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http://dx.doi.org/10.22246/jikm.2019.40.5.743

A Case of Multiple System Atrophy-Parkinsonism Type (MSA-P) with Gait Disturbance and Posture Instability Treated with Korean Medicine  

Lee, Sang-hwa (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Shin, Hee-yeon (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Jeong, Hye-seon (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Kim, Seo-young (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Yang, Seung-bo (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Cho, Seung-yeon (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Park, Jung-mi (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Ko, Chang-nam (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Park, Seong-uk (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
Publication Information
The Journal of Internal Korean Medicine / v.40, no.5, 2019 , pp. 743-751 More about this Journal
Abstract
This case report suggests the potential effects of Korean medicine for the gait disturbance and posture instability of Multiple System Atrophy-Parkinsonism (MSA-P). A patient with MSA-P who had gait disturbance and posture instability was given a series of Korean medicine, including acupuncture, pharmacopuncture, electro-acupuncture, moxibustion, and herbal medicine, for 15 days of hospitalization. During the hospitalization period, the severity and progression of the disease was measured with the Unified Multiple System Atrophy Rating Scale (UMSARS) and a video recording of a 20-meter round timed walking test. The UMSARS Part I and II scores decreased from 14 to 5 and 9 to 5, respectively. An improvement was also noted in standing and walking posture, and the walking time was shortened from 30 to 25 seconds in the 20-meter round-trip walking test. Dysarthria, dysphagia, and non-motoring symptoms like sleep behavioral disorders and constipation were also improved. The findings of this case study suggest that this series of Korean medicine has potential therapeutic effects for patients with MSA-P with motor and non-motor symptoms.
Keywords
multiple system atrophy-Parkinsonism (MSA-P); gait disturbance; posture instability; Korean medicine; case report;
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