[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.22246/jikm.2020.41.2.204

A Case Report of Gait Disturbance, Cognitive Impairment, Dysuria, and Dysphagia in a Stroke Patient Treated with Traditional Korean Medical Treatment

Kim, Kwang-ho (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
Lee, Young-ung (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
Chu, Hongmin (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
Lim, Hyeon-seo (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
Kim, Cheol-hyun (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
Lee, Jeong-youn (College of Korean Medicine, Wonkwang University)
Lee, Sang-kwan (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
Sung, Kang-keyng (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)

Publication Information

The Journal of Internal Korean Medicine / v.41, no.2, 2020 , pp. 204-212 More about this Journal

Abstract

This study aimed to investigate the effect of traditional Korean medical treatments on a stroke patient with gait disturbance, cognitive impairment, dysuria, and dysphagia. A 78-year-old female with chronic middle cerebral artery infarction had symptoms of gait disturbance, cognitive impairment, dysuria, and dysphagia. After being treated with Korean medicine therapies, including acupuncture and herbal medicine, the patient's symptoms were significantly improved. During all the treatments, Indices including manual muscle test, functional ambulation category, functional independence measuring, mini-mental state examination-K, global deterioration scale, pelvic symmetry, functional ambulation profile used to evaluate her symptoms indicated improvement in her symptoms, without any side effects. Traditional Korean medical treatments, such as acupuncture and herbal medicine, can be considered to be effective therapies for a stoke patient who has symptoms of gait disturbance, cognitive impairment, dysuria, and dysphagia.

Keywords

gait disturbance; cognitive impairment; dysuria; dysphagia;

Citations & Related Records

Reference

1	Statistics Korea. Emergency Medical Statistics: Number of stroke patients(Sex, Age, Month). Available from URI: http://www.kostat.go.kr
2	Kim MS, Lee HJ, Hwang GD. Two Case studies of Gait Disturbance in Stroke Patient Treated with Oriental Medicine. The Journal of Internal Korean Medicine 2009;fal:233-9.
3	Lee GW. Textbook of Neurology. Second Edition. Seoul: Beommun Education; 2014, p. 563-8.
4	Brandstater ME. Stroke rehabilitation. In: Delisa JA, editor. Physical medicine and rehabilitation. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2005, p. 1666.
5	Khan Z, Starer P, Yang WC, Bhola A. Analysis of voiding disorders in patients with cerebrovascular accidents. Urology 1990;35(3):265-70. DOI
6	Borrie MJ, Campbell AJ, Caradoc-Davies TH, Spears GF. Urinary incontinence after stroke: a prospective study. Age Ageing 1986;15(3):177-81. DOI
7	Bloch R, Bayer N. Prognosis in stroke. Clin Orthop Relat Res 1978;131:10-4.
8	Smithard DG, Smeeton NC, Wolfe CD. Long-term outcome after stroke: Does dysphagia matter? Age Ageing 2007;36(1):90-4. DOI
9	Langdon PC, Lee AH, Binns CW. Dysphagia in acute ischaemic stroke: severity, recovery and relationship to stroke subtype. J Clin Neurosci 2007;14(7):630-4. DOI
10	Ickenstein GW, Stein J, Ambrosi D, Goldstein R, Horn M, Bogdahn U. Predictors of survival after severe dysphagic stroke. J Neurol 2005;252(12):1510-6. DOI
11	Choi KH. Management for Dysphagia in Stroke Patient. Korean Journal of Stroke 2008;10(2):111-8.
12	Titianova EB, Pitkanen K, Paakkonen A, Sivenius J, Tarkka IM. Gait characteristics and functional ambulation profile in patients with chronic unilateral stroke. Am J Phys Med Rehabil 2001;82(10):778-86. DOI
13	Heo J, Jinjupyo. Donguibogam. Seoul: Bubinbooks; 2009.
14	Kim MJ, Lee SA, Kim SK, Sung IY. The Study for Gait Speed of Stroke Patients: Comfortable versus Maximum Safe Speed. Journal of the Korean Academy of Rehabilitation Medicine 1994;18(4):7.
15	Kim CH, Chu HM, Park CR, Kang GH, Seo JH, Sung KK, et al. Comparison of recovery patterns of gait patterns according to the paralyzed side in Korean stroke patients : Protocol for a retrospective chart review. Medicine (Baltimore). 2018 Aug;97(35):e12095. DOI
16	Zhang W, Smuck M, Legault C, Ith MA, Muaremi A, Aminian K. Gait Symmetry Assessment with a Low Back 3D Accelerometer in Post-Stroke Patients. Sensors(Basel) 2018;18(10):3322. DOI
17	Patterson KK, Gage WH, Brooks D, Black SE, McIlroy WE. Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization. Gait Posture 2010 Feb;31(2):241-6.
18	Korean Stroke Society.Textbook of Stroke 2nd edition. Seoul: PanMune ducation; 2015, p. 41-55.
19	Cho HK, Lim SM, An JJ, Kim YJ, Yoo HR, Park YC, et al. The Effect of Dodamtang(DDT) on Brain Damage and Hypertension. The journal of Internal Korean Medicine 2001;22(4):503-12.
20	Park EK, Shim ES, Jung HS, Sohn NW, Sohn YJ. Effects of Chongmyung-tang, Polygalae Radix and Acori Graminei Rhizoma on $A{\beta}$ Toxicity and Memory Dysfunction in Mice. The journal of Internal Korean Medicine 2008;29(3):608-20.