients.
Female ; Hemiplegia ; Humans ; Male ; Stroke

95 patients with hemiplegia due to cerebrovasculary accident (32 females, 63 males) treated by 30days of electro- acupuncture. Results were as follow: thumb of simple paralysis had got rehabilitation better than the paralysis in combining with edema and contracted thumb. The sooner treatment,the better result got. The increasing level of mobility at 3a degree reached 36% and 3b degree 33,2%
Hemiplegia ; Thumb ; Stroke/rehabilitation ; Electroacupuncture

Despite the high incidence of subdural block (SDB) during epidural anesthesia, the condition is unfamiliar to anesthesiologist. We experienced a case of SDB: severe hypotension, transient hemiplegia, wide extent of block and late onset and recovery from block. The case described is an examples of SDB and should remind anesthesiologist of the clinical course and treatment.
Anesthesia, Epidural* ; Hemiplegia ; Hypotension ; Incidence

No abstract available.
Hemiplegia* ; Humans ; Stroke ; Upper Extremity*

The purpose of this study is to compare the effectiveness of the Rolyan, hemisling, remodified Bobath, and the newly designed triangular Bobath slings. Sixteen patients with a shoulder subluxation were evaluated by the simple shoulder AP X-rays with and without slings. The hemisling was applied with the elbow flexed at 90 and 120 degrees. The radiologic evaluation for the detection of shoulder subluxation was done by measuring the vertical and horizontal displacement on a plain AP view. The mean value of vertical displacement without a sling application was 5.21 cm which was reduced to 4.30 cm by a triangular Bobath sling application and 4.32 cm by a hemisling application at 120degrees elbow flexion. These two slings significantly corrected the vertical displacement, but other were not. In nine of sixteen patients, the triangular Bobath sling was the best sling for the vertical correction. All slings except a hemisling increased the horizontal displacement even though it was not statistically significant. The triangular Bobath sling improved the discomfort of the axilla better than the remodified Bobath sling. The results support that the triangular Bobath sling was the best among 4 slings for the correction of shoulder subluxation, although a reduction in lateral displacement and an improvement in applicability need to be explored further.
Axilla ; Elbow ; Hemiplegia* ; Humans ; Shoulder*