Annals of Rehabilitation Medicine

The Prevalence and Clinical Features of Diffuse Idiopathic Skeletal Hyperostosis in the Patients with Dorsal Back Pain.: Park, Yun Hee , Sung, Duk Hyun , Huh, Jung Phil , Kwon, Jong Won; J Korean Acad Rehabil Med 2009;33(5):564-571.

Abstract
PDF

Objective
To investigate the prevalence and clinical features of diffuse idiopathic skeletal hyperostosis (DISH) in patients with dorsal back pain. Method: A total of 229 patients (119 men and 110 women) with dorsal back pain were included. Medical records including age, sex, chief complaints, medical history, physical findings, laboratory data, and musculoskeletal radiographs were reviewed retrospectively. Results: Twenty-seven (11.8%, by Resnick's criteria) and thirty-eight (16.6%, by Julkunen's criteria) of the 229 patients were diagnosed with DISH by thoracic spine radiographs. A significant increase of risk with age was observed (Resnick's criteria: odds ratio 1.10, 95% CI 1.05∼1.16, p＜ 0.001, Julkunen's criteria: odds ratio 1.08, 95% CI 1.04∼1.12, p＜0.001). Male sex (Resnick's criteria: odds ratio 2.65, 95% CI 1.01∼6.95, p=0.048, Julkunen's criteria: odds ratio 2.87, 95% CI 1.27∼6.59, p=0.011) and inflammatory pain (Resnick's criteria: odds ratio 7.76, 95% CI 2.69∼22.33, p＜0.001, Julkunen's criteria: odds ratio 3.84, 95% CI 1.55∼9.47, p=0.004) showed higher risk for development of DISH. Mean body mass index of patients with DISH were higher in all age groups, and they showed higher prevalence of DM and hyperlipidemia than general population. Conclusion: Patients with dorsal back pain showed higher prevalence of DISH than previous results with random samples. Aging, male sex and inflammatory pain might be a risk factor for development of DISH. Also, obesity, DM and hyperlipidemia might be strongly related with DISH. (J Korean Acad Rehab Med 2009; 33: 564-571)

1,450 View
12 Download

Causes, Clinical Features and Functional Outcome of Pediatric Stroke.: Ryu, Ju Seok , Park, Jin Hong , Park, Eun Ha , Cha, Eun Hye , Sung, In Young; J Korean Acad Rehabil Med 2009;33(3):276-281.

Abstract
PDF

Objective
To investigate the changes of causes, clinical features, and functional outcomes in childhood strokes. Method: This study included 152 patients, aged from 1 to 18 years, who were diagnosed with stroke and admitted to a tertiary hospital between January 2000 and April 2004. All medical records and neurologic images of the patients were reviewed. A parental questionnaire was used to investigate patients' functional outcomes. These results were compared with those of the previous study performed in the same hospital in 2001. Results: The number of hemorrhagic stroke was 78 (51.3%) and that of ischemic stroke was 74 (48.7%). When compared to the previous study, the incidence of hemorrhagic stroke especially above the age of 10 years decreased and that of ischemic stroke below the age of 10 years increased. The causes of stroke were arteriovenous malformation (AVM, 42.8%), Moyamoya disease (37.5%), vasculitis (5.3%), cardiac disease (3.9%), hematologic disease (2.0%), and undetermined (8.5%). Common clinical features were headache (53.8%), vomiting (43.6%) and loss of consciousness (28.2%) in the hemorrhagic stroke, and hemiparesis (94.6%), headache (35.1%) and speech disorder (31.1%) in the ischemic stroke. 86.0% of the hemorrhagic and 64.8% of the ischemic stroke patients were categorized in the 'good' outcome group. Conclusion: The incidence of ischemic stroke increased to the similar level of hemorrhagic stroke. The most common causes were AVM in the hemorrhagic and Moyamoya disease in the ischemic stroke. Most of these patients showed good functional outcome, regardless of the causes of stroke. (J Korean Acad Rehab Med 2009; 33: 276-281)

1,496 View
14 Download

Diagnosis and Clinical Features of Children with Language Delay.: Kim, Seong Woo , Shin, Jung Bin , You, Sung , Yang, Eun Ju , Lee, Sun Kyoung , Chung, Hee Jung , Song, Dong Ho; J Korean Acad Rehabil Med 2005;29(6):584-590.

Abstract
PDF

Objective
To determine the diagnosis and investigate the clinical features of children with language delay. Method: One hundred seventy-eight children who were referred to the Developmental Delay Clinic for the evaluation of suspected language delay were prospectively enrolled. Multidisciplinary assessment was done by a physiatrist, pediatric neurologist and pediatric psychiatrist. All patients took speech evaluation, full battery of cognitive assessment and hearing test. Results: The common diagnoses of children with language delay were mental retardation (MR), specific language impairment (SLI) and autism spectrum disorder (ASD) in the order of frequency. The early developmental history showed delay of acquisition of motor milestone in MR group. The brain magnetic resonance image (MRI) and single photon emission computerized tomography (SPECT) findings couldn't help to distinguish the brain pathology in SLI, MR and ASD. The result of speech evaluation showed more severely involved in ASD and MR rather than SLI. Conclusion: In the clinical assesment and management of the children with language delay, the comprehensive assessment which includes cognition and personal-social area as well as language itself would be helpful for the understanding and setting up the therapeutic plan of these children. (J Korean Acad Rehab Med 2005; 29: 584-590)

2,103 View
60 Download

Diagnosis and Clinical Features in Children Referred to Developmental Delay Clinic.: Kim, Seong Woo , Shin, Jung Bin , Kim, Eun Hye , Lee, Seon Kyung , Jung, Hee Jung , Song, Dong Ho; J Korean Acad Rehabil Med 2004;28(2):132-139.

Abstract
PDF

Objective
To determine the phenomenologic, etiologic diagnosis and clinical features of children with developmental delay.Method: One hundred seventy-one children, referred to Developmental Delay Clinic which was multidisciplinary clinic for the evaluation of a suspected developmental delay, were prospectively enrolled. Diagnostic yield was ascertained after the completion of the questionnaire, clinical assessments and laboratory investigations by the physiatrist, pediatric neurologist and pediatric psychiatrist.Results: One hundred fifty-one children met study criteria. The common phenomenologic diagnoses of children with developmental delay were mental retardation, delayed language disorder, autism and cerebral palsy. The etiologicdiagnosis was determined in 44 (28.02%) children. The diagnoses were hypoxic-ischemic encephalopathy, malformation of cortical development, dysmorphic syndrome, chromosomal abnormalities, and neuomuscular disorders in the order of frequency. In many cases, the chief complaint of parent was not in accordance with final diagnosis. Conclusion: In the clinical assessment and management of children with developmental delay, the most important thing is integrative and comprehensive approach including all the developmental territories. And also, the settlement of paradigm for systematic evaluation of these children with other specialists will be needed. (J Korean Acad Rehab Med 2004; 28: 132-139)

2,003 View
31 Download

Clinical Features of Cerebral Palsy.: Kim, Sei Joo , Lee, Myeong Heun; J Korean Acad Rehabil Med 1997;21(6):1053-1059.

Abstract
PDF

Cerebral palsy is a non-progressive cerebral sensori-motor defect, acquired either prenatally or in an early life and evolves over the first few years. Until recently many people believed that asphyxia at birth was a major cause of cerebral palsy and that the prevention of asphyxia at birth by improving perinatal care would reduce the number of cerebral palsy children. However the incidence of cerebral palsy in children has remained steady or ever risen slightly. The real cause of cerebral palsy is still unbaron to us.

This analysis was undertaken to determine the clinical features of cerebral palsy in Korea by the retrospective study of 98 children. Over a half of infants with cerebral palsy (64.2%) was recognized by parents before 1 year of corrected age, and their chief complaints were delayed developments or equinus foot deformities.

The most common type of cerebral palsy was spastic type (64.2%) which was followed by athetoid (10.5%), ataxia and hypotonia types (4.2% each). The mixed type was 19.4% Among 98 cerebral palsies, the preterm infants were 42.9% and the infants with low birth weight were 41.4%. The cerebral palsies with low birth weight and preterm infants were more likely to have spastic diplegia.

The most frequent abnormal primitive reflex was absent protective extension(78.3%). No significant associations of the type of cerebral palsy with primitive reflexes were found. An increased risk of cerebral palsy with increased maternal age was not observed in this study.

Of 55 MRI findings, no abnormalities were seen in 27.2%, periventricular leukomalacias in 34.5%, brain atrophies in 21.8%, cerebral infarcts in 10.9%, intracerebral hemorrhage in 3.6%, and delayed myelinations in 1.8%. The periventricular leukomalacias were associated with the preterm infants in 63.2%.