DOI QR코드

DOI QR Code

A Case Report of Two Patients with Idiopathic Parkinson's Disease Treated with Korean Medicine Treatment and Temporomandibular Joint Balancing Therapy

Temporomandibular Joint Balancing Therapy(턱관절 균형요법)를 병행한 한의치료로 호전된 특발성 파킨슨병 환자 2례에 대한 증례보고

  • Joo-eun Shin (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Seung-ho Kim (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Jun-young Hur (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Young-jun Lee (Institute of TMJ Integrative Medicine) ;
  • In-chan Seol (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Yoon-sik Kim (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Horyong Yoo (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University)
  • 신주은 (대전대학교 한의과대학 심계내과학교실) ;
  • 김승호 (대전대학교 한의과대학 심계내과학교실) ;
  • 허준영 (대전대학교 한의과대학 심계내과학교실) ;
  • 이영준 (턱관절통합의학연구소) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실)
  • Received : 2024.02.27
  • Accepted : 2024.03.28
  • Published : 2024.03.30

Abstract

Parkinson's disease (PD) is a chronic degenerative disorder of the central nervous system. It has no cure, but current treatments can relieve symptoms and maintain quality of life. As PD progresses, controlling its symptoms becomes difficult. Here, we present the treatment of two patients with idiopathic PD using traditional Korean medicine (TKM) and temporomandibular joint balancing therapy (TBT). We measured the progress of the two patients using the unified PD rating scale (UPDRS) and the Hoehn and Yahr (HY) scale. Combined treatment of TKM and TBT decreased the total UPDRS score from 52 to 26 after 21 days in case 1, while it decreased the total UPDRS score from 91 to 65 after 20 days in case 2. In both patients, the HY scale score was maintained at 3, and no adverse events were observed. Thus, the combined treatment of TKM and TBT can produce a treatment response in PD patients.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술연구개발사업 지원에 의하여 이루어진 것임(과제 고유번호 : HF20C0174).

References

  1. Lee JE, Choi JK, Lim HS, Kim JH, Cho JH, Kim GS, et al. The Prevalence and Incidence of Parkinson's Disease in South Korea: A 10-Year Nationwide Population-Based Study. Journal of the Korean Neurological Association 2017;35(4):191-8.  https://doi.org/10.17340/jkna.2017.4.1
  2. De Lau LM, Breteler MM. Epidemiology of Parkinson's disease. Lancet Neurol 2006;5(6):525-35.  https://doi.org/10.1016/S1474-4422(06)70471-9
  3. Koh SB. Diagnosis and treatment of Parkinson's Disease. J Korean Acad Fam Med 2003;24(12):1059-68. 
  4. Choi HY, Cho KH, Jin C, Lee JE, Kim TH, Jung WS, et al. Exercise therapies for Parkinson's disease: a systematic review and meta-analysis. Parkinsons Dis 2020;2020:2565320. 
  5. Chae IC, Lee YJ, Yoo HR. A Study on the Applicability of TMJ Balancing Therapy for the Treatment of Parkinson's Disease. Journal of TMJ Balancing Medicine 2021;11(1):12-9. 
  6. Kim CH, Lim MY, Lim BO. A Literature Review of Parkinson's Disease Rating, Balance, Fall and Gait Scales. Korean Journal of Sport Biomechanics 2015;25(4):441-51.  https://doi.org/10.5103/KJSB.2015.25.4.441
  7. Pablo MM, Carmen RB, Mario A, Tomoko A, Victor CA, Pedro C, et al. Parkinson's disease severity levels and MDS-Unified Parkinson's Disease Rating Scale. Parkinsonism & Related Disorders 2015;21(1):50-4.  https://doi.org/10.1016/j.parkreldis.2014.10.026
  8. Jo GH. Traditional Korean Medicine Approach to Parkinson's Disease. J Int Korean Med 2008;spr:8-30. 
  9. Kim EJ, Choi KH, Jeong HG, Kwon OH, Park JH, Kim SG. Recent RCT Research on the Effects of Acupuncture on Dementia - Based on a PubMed Search of Literature Published from 2000 to 2018. J Int Korean Med 2018:39(3):338-49.  https://doi.org/10.22246/jikm.2018.39.3.338
  10. Shin MG. Clinical Traditional Herbalogy. 2nd ed. Seoul: Yongrim Publication; 2000, p. 239. 
  11. Oriental Pharmacology Compilation Committee. Herbal Pharmacology. Seoul: Shinil Books; 2015, p. 39-699. 
  12. Lee YJ. TMJ balancing therapy. 1st edition. Paju: Fishwood; 2019, p. 39, 46-7, 71, 74, 92-106, 194, 228-9, 232, 254-5, 545-6. 
  13. Prete BRJ, Ouanounou A. Medical Management, Orofacial Findings, and Dental Care for the Patient with Parkinson's Disease. J Can Dent Assoc 2021;87:l10. 
  14. Durham TM, Hodges ED, Henry MJ, Geasland J, Straub P. Management of orofacial manifestations of Parkinson's disease with splint therapy: a case report. Spec Care Dentist 1993;13(4):155-8.  https://doi.org/10.1111/j.1754-4505.1993.tb01467.x
  15. Demerjian GG, Sims AB, Stack BC. Proteomic signature of Temporomandibular Joint Disorders (TMD): Toward diagnostically predictive biomarkers. Bioinformation 2011;5(7):282-4.  https://doi.org/10.6026/97320630005282
  16. Isberg A. Temporomandibular Joint Dysfunction, a practitioner's guide. 1st ed. London: Thieme Medical Pub; 2001. 
  17. Lee YJ. Mechanism of chronic pain and IMS (Interventional Muscle and Nerve Stimulation). J Korean Acad Fam Med 2006;27(5):341-51. 
  18. Cha JY, Jung ES, Kim CY, Kim HT, Lee YJ, Seol IC, et al. A Case Report of Improvement in Chronic Migraine Headache and Nausea with Korean Medicine Treatment and FCST (Functional Cerebrospinal Therapy). J Int Korean Med 2018;39(4):784-93.  https://doi.org/10.22246/jikm.2018.39.4.784
  19. Shulman LM, Gruber-Baldini AL, Anderson KE, Fishman PS, Reich SG, Weiner WJ. The clinically important difference on the unified Parkinson's disease rating scale. Arch Neurol 2010;67(1):64-70.