Annals of Rehabilitation Medicine.2017;41(1):168-168. doi:10.5535/arm.2017.41.1.168
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Annals of Rehabilitation Medicine
2002 (v1, n1) to Present ISSN: 1671-8925
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Repetitive Transcranial Magnetic Stimulation for Wernicke-Korsakoff Syndrome: A Case Report.
Annals of Rehabilitation Medicine.2017;41(1):162-166. doi:10.5535/arm.2017.41.1.162
A 57-year-old man who was diagnosed with Wernicke-Korsakoff syndrome showed severe impairment of cognitive function and a craving for alcohol, even after sufficient supplementation with thiamine. After completing 10 sessions of 10 Hz repetitive transcranial magnetic stimulation (rTMS) at 100% of the resting motor threshold over the left dorsolateral prefrontal cortex, dramatic improvement in cognitive function and a reduction in craving for alcohol were noted. This is the first case report of the efficacy of a high-frequency rTMS in the treatment of Wernicke-Korsakoff syndrome.
Cognition ; Craving ; Humans ; Korsakoff Syndrome* ; Middle Aged ; Prefrontal Cortex ; Thiamine ; Transcranial Magnetic Stimulation*
Cognition ; Craving ; Humans ; Korsakoff Syndrome* ; Middle Aged ; Prefrontal Cortex ; Thiamine ; Transcranial Magnetic Stimulation*
Hypothermia Presenting in Wernicke Encephalopathy: A Case Report.
Annals of Rehabilitation Medicine.2017;41(1):158-161. doi:10.5535/arm.2017.41.1.158
Wernicke encephalopathy (WE) is a neurologic disorder characterized by clinical symptoms, such as nystagmus, ataxia, and mental confusion. Hypothermia in patients with WE is a rare complication, and its pathogenic mechanism and therapy are yet to be ascertained. Herein, we presented a case of a 61-year-old man who was diagnosed with WE 3 months earlier. We investigated the cause of hypothermia (35.0℃) that occurred after an enema (bowel emptying). Brain magnetic resonance imaging revealed mammillary body and hypothalamus atrophy. In the autonomic function test, the sympathetic skin response (SSR) test did not evoke SSR latencies on both hands. In addition, abnormal orthostatic hypotension was observed. Laxative and stool softener medication were administered, and his diet was modified, which led to an improvement in constipation after 2 weeks. Moreover, there was no recurrence of hypothermic episode. This is the first reported case of late-onset hypothermia secondary to WE.
Ataxia ; Atrophy ; Brain ; Constipation ; Diet ; Enema ; Hand ; Humans ; Hypotension, Orthostatic ; Hypothalamus ; Hypothermia* ; Magnetic Resonance Imaging ; Mammillary Bodies ; Middle Aged ; Nervous System Diseases ; Recurrence ; Skin ; Wernicke Encephalopathy*
Ataxia ; Atrophy ; Brain ; Constipation ; Diet ; Enema ; Hand ; Humans ; Hypotension, Orthostatic ; Hypothalamus ; Hypothermia* ; Magnetic Resonance Imaging ; Mammillary Bodies ; Middle Aged ; Nervous System Diseases ; Recurrence ; Skin ; Wernicke Encephalopathy*
Annals of Rehabilitation Medicine.2017;41(1):153-157. doi:10.5535/arm.2017.41.1.153
A 51-year-old man showed hemiplegia on his right side after a traumatic brain injury (TBI). On initial brain computed tomography (CT) scan, an acute subdural hemorrhage in the right cerebral convexity and severe degrees of midline shifting and subfalcine herniation to the left side were evident. On follow-up brain magnetic resonance imaging (MRI), there were multiple microhemorrhages in the left parietal and occipital subcortical regions. To explain the occurrence of right hemiplegia after brain damage which dominantly on the right side of brain, we used diffusion tensor imaging (DTI) to reconstruct the corticospinal tract (CST), which showed nearly complete injury on the left CST. We also performed motor-evoked potentials, and stimulation of left motor cortex evoked no response on both sides of upper extremity. We report a case of patient with hemiplegia after TBI and elucidation of the case by DTI rather than CT and MRI.
Brain ; Brain Injuries* ; Diffusion Tensor Imaging* ; Diffusion* ; Follow-Up Studies ; Hematoma, Subdural ; Hemiplegia* ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Motor Cortex ; Pyramidal Tracts ; Rabeprazole ; Upper Extremity
Brain ; Brain Injuries* ; Diffusion Tensor Imaging* ; Diffusion* ; Follow-Up Studies ; Hematoma, Subdural ; Hemiplegia* ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Motor Cortex ; Pyramidal Tracts ; Rabeprazole ; Upper Extremity
Central Pontine Myelinolysis Induced by Alcohol Withdrawal: A Case Report.
Annals of Rehabilitation Medicine.2017;41(1):148-152. doi:10.5535/arm.2017.41.1.148
Central pontine myelinolysis (CPM) is a demyelinating disorder characterized by the loss of myelin in the center of the basis pons, and is mainly caused by the rapid correction of hyponatremia. We report the case of a young woman who presented with gait disturbance and alcohol withdrawal, and who was eventually diagnosed with CPM. Generally, the cause and pathogenesis of CPM in chronic alcoholics remain unclear. In this cases, the CPM may be unrelated to hyponatremia or its correction. However, it is possible that the osmotic pressure changes due to refeeding syndrome after alcohol withdrawal was the likely cause in this case. This case illustrates the need for avoiding hasty, and possibly incomplete diagnoses, and performing more intensive test procedures to ensure a correct diagnosis.
Alcoholics ; Demyelinating Diseases ; Diagnosis ; Female ; Gait ; Humans ; Hyponatremia ; Myelin Sheath ; Myelinolysis, Central Pontine* ; Osmotic Pressure ; Pons ; Refeeding Syndrome
Alcoholics ; Demyelinating Diseases ; Diagnosis ; Female ; Gait ; Humans ; Hyponatremia ; Myelin Sheath ; Myelinolysis, Central Pontine* ; Osmotic Pressure ; Pons ; Refeeding Syndrome
Effectiveness of Ear Splint Therapy for Ear Deformities.
Annals of Rehabilitation Medicine.2017;41(1):138-147. doi:10.5535/arm.2017.41.1.138
OBJECTIVE: To present our experience with ear splint therapy for babies with ear deformities, and thereby demonstrate that this therapy is an effective and safe intervention without significant complications. METHODS: This was a retrospective study of 54 babies (35 boys and 19 girls; 80 ears; age ≤3 months) with ear deformities who had received ear splint therapy at the Center for Torticollis, Department of Physical Medicine and Rehabilitation, Ajou University Hospital between December 2014 and February 2016. Before the initiation of ear splint therapy, ear deformities were classified with reference to the standard terminology. We compared the severity of ear deformity before and after ear splint therapy by using the physician's ratings. We also compared the physician's ratings and the caregiver's ratings on completion of ear splint therapy. RESULTS: Among these 54 babies, 41 children (58 ears, 72.5%) completed the ear splint therapy. The mean age at initiation of therapy was 52.91±18.26 days and the treatment duration was 44.27±32.06 days. Satyr ear, forward-facing ear lobe, Darwinian notch, overfolded ear, and cupped ear were the five most common ear deformities. At the completion of therapy, the final physician's ratings of ear deformities were significantly improved compared to the initial ratings (8.28±1.44 vs. 2.51±0.92; p<0.001). There was no significant difference between the physician's ratings and the caregiver's ratings at the completion of ear splint therapy (8.28±1.44 vs. 8.0±1.61; p=0.297). CONCLUSION: We demonstrated that ear splint therapy significantly improved ear deformities in babies, as measured by quantitative rating scales. Ear splint therapy is an effective and safe intervention for babies with ear deformities.
Child ; Congenital Abnormalities* ; Ear Auricle ; Ear* ; Ear, External ; Female ; Humans ; Infant ; Physical and Rehabilitation Medicine ; Retrospective Studies ; Splints* ; Torticollis ; Weights and Measures
Child ; Congenital Abnormalities* ; Ear Auricle ; Ear* ; Ear, External ; Female ; Humans ; Infant ; Physical and Rehabilitation Medicine ; Retrospective Studies ; Splints* ; Torticollis ; Weights and Measures
Annals of Rehabilitation Medicine.2017;41(1):129-137. doi:10.5535/arm.2017.41.1.129
OBJECTIVE: To evaluate the accuracy of a smartphone application measuring heart rates (HRs), during an exercise and discussed clinical potential of the smartphone application for cardiac rehabilitation exercise programs. METHODS: Patients with heart disease (14 with myocardial infarction, 2 with angina pectoris) were recruited. Exercise protocol was comprised of a resting stage, Bruce stage II, Bruce stage III, and a recovery stage. To measure HR, subjects held smartphone in their hands and put the tip of their index finger on the built-in camera for 1 minute at each exercise stage such as resting stage, Bruce stage II, Bruce stage III, and recovery stage. The smartphones recorded photoplethysmography signal and HR was calculated every heart beat. HR data obtained from the smartphone during the exercise protocol was compared with the HR data obtained from a Holter electrocardiography monitor (control). RESULTS: In each exercise protocol stage (resting stage, Bruce stage II, Bruce stage III, and the recovery stage), the HR averages obtained from a Holter monitor were 76.40±12.73, 113.09±14.52, 115.64±15.15, and 81.53±13.08 bpm, respectively. The simultaneously measured HR averages obtained from a smartphone were 76.41±12.82, 112.38±15.06, 115.83±15.36, and 81.53±13 bpm, respectively. The intraclass correlation coefficient (95% confidence interval) was 1.00 (1.00–1.00), 0.99 (0.98–0.99), 0.94 (0.83–0.98), and 1.00 (0.99–1.00) in resting stage, Bruce stage II, Bruce stage III, and recovery stage, respectively. There was no statistically significant difference between the HRs measured by either device at each stage (p>0.05). CONCLUSION: The accuracy of measured HR from a smartphone was almost overlapped with the measurement from the Holter monitor in resting stage and recovery stage. However, we observed that the measurement error increased as the exercise intensity increased.
Electrocardiography, Ambulatory ; Fingers ; Hand ; Heart Diseases ; Heart Rate* ; Heart* ; Humans ; Male* ; Myocardial Infarction ; Myocardial Ischemia* ; Photoplethysmography ; Rehabilitation ; Smartphone*
Electrocardiography, Ambulatory ; Fingers ; Hand ; Heart Diseases ; Heart Rate* ; Heart* ; Humans ; Male* ; Myocardial Infarction ; Myocardial Ischemia* ; Photoplethysmography ; Rehabilitation ; Smartphone*
Annals of Rehabilitation Medicine.2017;41(1):121-128. doi:10.5535/arm.2017.41.1.121
OBJECTIVE: To evaluate the effect of hospital-based cardiac rehabilitation (CR) on quality of life (QOL) and physical ability in patients with myocardial infarction (MI). METHODS: Patients with MI who were referred to the Cardiac Health and Rehabilitation Center 2 weeks after percutaneous coronary intervention were divided into CR and non-CR groups. The CR group performed supervised exercises 3 times a week for 2 months. QOL assessment, using the 36-item Short-Form Health Survey (SF-36) and physical ability evaluation were performed at the beginning and end of CR. RESULTS: The CR group demonstrated statistically significant improvements in physical functioning (PF), physical role functioning (RP), bodily pain (BP), general health perceptions (GH), vitality (VT), social role functioning (SF), emotional role functioning (RE), mental health (MH), physical component summary (PCS), and mental component summary (MCS). The non-CR group showed improvement in RP. Secondary outcomes, including resting heart rate (RHR), maximal oxygen consumption (VO(2max)), metabolic equivalent of task (MET), maximal exercise time (ET(max)), stage 3 Borg rating of perceived exertion (3RPE), maximal Borg rating of perceived exertion (RPEmax), and stage 3 rate pressure product (3RPP), improved in the CR group. The non-CR group showed improvements in VO(2max), MET, ET(max), and 3RPE. There were significant differences in improvements in PF, RP, BP, VT, SF, MH, MCS, RHR, VO(2max), MET, ET(max), 3RPE, and 3RPP between the two groups. CONCLUSION: Male patients with MI demonstrated improvements in QOL and physical ability following hospital-based CR; the impact on the mental component was greater than that on the physical component.
Exercise ; Health Surveys ; Heart Rate ; Home Care Services, Hospital-Based ; Humans ; Male ; Mental Health ; Metabolic Equivalent ; Myocardial Infarction* ; Oxygen Consumption ; Percutaneous Coronary Intervention ; Physical Fitness ; Quality of Life* ; Rehabilitation Centers ; Rehabilitation*
Exercise ; Health Surveys ; Heart Rate ; Home Care Services, Hospital-Based ; Humans ; Male ; Mental Health ; Metabolic Equivalent ; Myocardial Infarction* ; Oxygen Consumption ; Percutaneous Coronary Intervention ; Physical Fitness ; Quality of Life* ; Rehabilitation Centers ; Rehabilitation*
Annals of Rehabilitation Medicine.2017;41(1):113-120. doi:10.5535/arm.2017.41.1.113
OBJECTIVE: To investigate the effect of intravenous infusion of peripheral blood mononuclear cells (mPBMC) mobilized by granulocyte-colony stimulating factor (G-CSF) on upper extremity function in children with cerebral palsy (CP). METHODS: Fifty-seven children with CP were enrolled. Ten patients were excluded due to follow-up loss. In total, 47 patients (30 males and 17 females) were analyzed. All patients' parents provided signed consent before the start of the study. After administration of G-CSF for 5 days, mPBMC was collected and cryopreserved. Patients were randomized into two groups 1 month later. Twenty-two patients were administered mPBMC and 25 patients received normal saline as placebo. Six months later, the two groups were switched, and administered mPBMC and placebo, respectively. Quality of Upper Extremity Skills Test (QUEST) and the Manual Ability Classification System (MACS) were used to evaluate upper motor function. RESULTS: All subdomain and total scores of QUEST were significantly improved after mPBMC and placebo infusion, without significant differences between mPBMC and placebo groups. A month after G-CSF, all subdomain and total scores of QUEST were improved. The level of MACS remained unchanged in both mPBMC and placebo groups. CONCLUSION: In this study, intravenously infused mPBMC showed no significant effect on upper extremity function in children with CP, as compared to placebo. The effect of mPBMC was likely masked by the effect of G-CSF, which was used in both groups and/or G-CSF itself might have other neurotrophic potentials in children with CP.
Cerebral Palsy* ; Child* ; Classification ; Follow-Up Studies ; Granulocyte Colony-Stimulating Factor ; Humans ; Infusions, Intravenous* ; Male ; Masks ; Parents ; Peripheral Blood Stem Cell Transplantation ; Upper Extremity*
Cerebral Palsy* ; Child* ; Classification ; Follow-Up Studies ; Granulocyte Colony-Stimulating Factor ; Humans ; Infusions, Intravenous* ; Male ; Masks ; Parents ; Peripheral Blood Stem Cell Transplantation ; Upper Extremity*
Annals of Rehabilitation Medicine.2017;41(1):104-112. doi:10.5535/arm.2017.41.1.104
OBJECTIVE: To investigate the efficacy of portable microcurrent therapy device (PMTD) of the hip internal rotators in the treatment of in-toeing gait caused by increased femoral anteversion in children over 8 years of age. METHODS: Eleven children (22 legs; 4 boys and 7 girls; mean age, 10.4±1.6 years) with in-toeing gait caused by increased femoral anteversion were included in the present study. All children received 60 minutes of PMTD (intensity, 25 µA; frequency, 8 Hz) applied to the hip internal rotators daily for 4 weeks. Hip internal rotation (IR) angle, external rotation (ER) angle, and midmalleolar-second toe angle (MSTA) measurement during stance phase at transverse plane and Family Satisfaction Questionnaire, frequency of tripping and fatigue like pains about the PMTD were performed before treatment and at 4 weeks after initial PMTD treatment. Paired t-test and Fisher exact test were used for statistical analysis. RESULTS: Hip IR/ER/MSTA was 70.3°±5.4°/20.1°±5.5°/–11.4°±2.7°, and 55.7°±7.8°/33.6°±8.2°/–2.6°±3.8° before treatment and at 4 weeks after initial PMTD treatment, respectively (p<0.01). Ten of 11 (91%) children's family stated that they were generally satisfied with the PMTD treatment. The frequency of tripping and fatigue like pains was significantly lower at 4 weeks after PMTD treatment (p<0.05). Excellent inter-rater and intra-rater reliability was observed for repeated MSTA measurements between the examiners (k=0.91–0.96 and k=0.93–0.99), respectively. CONCLUSION: PMTD of the hip internal rotators can be effective in improving the gait pattern of children with in-toeing gait caused by increased femoral anteversion.
Bone Anteversion ; Child* ; Electric Stimulation Therapy ; Fatigue ; Female ; Gait* ; Hip ; Humans ; Leg ; Pilot Projects* ; Toes
Bone Anteversion ; Child* ; Electric Stimulation Therapy ; Fatigue ; Female ; Gait* ; Hip ; Humans ; Leg ; Pilot Projects* ; Toes
Country
Republic of Korea
Publisher
Korean Academy of Rehabilitation Medicine
ElectronicLinks
http://www.e-arm.org/Editor-in-chief
Moon Suk Bang
edit@e-arm.org
Abbreviation
Ann Rehabil Med
Vernacular Journal Title
ISSN
2234-0645
EISSN
2234-0653
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
Description
Annals of Rehabilitation Medicine aims to share up-to-date knowledge dedicated to the advancement of care and to enhance the function and quality of life of persons with various disabilities and chronic illnesses. Its scope includes all aspects of physical medicine and rehabilitation including clinical practice, experimental and applied research, and education. Research areas covered by this journal include rehabilitation of brain disorders, rehabilitation of spinal cord injury, electro-diagnosis, pain, pediatric rehabilitation, geriatric rehabilitation, cardiopulmonary rehabilitation, sports and musculoskeletal rehabilitation, cancer rehabilitation, cognitive rehabilitation, robotic rehabilitation, neuro-modulation, neuroimaging, orthotics & prosthetics, physical modalities, clinical trials, quality of life issues, and basic researches and other emerging fields in rehabilitation medicine.
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