백남종 교수
Nam-Jong Paik
서울대학교 · 의학
연구실 소개
백남종 교수의 연구실은 뇌졸중 환자의 신경재활을 위한 첨단 기술 기반의 비침습적 치료 및 평가 방법을 개발하고 있습니다. 주로 가상현실(VR), 모바일 기반 게임 기반 재활 프로그램, Kinect 기반 운동 측정 기술을 활용해 상하지 기능 회복과 언어 장애, 삼키기 장애 등 후유증에 대한 정밀한 평가 및 치료 전략을 모색하고 있습니다. 특히, 퇴행성 뇌질환 환자에서의 인지기능과 운동기능 간의 상관관계 분석을 통해 예방적 재활 전략을 제안하고 있습니다.
연구 현황
연구 성과 추이
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
주요 논문
15Our results suggest a potentially beneficial effect of noninvasive cortical stimulation during rehabilitative motor training of patients who have suffered from subacute strokes.
Virtual home-based rehabilitation is an emerging area in stroke rehabilitation. Functional assessment tools are essential to monitor recovery and provide current function-based rehabilitation. We developed the Fugl-Meyer Assessment (FMA) tool using Kinect (Microsoft, USA) and validated it for hemiplegic stroke patients. Forty-one patients with hemiplegic stroke were enrolled. Thirteen of 33 items were selected for upper extremity motor FMA. One occupational therapist assessed the motor FMA while
This mobile game-based VR rehabilitation program appears to be feasible and effective for promoting upper limb recovery after ischemic stroke.
The results from this study suggest it to be an effective and feasible treatment method for chronic aphasia, although follow-up studies with more subjects and a control group are needed for a more thorough assessment.
This study reveals a high incidence of poststroke falls after discharge from inpatient rehabilitation. More caution should be taken for patients with ambulatory ability and left hemiplegia/hemiparesis because they are more vulnerable to falls after a stroke. An increased prevalence of fear of falling in people who fell suggests that an appropriate intervention to reduce fear of falling should be provided to patients who have had a stroke.
Men with nonamnestic MCI were more likely to have dysphagia than were their counterparts without MCI, whereas this difference was not found in men with amnestic MCI and women. Assessment of executive functions that interfere with planning of motor activities may be useful in predicting dysphagia and in planning preventive and therapeutic strategies for older men.
Low-cost Kinect-based upper limb rehabilitation system was not more efficacious compared with sham VR. However, the compliance in VR was good and VR system induced more arm motion than control and similar activity compared with the conventional therapy, which suggests its utility as an adjuvant additional therapy during inpatient stroke rehabilitation.
The effects of real and sham rTMS did not differ significantly among patients within 3 months poststroke. The location of stroke lesions should be considered for future clinical trials.
Dysphagia is common until 1 month after ACDF. Although the incidence of aspiration or penetration in VFSS after ACDF was high, no patient had aspiration pneumonia, which may be because of the intact neurological swallowing mechanism. The typical pattern of dysphagia after ACDF included vallecular and pyriform sinuses filled with postswallow residue, which may result from soft tissue edema and weak constriction of pharyngeal muscles after ACDF.
This telescreening test may overcome the limitations of test administration and may be a convenient and cost-effective alternative to the existing aphasia screening tests for patients with stroke.
Objective: The functional dysphagia scale based on videofluoroscopic swallowing study (VFS scale) is a numeric scale that is directly converted from physiologic parameters of videofluoroscopic swallowing study. We intended to show the clinical validity of the VFS scale by comparing the scale with the American Speech-Language Hearing Association National Outcomes Measurements System Swallowing Scale (ASHA scale) which is a clinical outcome scale based on patient's feeding ability and independence
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