침 및 운동 치료로 호전된 파킨슨병 환자 1례에 대한 증례보고
A Case Report of a Patient with Parkinson’s Disease Treated with Acupuncture and Exercise Therapy
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objectives: Parkinson’s disease is characterized by progressive, irreversible damage to dopamine neurons in the substantia nigra pars compacta, as well as motor and non-motor symptoms. This disease currently has no dependable disease-modifying treatment. In this paper, we describe the treatment of a 67-year-old female with Parkinson’s disease using acupuncture and exercise therapy. Case Presentation: Clinical symptoms and the United Kingdom Parkinson’s Disease Society Brain Bank Diagnostic Criteria were used to diagnose the patient with Parkinson’s disease. Over a 12-week period, the patient visited a Korean medicine hospital 18 times and was treated with acupuncture and exercise therapy in addition to anti-Parkinson’s drugs. Before and after treatment, clinical examinations were performed using tools such as the Unified Parkinson’s Disease Rating Scale, Fall Efficacy Scale, Parkinson’s Disease Questionnaire, Berg Balance Scale, and Non-Motor Symptoms Scale. Furthermore, functional near-infrared spectroscopy was used to assess cortical hemodynamics. All clinical examination results improved after 12 weeks of intervention. In particular, improvements on the Total Unified Parkinson’s Disease Rating Scale and Part III of this scale demonstrated large, clinically important differences. Conclusion: This case suggests that combining acupuncture and exercise therapy could produce an effective treatment for Parkinson’s disease patients.
Abstract
Objectives: Parkinson’s disease is characterized by progressive, irreversible damage to dopamine neurons in the substantia nigra pars compacta, as well as motor and non-motor symptoms. This disease currently has no dependable disease-modifying treatment. In this paper, we describe the treatment of a 67-year-old female with Parkinson’s disease using acupuncture and exercise therapy. Case Presentation: Clinical symptoms and the United Kingdom Parkinson’s Disease Society Brain Bank Diagnostic Criteria were used to diagnose the patient with Parkinson’s disease. Over a 12-week period, the patient visited a Korean medicine hospital 18 times and was treated with acupuncture and exercise therapy in addition to anti-Parkinson’s drugs. Before and after treatment, clinical examinations were performed using tools such as the Unified Parkinson’s Disease Rating Scale, Fall Efficacy Scale, Parkinson’s Disease Questionnaire, Berg Balance Scale, and Non-Motor Symptoms Scale. Furthermore, functional near-infrared spectroscopy was used to assess cortical hemodynamics. All clinical examination results improved after 12 weeks of intervention. In particular, improvements on the Total Unified Parkinson’s Disease Rating Scale and Part III of this scale demonstrated large, clinically important differences. Conclusion: This case suggests that combining acupuncture and exercise therapy could produce an effective treatment for Parkinson’s disease patients.
참고문헌 (20)
- Dorsey ER, "The Parkinson pandemic-a call to action", JAMA Neurol, 75(1), pp.9~10 (2018)
- Park JH, "Trends in the incidence and prevalence of Parkinson’s disease in Korea : a nationwide, population-based study", BMC Geriatr, 19(1), pp.1~0 (2019)
- Dorsey ER, "Global, regional, and national burden of Parkinson's disease, 1990-2016 : a systematic analysis for the Global Burden of Disease Study 2016", The Lancet Neurol, 17(11), pp.939~953 (2018)
- Kalilani L, "The characteristics and treatment patterns of patients with Parkinson’s disease in the United States and United Kingdom : A retrospective cohort study", PLoS One, 14(11), pp.e0225723~ (2019)
- Olanow CW, "Continuous dopamine-receptor treatment of Parkinson's disease : scientific rationale and clinical implications", Lancet Neurol, 5(8), pp.677~687 (2006)
- Lang AE, "Disease modification in Parkinson's disease : current approaches, challenges, and future considerations", Mov Disord, 33(5), pp.660~677 (2018)
- Kim SR, "Use of complementary and alternative medicine by Korean patients with Parkinson's disease", Clin Neurol Neurosurg, 111(2), pp.156~160 (2009)
- Lee SH, "Clinical effectiveness of acupuncture on Parkinson disease : a PRISMA-compliant systematic review and meta-analysis", Medicine, 96(3), pp.e5836~ (2017)
- Choi HY, "Exercise therapies for Parkinson’s disease : a systematic review and meta-analysis", Parkinson’s Dis, 2020, pp.2565320~ (2020)
- Mak MK, "Long-term effects of exercise and physical therapy in people with Parkinson disease", Nat Rev Neurol, 13(11), pp.689~703 (2017)
- Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease, "The unified Parkinson's disease rating scale(UPDRS) : status and recommendations", Mov Disord, 18(7), pp.738~750 (2003)
- Hughes AJ, "Accuracy of clinical diagnosis of idiopathic Parkinson's disease : a clinico-pathological study of 100 cases", J Neurol Neurosurg Psychiatry, 55(3), pp.181~184 (1992)
- Tinetti ME, "Falls efficacy as a measure of fear of falling", J Gerontol, 45(6), pp.239~243 (1990)
- Jenkinson C, "The Parkinson's Disease Questionnaire(PDQ-39) : development and validation of a Parkinson's disease summary index score", Age Ageing, 26(5), pp.353~357 (1997)
- Okuma Y, "Freezing of gait in Parkinson’s disease", J Neurol, 253(7), pp.27~32 (2006)
- 이정아, "한국판 버그 균형척도 평가도구의 라쉬분석", 한국전문물리치료학회지, 13(3), pp.49~56 (2006), 한국전문물리치료학회
- Chaudhuri KR, "The metric properties of a novel non-motor symptoms scale for Parkinson's disease : results from an international pilot study", Mov Disord, 22(13), pp.1901~1911 (2007)
- Shulman LM, "The clinically important difference on the unified Parkinson's disease rating scale", Arch Neurol, 67(1), pp.64~70 (2010)
- Pal S, "Potential benefits of exercise on blood pressure and vascular function", J Am Soc Hypertens, 7(6), pp.494~506 (2013)
- Lee SH, "Effects of acupuncture treatment on functional brain networks of Parkinson’s disease patients during treadmill walking : An fNIRS study", Appl Sci, 10(24), pp.8954~ (2020)