Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
권호 표지
DOI QR코드

DOI QR Code

Three Case Reports of Postural Instability and Gait Difficulty in Parkinson's Disease Patients Treated with Korean and Western Medicine

파킨슨병 환자의 자세 불안정과 보행장애에 대한 한양방 복합치료 3예

  • Lee, Young-Eun (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Dong-Hyuk (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Ji-Hyun (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Lu, Hsu-Yuan (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Cho, Seung-Yeon (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Park, Jung-Mi (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Ko, Chang-Nam (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Bae, Hyung-Sup (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University) ;
  • Park, Seong-Uk (Department of Korean Internal Medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong, College of Korean Medicine, Kyung Hee University)
  • 이영은 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 이동혁 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 이지현 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 여서원 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 조승연 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 박정미 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 고창남 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 배형섭 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과) ;
  • 박성욱 (경희대학교 한의과대학 강동경희대학교병원 중풍뇌질환센터 한방내과)
  • Received : 2014.03.07
  • Accepted : 2014.03.18
  • Published : 2014.03.27
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : Postural instability and gait difficulty(PIGD) can develop in all Parkinson's disease patients, especially late in the disease course, but does not respond well to conventional dopamine treatment. This study aimed to report three cases of PIGD in Parkinson's disease patients treated with Korean and Western medicine treatment. Methods : We used acupuncture, bee venom acupuncture, herbal medicine and moxibustion to treat patients during hospitalization. They continued Western medication and received rehabilitation treatment. We observed the changes of PIGD using the Unified Parkinson's Disease Rating Scale(UPDRS). Results : After treatment, PIGD symptoms improved and UPDRS scores were decreased. Especially, scores of falling, walking, gait and postural stability subsections related with PIGD were decreased. In addition, general conditions of patients were improved. Conclusions : This study suggests that Korean medicine treatment could be effective in the treatment of PIGD in Parkinson's disease patients.

Keywords

References

  1. Schapira AH. Science, medicine, and the future: Parkinson's disease. BMJ. 1999 ; 318(7179) : 311-4.
  2. Park YC, Chang DI, Lee YH, Park DS. The Study on the Effect of Acupuncture Treatment in Patients with Idiopathic Parkinson's Disease. The Journal of Korean Acupuncture & Moxibustion Society. 2007 ; 24(4) : 44.
  3. Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967 ; 17 : 427-42. https://doi.org/10.1212/WNL.17.5.427
  4. Hariz GM, Forsgren L. Activities of daily living and quality of life in persons with newly diagnosed Parkinson''s disease according to subtype of disease, and in comparison to healthy controls. Acta Neurol Scand 2011 ; 123(1) : 20-7. https://doi.org/10.1111/j.1600-0404.2010.01344.x
  5. Mak MK, Pang MY, Mok V. Gait difficulty, postural instability, and muscle weakness are associated with fear of falling in people with Parkinson's disease. Parkinsons Dis 2012 ; Epub 2011 Oct 5.
  6. Nocera J, Horvat M, Ray CT. Effects of home-based exercise on postural control and sensory organization in individuals with Parkinson disease. Parkinsonism Relat Disord. 2009 ; 15(10) : 742-5. https://doi.org/10.1016/j.parkreldis.2009.07.002
  7. Kwakkel G, de Goede CJ, van Wegen EE. Impact of physical therapy for Parkinson's disease: a critical review of the literature. Parkinsonism Relat Disord. 2007 ; 13 : 478-87. https://doi.org/10.1016/S1353-8020(08)70053-1
  8. Robert AH, Kelly EL, Rajesh P, Theresa AZ. A translation of Parkinson's disease : Questions and answers. 4th ed. Korea : Panmun Book Co. 2005 : 99, 127.
  9. Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, et al. Tai Chi and Postural Stability in Patients with Parkinson's Disease. NEJM 2012 ; 366(6) : 511-9. https://doi.org/10.1056/NEJMoa1107911
  10. Mhatre PV, Vilares I, Stibb SM, Albert MV, Pickering L, Marciniak CM, et al. Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease. PMR. 2013 ; 5(9) : 769-77.
  11. Smania N, Corato E, Tinazzi M, Stanzani C, Fiaschi A, Girardi P, et al. Effect of balance training on postural instability in patients with idiopathic Parkinson's disease. Neurorehabil Neural Repair. 2010 ; 24(9) : 826-34. https://doi.org/10.1177/1545968310376057
  12. Fahn S, Elton RL. Members of the UPDRS development committee. Unified Parkinson's Disease Rating Scale. In: Fahn S, Marsden CD, Goldstein M, Calne DB. Recent development in Parkinson's Disease, vol 2. Florham Park: Macmillan ; 1987, p. 153-63.
  13. Kim SR, Lee TY, Kim MS, Lee MC, Chung SJ. Use of complementary and alternative medicine by Korean patients with Parkinson's disease. Clin Neurol Neurosurg. 2009 ; 111(2) : 156-60. https://doi.org/10.1016/j.clineuro.2008.09.011
  14. Park W, Kim JK, Kim JI, Choi DY, Koh HK. Neuroprotective and Anti-inflammatory Effects of Bee Venom Acupuncture on MPTP-induced Mouse. The Journal of Korean Acupuncture & Moxibustion Society. 2010 ; 27(3) : 105-16.
  15. Kim CY, Lee JD, Lee SH, Koh HK. Anti-inflammatory Effect of Bee Venom Acupuncture at Sinsu(BL23) in a MPTP Mouse Model of Parkinson Disease. The Journal of Korean Acupuncture & Moxibustion Society. 2009 ; 26(4) : 49-58.
  16. Yeo SJ, Lim SB, Choe IH, Choi YG, Chung KC, Jahng GH, et al. Acupuncture stimulation on GB34 activates neural responses associated with Parkinson's disease. CNS Neurosci Ther. 2012 ; 18(9) : 781-90. https://doi.org/10.1111/j.1755-5949.2012.00363.x
  17. Cho SY, Shim SR, Rhee HY, Park HJ, Jung WS, Moon SK, et al. Effectiveness of acupuncture and bee venom acupuncture in idiopathic Parkinson's disease. Parkinsonism Relat Disord. 2012 ; 18(8) : 948-52. https://doi.org/10.1016/j.parkreldis.2012.04.030

Cited by

  1. Effects of Korean Medicine on Patients with Idiopathic Parkinson’s Disease: A Retrospective Study vol.37, pp.4, 2016, https://doi.org/10.22246/jikm.2016.37.4.653
  2. The Literary Trends of Herbal Prescription Ukgan-san and its Application in Modern Traditional Korean Medicine vol.39, pp.3, 2018, https://doi.org/10.13048/jkm.18021
  3. 한, 양방 협진치료에 대한 연구 경향 분석: 국내 논문을 대상으로 vol.28, pp.1, 2014, https://doi.org/10.18325/jkmr.2018.28.1.53
  4. Acupuncture Treatment in Clinical Studies for Parkinson's Disease : A Literature Review vol.35, pp.4, 2014, https://doi.org/10.13045/jar.2018.00157
  5. 몸통굽힘증을 주소로 하는 파킨슨병 환자의 자세 이상에 대한 한의 치료 증례 1례 vol.40, pp.2, 2014, https://doi.org/10.22246/jikm.2019.40.2.220