The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
권호 표지
DOI QR코드

DOI QR Code

Three Cases of Developmental Delay Due to Cerebral Palsy Treated with Korean Medicine

뇌성마비로 인한 발달지연 아동의 한방치료 3례

  • Yun, Young Ju (Department of integrative medicine, School of Korean Medicine, Pusan national university) ;
  • Kim, Sung Chul (Sungmoi Korean Medical Clinic) ;
  • Yu, Sun Ae (Department of Pediatrics, College of Korean Medicine, Dongeui university)
  • 윤영주 (부산대학교 한의학전문대학원 동서협진의학) ;
  • 김성철 (성모아이 한의원) ;
  • 유선애 (동의대학교 한의과대학 한방소아과교실)
  • Received : 2017.01.20
  • Accepted : 2017.02.10
  • Published : 2017.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

These are three case reports on developmental delay that were treated with Korean medicine more than one year. A child with spastic cerebral palsy was treated only with acupuncture in one case, and in another case, two children with cerebral palsy were treated with both acupuncture and Korean herbal medication: Gami-Dossi-pyengwisan and Gami-Guibiondam-tang. After more than a year of treatment period, all three children showed improvement of general condition and motor function, measured by Gross Motor Function Measure, compare to average of children with cerebral palsy. According to this result, Korean medicine treatment can be helpful in improvement of spasticity and developmental delay due to cerebral palsy. Further studies with more cases and well-designed randomized controlled trials should be performed to establish proper guideline of Korean medicine treatment for cerebral palsy.

Keywords

References

  1. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.
  2. Park MS, Kim SJ, Chung CY, Kwon DG, Choi IH, Lee KM. Prevalence and lifetime healthcare cost of cerebral palsy in South Korea. Health Policy. 2011;100(2-3):234-8. https://doi.org/10.1016/j.healthpol.2010.09.010
  3. Chung JY, Wang GC, Bang MS, Lee JH, Park MS. Introduction to cerebral palsy. Seoul: Gunja Publishing co. 2013:8-9.
  4. Hurvitz EA, Leonard C, Ayyanger R. Complementary alternative medicine use in families of children with cerebral palsy. Dev Med Child Neurol. 2003;45(6):364-70. https://doi.org/10.1111/j.1469-8749.2003.tb00414.x
  5. Jeong MJ, Lim JH, Hwangbo M, Kim KB, Yun YJ. A study on the utilization of Korean medicine & other parallel treatments for neurological disease children & adolescents treated with western medicine. J Pediatr Korean Med. 2012;26(2):72-84. https://doi.org/10.7778/jpkm.2012.26.2.072
  6. Li LY, Liu ZH, Xie QL. Meta-analysis on scalp acupuncture based therapy in treating children cerebral palsy. World J Acupunct Moxibustion. 2014;24(3):49-53. https://doi.org/10.1016/S1003-5257(15)60012-5
  7. Zhang Y, Liu J, Wang J, He Q. Traditional Chinese medicine for treatment of cerebral palsy in children: a systematic review of randomized clinical trials. J Alternat Complement Med. 2010;16(4):375-95. https://doi.org/10.1089/acm.2009.0609
  8. Moon SH, Kim JY, Kim LH, Jang IS. A review of recent acupuncture therapy for developmental disorder. Korea J Acupunct. 2003;20(3):129-46.
  9. Kim LH, Yu G. Review of clinical researches about Korean medicine treatment on language disorder of cerebral palsy. J Pediatr Korean Med. 2012;26(4):32-7. https://doi.org/10.7778/jpkm.2012.26.4.033
  10. Yu SA, Cho SW, Lee SY. A literature study on acupuncture for spastic cerebral palsy. J Pediatr Korean Med. 2015;29(4):108-18. https://doi.org/10.7778/jpkm.2015.29.4.108
  11. Jung HS, Lee JY, Kim DG. A cinical study of cerebral palsy. J Pediatr Korean Med. 1999;13(1):181-9.
  12. Lee YG, Chae JW. A patient with lower limb's delayed motor development was demonstrated Hang-ji: a case report. J Pediatr Korean Med. 2007;21(3):215-21.
  13. Huh YJ, Jung WK, Han DY, Kim DR. An evaluation of significance of oriental medicine on treating speech impediment and limb impediment among the children with development disabilities. J Sasang Constitut Med. 2005;17(1):120-9.
  14. Yu SA. Two cases of patients with developmental disorder treated by herbal medicine alone. J Pediatr Korean Med. 2011;25(2):39-54. https://doi.org/10.7778/jpkm.2011.25.2.039
  15. Johnston MV. Plasticity in the developing brain: implications for rehabilitation. Dev Disabil Res Rev. 2009;15(2):94-101. https://doi.org/10.1002/ddrr.64
  16. Wu Y, Zou LP, Han TL, Zheng H. Randomized controlled trial of traditional Chinese medicine (aucpuncture and tuina) in cerebral palsy. J Alternat Complement Med. 2008;14(8):1005-9. https://doi.org/10.1089/acm.2007.0756
  17. Son CH, Yun YJ, Yu SA. The experts survey and in-depth interview on the Korean medicine treatments for the cerebral palsy children. J Pediatr Korean Med. 2016;30(4):66-76. https://doi.org/10.7778/jpkm.2016.30.4.066
  18. Rosenbaum PL, Walter SD, Hanna SE. Prognosis for gross motor function cerebral palsy: creation of motor development curves. JAMA. 2002;288:1357-63. https://doi.org/10.1001/jama.288.11.1357
  19. Russell DJ, Avery LM, Rosenbaum PL. Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity. Phys Ther. 2000;80(9):873-85.
  20. Alotaibi M, Long T, Kennedy El. The efficacy of GMFM-88 and GMFM-66 to detect changes in gross motor function in children with cerebral palsy (CP): a literature review. Disabil Rehabil. 2014;36(8):617-27. https://doi.org/10.3109/09638288.2013.805820
  21. Haley SM, Coster WJ, Ludlow LH, Haltiwanger JT, Andrrellos P. Paediatric Evaluation of Disability Inventory (PEDI). Boston: PEDI Research Group. 1992.
  22. Yoo JE, Yun YJ, Shin YB, Kim NK, Kim SY, Shin MJ, Yu SA. Protocol for a prospective observational study of conventional treatment and traditional Korean medicine combination treatment for children with cerebral palsy. BMC Complement Altern Med. 2016;16(172):1161-6.
  23. Ko JY, W00 JH, Her JG. The reliability and concurrent validity of the GMFCS for children with cerebral palsy. J Phys Ther Sic. 2011;23(2):255-8. https://doi.org/10.1589/jpts.23.255
  24. Park EY, Park SY. Comparison of reliability and validity between GMFM-88 and GMFM-66 in children with cerebral palsy. Phys Ther Korea. 2010;17(3):40-7.
  25. Kim W, Park EY Park SY. Reliability and validity of the Korean translation of the Pediatric Evaluation of Disability Inventory in school-aged children with cerebral palsy. J Korean Acad Univ Trained Phys Ther. 2010;17(4):69-76.
  26. Russell DJ, Rosenbaum PL, Avery LM, Lane M. Gross Motor Function Measure (GMFM-66 and GMFM-88) User's Manual. Mac Keith Press. 2002.
  27. Kim BY, Yun YJ. Characteristics of children getting treatments of Korean medicine for cerebral palsy: preliminary analysis of an observational study. J PNU Korean Med Hosp. 2015;4:1-8.

Cited by

  1. 뇌성마비 환아 중증도별 시각화척도, 시간교환법, EQ-5D-Y Proxy를 이용한 삶의 질 측정 vol.28, pp.2, 2017, https://doi.org/10.7231/jon.2017.28.2.049
  2. 뇌성마비의 한약치료에 대한 임상연구 동향 -중의학 논문을 중심으로- vol.31, pp.3, 2017, https://doi.org/10.7778/jpkm.2017.31.3.024
  3. 발달지연 아동의 한방치료에 대한 소아재활치료사들의 인식조사 vol.31, pp.4, 2017, https://doi.org/10.7778/jpkm.2017.31.4.061
  4. CARE 지침에 따른 대한한방소아과학회지의 증례보고에 대한 질평가 vol.32, pp.3, 2017, https://doi.org/10.7778/jpkm.2018.32.3.131
  5. 뇌성마비(Cerebral palsy) 소아의 재활치료와 재활과 침치료의 병행치료를 비교한 체계적 문헌 고찰 vol.34, pp.3, 2017, https://doi.org/10.7778/jpkm.2020.34.3.81