The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Hemiparesis After Head Injury Treated with Traditional Korean Medicine

두부 외상 이후 발생한 반신부전마비 한의 치료 1례 보고

  • Kim, Chae-eun (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • An, Da-young (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Sun, Seung-ho (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Jerng, Ui min (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Kim, Mikyung (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University)
  • 김채은 (상지대학교 한의과대학 내과학교실) ;
  • 안다영 (상지대학교 한의과대학 내과학교실) ;
  • 선승호 (상지대학교 한의과대학 내과학교실) ;
  • 정의민 (상지대학교 한의과대학 내과학교실) ;
  • 김미경 (상지대학교 한의과대학 내과학교실)
  • Received : 2022.08.26
  • Accepted : 2022.10.27
  • Published : 2022.10.30
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Abstract

Objectives: The aim of this study is to report a case in which a patient showed recovery from hemiparesis after a head injury. Methods: A 60-year-old woman who suffered a head injury received Korean medicine treatment, including herbal decoctions, acupuncture, electroacupuncture, and physical treatment for 32 days. The response before and after treatment was evaluated using the Manual Muscle Test, the Korean version of the Modified Barthel Index, and walking status. Results: After treatment, the range of the Manual Muscle Test grades of her left lower extremity increased from 1-3 to 2-4. Her score on the Korean version of the Modified Barthel Index improved from 60 to 90. The patient, who was in a wheelchair at the time of admission, walked with a cane upon discharge. Conclusion: This study suggests that intervention with Korean medicine could be one of the therapeutic options for improving hemiparesis after head injury.

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References

  1. Ng SY, Lee AYW, Traumatic Brain Injuries: Pathophysiology and Potential Therapeutic Targets. Front Cell Neurosci 2019;13(528):1-23.
  2. Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. Harrison's principles of internal medicine (20th edition.). New York: McGraw-Hill Education; 2018, p. 3183.
  3. Kim TG, Chung SS, Huh R, Choi JU. Traumatic Brain Injury. J Neurocrit Care 2008;1(1):56-62.
  4. Kim YW, Kim JY, Koh DJ. Movement Disorders after Traumatic Brain Injury. Brain Neurorehabi 2012;5(2):47-51. https://doi.org/10.12786/bn.2012.5.2.47
  5. Heo J. Dongeui bogam (First edition in 1610). Seoul: Namsandang; 1994, p. 366, 578.
  6. Kim J, Heo SJ, Hong WK, Yang EJ, Kyung JH, Seo JW, et al. A Case Report of Insomnia caused by Post traumatic Stress Disorder after a Car Accident. J Int Korean Med 2009;fal:183-9.
  7. Lee SA, Kwon TW, Kim MH, Son HB, Ahn L, Jang MW, et al. A Case of Headache and Memory Disorder after Traumatic Brain Injury Treated with Modified Seogakjihwang-tang. J Int Korean Med 2013;34(4):438-46.
  8. Park HL, Hong MN, Cho JH, Bae GE, Choi JY, Hong JW, et al. Traditional Korean Medicine Treatment of a Traumatic Brain Injury Patient with Aggressive Behavior. J Int Korean Med 2016;37(5):831-8. https://doi.org/10.22246/jikm.2016.37.5.831
  9. Hislop HJ, Dale A, Brown M, Daniels and Worthingham's muscle testing :techniques of manual examination and performance testing. China, Missouri: Elsevier Science Health Science div; 2013, p. 2-6.
  10. Jung HY, Park BK, Shin HS, Kang YK, Pyun SB, Paik NJ, et al. Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center Study for Subjects with Stroke. Korean Acad Rehab Med 2007;31(3):283-97.
  11. Cho OH, Choi SY, Song JH. The Effect of Functional Dependency and Stress on Healthrelated Quality of Life in Patients under Rehabilitation after Stroke. J Muscle Joint Health 2013;20(2):81-90. https://doi.org/10.5953/JMJH.2013.20.2.81
  12. Yun IG, Lee KS, Bae HG, Bae WK. The diagnosis and treatment of Head trauma. Seoul: Soomoonsa; 2019, p. 13-24.
  13. Jang SH. Review of motor recovery in patients with traumatic brain injury. NeuroRehabilitation 2009;24(4):349-53. https://doi.org/10.3233/NRE-2009-0489
  14. Katz DI, Alexander MP, Klein RB. Recovery of arm function in patients with paresis after traumatic brain injury. Arch Phys Med Rehabil 1998;79(5):488-93. https://doi.org/10.1016/S0003-9993(98)90060-0
  15. Bang CH, Rhee YJ, Jang SO, Choi JH, Kim LH, Na RH. et al. Case study of traumatic injury caused by traffic accident. J Int Korean Med 2010;fal:247-54.
  16. Kessner SS, Bingel U, Thomalla G. Somatosensory deficits after stroke: a scoping review. Topics in stroke rehabilitation 2016;23(2):136-46. https://doi.org/10.1080/10749357.2015.1116822
  17. Wang QR. YiLinGaiCuo. Beijing: China chinese medicine pub; 1995, p. 24-8.
  18. Kim Y, Seo IB, Kim SJ. Effects of Hyulboochucke -tang on the Collagenase-Induced Intracerebral Hemorrhage in Rats. J Korean Med Rehabi 2016;21(1):1-11.
  19. Lee JH. Chung-Gang-Eui-Gam. Seoul: Seongbosa; 1984, p. 181-2.
  20. Meridians & Acupoints Compilation Committee of Korean Medical Colleges, Details of Meridians & Acupoints[Volume II]; A Guidebook for College Students. Daejeon; Jonglyeonamu: 2016, p. 354-533.