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척수손상으로 인한 사지마비 환자에 대한 복합 한방치료 효과 증례보고

A Case Report of Complex Korean Medicine Treatments for Tetraplegia Caused by Spinal Cord Injury

대한한방내과학회지 2020년 41권 2호 p.122 ~ 131
김은정, 김동훈, 유상구, 김다혜, 이세원, 배지윤, 김선우, 박철우, 허신철,
소속 상세정보
김은정 ( Kim Eun-Jung ) - Gwangju Jaseng Hospital of Korean Medicine Department of Korean Internal Medicine
김동훈 ( Kim Dong-Hoon ) - Gwangju Jaseng Hospital of Korean Medicine Department of Korean Internal Medicine
유상구 ( Yoo Sang-Gu ) - Gwangju Jaseng Hospital of Korean Medicine Department of Korean Internal Medicine
김다혜 ( Kim Da-Hye ) - Gwangju Jaseng Hospital of Korean Medicine Department of Korean Rehabilitation Medicine
이세원 ( Lee Se-Won ) - Gwangju Jaseng Hospital of Korean Medicine Department of Korean Rehabilitation Medicine
배지윤 ( Bae Ji-Yun ) - Gwangju Jaseng Hospital of Korean Medicine Department of Korean Rehabilitation Medicine
김선우 ( Kim Seon-Woo ) - Gwangju Jaseng Hospital of Korean Medicine Department of Acupuncture and Moxibustion
박철우 ( Park Cheol-Woo ) - Gwangju Jaseng Hospital of Korean Medicine Department of Acupuncture and Moxibustion
허신철 ( Hur Shin-Chul ) - Gwangju Jaseng Hospital of Korean Medicine Department of Oriental Neuropsychiatry

Abstract


Background: This study aimed to determine the effects of complex Korean medicine treatments on a patient suffering from tetraplegia caused by spinal cord injury.

Case Summary: A 64-year-old female patient diagnosed with tetraplegia was treated using acupuncture, electroacupuncture, pharmacopuncture, knee joint motion style treatment (MST), and herbal medicine. Clinical symptoms were measured using the numeric rating scale (NRS) and manual muscle test (MMT). After 67 days of treatment, the NRS score for lower back pain and knee pain decreased from 7 to 3. For the shoulder joint the MMT grade improved from 3+/4+(Rt./Lt.) to 4/5-; in the hip joint, it improved from 3-/3+ to 4/4+. No side effects were observed from the treatments used in this case report.

Conclusion: The complex Korean Medicine treatments appeared to be effective in recovering muscle strength and reducing pain in patients with tetraplegia caused by spinal cord injury.

키워드

tetraplegia; spinal cord injury; motion style treatment; pharmacopuncture; Chungpajunsin-bang

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