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논문KCI 등재

뇌졸중으로 인한 운동 관련 후유증의 한의 치료 연구에서 뇌졸중 시기 및 평가 척도에 대한 국내 문헌 고찰

A Review of the Stroke Stage and Outcome Measures in Stroke Motor Sequelae Clinical Studies in Korea

임정태|신용진|신선호|천세은|전민결|이지은
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2022.09|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제43권 제4호|pp. 656-679|DOI https://doi.org/10.22246/jikm.2022.43.4.656

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참고문헌

키워드

strokemotor sequelaestroke stageoutcome measures
주제분류한의학

초록

Objectives: The aims of this study were to evaluate the fidelity of stroke stage reporting, the timeliness of the outcome measures, and the use of the core outcome set. Methods: We searched the literature using 6 domestic databases. We selected studies that used Korean medicine interventions and targeted stroke patients with motor sequelae. We examined whether the included studies reported the stroke stage and whether they used the outcome measures in the appropriate period based on the recommendations of the “Stroke Evidence Database to Guide Effectiveness". We also confirmed the use of the essential assessment tools suggested by the core outcome set. Results: Overall, 77 studies were finally selected, with 16 (21%), 55 (71%), and 6 (8%) published on the acute, subacute, and chronic phases, respectively. Only 11 of the studies directly mentioned the stroke stage. The most commonly used assessments were the National Institutes of Health Stroke Scale, Modified Barthel Index, and Manual Muscle Testing. Only 5 studies failed to apply the stage-related outcome measures at the recommended period. The outcome variables used inadequately were the National Institutes of Health Stroke Scale, Functional Ambulation Categories, 36-Item Short Form Health Survey, and Mini-Mental State Examination. Among the core outcome set items, some studies used liver and renal function tests, but no herbal medicine safety reporting was conducted. Conclusions: In future studies, we propose to ensure accurate reporting of the stroke stage with reliable outcome measures to deliver better clinical and research outcomes. Furthermore, in future clinical studies on stroke, a standard protocol that reflects the core outcome set should be developed.

Abstract

Objectives: The aims of this study were to evaluate the fidelity of stroke stage reporting, the timeliness of the outcome measures, and the use of the core outcome set. Methods: We searched the literature using 6 domestic databases. We selected studies that used Korean medicine interventions and targeted stroke patients with motor sequelae. We examined whether the included studies reported the stroke stage and whether they used the outcome measures in the appropriate period based on the recommendations of the “Stroke Evidence Database to Guide Effectiveness". We also confirmed the use of the essential assessment tools suggested by the core outcome set. Results: Overall, 77 studies were finally selected, with 16 (21%), 55 (71%), and 6 (8%) published on the acute, subacute, and chronic phases, respectively. Only 11 of the studies directly mentioned the stroke stage. The most commonly used assessments were the National Institutes of Health Stroke Scale, Modified Barthel Index, and Manual Muscle Testing. Only 5 studies failed to apply the stage-related outcome measures at the recommended period. The outcome variables used inadequately were the National Institutes of Health Stroke Scale, Functional Ambulation Categories, 36-Item Short Form Health Survey, and Mini-Mental State Examination. Among the core outcome set items, some studies used liver and renal function tests, but no herbal medicine safety reporting was conducted. Conclusions: In future studies, we propose to ensure accurate reporting of the stroke stage with reliable outcome measures to deliver better clinical and research outcomes. Furthermore, in future clinical studies on stroke, a standard protocol that reflects the core outcome set should be developed.

참고문헌 (129)

  1. Korean Stroke Society, "Textbook of Stroke", pp.3~536 (2015), Pan Mun Education
  2. Bernhardt J, "Agreed definitions and a shared vision for new standards in stroke recovery research : the stroke recovery and rehabilitation roundtable taskforce", International Journal of Stroke, 12(5), pp.444~450 (2017)
  3. Grefkes C, "Recovery from stroke : current concepts and future perspectives", Neurol Res Pract, 2(17), pp.1~10 (2020)
  4. Lee KB, "Six-month functional recovery of stroke patients : a multi-time-point study", Int J Rehabil Res, 38(2), pp.173~180 (2015)
  5. "Neuroplasticity: stimulating your brain to enhance stroke recovery" (2019)[URL]
  6. Harrison JK, "Assessment scales in stroke : clinimetric and clinical considerations", Clin Interv Aging, 8, pp.201~211 (2013)
  7. Sucharew H, "Profiles of the National Institutes of Health Stroke Scale Items as a Predictor of Patient Outcome", Stroke, 44(8), pp.2182~2187 (2013)
  8. Peters HT, "The National Institutes of Health Stroke Scale Lacks Validity in Chronic Hemiparetic Stroke", Journal of Stroke and Cerebrovascular Diseases, 24(10), pp.2207~2212 (2015)
  9. Folstein MF, ""Minimental state"A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12(3), pp.189~198 (1975)
  10. Nys GMS, "Restrictions of the Mini-Mental State Examination in acute stroke", Arch Clin Neuropsychol, 20(5), pp.623~629 (2005)
  11. Dobkin BH, "Strategies for stroke rehabilitation", Lancet Neurol, 3(9), pp.528~536 (2004)
  12. Herpich F, "Management of Acute Ischemic Stroke", Crit Care Med, 48(11), pp.1654~1663 (2020)
  13. Greenberg SM, "2022Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage : a guideline from the American Heart Association", American Stroke Association, 2022, pp.53(7), e282~e361
  14. Hemphill JC, "Guidelines for the Management of Spontaneous Intracerebral Hemorrhage : a guideline for healthcare professionals from the American Heart Association", American Stroke Association, 2015, pp.46(7), 2032~2060
  15. Powers WJ, "Guidelines for the Early Management of Patients With Acute Ischemic Stroke : 2019 update to the 2018 guidelines for the early management of acute ischemic stroke : a guideline for healthcare professionals from the American Heart Association", American Stroke Association, 2019, pp.50(12), e344~e418
  16. Komuro I, "Cardiovascular and neurological medicine in Korean medicine 1. Vol 1", pp.243~272 (2016), Woori Medical Books
  17. Vanhoutte EK, "Modifying the Medical Research Council grading system through Rasch analyses", Brain, 135(5), pp.1639~1649 (2012)
  18. Cuthbert SC, "On the reliability and validity of manual muscle testing : a literature review", Chiropr Osteopat, 15(4), pp.1~23 (2007)
  19. Jönsson AC, "Prevalence and intensity of pain after stroke : a population based study focusing on patients’ perspectives", J Neurol Neurosurg Psychiatry, 77(5), pp.590~595 (2006)
  20. 권미지, "뇌졸중 후 통증 발생과 삶의 질과의 관계", 대한물리의학회지, 12(2), pp.83~90 (2017), 대한물리의학회
  21. VanGilder JL, "Post-stroke cognitive impairments and responsiveness to motor rehabilitation : a review", Curr Phys Med Rehabil Rep, 8(4), pp.461~468 (2020)
  22. Sullivan JE, "Outcome Measures for Individuals with Stroke : process and recommendations from the American Physical Therapy Association Neurology Section Task Force", Physical Therapy, 93(10), pp.1383~1396 (2013)
  23. "Strok EDGE II Documents"[URL]
  24. Blum L, "Usefulness of the Berg Balance Scale in stroke rehabilitation : a systematic review", Phys Ther, 88(5), pp.559~566 (2008)
  25. Berg KO, "Measuring balance in the elderly : validation of an instrument", Can J Public Health, 83(2), pp.7~11 (1992)
  26. Mehrholz J, "Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke", Arch Phys Med Rehabil, 88(10), pp.1314~1319 (2007)
  27. Holden MK, "Clinical gait assessment in the neurologically impaired : reliability and meaningfulness", Phys Ther, 64(1), pp.35~40 (1984)
  28. Keith RA, "The functional independence measure : a new tool for rehabilitation", Adv Clin Rehabil, 1, pp.6~18 (1987)
  29. Andresen EM, "Health-related quality of life outcomes measures", Arch Phys Med Rehabil, 81(2), pp.30~45 (2000)
  30. Williamson PR, "The COMET Handbook: version 1.0", Trials, 18(3), pp.1~50 (2017)
  31. Cha JY, "Development of the Korean Medicine Core Outcome Set for Stroke Sequelae : herbal medicine treatment of elderly patients with stroke sequelae in primary clinics", Front Pharmacol, 13(868662), pp.1~10 (2022)
  32. Paterson C, "Seeking the patient’s perspective : a qualitative assessment of EuroQol, COOP-WONCA charts and MYMOP", Qual Life Res, 13(5), pp.871~881 (2004)
  33. Paterson C, "Measuring outcomes in primary care : a patient generated measure, MYMOP, compared with the SF-36 health survey", BMJ, 312(7037), pp.1016~1020 (1996)
  34. Paterson C, "In pursuit of patientcentred outcomes: a qualitative evaluation of the “Measure Yourself Medical Outcome Profile.”", J Health Serv Res Policy, 5(1), pp.27~36 (2000)
  35. Herdman M, "Development and preliminary testing of the new five-level version of EQ-5D(EQ-5D-5L)", Qual Life Res, 20(10), pp.1727~1736 (2011)
  36. Dorman PJ, "Is the EuroQol a valid measure of health-related quality of life after stroke?", Stroke, 28(10), pp.1876~1882 (1997)
  37. Lee BY, "A Case Report of an Ataxia Patient with Sensory Loss Diagnosed with Thalamic Infarction", The Journal of the Society of Stroke on Korean Medicine, 15(1), pp.39~49 (2014)
  38. Seo JC, "Effects of contralateral acupuncture on recovery of motor disorders in stroke patients", J Acupunct Res, 18(3), pp.1~9 (2001)
  39. Seo JC, "Effects of Contralateral Both Side Acupuncture on NIHScale in Stroke Patients", J Korean Med, 22(3), pp.98~104 (2001)
  40. Sim WJ, "The effect of the muscles along meridians release therapy to spastic patients after stroke", J Orient Rehab Med, 14(1), pp.63~75 (2004)
  41. Lim SM, "The Case Study of Patient with Sequela of C.V.A who was treated by Percutaneous Endoscopic Gastrotomy(PEG)", J Haehwa Med, 11(1), pp.25~36 (2002)
  42. 이순이, "계류유산 후 발생한 뇌졸중 환자에 대한 임상적 고찰", 대한한방부인과학회지, 18(2), pp.213~221 (2005), 대한한방부인과학회
  43. Kim SW, "A Case Report about Treatments of a Patient with Pontine Hemorrhage", The Journal of East-West Medicine, 41(2), pp.7~23 (2016)
  44. 김진엽, "균형감각 및 보행 장애 뇌출혈 환자에 대한 한방치료 치험 3례", Journal of Acupuncture Research, 31(4), pp.185~193 (2014), 대한침구의학회
  45. 송일헌, "급성 뇌경색을 동반한 정신분열병 환자의 歸脾湯 치험1례", 대한한방내과학회지, 27(2), pp.546~553 (2006), 대한한방내과학회
  46. Kim HK, "The Effect of Korean Medicine Treatment on Left Basal Ganglia Infarction with Hemiplegia Symptoms : case report", J Haehwa Med, 27(2), pp.21~29 (2018)
  47. 정택수, "기저핵 뇌출혈로 인한 반신부전마비, 감각장애에 대한 한방치험 1례", 대한한방내과학회지, 39(5), pp.1015~1022 (2018), 대한한방내과학회
  48. 정다해, "기저핵-대뇌부챗살 뇌출혈로 인한 반신부전마비에 대한 한⋅양방 병행 치험 1례", 대한한방내과학회지, 42(5), pp.1131~1141 (2021), 대한한방내과학회[DOI]
  49. 유형천, "뇌경색 환자의 승모판막폐쇄부전증 1례에 대한 임상적 고찰", 동의생리병리학회지, 19(4), pp.1082~1087 (2005), 한의병리학회
  50. 홍진우, "腦硬塞 患者의 運動障碍에 對한 2Hz와 120Hz 電鍼 治療의 效果 比較: 운동유발전위검사를 통한 비교", 대한한방내과학회지, 27(1), pp.265~275 (2006), 대한한방내과학회
  51. 김영석, "뇌경색 환자의 운동장애에 대한 주파수별 전침치료효과의 비교", 대한한의학회지, 28(3), pp.289~298 (2007), 대한한의학회
  52. 김재학, "뇌경색 후 수부 미세운동 장애에 八邪穴(EX-UE9) 전침을 적용한 호전 증례보고", 대한한방내과학회지, 39(2), pp.147~153 (2018), 대한한방내과학회
  53. 우성호, "뇌경색 후유증 환자의 고지혈증과 변비에 대한 鹹草丸 호전 1례", 대한한방내과학회지, 27(4), pp.945~953 (2006), 대한한방내과학회
  54. Lee JY, "A clinical Study on Diabetic Nephropathy Patient Result of C.V.A.", J Haehwa Med, 10(1), pp.64~73 (2001)
  55. Kim HH, "A Case of Nephrotic Syndrome with Cerebral Infarction", J Int Korean Med, 22(1), pp.103~108 (2001)
  56. Kim SR, "A Case of Cerebral infarction with Ankylosing Spondylitis", The Journal of East-West Medicine, 36(4), pp.65~74 (2011)
  57. 나건호, "뇌경색환자 치험 1례를 통한 五行鍼과 六氣鍼의 연구", 동의생리병리학회지, 20(3), pp.735~739 (2006), 한의병리학회
  58. 안유민, "뇌실내출혈을 동반한 뇌내출혈로 인한 중증 의식장애 환자의 한방 치험 1례 : 뇌내출혈의 한의학적치료", 대한한방내과학회지, 40(6), pp.1225~1236 (2019), 대한한방내과학회[DOI]
  59. Chang JW, "The Effect of Moxibustion on Rehabilitation after stroke", J Orient Rehabil Med, 14(2), pp.97~108 (2004)
  60. 변성범, "뇌졸중 후 발병한 복합부위 통증증후군 환자의 한방치료로 호전된 치험 3례 보고", 대한한방내과학회지, 35(4), pp.573~584 (2014), 대한한방내과학회
  61. Han JW, "A Clinical cases Study of Shoulder Dislocation in Patients Undergoing Stroke", J Haehwa Med, 17(1), pp.145~155 (2008)
  62. Choi IH, "The 2 Case Report with Hemiplegic gait and foot drop after Cardiovascular Accident improved by Taping therapy", The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 1(2), pp.49~60 (2006)
  63. Choi IW, "A Case Report of a Patient with Shoulder Subluxation induced Shoulder Pain after Intracerebral Hemorrhage Treated with Korean Medicine", J Haehwa Me, 29(2), pp.38~44 (2020)
  64. Lee ES, "1 Case of Iron Deficiency Anemia treated with Gwibitang plus Samultang in the Patient of Cerebral Hemorrhage", J Int Korean Med, 21(5), pp.877~881 (2000)
  65. Lee YK, "One case treated liver cirrhosis with cerebrovascular hemorrhage", J Int Korean Med, 21(1), pp.185~191 (2000)
  66. 곽정진, "뇌출렬을 동반한 만성골수성백혈병 환자 1례에 대한 임상적 고찰", 대한한방내과학회지, 23(2), pp.260~267 (2002), 대한한방내과학회
  67. 윤현덕, "腦血管 奇形이 없이 發病한 小兒 腦硬塞 患者 1例 經過 報告", 대한한방내과학회지, 26(2), pp.512~519 (2005), 대한한방내과학회
  68. 배지용, "痰暈으로 변증하여 淸暈化痰湯을 사용한 소뇌경색환자의 치험 1례", 대한한방내과학회지, 41(5), pp.800~805 (2020), 대한한방내과학회[DOI]
  69. 김태경, "當歸飮子로 好轉된 中風患者의 anticonvulsant hypersensituvity syndrome 1例", 대한한방내과학회지, 23(2), pp.268~273 (2002), 대한한방내과학회
  70. 김용진, "당뇨병성 족부병변을 동반한 중풍환자 1례에 대한 임상적 고찰", 대한한방내과학회지, 24(3), pp.727~734 (2003), 대한한방내과학회
  71. 김재홍, "두침을 활용한 뇌졸중 후 중추성 통증 환자 치험 1례", Journal of Acupuncture Research, 31(3), pp.57~65 (2014), 대한침구의학회
  72. Jeong GS, "One case treated cerebral Infarction with rheumatic mitral stenosis", J Int Korean Med, 22(3), pp.463~469 (2001)
  73. 황윤경, "만성 신부전 환자의 중풍치료에 대한 한·양방 협진효과 증례보고", 대한한의학 방제학회지, 24(3), pp.233~242 (2016), 대한한의학방제학회[DOI]
  74. 서희정, "반코마이신 내성 장알균(Vancomycin Resistant Enterococci) 집락이 검출된 뇌졸중 환자에 대한 가미십전대보탕의 효과 1례", 대한한방내과학회지, 39(5), pp.939~948 (2018), 대한한방내과학회
  75. Ryu HS, "A Case Report of Post-stroke Depression Patient Using Bunsimgi-eum(Fenxingiyin)", The Journal of the Society of Stroke on Korean Medicine, 13(1), pp.86~94 (2012)
  76. Jang WS, "A case of a patient with Wallenberg’s syndrome after cerebellar infarction", The Journal of East-West Medicines, 27(3), pp.27~33 (2002)
  77. Goo JW, "A Clinical Case Report of Cerebellar Infarction Patient with Dizziness and Ataxia", The Journal of East-West Medicine, 33(4), pp.37~46 (2008)
  78. 황진우, "小腦梗塞으로 인한 振顫患者의 治驗 1例", 대한한방내과학회지, 28(4), pp.929~936 (2007), 대한한방내과학회
  79. Kim YD, "Effect of Banhabaekchoolcheunma-tang(banhebaichutianma-tang)on the patient of cerebellar hemorrhage : A case report", J Oriental Rehab Med, 12(4), pp.217~224 (2001)
  80. 백경민, "실시간 탄성초음파를 이용한 만성 뇌졸중 후 편마비 환자의 상지 강직에 대한 사암침 효과 연구", 대한한방내과학회지, 35(1), pp.1~11 (2014), 대한한방내과학회[DOI]
  81. Lee Tae-hun, "A case of Intracerebral Hemorhage with Alcoholic liver disease", Journal of Pharmacopuncture, 6(3), pp.81~86 (2003), 대한약침학회[DOI]
  82. 조윤영, "어지러움 및 보행실조를 주소로 하는 소뇌경색 환자 한의 증례보고 1례", 대한한방내과학회지, 38(2), pp.270~275 (2017), 대한한방내과학회
  83. 김태련, "오행침자법(五行鍼刺法)을 포함한 한방치료로 호전된 뇌경색 후 발생한 Broca 실어증 치험 1례", 대한한방내과학회지, 37(3), pp.568~577 (2016), 대한한방내과학회
  84. 채인철, "완고한 보행장애를 주소로 하는 만성기 뇌출혈 환자의 한의 치료 및 재활 운동 증례보고 1례 : GAITRite®를 이용하여", 대한한방내과학회지, 40(4), pp.730~741 (2019), 대한한방내과학회[DOI]
  85. 남현서, "외측 연수경색 및 소뇌경색에 의한 Wallenberg 증후군 환자의 한방 치험 1례", 대한한방내과학회지, 40(5), pp.768~775 (2019), 대한한방내과학회[DOI]
  86. 임현찬, "우측 어깨의 충격증후군을 동반한 뇌졸중 후 중추성 통증 환자 치험 1례", 대한한방내과학회지, 38(6), pp.1060~1067 (2017), 대한한방내과학회
  87. Choi IY, "A Case of Cerebellar Infarction Patient with Ataxia and Vertigo prescribed by Chukdam-tang", The Journal of the Society of Stroke on Korean Medicine, 9(1), pp.33~39 (2008)
  88. Jeon YI, "Two Cases of Aphasia with Spontaneous Intracerebral Hemorrhage", The Journal of East-West Medicine, 27(3), pp.34~43 (2002)
  89. 김철현, "재활치료 중단 후 보행 양상이 다시 악화된 뇌졸중 환자 1례에 관한 고찰", 대한한방내과학회지, 38(2), pp.118~124 (2017), 대한한방내과학회
  90. 홍혜정, "좌측 앞대뇌동맥 뇌경색에 의한 무동무언증에 대한 치험 1례", 대한한방내과학회지, 37(2), pp.330~336 (2016), 대한한방내과학회
  91. Yang JH, "A Case Report of Combined Korean Medicine Treatment for a Intracerebral Hemorrhage Patient with Hemiplegia and Gait Disturbance", J Haehwa Med, 29(2), pp.1~11 (2020)
  92. 제유란, "중대뇌동맥 뇌경색 이후 발생된 뇌출혈에 동반된 브로카실어증(Broca aphasia) 환자에 대한 한의치료 증례보고 1례", 대한한방내과학회지, 40(5), pp.832~840 (2019), 대한한방내과학회[DOI]
  93. 채인철, "중대뇌동맥 영역에 발생한 다발성 뇌경색 환자의 보행장애에 대한 한의 복합 치료: 증례보고 1례", 대한한방내과학회지, 42(2), pp.75~85 (2021), 대한한방내과학회[DOI]
  94. Sim WJ, "Which is More Effective for Elbow Spasticity after Stroke, The Elecrtoacupuncture on Yin or Yang Meridians?", J Oriental Rehab Med, 13(1), pp.95~111 (2003)
  95. Cho SW, "The effectiveness of zingiberis rhizoma herbal acupuncture therapy and bee venom herbal acupuncture therapy on the poststroke hemiplegic shoulder pain", J Oriental Rehab Med, 15(4), pp.77~87 (2005)
  96. 김자영, "중풍 편마비 환자의 손 기능 회복에 대한 八邪穴 刺鍼의 임상적 효과", Journal of Acupuncture Research, 25(5), pp.97~104 (2008), 대한침구의학회
  97. Han MG, "The study of rehabilitational treatment on shoulder pain in hemiplegic stroke patients", The Journal of Jeahan Oriental Medical Academy, 5(1), pp.43~53 (2000)
  98. Choi YS, "Effects of moxibustion on the hemiplegic upper extremity after stroke", J Int Korean Med, 24(2), pp.283~289 (2003)
  99. 신원용, "중풍후유증 환자의 肩痛을 川芎桂枝湯加味方으로 치료한 치험 3례", 대한한방내과학회지, 27(4), pp.936~944 (2006), 대한한방내과학회
  100. Shin WJ, "One case Treated Cerebral Infarction with Aphasia by Jihwangumja", J Int Korean Med, 24(4), pp.1014~1022 (2003)
  101. 이수영, "척추기저동맥박리에 의한 소뇌경색 환자 한방치험 1례", 대한한방내과학회지, 38(5), pp.709~718 (2017), 대한한방내과학회
  102. 윤효진, "淸肺瀉肝湯을 투여한 중대뇌동맥영역의 뇌경색환자 치험 1례", 대한한방내과학회지, 28(1), pp.199~207 (2007), 대한한방내과학회
  103. 김행진, "출혈성 뇌경색 환자 2례에 대한 임상적 고찰", 대한한방내과학회지, 25(4), pp.177~185 (2004), 대한한방내과학회
  104. Chae IC, "A Case Report of a Patient with Thalamus Cerebral Infarction Treated with TMJ Balancing Therapy and Traditional Korean Medicine", Journal of TMJ Balancing Medicine, 10(1), pp.21~25 (2020)
  105. 양지혜, "편마비 및 보행장애를 호소하는 기저핵 뇌경색 환자에 대한 한의 치료 증례보고 1례", 대한한방내과학회지, 43(2), pp.175~183 (2022), 대한한방내과학회[DOI]
  106. 양지연, "한방치료로 호전된 반신부전마비, 배뇨장애를 동반한 좌측 앞대뇌동맥 출혈성 뇌경색 환자의 치험 1례", 대한한방내과학회지, 37(5), pp.786~795 (2016), 대한한방내과학회
  107. 김광호, "한의 복합 치료를 통해 보행 장애, 인지 장애, 배뇨 장애, 연하 장애에 개선을 보인 중대뇌동맥 폐색에 의한 뇌경색증 환자 1례에 대한 증례보고", 대한한방내과학회지, 41(2), pp.204~212 (2020), 대한한방내과학회[DOI]
  108. Ko SG, "Study on the Ischemic penumbra concept in stroke patient by case study", J Int Korean Med, 21(2), pp.341~348 (2000)
  109. 김찬영, "현훈과 오심, 구토를 주소로 하는 소뇌경색 환자의 한의학적 치료 증례보고 1례", 대한한방내과학회지, 39(5), pp.853~862 (2018), 대한한방내과학회
  110. 정인태, "혈우병 소견을 가진 뇌출혈 환자 治驗 1例", Journal of Acupuncture Research, 20(4), pp.237~244 (2003), 대한침구의학회
  111. 김방울, "회전성 현훈과 운동실조를 주소로 한 소뇌경색 환자 치험 1예", 대한한방내과학회지, 24(3), pp.662~666 (2003), 대한한방내과학회
  112. 이상규, "Churg Strauss 증후군 중풍 환자의 치험 1례", 동의생리병리학회지, 18(5), pp.1527~1532 (2004), 한의병리학회
  113. Seo HJ, "A Case Report of a Cerebral Infarction Patient with Shoulder Pain Using Korean Medical Treatment", The Journal of the Society of Stroke on Korean Medicine, 18(1), pp.87~96 (2017)
  114. Hocking C, "Sensitivity of Shah, Vanclay and Cooper’s modified Barthel Index", Clin Rehabil, 13(2), pp.141~147 (1999)
  115. Jacobson GP, "The development of the Dizziness Handicap Inventory", Arch Otolaryngol Head Neck Surg, 116(4), pp.424~427 (1990)
  116. Haefeli M, "Pain assessment", Eur Spine J, 15(1), pp.17~24 (2006)
  117. Kim DY, "Clinical Practice Guideline for Stroke Rehabilitation in Korea 2016", Brain Neurorehabil, 10(1), pp.1~139 (2017)
  118. Zeiler SR, "The interaction between training and plasticity in the poststroke brain", Curr Opin Neurol, 26(6), pp.609~616 (2013)
  119. Quinn TJ, "Functional outcome measures in contemporary stroke trials", Int J Stroke, 4(3), pp.200~205 (2009)
  120. Kasner SE, "Clinical interpretation and use of stroke scales", Lancet Neurol, 5(7), pp.603~612 (2006)
  121. Duncan PW, "Outcome Measures in Acute Stroke Trials", Stroke, 31(6), pp.1429~1438 (2000)
  122. Ramos-Lima MJM, "Quality of life after stroke : impact of clinical and sociodemographic factors", Clinics(Sao Paulo), 73(e418), pp.1~7 (2018)
  123. Carod Artal F, "Quality of Life after Stroke: The Importance of a Good Recovery", Cerebrovascular diseases(Basel, Switzerland), 27(1), pp.204~214 (2009)
  124. "Core Outcome Sets: What They Are & Their Relevance to Research and KT | by CHI KT Platform | KnowledgeNudge |"[URL]
  125. An JJ, "The effects of Contant Use of Herbal Medicine with Western Medicine On Liver and Kidney Functions", The Journal of the Society of Stroke on Korean Medicine, 10(1), pp.27~32 (2009)
  126. 이상욱, "뇌졸중환자에서 한약과 양약의 병용투여가 간장 및 신장에 미치는 영향", 대한한방내과학회지, 24(1), pp.68~74 (2003), 대한한방내과학회
  127. Lee HU, "Comparison of Liver Function and Kidney Function Test Score by Administration Period of Herbal Medication", J Int Korean Med, 27(110), pp.1~9 (2006)
  128. 윤영주, "한약 복용이 간기능에 미치는 영향: 국내 문헌에 대한 체계적 고찰", 대한한방내과학회지, 30(1), pp.153~172 (2009), 대한한방내과학회
  129. "Number of Stroke Patients(Sex, Age, Month)" (2022)[URL]

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