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http://dx.doi.org/10.22246/jikm.2021.42.2.75

Case Report of Multiple Cerebral Infarction in Middle Cerebral Artery with Gait Disturbance Treated by Korean Medicine  

Chae, In-cheol (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Choi, In-woo (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Yang, Ji-hae (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Kang, Jie-yoon (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Ryu, Ju-young (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Jung, Eun-sun (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Kim, Yoon-sik (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Seol, In-chan (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Yoo, Ho-ryong (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
Publication Information
The Journal of Internal Korean Medicine / v.42, no.2, 2021 , pp. 75-85 More about this Journal
Abstract
Objectives: This study reported about a patient with a right middle cerebral artery infarction whose gait disturbance was improved by Korean medicine treatment. Methods: The patient was treated with a Korean herbal medicine (Gami-yukmijihwang-tang) along with acupuncture, electroacupuncture, moxibustion, cupping, and physical therapy. The treatment effect was evaluated with the manual muscle test (MMT) and the Korean version of the modified Barthel index (K-MBI). The gait of the patient was evaluated by a 10-m walk test (10MWT), the timed up and go (TUG) test, the functional ambulation profile (FAP) score, and the functional ambulatory category (FAC) score. Spatiotemporal parameters were evaluated using a walkway system (GAITRite®, CIR Systems, Inc., USA). Results: After 83 days of traditional Korean medicine treatment, the K-MBI and FAC scores improved from 50 to 70 and from 1 to 4, respectively. The 10MWT and TUG tests also improved from 24.86 to 16.66 sec and from 22.35 to 17.62 sec, respectively. GAITRite® measurements reflected gait improvements: the FAP score improved from 55 to 86 sec; the step time improved from 0.72 to 0.669 sec; the step length improved from 31.076 cm to 41.284 cm; the gait velocity improved from 42.8 cm/sec to 64.1 cm/sec; the cadence improved from 93.6 steps/min to 90.8 steps/min. No adverse effects resulting from treatment or evaluation occurred during the admission period. Conclusions: This study suggests that traditional Korean medicine treatment may reduce symptoms and improve the quality of life in patients with cerebral infarction.
Keywords
cerebral infarction; gait disturbance; traditional Korean medicine; $GAITRite{(R)}$; case report;
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1 Department of Cardiology Internal Medicine, College of Korean Medicine. Cardiovascular and neurological medicine in Korean medicine. Seoul: Wooripub; 2018, p. 243, 250.
2 Chu HM, Lim HS, Kim KH, Lee YU, Park KT, Jang JW, et al. A Improved Case of Post Cerebral Infarction Dizziness and Gait Discomfort after Treated with Korean Medicine Treatment and Vestibular Rehabilitation Practice. J Korean Med Rehabi 2020;30(4):179-86.   DOI
3 Lee SM, Shin YS, Nam DW, Choi DY. Korean translation of the CARE guidelines. The Acupuncture 2015;32(4):1-9.
4 Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles, Testing and Function: With Posture and Pain. Seoul: Hanmi Medical Publishing Co.; 2006.
5 Jung HY, Park BK, Shin HS, Kang YK, Pyun SB, Paik NJ, et al. Development of the Korean Version of Modified Barthen Index (K-MBI): Multi-center Study for Subjects with Stroke. Ann Rehabil Med 2007;31(3):283-97.
6 McDonough AL, Batavia M, Chen FC, Kwon S, Ziai J. The Validity and Reliability of the GAITRite System's Measurements: A Preliminary Evaluation. Arch Phys Med Rehabil 2001;82(3):419-25.   DOI
7 Titianova EB, Pitkanen K, Pa kkonen A, Sivenius J, Tarkka IM. Gait Characteristics and Functional Ambulation Profile in Patients with Chronic Unilateral Stroke. Am J Phys Med Rehabil 2003;82(10):778-86.   DOI
8 Rossier P, Wade DT. Validity and Reliability Comparison of 4 Mobility Measures in Patients Presenting with Neurologic Impairment. Arch Phys Med Rehabil 2001;82(1):9-13.   DOI
9 Ng SS, Hui-Chan CW. The Timed Up&Go Test: Its Reliability and Association with Lower-limb Impairments and Locomotor Capacities in People with Chronic Stroke. Arch Phys Med Rehabil 2005;86(8):1641-7.   DOI
10 Mehrholz J, Wagner K, Rutte K, Meissner D, Pohl M. Predictive Validity and Responsiveness of the Functional Ambulation Category in Hemiparetic Patients after Stroke. Arch Phys Med Rehabil 2007;88(10):1314-9.   DOI
11 Goldie PA, Matyas TA, Evans OM. Deficit and Change in Gait Velocity during Rehabilitation after Stroke. Arch Phys Med Rehabil 1996;77(10):1074-82.   DOI
12 Schmid A, Duncan PW, Studenski S, Lai SM, Richards L, Perera S, et al. Improvements in Speed-based Gait Classifications are Meaningful. Stroke 2007;38(7):2096-100.   DOI
13 Kim KH, Lee YU, Chu HM, Lim HS, Kim CH, Lee JY, et al. A Case Report of Gait Disturbance, Cognitive Impairment, Dysuria, and Dysphagia in a Stroke Patient Treated with Traditional Korean Medical Treatment. J Int Korean Med 2020;41(2):204-12.   DOI
14 Gaviria M, D'Angeli M, Chavet P, Pelissier J, Peruchon E, Rabischong P. Plantar Dynamics of Hemiplegic Gait: A Methodological Approach. Gait & Posture 1996;4(4):297-305.   DOI
15 Liu W, Mukherjee M, Sun C, Liu H, McPeak LK. Electroacupuncture may Help Motor Recovery in Chronic Stroke Survivors: a pilot study. Journal of Rehabilitation Research & Development 2008;45(4):587-96.   DOI
16 Gouelle A. Use of Functional Ambulation Performance Score as Measurement of Gait Ability. Journal of Rehabilitation Research & Development 2014;51(5):665-74.   DOI
17 Hsu AL, Tang PF, Jan MH. Analysis of Impairments Influencing Gait Velocity and Asymmetry of Hemiplegic Patients after Mild to Moderate Stroke. Arch Phys Med Rehabil 2003;84(8):1185-93.   DOI
18 Lin PY, Yang YR, Cheng SJ, Wang RY. The Relation Between Ankle Impairments and Gait Velocity and Symmetry in People With Stroke. Arch Phys Med Rehabil 2006;87(4):562-8.   DOI
19 Balaban B, Tok F. Gait Disturbances in Patients With Stroke. PM R 2014;6(7):635-42.   DOI
20 Cheng XR, QI CH, Wang TX, Zhou WX, Zhang YX. Characteristics of the Traditional Liu-Wei-Di-Huang Prescription Reassessed in Modern Pharmacology. Chinese Journal of Natural Medicines 2019;17(2):103-21.   DOI
21 Moon SK, Whang YK, Park SU, Ko CN, Kim YS, Bae HS, et al. Antispastic Effect of Electroacupuncture and Moxibustion in Stroke Patients. The American journal of Chinese medicine 2003;31(3):467-74.   DOI
22 Lee JH, Lee IW, Moon SH, Kang JS, Lim SM, An JJ, et al. The Effects of Juheng Acupuncture Treatment on Gait Disturbed Patient Caused by Stroke. Korean J Orient Int Med 2007;fal:77-87.
23 Langhorne P, Coupar F, Pollock A. Motor Recovery after Stroke: A Systematic Review. Lancet Neurol 2009;8(8):741-54.   DOI
24 Jang JH, Park SS, An J, Choi JD, Seol IC, Park GH, et al. Gait Disturbance Improvement and Cerebral Cortex Rearrangement by Acupuncture in Parkinson's Disease: A Pilot Assessor-Blinded, Randomized, Controlled, Parallel-Group Trial. Neurorehabil Neural Repair 2020;34(12):1111-23.   DOI
25 Jang JH, Kim HT, Jung IC, Yoo HR. Acupuncture for Improving Gait Disturbance in Parkinson's Disease: A Study Protocol for a Pilot Randomized Controlled Trial. Eur J Integr Med 2018;20:16-21.   DOI
26 Kim BO, Kim KS, Jeon HY, Kang HJ, Kim JS, Hong S, et al. Effects of Yukmijihwang-tang to Recover the Brain Damage of Mice. J Int Korean Med 2002;23(2):191-201.
27 Korean Stroke Society. Text Book of Stroke. Seoul: Panmuneducation; 2015, p. 529, 533, 535.
28 Perry J, Garrett M, Gronley JK, Mulroy SJ. Classification of Walking Handicap in the Stroke Population. Stroke 1995;26(6):982-89.   DOI
29 Chiou IIL, Burnett CN. Values of Activities of Daily Living: A Survey of Stroke Patients and Their Home Therapists. Phys Ther 1985;65(6):901-6.   DOI
30 Bohannon RW, Horton MG, Wikholm JB. Importance of Four Variables of Walking to Patients with Stroke. Int J Rehabilitation Res 1991;14(3):246-50.   DOI
31 Lord SE, McPherson K, McNaughton HK, Rochester L, Weatherall M. Community Ambulation after Stroke: How Important and Obtainable Is It and What Measures Appear Predictive? Arch Phys Med Rehabil 2004;85(2):234-9.   DOI