Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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The Effect of Korean Medicine Treatment of Patient with Dropped Head Syndrome: A Case Report

머리떨굼증후군에 대한 한의학적 치료 효과: 증례 보고

  • Ki Hyun Park (Department of Korean Medicine Rehabilitation, Dong-seo Korean Medical Hospital) ;
  • Seung Woo Song (Department of Neuropsychiatry of Korean Medicine, Dong-seo Korean Medical Hospital) ;
  • Yeon-Woo Lee (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Da Dam Kim (Department of Acupuncture and Moxibustion Medicine, Dong-seo Korean Medical Hospital) ;
  • Jun Hyuk Kang (Department of Korean Medicine Rehabilitation, Dong-seo Korean Medical Hospital)
  • 박기현 (동서한방병원 한방재활의학과) ;
  • 송승우 (동서한방병원 한방신경정신과) ;
  • 이연우 (부산대학교 한방병원 한방재활의학과) ;
  • 김다담 (동서한방병원 침구과) ;
  • 강준혁 (동서한방병원 한방재활의학과)
  • Received : 2024.09.17
  • Accepted : 2024.10.06
  • Published : 2024.10.31
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Abstract

The purpose of the study is to investigate the effectiveness of integrative Korean medicine treatment for a patient with dropped head syndrome. The patient was treated with Korean medicine focused on acupuncture, electro-acupuncture, wet cupping therapy for 30 days. A patient was evaluated through range of motion (ROM) of cervical-spine (C-spine), measurement of occiput to wall distance, numeric rating scale (NRS), neck disability index (NDI). The ROM of C-spine and measurement of occiput to wall distance were improved. In the case of NRS, 6 was reduced to 2 and NDI dropped from 39 to 23. This study suggests that Korean medicine treatment can be considered as effective for dropped head syndrome.

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References

  1. Drain JP, Virk SS, Jain N, Yu E. Dropped head syndrome: a systematic review. Clinical Spine Surgery. 2019;32(10):423-9.  https://doi.org/10.1097/BSD.0000000000000811
  2. Brodell JD Jr, Sulovari A, Bernstein DN, Mongiovi PC, Ciafaloni E, Rubery PT, Mesfin A. Dropped head syndrome: an update on etiology and surgical management. The Journal of Bone & Joint Surgery Reviews. 2020;8(1):e0068. 
  3. Amin A, Casey AT, Etherington G. Is there a role for surgery in the management of dropped head syndrome? British Journal of Neurosurgery. 2004;18(3):289-93.  https://doi.org/10.1080/02688690410001732779
  4. Finsterer J, Frank M, Krexner E. Steroid-responsive dropped-head-syndrome due to polymyositis. Joint Bone Spine. 2010;77(5):485-6.  https://doi.org/10.1016/j.jbspin.2010.02.028
  5. Uemura M, Kosaka T, Shimohata T, Ishikawa M, Nishihira Y, Toyoshima Y, Yanagawa K, Kawachi I, Takahashi H, Nishizawa M. Dropped head syndrome in amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration. 2013;14(3):232-3.  https://doi.org/10.3109/17482968.2012.727424
  6. Cauchi M, Marsh E. A practical approach to the patient presenting with dropped head. Practical Neurology. 2016;16(6):445-51.  https://doi.org/10.1136/practneurol-2016-001450
  7. Martin AR, Reddy R, Fehlings MG. Dropped head syndrome: diagnosis and management. Evidence-Based Spine-Care Journal. 2011;2(2):41-7.  https://doi.org/10.1055/s-0030-1267104
  8. Wongsa S, Amatachaya P, Saengsuwan J, Amatachaya S. Concurrent validity of occiput-wall distance to measure kyphosis in communities. Journal of Clinical Trials. 2012;2(2):1000111. 
  9. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. Journal of Clinical Nursing. 2005;14(7):798-804.  https://doi.org/10.1111/j.1365-2702.2005.01121.x
  10. Song KJ, Choi BW, Kim SJ, Yoon SJ. Cross-cultural adaptation and validation of the Korean version of the neck disability index. Journal of the Korean Orthopaedic Association. 2009;44(3):350-9.  https://doi.org/10.4055/jkoa.2009.44.3.350
  11. Murata K, Endo K, Aihara T, Suzuki H, Matsuoka Y, Nishimura H, Takamatsu T, Kusakabe T, Maekawa A, Yamamoto K. Relationship between cervical and global sagittal balance in patients with dropped head syndrome. European Spine Journal. 2020;29(3):413-9.  https://doi.org/10.1007/s00586-019-06229-1
  12. Goh KJ, Wong KT, Tan CT. Myopathic dropped head syndrome: a syndrome of mixed aetiology. Journal of Clinical Neuroscience. 2000;7(4):334-6. https://doi.org/10.1054/jocn.1999.0209
  13. Jaster JH, Bertorini TE, Swims MP, Dohan FC Jr, Menke PG, Becske T, Monkemuller KE. Cervical kyphosis after resolution of myopathic head drop. A case report. Spine. 1996;21(17):2023-5.  https://doi.org/10.1097/00007632-199609010-00020
  14. Petheram TG, Hourigan PG, Emran IM, Weatherley CR. Dropped head syndrome: a case series and literature review. Spine. 2008;33(1):47-51.  https://doi.org/10.1097/BRS.0b013e31815e38ec
  15. Sharan AD, Kaye D, Charles Malveaux WM, Riew KD. Dropped head syndrome: etiology and management. Journal of the American Academy of Orthopaedic Surgeons. 2012;20(12):766-74.  https://doi.org/10.5435/JAAOS-20-12-766
  16. Park MY, Won JH, Kim SC. Acupuncture & moxibustion bibliographic studies on the wei symptom for clinical treatment. Korean Journal of Oriental Physiology & Pathology. 2012;26(6):842-8. 
  17. Heo J. Jeungkyo-Donguibogam. Seoul:Hanmi Publisher. 2001:360. 
  18. Deare JC, Zheng Z, Xue CC, Liu JP, Shang J, Scott SW, Littlejohn G. Acupuncture for treating fibromyalgia. The Cochrane Database of Systematic Reviews. 2013;2013(5):CD007070. 
  19. Ryu HH, Yun HJ, Son JY, Lee SG, Yun JM, Lee GS. A clinical case of anemia patient who became worse by unlicensed bleeding cupping therapy. The Journal of Internal Korean Medicine. 2005;26 Suppl 1:150-6. 
  20. Mon JH, Ahn HJ, Jeong DH, Yoon HS, Jang JW, Kim KS, Moon IR, Baek JY, Lee SM. The depressive effect of depletion in hypertentive stroke patients. Journal of Acupuncture Research. 2003;20(2):11-7.