원인 불명의 경추성 어지럼 의심 환자의 턱관절균형요법(TMJ Balancing Therapy) 및 병행 한방 치료의 치험 1례

The Effect of TMJ Balancing Therapy and Combined Korean Medicine in a Patient with Suspected Cervical Dizziness of Unknown Causes: A Case Report

  • 선승호 (상지대학교 한의과대학 내과학교실) ;
  • 이영준 (이영준 한의원, 턱관절통합의학연구소)
  • Seung-ho Sun (Department of Internal Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Young Jun Lee (Lee Young Jun Clinic of Korean Medicine, Institute of TMJ Integrative Medicine)
  • 투고 : 2023.07.26
  • 심사 : 2023.08.09
  • 발행 : 2023.08.30

초록

Objectives: This case is to report the effect of TMJ balancing therapy (TBT) and combined Korean Medicine (CKM) on a 15-year-old male patient with suspected cervical dizziness of unknown causes. Methods: He was treated with TBT and CKM included Yin-yang Balancing Therapy of TMJ, pelvic balancing therapy, cervical chuna therapy once a week for 3 months. He continued to wear accurate balancing appliance (ABA) in the mouth, did 12-way cervical gravity straightening exercise and took banhabakchulchunma-tang-gamibang for 3 months. The effects of treatment was evaluated using the numerical rating scale (NRS). Results: After the treatments, dizziness was relieved from NRS 7 to NRS 1. Conclusions: This case report suggests that TBT and CKM treatments can relieve suspected cervical dizziness of unknown causes.

키워드

참고문헌

  1. Stone HE. Vertigo: a practical approach. Emerg Med Australas 2004;16(1):13-6.
  2. TK Lee, KB Sung. Diagnostic Approaches to the Patient with Dizziness. J Korean Med Assoc 2008;51(11):960-74.
  3. Association of Korean Medicine College for Cardiology and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine. Seoul:Gunjapublisher; 2020, p. 225-247.
  4. Ryan GM, Cope S. Cervical vertigo. Lancet 1955:269(6905):1355-8.
  5. Brandt T, Bronstein AM. Cervical vertigo. J Neurol Neurosurg Psychiatry. 2001;71(1):8-12.
  6. Hwang DG, Kim EJ, Choi KH, Heo SJ, Youn DW. Case Report on a Patient with Cervical Vertigo Who Improved with a Combination of Korean Medicine Treatments. J. Int. Korean Med. 2017;38(3):392-400.
  7. Lim SY, Shin WB, Sakong JW, Lee JY, Jeon HA, Moon YJ, et al. Case Series: Three Patients with Cervical Vertigo Treated with Hwangryunhaedok-Tang Pharmacupuncture. J of Oriental Neuropsychiatry 2020;31(3):187-95.
  8. Hartrick CT, Kovan JP, Shapiro S. The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract. 2003;3(4) :310-6.
  9. Park SY, Kim JS, Hong EJ, et al. A Clinical study on the Case of Acquired Torticollis Treated with Jung-an Acupuncture. The Acupunct. 2008;25(4):127-40.
  10. Lee SB, Lee YJ. A Case of Cervical dystonia Treatment Using Yin-yang Balancing Therapy of Temporomandibular Joint. Journal of TMJ Balancing Medicine 2022;12(1):15-21.
  11. Yin CS, Koh HG, Lee YJ, Chun SI, Lee YJ. Functional Cerebrospinal Therapy (FCST), a New Physiologic Therapeutics Developed as Meridian Yin-Yang Balance Approach. Korean Journal of Acupuncture 2005;22(4):169-74.
  12. Young Jun Lee. Effect of functional cerebrospinal technique (FCST) using intraoral balancing splint on cervical spine alignment. Seoul:Pocheon CHA University Graduate School of Medicine. 2008.
  13. Young Jun Lee. TMJ Balancing Medicine, TMJ Balancing Therapy. Paju:Fishwoodbook Publishing Co. 2019:41-7, 87-8, 108-28.
  14. Yin CS, Lee YJ, Lee YJ. Meridian Yinyang Balance Treatment of Temporomandibular Joint Improves Cervical Spine Alignment in Spasmodic Torticollis Cases, a Medical Imaging Study. Korean J Oriental Physiology & Pathology. 2008;22(2):450-4.
  15. Lee YJ. Clinical Approach to Diseases Related to TMJ Disorder. Journal of TMJ Balancing Medicine 2022;12(1):28-31.
  16. Xie R, You J, Liu L, Huang C, Liang Y. Acupotomy therapy for cervical vertigo. Medicine (Baltimore). 2020;99(29):e20662.
  17. Li Y, Peng B. Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo. Pain Physician 2015;18(4):E583-95.
  18. Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther 2000;30(12):755-66.
  19. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract.1998;48(429):1131-5.
  20. Yoon Yonggab. Dong-Eui-Bang-Je wa cheo-bang-Hae-Seol. Seoul: Eui Seong Dang Publishing Co; 2007. p383.