• 척추신경추나의학회지
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• 제14권2호
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• pp.77-88
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• 2019

Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.

• 대한한방내과학회지
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• 제42권2호
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• pp.165-174
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• 2021

This study reported on the effect of traditional Korean medicine on ataxia, gait disturbance, tremor, and dizziness with cerebellar atrophy. The patient was treated with traditional Korean medicines, such as acupuncture, moxibustion, and herbal medicine (Kuibiondam-tang-gami). The effectiveness of the treatment was evaluated with the scale for the assessment and rating of ataxia (SARA). After treatment, the symptoms had improved. The SARA score decreased by 18 points after Korean medicine treatment. According to this study, traditional Korean medicine can be effective to treat ataxia, gait disturbance, tremor, and dizziness in patients with cerebellar atrophy.

• 대한한방내과학회지
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• 제41권2호
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• pp.204-212
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• 2020

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.

• 한방재활의학과학회지
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• 제23권3호
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• pp.211-217
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• 2013

2013년 3월 9일부터 6월 11일까지 대전대학교 부속 대전한방병원 한방재활의학과에 부동(immobility)으로 노쇠가 진행되어 보행장애 및 인지 기능 저하가 발생한 노인 입원환자 1명을 대상으로, 운동요법을 병행한 한방치료가 증상 호전에 미치는 영향에 대해 다음과 같은 결론을 얻었다. 1. 치료 후 양하지 도수근력검사는 4등급으로 근력이 향상되었다. 2. 슬관절 신전 수동운동범위는 -30/-30에서 0/-5도로 호전되었다. 3. 한국형 간이 정신상태 검사는 7점에서 25점으로 호전되었다.

• 대한한방내과학회지
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• 제44권1호
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• pp.77-85
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• 2023

Objective: This clinical study describes the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia. Case presentation: A post-traumatic hydrocephalus patient complaining of gait disturbance and dementia was treated with herbal medicine, acupuncture, moxibustion, and cupping. Clinical symptoms were measured with the Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After treatment, the patient showed improved K-MMSE, FIM, and MBI scores. Conclusion: This clinical case study provides evidence of the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia.

• Clinical Pain
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• 제19권1호
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• pp.49-53
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• 2020

Piriformis muscle syndrome is a condition that causes direct muscle pain around piriformis muscle or sciatica from irritated sciatic nerve and the diagnosis remains debatable. The main treatment is symptomatic relief from conservative therapy such as medication and piriformis stretching exercise, and various therapeutic injections including local anesthetic, corticosteroid, botulinum toxin can be considered for diagnostic and therapeutic purposes. In this case, a 54-year-old male who had sciatica and gait disturbance showed piriformis muscle hypertrophy in the pelvis MRI. From imaging studies, electrodiagnostic study and physical examination, he was diagnosed with piriformis muscle syndrome. He underwent trigger point injection and botulinum toxin injection into the piriformis muscle, and pain and gait disturbance significantly improved. This case reports a case of piriformis muscle syndrome with clinical symptom of gait disturbance, which was improved by botulinum toxin injection.

• 대한유전성대사질환학회지
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• 제6권1호
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• pp.6-14
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• 2006

Propionic acidemia is an autosomal recessive metabolic disorder caused by a defect of propionyl CoA carboxylase with resultant accumulation of toxic organic acid metabolites. This disorder is biochemically characterized by metabolic acidosis, ketoacidosis, hyperglycinemia and hyperammonemia. Clinical symptoms are very heterogeneous and present as a severe neonatal-onset or a late-onet form. We describe one case of propionic acidemia in a 4-year-old boy who has developed gait disturbance after acute metabolic decompensation.

• 대한한방내과학회지
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• 제41권5호
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• pp.821-829
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• 2020

This case report describes the effects of Korean Medicine for the gait disturbance of Multiple System Atrophy (MSA). Korean Medicine that included chuna manual therapy, pharmaco-acupuncture, herbal medicine, acupuncture, electro-acupuncture, and moxibustion was administered for 23 days. During the hospitalization period, evaluations were performed using the Unified Multiple System Atrophy Rating Scale (UMSARS), Berg Balance Scale (BBS), and 20 m Round Timed Walking Test on day 1, day 15, and day 23. The UMSARS Part I score decreased from 11 to 5, Part II score from 11 to 9, and total score from 22 to 14, and the BBS score increased from 36 to 48. The 20 m Round Timed Walking Test score also improved. The width of the gait decreased from 65 to 40 cm, and the number of staggering incidents decreased from 6 times to 2 times. The findings of this case study suggest that Korean Medicine, including Chuna manual therapy, has potential benefits in MSA patients with gait disturbance.

• 혜화의학회지
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• 제21권2호
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• pp.121-125
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• 2013

Objectives : The report intended to estimate effect taken by using FCST(functional cerebrospinal technique) on the patient with one gait disturbance case. Methods : A gait disturbance one case with 2 weeks of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and herbl medicine. Results : After being treates for 2 weeks, the patint's 10mWT were improved. Assessment was made by self assessment of subjective symptoms and clinical observation. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

• 혜화의학회지
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• 제17권2호
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• pp.17-21
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• 2008

화침은 오행 침법 중의 하나로써 다양한 질환에서 매우 효과적으로 작용하며, 최근 한의학계에서 많은 주목을 받고 있기도 하다. 본 연구의 목적은 화침의 중추신경질환 유래의 보행 장애에 미치는 효과를 평가하기 위한 것으로, 몇가지 임상증례를 통하여 분석하였다. 환자를 맥의 형태에 따라 5가지 유형으로 나누어 치료하였고, 치료 후 대부분 증상이 빠른 속도로 회복되었으며 다른 사람의 도움이 필요 없이 자가 보행이 가능하게 되었다. 이러한 결과들은 화침이 중추신경계질환의 보행 장애 환자에게 좋은 효과와 아울러 보행 장애에 대한 화침의 잠재적 가능성을 보여준다.