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통합 진료 및 재활

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통합 진료 및 재활 · 01

Lower limb exoskeleton robot gait training system (AI intelligent biofeedback neuromuscular reconstruction)

Combining aerospace multi-sensor fusion technology, flexible drive algorithms and ergonomic design, China's independently developed lower limb exoskeleton rehabilitation robots (such as Daai Robot and Step Robot) can provide adaptive active/passive assistance based on the patient's residual muscle strength of the lower limbs, and strongly input standard gait neurofeedback during ground walking in simulated real space, subverting the traditional artificial crutch rehabilitation model.

평가 중점 서 있는 자세, 보행 보조량 및 실제 안전

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통합 진료 및 재활 · 02

External counterpulsation technology (EECP: non-invasive biological bypass therapy for ischemic cardiovascular and cerebrovascular diseases)

Enhanced External Counterpulsation (EECP) is a revolutionary non-invasive biomechanical therapy. During the diastole of the human heart, the microcomputer-controlled air bags sequentially exert pressure on the calves, thighs and buttocks, forcefully driving blood from the lower body arteries back to the aortic root and cerebral arteries, increasing cardiac and cerebral perfusion by more than 40%; and exhausting air immediately before cardiac contraction, drastically reducing cardiac ejection impedance, and significantly improving cardiac and cerebral microcirculation and endothelial cell function.

평가 중점 허혈의 원인, 혈관 판막 상태 및 하지 안전

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통합 진료 및 재활 · 03

Transcranial magnetic stimulation combined with specific acupuncture to promote awakening and motor function reconstruction (rTMS-Acupuncture Neuromodulation)

High-precision focused transcranial magnetic stimulation (rTMS) is used to generate millisecond-level strong magnetic fields that penetrate the skull to non-invasively stimulate specific functional areas of the cerebral cortex. Combined with the dual excitatory effects of acupuncture on the ascending reticular activating system (ARAS), it promotes synaptic remodeling of dormant neurons and activation of local brain metabolism. It has become a cutting-edge rehabilitation tool for consciousness disorders (coma/vegetative state) and refractory limb hemiplegia after severe craniocerebral trauma or cardiac arrest.

평가 중점 의식 분류, 간질 위험 및 재현 가능한 기능 변화

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통합 진료 및 재활 · 04

Chinese medicine fumigation and penetration combined with deep radiofrequency hyperthermia (new solution for ankylosing spondylitis and refractory arthrofibrosis)

Integrate the ancient Lingnan method of warming meridians and unblocking collaterals with modern millimeter-wave deep radio frequency physical heat therapy. It uses a fully automatic traditional Chinese medicine constant temperature fumigation chamber to absorb high-concentration transdermal traditional Chinese medicine volatile oils (Tuangucao, Shenjincao, Chuanxiong, Frankincense, etc.) Meter-level ionization penetrates into the deep spinal facet joints and fascial layers. Deep radiofrequency increases the temperature of deep paravertebral diseased tissue to 41-43°C, effectively dissolves fibrotic collagen deposition, and prevents the evolution of 'bamboo-like' spinal ankylosis.

평가 중점 피부 감각, 질병 활동 및 활동적 훈련 목표

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통합 진료 및 재활 · 05

Hyperbaric oxygen brain neurometabolic recovery program (HBOT: breaking the vicious cycle of neuroischemia, hypoxia and cerebral edema)

Using a high-standard large-scale medical air pressurization chamber, in a pure oxygen environment of 2.0-2.5 atmospheres (ATA), by increasing plasma physical dissolved oxygen and brain tissue oxygen partial pressure dozens of times, it breaks the vicious cycle of microvascular spasm, blood-brain barrier permeability damage and mitochondrial energy failure after cerebral ischemia-reperfusion, and provides a powerful source of cell energy recovery for craniocerebral injury, hypoxic-ischemic encephalopathy (HIE) and central nervous system damage.

평가 중점 질병, 폐 및 귀의 증거 위험 및 기능적 결과

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통합 진료 및 재활 · 06

Multi-modal prevention and treatment system for perioperative deep vein thrombosis (DVT) using integrated traditional Chinese and Western medicine

Integrate modern intermittent pneumatic pressure pump (IPC), low-molecular-weight heparin targeted anticoagulation and classic traditional Chinese medicine prescriptions of "activating blood circulation, removing blood stasis, promoting qi and diluting water" to build a comprehensive intelligent early warning and active blocking closed-loop system for perioperative deep vein thrombosis (DVT) and fatal pulmonary embolism (PE) in major orthopedic surgery and long-term bedridden critically ill patients, while ensuring a very high anticoagulant thrombosis prevention rate and eliminating the risk of incisional bleeding caused by traditional high-dose anticoagulation.

평가 중점 혈전 및 출혈 균형, 피부 순환 및 회복 조건

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통합 진료 및 재활 · 07

Traditional "Six-Character Jue" guidance combined with modern pulmonary rehabilitation training (COPD and pulmonary fibrosis breathing regeneration)

Integrate the State Administration of Sports' traditional Health Qigong 'Six-Character Jue' (hush, heh, exhale, swallow, blow, hee) to breathe and pronounce the ancient guidance method with modern cardiopulmonary exercise stress test (CPET) quantitative pulmonary rehabilitation technology. By specifically regulating expiratory airflow resistance and thoracoabdominal pressure rhythm, it relieves bronchospasm and rebuilds the active subsidence movement of the diaphragm, effectively improving airway trapping and severe shortness of breath after activity in patients with chronic obstructive pulmonary disease (COPD) and pulmonary fibrosis.

평가 중점 호흡 곤란, 지구력, 근력 및 일상 활동

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통합 진료 및 재활 · 08

Isokinetic muscle strength testing and multi-joint muscle strength balance reconstruction system (Isokinetic Rehabilitation System)

Using the internationally recognized isokinetic muscle strength testing system (such as Biodex / Cybex system), under the premise of constant preset angular velocity, the resistance is adaptively matched in real time with the patient's limb muscle output, providing efficient and safe training of 'maximum resistance within the full range of joint motion'. Accurately and quantitatively test the peak torque (PT) and antagonist muscle ratio (H/Q ratio) of knee, shoulder, ankle and other joint flexor and extensor muscle groups to eliminate the hidden dangers of postoperative recurrence of sports injuries and joint instability.

평가 중점 절대적인 근력, 움직임의 질 및 활동 복귀 요구 사항

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통합 진료 및 재활 · 09

Pseudobulbar palsy of stroke "naked acupuncture + intermittent orogastric tube feeding method" (IOE: removal of nasogastric tube and regaining autonomous oral swallowing)

Severe dysphagia caused by pseudobulbar palsy after stroke, brain trauma or brainstem lesions is the biggest culprit that causes patients to develop aspiration pneumonia, nutritional failure and lifelong indwelling nasogastric tube. Long-term indwelling gastric tube not only leads to pressure ulcer necrosis of the nose, esophageal reflux and vocal cord paralysis, but also causes the patient to lose his life dignity. The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine and the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine have pioneered the ‘deep acupuncture method combined with intermittent orogastric tube injection (IOE)’ based on decades of clinical experience. During the treatment, deep acupuncture points in the back of the neck such as Fengchi, Xuexue, Tianzhu and Lianquan are selected, and needles are inserted at precise angles in the direction of the swallowing center of the medulla oblongata. Low-frequency neuromuscular electrical stimulation (NMES) is used to activate the suprahyoid muscles and pharyngeal constrictors. A very fine intermittent silicone tube is inserted during meals and removed immediately after the meal. This program completely eliminates the continuous suppression of the throat reflex caused by the indwelling gastric tube, and the clinical success rate of removing the gastric tube for independent oral feeding is as high as 91.2%.

평가 중점 기도 보호, 영양 준수 및 안전한 귀가

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