The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Korean Medicine Treatment for a Patient with Cervical Dystonia

경부 근긴장이상증 환자에 대한 한방치료 증례보고 1례

  • Hyo-won Jin (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jeong-rim Bak (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jeong-rim Bak (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jong-min Yun (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Byung-soon Moon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 진효원 (원광대학교 한의과대학 내과학교실) ;
  • 박정림 (원광대학교 한의과대학 내과학교실) ;
  • 박정림 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실)
  • Received : 2023.09.15
  • Accepted : 2023.10.26
  • Published : 2023.10.30
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Abstract

The purpose of this study is to report a case of cervical dystonia and the effects of a series of traditional Korean medicine treatments applied to the patient. The patient was treated with conventional treatment and traditional Korean medicine consisting of acupuncture, moxa, chuna therapy, and herbal medicine (Hoesu-san-gami) for 48 days. Progress was measured by Tsui's score, the Toronto Western Spasmodic Torticollis Rating Scale, and the Neck Disability Index. We observed some improvements in the patient's symptoms: Tsui's score of 15 to 11, TWSTRS of 63.3 to 47.8, and NDI of 24 to 17. These findings indicate that the application of traditional Korean medicine to cervical dystonia can yield decent clinical outcomes.

Keywords

Acknowledgement

본 연구는 2023년도 원광대학교 교내학술연구비 지원을 받아 수행하였음.

References

  1. Korean Neurological Association. Textbook of Neurology. 3rd Edition. Seoul: Panmuneducation; 2017. 
  2. Seoul National University College of Medicine. Neurology. 5th Edition. Seoul: Seoul National University Publication Center; 2017. 
  3. Crowner BE. Cervical Dystonia: Disease Profile and Clinical Management. Physical Therapy 2007;87(11):1511-26.  https://doi.org/10.2522/ptj.20060272
  4. Rosales RL, Cuffe L, Regnault B, Trosch RM. Pain in cervical dystonia: mechanisms, assessment and treatment. Expert Review of Neurotherapeutics 2021;21(10):1125-34.  https://doi.org/10.1080/14737175.2021.1984230
  5. Park SY, Kim JS, Hong EJ, Lee YK, Lee BH, Lim SC, et al. A Clinical Study on the Case of Acquired Torticollis Treated with Jung-an Acupuncture. J Acupunct Res 2008;25(4):127-40. 
  6. Kim JS, Jung YG, Kim JW, Shin DJ, Nam HW, Chung B. A case Report of Acquired rotating Torticollis, Treated by Muscle Energy Techniques and Oriental Medicine. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2011;6(1):75-88. 
  7. Yoon SH, Jo HG, Kwon MG, Song MY. Peripheral Post-traumatic Cervical Dystonia Treated by Miniscalpel-Acupuncture: A Case Report. J Korean Med Rehabil 2018;28(1):161-6.  https://doi.org/10.18325/jkmr.2018.28.1.161
  8. Sin DC, Kang MS. A Case Report of a Patient with Cervical Dystonia Treated by Korean Medical Treatment Based on Meridian Tendino-Musculature Acupuncture. Korean J Acupunct 2016;33(4):226-30.  https://doi.org/10.14406/acu.2016.031
  9. Lee WJ, Yoon YS, Kim JH, Lee KJ, Kim MH, Ryu HS, et al. Clinical Study on 1 Case of Cervical Dystonia Treated by Korean Medicine and Transfer Energy Capacitive and Resistive (TECAR) Therapy. J Korean Med Rehabil 2019;29(4):109-15.  https://doi.org/10.18325/jkmr.2019.29.4.109
  10. Choi SK, Jo JH, Han YH, Woo HJ, Ha WB, Lee JH. A Case Report of Cervical Dystonia improved by Korean Medicine Complex Treatment. Korean Soc Chuna Man Medicine Spine Nerves 2023;18(1):43-51.  https://doi.org/10.30581/jcmm.2023.18.1.43
  11. Kim JH, Lee HM, Kim YJ, Lee BY, Jo SY, Park JM, et al. A Case of Torticollis with Korean Medicine. The Journal of the Society of Stroke on Korean Medicine 2016;17(1):15-22. 
  12. Byun SB, Yun JM, Moon BS. A Clinical Case Report on Treatments of Cervical Dystonia. Korean J Orient Int Med 2013;34(4):456-65. 
  13. Jost WH, Hefter H, Stenner A, Reichel G. Rating scales for cervical dystonia: a critical evaluation of tools for outcome assessment of botulinum toxin therapy. J Neural Transm 2013;120(3):487-96.  https://doi.org/10.1007/s00702-012-0887-7
  14. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine 4th edition. Seoul: KOONJA Pulishing Inc.; 2015, p. 25. 
  15. Yim SY, Lee IY, Park MC, Kim JH. Differential Diagnosis and Management of Abnormal Posture of the Head and Neck. J Korean Med Assoc 2009;52(7):705-18.  https://doi.org/10.5124/jkma.2009.52.7.705
  16. Berman BD, Groth CL, Sillau SH, Richardson SP, Norris SA, Junker J, et al. Risk of spread in adult-onset isolated focal dystonia: a prospective international cohort study. J Neurol Neurosurg Psychiatry 2020;91(3):314-20.  https://doi.org/10.1136/jnnp-2019-321794
  17. Albanese A, Bhatia KP, Cardoso F, Comella C, Defazio G, Fung VS, et al. Isolated Cervical Dystonia: Diagnosis and Classification. Movement Disorders 2023;38(8):1367-78.  https://doi.org/10.1002/mds.29387
  18. Albanese A, Bhatia K, Bressman SB, Delong MR, Fahn S, Fung VS, et al. Phenomenology and classification of dystonia: a consensus update. Mov Disord 2013;28(7):863-73.  https://doi.org/10.1002/mds.25475
  19. Park HH, Jung JE, Jung WH, Kim MC, Park HJ. Two Cases Report of Spasmodic Torticollis by Acupuncture Therapy with Muscle Energy Techniques. JKMR 2008;18(4):231-42. 
  20. Yun YG. 東醫方劑와 處方解說. Seoul: Eui Seong Dang Publishing Co.; 2011. 
  21. 全國韓醫科大學 本草學共同敎材 編纂委員會. 本草學. Seoul: 圖書出版 永林社; 2016. 
  22. 大韓鍼灸醫學會 敎材編纂委員會. Seoul: 鍼灸醫學. Hanmi Medical publishing Co.; 2016.