• 제목/요약/키워드: The Unified Parkinson's Disease Rating Scale

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파킨슨 환자의 사상채질 및 UPDRS 분포 연구 (The Study on the Distribution of Sasang Constitution and UPDRS(Unified Parkinson's Disease Rating Scale) among Parkinson's Disease Patients)

  • 정지철;김건형;박상민;이상훈;장대일;이윤호
    • Journal of Acupuncture Research
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    • 제22권4호
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    • pp.47-54
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    • 2005
  • Objectives : In order to find Sasang constitutional therapies on Parkinson's disease and to make a fundamental basis for clinical application, this study was performed. Methods : We recruit thirty five person as the disease group and we test them by QSCCII. also, We estimate them by UPDRS scale. Results : In the distribution of sasang constitution among parkinson's disease patients and controls, we can know that in the distribution of sasang constitution among parkinson's disease patients, Taeumin has a large division. but we don't find out significantly difference statistically. In the distribution of UPDRS Std. score of sasang constitution, we find out significantly difference statistically. Conclusion : Unfortunately, we fail to lead significantly difference statistically in the sasang constitution among parkinson's disease patients and controls. But, in the distribution of UPDRS Std. score of sasang constitution, we fine out significantly difference statistically. Consequencely, it is necessary that further study on the theme in the more sample.

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소양인 파킨슨병 환자의 한양방 병행치료 장기 경과관찰 보고 3례 (Long-term Clinical Efficacy on Three Soyang Patients with Parkinson's Disease Improved by Combined Treatment of Korean-Western Medicine)

  • 박유경;이미숙;김소형;배나영
    • 사상체질의학회지
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    • 제28권4호
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    • pp.361-371
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    • 2016
  • Objective This case study was about a long-term clinical effects after using Korean medicine treatment and western treatment in three Soyangin patients with Parkinson's disease. In this study, we reported significant improvement of non-motor and motor symptoms of these patients after Sasang constitutional medicine treatments for more than a year. Method The patients were identified as Soyangin and treated with Yangguksanhwa-tang, Hyeongbangdojeok-san and acupuncture. The Hoehn & Yahr scale, Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (UPDRS) were used to assess the overall function of the patients. And the Global Assessment Scale (GAS) was used to assess the change of chief complaints after the treatments. Result and Conclusion The non-motor and motor symptoms of Parkinson's disease improved after Sasang constitutional medicine and western medicine treatments for more than a year. Furthermore these patients' chief complaints improved without increasing of amount of western medicine (levodopa). In conclusion, this study showed that Sasang constitutional medicine with western medicine can be effective treatment for long-term clinical care of Parkinson's disease.

파킨슨병 조기 진단을 위한 안드로이드 기반의 앱 개발 (Android Smart Phone App for early diagnosis of Parkinson's Disease)

  • 문호상;노승재;정성택
    • 한국인터넷방송통신학회논문지
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    • 제19권6호
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    • pp.145-152
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    • 2019
  • 파킨슨병은 3대 노인성 질환 중 하나로 인구 고령화에 따라 전 세계적으로 발병률이 증가하고 있으며, 질병이 진행될수록 시간적·경제적인 비용이 높아지기 때문에 병의 진행정도를 파악하는 것과 초기에 진단해내는 것이 매우 중요하다. 본 논문에서는 스마트폰을 이용하여 파킨슨병을 조기 진단(Pre-Screening)할 수 있는 방법을 제안하고자 하였다. 개발한 어플리케이션의 콘텐츠들은 탭핑(Tapping), 떨림(Tremor), 나선형 그리기(Spiral Drawing), 보행(Gait)으로 구성되어 있으며, 통합형 파킨슨병 평가척도(Unified Parkinson's Disease Rating Scale)의 Part III(운동성 검사)를 기반으로 하였다. 이를 활용하여 파킨슨병의 운동성 증상으로 알려져 있는 서동증(Bradykinesia), 진전(Tremor), 자세 불안정(Postural Instability)에 대한 정량적인 진단이 가능하며, 증상의 진행 정도에 대한 모니터링이 가능하다. 이러한 방법은 파킨슨병 진단 및 치료에 유용하게 사용될 수 있을 것으로 기대된다.

태충(太衝) 양릉천(陽陵泉)의 침(針)자극이 특발성 파킨슨 환자의 UPDRS 및 HRV Parameter에 미치는 영향 (The Study on the Effect of Acupuncture on UPDRS and Heart Rate Variability in the Patients with Idiopathic Parkinson's Disease)

  • 정지철;김건형;박연철;김행범;이상훈;장대일;이윤호
    • Journal of Acupuncture Research
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    • 제23권3호
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    • pp.143-153
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    • 2006
  • Introduction : This study was designed to evaluate the effect of acupuncture on Unified Parkinson's Disease Rating Scale (UPDRS) and Heart Rate Variability (HRV) of patients with Parkinson's disease Methods: Subjects were voluntarily recruited through newspaper and internet advertisement. All the subjects were confirmed as idiopathic parkinson's disease by a neurologist. Acupuncture was applied 2 times a week for four weeks by oriental medical doctor at Kyung-hee University hospital. Acupuncture points used were GB34 and LR3. The patient's symptoms were assessed before and after 4 weeks of treatment by UPDRS and HRV. HRV was measured for 5 minutes before and after 4 weeks of treatment. Results : The results were as follows; 1. In both groups, UPDRS scores were significantly improved after 4 weeks compared to the pre-treatment 2. After 4 weeks of treatment UPDRS score differences between the two groups were insignificant 3. After 4 weeks of treatment HRV parameter scores showed statistically insignificant differences between the two groups. SDNN parameters of the Experimental group were significantly increased. Conclusion : This study suggests that acupuncture treatments can be applicable to improve symptoms in the patients with idiopathic Parkinson's disease. Further study on the acupuncture and HRV in the patients with Parkinson's disease is recommended.

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특발성 파킨슨병 환자에 대한 한의치료의 효과 : 후향적 연구 (Effects of Korean Medicine on Patients with Idiopathic Parkinson’s Disease: A Retrospective Study)

  • 양승보;김연진;이형민;이현중;조승연;박정미;고창남;박성욱
    • 대한한방내과학회지
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    • 제37권4호
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    • pp.653-660
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    • 2016
  • Objectives: The purpose of this study was to investigate the effects of Korean medicine on patients with idiopathic Parkinson’s disease.Methods: The charts of 47 patients diagnosed with idiopathic Parkinson’s disease in the Department of Internal Korean medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital, Gangdong between August 2012 and July 2016 were reviewed. The Unified Parkinson’s disease rating scale (UPDRS) was administered before and after treatment with Korean medicine.Results: Thee average UPDRS Ⅱ+Ⅲ, UPDRS Ⅱ, and UPDRS Ⅲ of the 47 patients decreased significantly from 22.26±15.15, 10.19±7.53, and 12.06±8.35, respectively, pretreatment to 16.96±13.63, 7.47±6.44, and 9.49±7.73, respectively, post-treatment. The average postural instability and gait difficulty (PIGD), tremor, and bradykinesia also significantly improved post-treatment.Conclusions: These results provide evidence that Korean medicine can improve the activities of daily living and motor function of patients with idiopathic Parkinson’s disease. In particular, Korean medicine may be effective for the treatment of PIGD, tremor, and bradykinesia.

만성복통 및 변비를 호소하는 소양인 파킨슨병 환자의 치험1례 (A Case Report on Parkinson's Disease Soyangin Patient with Abdominal Pain and Constipation)

  • 곽진영;김윤하;박정환;홍서진;안택원
    • 사상체질의학회지
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    • 제28권3호
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    • pp.276-285
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    • 2016
  • Objectives The purpose of this case was to report significant improvement of abdominal pain, constipation and a slight improvement of tremor after treatment by Sasang Constitutional Medicine to the patient with Parkinson's disease.Methods The patient was diagnosed as Soyangin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications and acupuncture. The progress was evaluated with the Global Assessment Scale (GAS).Results The abdominal pain was reduced from Numeric Rating Scale (NRS)9 to NRS1 and headache was reduced from NRS5 to NRS3. The tremor was reduced to GAS 10. Unified Parkinson Disease Rating Scale (UPDRS) was reduced from 40 to 27. The difference of heat distribution between left and right side was reduced and the abdomen was more warmer on Digital Infrared Thermal Imaging (DITI).Conclusions Sasang constitutional medicine can be a solution for the non motor symptoms caused by Parkinson's disease.

Drug-Induced Gastrointestinal Dysfunction in Parkinson's Disease: Treatment with Korean Medicine

  • Hwang, Ji Hye;Kim, Deok-Hyun;Kang, Mi Suk;Song, Ho-Seub
    • Journal of Acupuncture Research
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    • 제36권2호
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    • pp.113-117
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    • 2019
  • Parkinson's disease (PD) is a neurodegenerative disease, where treatment with medication may lead to gastrointestinal (GI) symptoms. The objective of this case study was to investigate the effectiveness of Korean medicine (KM) in treating PD with drug-induced GI dysfunction. A 70-year-old female participant was diagnosed with PD in 2010 and drug-induced gastritis in 2016. Her major symptoms were related to GI, PD, and overall feeling of weakness. She was treated with KM including pharmacopuncture, acupuncture, moxibustion, and herbal medicines, in combination with Western medicines during 46 days of in-patient care. This study showed an improvement in symptoms and scores on the GI symptom scale, Unified Parkinson's disease rating scale, Hoehn and Yahr staging, Berg balance scale, PD quality of life, and stress index at discharge. This case demonstrated that the symptoms of drug-induced GI dysfunctions in PD was improved by treatment with KM.

사상처방을 활용한 약물 유발성 속발성 파킨슨증 치험 2례 (Two Cases of Drug-induced Secondary Parkinsonism Treated with Sasang Constitutional Therapy)

  • 정성국;송정모
    • 사상체질의학회지
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    • 제24권4호
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    • pp.109-119
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    • 2012
  • Objectives : This study is about two patients of drug-induced secondary parkinsonism caused by antipsychotic drugs. The purpose of this study is to report the clinical effects of Sasang constitutional medicine. Methods : These two patients were treated by Sasang constitutional herbal medications based on "Donguisusebowon". We evaluated the symptoms through the score of the Unified Parkinson's Disease Rating Scale(UPDRS). Results and Conclusions : The patients' chief complaints were improved. This study shows that Sasang constitutional herbal medications are an effective treatment for drug-induced secondary parkinsonism patients, but further studies are still necessary.

전신기혈요법 치료를 통해 Unified Parkinson's Disease Rating Scale, Heart Rate Variability 및 삶의 질이 변화된 파킨슨 환자 4례에 대한 증례보고 (Study of 4 Cases with Changes of Unified Parkinson's Disease Rating Scale, Heart Rate Variability and Quality of Life in Parkinson's Disease Patients through Whole Body Gi-Hyeol Therapy)

  • 목서희;이지원;이태종;서정복;김경아;김조영;박병준;김동희
    • 동의생리병리학회지
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    • 제35권2호
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    • pp.71-80
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    • 2021
  • Parkinson's disease is one of the typical neurodegenerative disease and it is caused by the destruction of substantia nigra in brain leading to lack of dopamine secretion, and it presents 4 major motor symptoms such as tremor, bradykinesia, stiffness, postural instability. Furthermore, it causes many non-motor symptoms such as anosmia, REM sleep conduct disorder, orthostatic hypotension, dementia and autonomic ataxia such as lack of adjusting blood pressure, hyperhydrosis, constipation. Dopaminergic therapy is the most commonly used strategy, but long term treatment of levodopa induce various adverse effects. Thus, many people are focusing on new therapies other than established therapies, and there are many tries and approaches with paradigm shift. Our medical team was able to get 4 cases of PD patients who are hospitalized in our hospital, treated by Whole Body Gi-Hyeol Therapy consisting of acupuncture therapy, herbal therapy, and mental therapy, and their conditions improved in perspective of Unified Parkinson's Disease Rating Scale(UPDRS), Heart Rate Variability(HRV), and Quality of life. Among all 4 cases, UPDRS score and quality of life score is gotton better, and among 2 cases SDNN, RMS-SD, TP, LF, HF scores are finely increased. And PDQ-39 score which shows quality of life is also improved. However, in spite of these improvements and positive results, there were no meaningful improvement in a hurt from a fall which is important to the aged, muscular atrophy which causes bone fracture and SMI(Skeletal Muscle Mass Index) which is indicator of osteoporosis. Thus, supplementary treatment about Whole Body Gi-Hyeol Therapy such as more active nutrition intervention, safe and effective kinesitherapy is needed, and from now on continuous case reports and systematic clinical research which has control group must be carried out.

침구치료로 호전된 파킨슨 환자 치험 1례 (Effect of Acupuncture and Moxibustion Treatment in a Patient with Parkinson's Disease - A Case Study)

  • 한인식;선승호
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.286-291
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    • 2018
  • Objective: This clinical study aims to report the effect of acupuncture and moxibustion treatment in a patient with Parkinson's disease. Methods: The patient was treated with acupuncture totally eight times, which was applied at LU8, LR4, HT3, LR2, GV20, and GB20 and moxibustion at CV12, CV4. The effect of treatment was evaluated using the Unified Parkinson's Disease Rating Scale (UPDRS). Results: After treatment the patient's UPDRS scores improved from 78 to 29 points after 28 days, and the patient's symptoms of tremor also improved. Conclusions: The Korean medicine treatment of acupuncture might be effective for Parkinson's disease.