경전굴 및 보행장애를 주소로 하는 다계통 위축증 환자의 한의 치료 증례 1례A Case of Multiple System Atrophy with Antecollis and Gait Disturbance Treated with Korean Medicine
- Other Titles
- A Case of Multiple System Atrophy with Antecollis and Gait Disturbance Treated with Korean Medicine
- Authors
- 김서영; 최정우; 정혜선; 이상화; 양승보; 조승연; 박정미; 고창남; 박성욱
- Issue Date
- Oct-2019
- Publisher
- 대한한방내과학회
- Keywords
- Parkinsonism; multiple system atrophy; antecollis; gait disturbance; Chuna; pharmaco-acupucture
- Citation
- 대한한방내과학회지, v.40, no.5, pp.851 - 864
- Journal Title
- 대한한방내과학회지
- Volume
- 40
- Number
- 5
- Start Page
- 851
- End Page
- 864
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/2191
- ISSN
- 1226-9174
- Abstract
- Multiple system atrophy is a neurodegenerative disease that causes diverse bodily dysfunctions (cerebellar, pyramidal, automatic, and urological, in any combination), as well as Parkinsonism. Patients with multiple system atrophy commonly display antecollis, a condition where the patient’s head tilts forward more than 45 degrees. Despite its common occurrence in these patients, no current standardized therapies are effective for treating antecollis. In this study, Korean medicinal treatments, including Chuna manual therapy, pharmaco-acupuncture, bee venom acupuncture, acupuncture, herbal medicine, and moxibustion therapy, were administered to the patient over a 27-day period.
After the treatment, assessments of the head position on the EPIS-PD scale (Part I) and at a standing position from the side (Part Ⅱ) both revealed improvements. As the head flexion angle decreased, the patient’s head posture improved, as determined by a decrease in angle from 80 degrees to 30 degrees in the upright, standing position. As a result, patients who previously were unable to walk without the support of walking frames could now roam freely and independently, with significant increases in both walking speed and distance.
In essence, this study suggests that Korean medicine is an effective treatment for patients with multiple system atrophy who suffer from antecollis and gait disorders.
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