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Treatment of Traumatic Brachial Plexus Injury with Traditional Korean Medicine Focusing on Warm Needling and Bee Venom Injection: A Case Report

외상성 상완신경총 손상에 대해 온침요법과 봉독약침요법을 중심으로 한방복합치료를 적용한 치험 1례 증례보고

  • Jo, Dae Hyun (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Kwon, Min Soo (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Kim, Jung Hwan (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Choi, Ji Eun (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Han, Ji Sun (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Nam, Dong Woo (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Choi, Do Young (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Jae Dong (Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital)
  • 조대현 (경희대학교 한의과대학 침구의학과) ;
  • 권민수 (경희대학교 한의과대학 침구의학과) ;
  • 김정환 (경희대학교 한의과대학 침구의학과) ;
  • 최지은 (경희대학교 한의과대학 침구의학과) ;
  • 한지선 (경희대학교 한의과대학 침구의학과) ;
  • 남동우 (경희대학교 한의과대학 침구의학과) ;
  • 최도영 (경희대학교 한의과대학 침구의학과) ;
  • 이재동 (경희대학교 한의과대학 침구의학과)
  • Received : 2015.05.15
  • Accepted : 2015.05.29
  • Published : 2015.06.20

Abstract

Objectives : The purpose of this report is to show the effect of complex traditional Korean medical care focused on warm needling(WN) and bee venom(BV) injection for a patient suffering from traumatic brachial plexus injury(BPI). Methods : A 51-year-old female patient with BPI was suffering from paresis and hypoesthesia with upper-extremity impairment. The patient had been treated once a day from 4 Feb to 11 Apr of 2015 mainly with WN and BV injection on the acupoints near the distribution of the brachial plexus. Improvement of the symptoms was measured by range of motion(ROM), manual muscle test(MMT) grip strength, and with the numeric rating scale(NRS) of tactile and pain sensitivity. Results : After 67 days of treatment, all obtained results showed remarkable improvement. The patient's satisfaction declaration was recorded through an interview at the end of the treatment. Conclusions : The results suggest that anatomically concerned WN and BV treatment can be a valuable option in reducing or normalizing pains from traumatic BPI.

Keywords

References

  1. Samantha A, Kriya G, Morad A. Brachial plexus injury: treatment options and outcomes. J Craniofac Surg. 2014 ; 25(4) : 1200-6. https://doi.org/10.1097/SCS.0000000000000841
  2. Smania N, Berto G, La Marchina E et al. Rehabilitation of brachial plexus injuries in adult and children. Eur J Phys Rehabil Med. 2012 ; 48(3) : 483-506.
  3. Jung DH. Brachial plexus injury. Collection of Dissertations of Korean Shoulder and Elbow Society. 2008 : 11 : 179-93.
  4. Jeniffer JL, Kakar S, Bishop AT, Spinner RJ, Shin AY. Current concepts of the treatment of adult brachial plexus injuries. J Hand Surg Am. 2010 ; 35(4) : 678-88.
  5. The Korean Academy of Oriental Rehabilitation Medicine. Oriental rehabilitation medicine. 3rd ed. Seoul : Koonja. 2011 : 138-61.
  6. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. The Acupuncture and Moxibustion Medicine. Seoul : Jipmoondang. 2012 : 143-249.
  7. Kim YR, Noh SH, Kin KH, Yang GY, Lee BR, Kim JK. Clinical study on the case of patient with latrogeric brachial plexus injury after cervical lymph node biopsy: a case report. The Acupuncture. 2013 ; 30(5) : 219-26. https://doi.org/10.13045/acupunct.2013061
  8. Choi YJ, Shin HY, Kim SJ et al. Clinical study on the case of patient with traumatic brachial plexus injury. The Acupuncture. 2012 ; 29(2) : 99-106.
  9. Jang DH, Kang YK, Cho SW, Lee YS. A clinical case study on postural brachial plexus injury with whole body articulation mechanics technique. The Journal of Korea Chuna Manual Medicine for Spine and Nerves. 2010 ; 5(2) : 49-55.
  10. Lee SW, Shin YW, Jung HR, Cha YY. A case report on the brachial plexus injury patient caused by traffic accident. Journal of Oriental Rehabilitation Medicine. 2002 ; 12(2) : 199-208.
  11. Jung AR, Kim KB, Cheon JH. A case report of neonatal brachial plexus injury. The Journal of Pediatrics of Korean Medicine. 2014 ; 28(1) : 14-23. https://doi.org/10.7778/jpkm.2014.28.1.014
  12. Yu SA. A case report of child with brachial plexus palsy due to birth injury. The Journal of Pediatrics of Korean Medicine. 2014 ; 28(1) : 24-31. https://doi.org/10.7778/jpkm.2014.28.1.024
  13. Songcharoen P, Wongtrakul S, Spinner RJ. Brachial plexus injuries in the adult. nerve transfers: the Siriraj Hospital experience. Hand Clin. 2005 ; 21(1) : 83-89. https://doi.org/10.1016/j.hcl.2004.10.002
  14. Merrell GA, Barrie KA, Katz DL, Wolfe SW. Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature. J Hand Surg Am. 2001 ; 26(2) : 303-14. https://doi.org/10.1053/jhsu.2001.21518
  15. Bishop AT. Functioning free-muscle transfer for brachial plexus injury. Hand Clin 2005 ; 21(1) : 91-102. https://doi.org/10.1016/j.hcl.2004.10.005
  16. Back GH, Chung MS, Seo JB, Park JS, Park YB, Jun DS. Comparison of spontaneous recovery and nerve surgery in brachial plexus injury. J Korean Soc Microsurg. 1996 ; 5(1) : 137-46.
  17. Lee JD. Bee venom therapy - method of clinical approach -. J Korean Oriental Med. 2000 ; 21(3) : 3-8.
  18. Yoon SW. A study of thermal effect in ultrasound enhanced transdermal drug dilivery. Seoul : Sungkyunkwan Univ. 1998. Korean.