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A Case of Korean Medical Treatment on Advanced-Stage Multiple System Atrophy with Gait Disturbance  

Hwang, Ye-Chae (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Lee, Hye-Jin (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Choi, Jeong-Woo (Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong)
Jeon, Gyu-Ri (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Park, Seong-Uk (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Park, Jung-Mi (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Ko, Chang-Nam (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Cho, Seung-Yeon (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Publication Information
The Journal of the Society of Stroke on Korean Medicine / v.22, no.1, 2021 , pp. 31-44 More about this Journal
Abstract
The purpose of this case report is to describe the effectiveness of Korean medicine in the treatment of gait disturbance in advanced stage multiple system atrophy-cerebellar type (MSA-C). This inpatient was treated with herbal medicine, acupuncture, pharmaco-acupuncture, moxibustion, cupping, and chuna therapy. The gait disturbance was assessed by Unified Multiple System Atrophy Rating Scale(UMSARS), Tinnetti test, and 16m walking spatial features. After treatment, UMSARS Part I score was enhanced, decreasing from 29 to 24, Part II score from 34 to 18. Tinetti test score increased from 7 to 20. Gait stride length increased and width decreased. This study suggests that Korean medical treatment could be an effective treatment for delaying the progress of gait disturbance in advanced-stage MSA-C patients.
Keywords
Multiple System Atrophy; MSA-C; Gait disturbance; UMSARS; Tinnetti test; Acupuncture; Chuna; Korean medicine;
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