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The Journal of Internal Korean Medicine > Volume 28(4); 2007 > Article
The Journal of Internal Korean Medicine 2007;28(4): 838-849.
CERAD-K를 이용한 한방병원 입원환자의 뇌졸중후 인지기능 저하에 대한 고찰
김재규, 민성순, 이상희, 이경희, 김효진, 허태율, 권오순, 김영균
동의대학교 한의과대학 심계내과학 교실
A Study on Post Stroke Cognitive Deficit by CERAD-K Test
Jae-kyu Kim, Sung-soon Min, Sang-hee Lee, Kyung-hee Lee, Hyo-jin Kim, Tae-yool Heo, O-sun Kwon, Young-kyun Kim
Dept. of Circulatory Internal Medicine, College of Oriental Medicine, Dong-Eui University
Correspondence  Young-kyun Kim ,Tel: 051-560-8620, Fax: 051-867-5162, Email: ykkim@demc.or.kr
  Published online: December 30, 2007.
ABSTRACT
Backgrounds & Objectives :
The aim of study was to evaluate post stroke cognitive deficit. We applied CERAD-K for post-stroke cognitive deficit, and revalued after treatment for 4 weeks.

Methods :
We applied CERAD-K test to 25 patients with post stroke cognitive deficit and compared with previous literature. After acupuncture treatment, moxa treatment, herb medicines, physical and occupational therapy for 4 weeks, we revalued changes by CERAD-K to 13 people that received treatment.

Results:
The stroke group’s points were lower than the normal group in general cognition. Verbal fluency, MMSE-KC, and constructional praxis scores was lower than the AD group. Boston Naming Test, word list immediate recall, word list delayed recall, wordlist recognition, and praxis delayed recall scores were higher than the AD group. Verbal fluency (p=0.017), MMSE-KC (p=0.026), and word list immediate recall (p=0.005) scores of 13 patients participating in this study showed a statistically significant increase after treatment.

Conculsions:
Acupuncture treatment, moxa treatment, herb medicines, physical and occupational therapy are effective for improvement of post-stroke cognitive deficit, but this study could not demonstrate whether some treatments influenced cognition and there was a limitation in lacking a control group.
Key words: Cognition, Stroke, CERAD-K, Vascular dementia, MMSE
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