The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

Case Report of Treatment with Korean Medicine on a Central Post-Stroke Pain Patient who had Impingement Syndrome of the Right Shoulder

우측 어깨의 충격증후군을 동반한 뇌졸중 후 중추성 통증 환자 치험 1례

  • Lim, Hyun-chan (Dept. of Oriental Internal Medicine, Dong-Shin University Gwangju Oriental Hospital) ;
  • Kim, Tae-ryun (Dept. of Oriental Internal Medicine, Dong-Shin University Gwangju Oriental Hospital) ;
  • Lee, Hye-in (Dept. of Oriental Internal Medicine, Dong-Shin University Suncheon Oriental Hospital) ;
  • Kim, Eun-ji (Dept. of Oriental Internal Medicine, Dong-Shin Oriental Medicine Hospital) ;
  • Lee, Da-eun (Dept. of Oriental Internal Medicine, Dong-Shin University Gwangju Oriental Hospital) ;
  • Jeon, Sang-yoon (Dept. of Oriental Internal Medicine, Dong-Shin University Gwangju Oriental Hospital)
  • 임현찬 (동신대학교광주한방병원 한방내과) ;
  • 김태련 (동신대학교광주한방병원 한방내과) ;
  • 이혜인 (동신대학교순천한방병원 한방내과) ;
  • 김은지 (목동동신한방병원 한방내과) ;
  • 이다은 (동신대학교광주한방병원 한방내과) ;
  • 전상윤 (동신대학교광주한방병원 한방내과)
  • Received : 2017.11.01
  • Accepted : 2017.12.15
  • Published : 2017.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This case study examined the effects of treatment with traditional Korean medicine on a central post-stroke pain patient, who had impingement syndrome of the right shoulder. Methods: The patient received traditional Korean medical treatments, including acupuncture, warm-needling, moxibustion, and cupping, throughout the treatment period, and extracorporeal shock-wave therapy and physical therapy for part of the treatment period. The effects of treatments were measured with a manual muscle test (MMT), numerical rating scale (NRS), range of motion (ROM), and gait staging index (self-invented). Results: The clinical symptoms of the patient were improved considerably after the complete treatment. Conclusions: Traditional Korean medicine may be effective for treatment of central post-stroke pain in patients with impingement syndrome.

Keywords

References

  1. Kilic Z, Erhan B, Gunduz B, Iska Elvan G. Central Post-Stroke Pain in Stroke Patients: Incidence and the Effect on Quality of Life. Turk J Phys Med Rehab 2015;61:142-7. https://doi.org/10.5152/tftrd.2015.46338
  2. Zhu Y, Su B, Li N, Jin H. Pain management of hemiplegic shoulder pain post stroke in patients from Nanjing, China. Neural Regeneration Research 2013;8(25):2389-98.
  3. Kwon MJ. The Relationship between Pain and Quality of Life in Stroke Patients. Journal of the Korean Society of Physical Medicine 2017; 12(2):83-90. https://doi.org/10.13066/kspm.2017.12.2.83
  4. The Korean Otrhopaedic Association. Orthopaedics. 7 Edition. Seoul: The New medical journal; 2013, p. 629-37.
  5. Nationwide College of Korean Medicine Faculty Council of Cardiology Internal Medicine. Cardiovascular and Neurological Medicine in Korean Medicine I. Seoul: Wooripub; 2016, p. 251.
  6. Kim JS. Pharmacological management of central post-stroke pain: a practical guide. CNS Drugs 2014;28(9):787-97. https://doi.org/10.1007/s40263-014-0194-y
  7. Klit H, Finnerup NB, Jensen TS. Central post-stroke pain : clinical characteristics, pathophysiology, and management. Lancet Neurology 2009;8:857-68. https://doi.org/10.1016/S1474-4422(09)70176-0
  8. Cha JY, Heo JW, Jo HK. Case of Central Post-Stroke pain Patients Treated with Chukyu pharmacopuncture. Journal of Haehwa Medicine 2016;24(2):59-64.
  9. Lee EC, Hyun SH, Min KD, Kim YS, Cho KH, Moon SK, et al. A Case Study of Central Post-Stroke Pain(CPSP) treated with Korean Medical Treatment. The Journal of Internal Korean Medicine 2013;spr:194-200.
  10. Yei YC, Ey YL, Lee MR, Cho KH, Moon SK, Jung WS. A Case Series of Central Post Stroke Pain Patient Treated by Ouhyul Pharmacopuncture. The Journal of Internal Korean Medicine 2015;spr:242-6.
  11. Woo YM, Song KS, Lee JH. Clinical Study of Combination Treatment of Oriental Medicine on Thalamic Pain Syndrome. The Journal of Internal Korean Medicine 2000;21(5):765-71.
  12. Zhao H, Nie W, Sun Y, Li S, Yang S, Meng F, et al. Warm Needling Therapy and Acupuncture at Meridian-Sinew Sites Base on the Meridian-Sinew Theory: Hemiplegic shoulder pain. Evidence-Based Complementary Alternative Medicine 2015:1-8.
  13. Koh HG, Yin CS. Clinical acupuncture hand techniques. Paju: Jipmoon; 2004, p. 201-16.
  14. Kim CH, Kim YS. The Manual of Clinical Acupuncture and Moxibustion. Seoul: jdbook; 2003, p. 36-7.
  15. Wang F, Jia SW. Effect of acupuncture on regional cerebral blood flow and cerebral functional activity evaluated with single photon emission computed tomography. Zhongguo Zhong Xi Yi Jie He Za Zhi 1996;16(3):340-3.
  16. Jonsson AC, Lindgren I, Hallstrom B, Norrving B, Lindgren A. Prevalence and intensity of pain after stroke: a population based study focusing on patient's perspectives. Journal of Neurology, Neurosurgery, and Psychiatry 2006; 77(5):590-5. https://doi.org/10.1136/jnnp.2005.079145

Cited by

  1. 뇌졸중 후 중추성 통증 및 시상증후군에 대한 한약치료의 효과 : 체계적 고찰 및 메타분석 - 중의학 저널을 중심으로 vol.40, pp.3, 2019, https://doi.org/10.22246/jikm.2019.40.3.295
  2. Warm Needling Treatment in Korea: A Literature Review vol.37, pp.2, 2017, https://doi.org/10.13045/jar.2020.00087