The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case of Korean Medical Treatment on Multiple System Atrophy with Gait Disturbance

보행장애를 호소하는 다계통위축증 환자 1례

  • Yim, Tae-bin (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jeon, Gyu-ri (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Seo-young (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jeong, Hye-seon (Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong) ;
  • Cho, Seung-yeon (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Seong-uk (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Jung-mi (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ko, Chang-nam (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 임태빈 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 전규리 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 김서영 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 정혜선 (강동경희대학교한방병원 뇌신경센터 한방내과) ;
  • 조승연 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박성욱 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박정미 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 고창남 (경희대학교 대학원 한방순환신경내과학교실)
  • Received : 2020.09.11
  • Accepted : 2020.11.13
  • Published : 2020.10.30
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Abstract

This case report describes the effects of Korean Medicine for the gait disturbance of Multiple System Atrophy (MSA). Korean Medicine that included chuna manual therapy, pharmaco-acupuncture, herbal medicine, acupuncture, electro-acupuncture, and moxibustion was administered for 23 days. During the hospitalization period, evaluations were performed using the Unified Multiple System Atrophy Rating Scale (UMSARS), Berg Balance Scale (BBS), and 20 m Round Timed Walking Test on day 1, day 15, and day 23. The UMSARS Part I score decreased from 11 to 5, Part II score from 11 to 9, and total score from 22 to 14, and the BBS score increased from 36 to 48. The 20 m Round Timed Walking Test score also improved. The width of the gait decreased from 65 to 40 cm, and the number of staggering incidents decreased from 6 times to 2 times. The findings of this case study suggest that Korean Medicine, including Chuna manual therapy, has potential benefits in MSA patients with gait disturbance.

Keywords

References

  1. Quinn N. Multiple system atrophy-the nature of the beast. Journal of Neurology, Neurosurgery & Psychiatry 1989;52(Suppl):78-89. https://doi.org/10.1136/jnnp.52.Suppl.78
  2. Park SM, Lee SH, Yin CS, Kang MK, Chang DI, Kang SK, et al. Literature Reivie on Parkinson's Disease in Oriental Medicine. Journal of Acupuncture Research 2004;21(1):202-10.
  3. Korean neurological association. Neurology 3rd Edition. Seoul: Beommun education; 2017, p. 620-35.
  4. Gilman S, Low PA, Quinn N, Albanese A, Ben-Shlomo Y, Fowler CJ, et al. Consensus statement on the diagnosis of multiple system atrophy. Journal of the neurological sciences 1999;163(1):94-8. https://doi.org/10.1016/S0022-510X(98)00304-9
  5. Beck RO, Betts CD, FowlerOWLER CJ. Genitourinary dysfunction in multiple system atrophy: clinical features and treatment in 62 cases. The Journal of urology 1994;151(5):1336-41. https://doi.org/10.1016/S0022-5347(17)35246-1
  6. Flabeau O, Meissner WG, Tison F. Multiple system atrophy: current and future approaches to management. Therapeutic advances in neurological disorders 2010;3(4):249-63. https://doi.org/10.1177/1756285610375328
  7. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna manual medicine. 2.5 Edition. Seoul: Korean Society of Chuna manual Medicine for Spine & Nerves publiser; 2020, p.118-23.
  8. Wenning GK, Tison F, Seppi K, Sampaio C, Diem A, Yekhlef F, et al. Development and validation of the Unified Multiple System Atrophy Rating Scale (UMSARS). Mov Disord 2004 Dec;19(12):1391-402.
  9. Krismer F, Seppi K, Wenning GK, Abler V, Papapetropoulos S, Poewe W. Minimally clinically important decline in the parkinsonian variant of multiple system atrophy. Movement Disorders 2016;31(10):1577-81. https://doi.org/10.1002/mds.26743
  10. Lisa B, Nicol KB. Usefulness of the Berg Balance Scale in Stroke Rehabilitation: A Systematic Review, Physical Therapy 2008;88(5):559-66. https://doi.org/10.2522/ptj.20070205
  11. Klockgether T, Ludtke R, Kramer B, Abele M, Burk K, Schols L, et al. The natural history of degenerative ataxia: a retrospective study in 466 patients. Brain: a journal of neurology 1998;121(4):589-600. https://doi.org/10.1093/brain/121.4.589
  12. Wenning GK, Tison F, Ben Shlomo Y, Daniel SE, Quinn NP. Multiple system atrophy: a review of 203 pathologically proven cases. Mov Disord 1997;12(2):133-47. https://doi.org/10.1002/mds.870120203
  13. Shin BC, Song YS, Kin DH, Kin SD. Influence on Vertebral Artery and Basilar Artery Blood flow by Cervical CHUNA Manual Therapy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2000;1(1):45-53.
  14. Seol H, Yook TH. Effects of Hwangryunhaedoktang Herbal-acupuncture at G21(Kyonjong:肩井) on the Heart Rate Variability. Journal of Korean Acupuncture & Moxibustion Society 2004;21(6):37-50.
  15. Jeon JY, Lee JS. Effect of Electroacupuncture on Both Side Acupuncture Point GB12 and GB20 for Chronic Tension Type Headache. Journal of Korean Medicine 2019;29(1):21-9.
  16. Joung WJ, Kim SH, Bae JI, Kim KH, Jo HS, Wang GH. The Effect of Acupuncture at Fengchi(GB20) and Houxi(SI3) for Acute Headache Due to Whiplash Injury-Randomised Clinical Tria. Journal of Korean Acupuncture & Moxibustion Society 2010;27(4):127-35.
  17. Park SH, No SH, Ok HJ, Kwon DI, Park JH, Choi JE. A Case Report of Functional Gastrointestinal Disorders (FGIDs) Improved with Banhabakchulchunma-tang. The Journal of Internal Korean Medicine 2014;fal:285-90.
  18. An SH, Choi JS, Cho CS, Kim CJ. Five case report of peripheral vertigo diagnosed Dam Hun with oriental medical treatment-Banhabaeckchulchunma -tang gagam. Journal of Physiology & Pathology in Korean Medicine 2009;23(1):263-8.
  19. Cho JH, Lim BR, Jeong TS, Jeon GR, Park JS, Lee YJ, et al. A Case Report of a Multiple System Atrophy-C Patient Treated by Korean Medicine. The Journal of Internal Korean Medicine 2018;39(5):1042-51. https://doi.org/10.22246/jikm.2018.39.5.1042
  20. Woo SJ, Baek KM, Jang WS. A Case Report of Multiple System Atrophy in a Cerebellar Ataxia Patient Suffering from Gait Disturbance Treated with Korean Medicine. The Journal of Internal Korean Medicine 2016;37(5):806-14. https://doi.org/10.22246/jikm.2016.37.5.806
  21. Kim SY, Choi JW, Jeong HS, Lee SH, Yang SB, Cho SY, et al. A Case of Multiple System Atrophy with Antecollis and Gait Disturbance Treated with Korean Medicine. The Journal of Internal Korean Medicine 2019;40(5):851-64. https://doi.org/10.22246/jikm.2019.40.5.851