턱관절균형의학회지 (Journal of TMJ Balancing Medicine)

턱관절균형의학회 (Association of TMJ Balancing Medicine)
권호 표지

경부 자가 마사지 후 척수부신경병증을 호소하는 환자의 턱관절균형요법 치험례

A Patient with Spinal Accessory Neuropathy after Self Neck Massage Treated with TMJ Balancing Therapy: A Case Report

  • 김하권 (대전대학교 한의과대학 심계내과학교실) ;
  • 최정은 (대전대학교 대전한방병원 임상시험센터) ;
  • 박상수 (대전대학교 대전한방병원 임상시험센터) ;
  • 허왕정 (대전대학교 한의과대학 심계내과학교실) ;
  • 류호룡 (대전대학교 한의과대학 심계내과학교실) ;
  • 박미소 (대전대학교 대전한방병원 임상시험센터)
  • Hakwon Kim (Department of Cardiology and Neurology, College of Korean Medicine, Daejeon University) ;
  • Jung Eun Choi (Clinical Trial Center, Daejeon Korean Medicine Hospital of Daejeon University) ;
  • Sang Soo Park (Clinical Trial Center, Daejeon Korean Medicine Hospital of Daejeon University) ;
  • Wang Jung Hur (Department of Cardiology and Neurology, College of Korean Medicine, Daejeon University) ;
  • Horyong Yoo (Department of Cardiology and Neurology, College of Korean Medicine, Daejeon University) ;
  • Miso S. Park (Clinical Trial Center, Daejeon Korean Medicine Hospital of Daejeon University)
  • 투고 : 2023.07.20
  • 심사 : 2023.08.09
  • 발행 : 2023.08.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 증례의 환자는 자가 경부 마사지로 인한 척수부신경병증으로 경추부 근력 불균형 및 그에 따른 피로를 호소하였다. 자가 마사지로 인한 일시적 신경 압박은 7일에 걸쳐 자연 회복되었으며, 턱관절균형요법을 통해 자세와 척추 구조의 균형점을 회복시켜 환자의 피로와 자세 불균형을 개선할 수 있었다.

The purpose of this study is to describe the effects of temporomandibular joint balancing therapy on a patient with a spinal accessory neuropathy. A patient reported sternocleidomastoid muscle and trapezius muscle weakness after self-massage. The patient was instructed to wear the Accurate Balancing Appliance (ABA) for at least 8 hours per day and maintain an upright posture. The patient received cervical spine manipulation on day 2, 4, and 6. The patient's progress was tracked based on the angle at which the head turned to the right from the midline when she lifted her head while lying down, as well as the muscle strength and pain in the right trapezius muscle. The patient recovered spontaneously after 7 days. The ABA and cervical spine manipulation assisted the patient in reducing fatigue and discomfort during daily activities.

키워드

참고문헌

  1. Ernst E. The safety of massage therapy. Rheumatology. 2003;42(9):1101-6.
  2. Chang CY, Wu YT, Chen LC, Chan RC, Chang ST, Chiang SL. Massage-induced brachial plexus injury. Physical therapy. 2015;95(1):109-16.
  3. Cho JY, Moon H, Park S, Lee BJ, Park D. Isolated injury to the tibial division of sciatic nerve after self-massage of the gluteal muscle with massage ball: a case report. Medicine. 2019;98(19).
  4. Lee TH, Chiu JW, Chan RC. Cervical cord injury after massage. American Journal of Physical Medicine & Rehabilitation. 2011;90(10):856-9.
  5. Jiang Z, Zhang H, Yu T, Du Y, Qian Z, Chang F. Musculoskeletal ultrasonography combined with electromyography in the diagnosis of massage-inducted lateral plantar nerve injury: A case report. Medicine. 2020 Jul 7;99(28).
  6. Nath RK, Somasundaram C. Incidence, Etiology, and Management of Long Thoracic and Accessory Nerve Injuries and Winging Scapula. Eplasty. 2021;21.
  7. Suh MR, Song JH, Park Y, Lee SH, Ahn J. Case report: Traumatic median neuropathy in the distal forearm after massage therapy. Frontiers in Neurology. 2022;13:959919.
  8. Song SH, Koo JH, Yoo DK, Lim SB, Joh KD. Dysphagia and Dysphonia Secondary to Traumatic Vagus and Spinal Accessory Neuropathy. Journal of Electrodiagnosis and Neuromuscular Diseases. 2007;9(1):83-8.
  9. Kelley MJ, Kane TE, Leggin BG. Spinal accessory nerve palsy: associated signs and symptoms. journal of orthopaedic & sports physical therapy. 2008;38(2):78-86.
  10. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual. Volume 1. 1st ed. Monticello: Lippincott Williams & Wilkins. 1993:165-202.
  11. Wiater JM, Bigliani LU. Spinal accessory nerve injury. Clinical Orthopaedics and Related Research. 1999;368:5-16.
  12. Kim SY, Seo JC, Seo YJ, Park JH, Lee YJ, Kim CH, Song CH, Jang KJ, Lee YJ, Yoon HM. The effect of Korean medical treatment with postural yinyang correction of temporomandibular joint on chronic low back pain. Korean Journal of Acupuncture. 2016;33(4):157-65. https://doi.org/10.14406/ACU.2016.018
  13. Sarala PK. Accessory nerve palsy: an uncommon etiology. Archives of Physical Medicine and Rehabilitation. 1982;63(9):445-6.
  14. Woodward G, VENKATESH R. Spinal accessory neuropathy and internal jugular thrombosis after carotid endarterectomy. Journal of Neurology, Neurosurgery & Psychiatry. 2000;68(1):111-2.
  15. Buckle PW, Devereux JJ. The nature of work-related neck and upper limb musculoskeletal disorders. Applied ergonomics. 2002;33(3):207-17.
  16. Hussain A, Winterton RI. Peripheral nerve entrapment syndromes of the upper limb. Surgery (Oxford). 2016;34(3):134-8.
  17. Meadows JR, Finnoff JT. Lower extremity nerve entrapments in athletes. Current sports medicine reports. 2014;13(5):299-306.
  18. Seong JW. Principles and Insights into Pain. Seongnam:koonja. 2015.
  19. Rezaeian T, Mosallanezhad Z, Nourbakhsh MR, Noroozi M, Sajedi F. Effects of dry needling technique into trigger points of the sternocleidomastoid muscle in migraine headache: a randomized controlled trial. American journal of physical medicine & rehabilitation. 2020;99(12):1129-37.
  20. Bodes-Pardo G, Pecos-Martin D, Gallego-Izquierdo T, SalomMoreno J, Fernandez-de-Las-Penas C, Ortega-Santiago R. Manual treatment for cervicogenic headache and active trigger point in the sternocleidomastoid muscle: a pilot randomized clinical trial. Journal of manipulative and physiological therapeutics. 2013;36(7):403-11.
  21. 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.
  22. Choi GW, Lee YJ. Case of neck and shoulder posture corrention treatment using yin-yang balancing therapy of temporomandibular joint (TMJ). Journal of TMJ Balancing Medicine. 2021;11(1):37-40.