몸통굽힘증을 주소로 하는 파킨슨병 환자의 자세 이상에 대한 한의 치료 증례 1례
A Case of Korean Medical Treatment on Parkinson's Disease Patient with Postural Instability, Presenting as Camptocormia
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Objectives: Parkinson’s disease is the neurodegenerative disease that affects both motor and non-motor function, including postural instability. Camptocormia is an abnormal condition in which the thoracolumbar spine bends forward during walking or standing. However, the treatment options are limited and often not effective. The purpose of this study was to report on the Korean medical treatment of a Parkinson’s disease patient with postural instability who presented with camptocormia. Methods: We used Korean medical treatment including herbal medicine (Jemageopung-tang), acupuncture and pharmacopuncture therapy to the patient who was admitted to the hospital for 21 days. The clinical symptoms were assessed with the Unified Parkinson’s Disease Rating Scale (UPDRS) and walking time without assistance. Results: After treatment, the UPDRS Parts 2 and 3 scores were decreased from 5 to 3 and 20 to 9, respectively. Also, the walking time without assistance was improved. Conclusion: This study suggested that Korean medical treatment could be an effective option for treating Parkinson’s disease with postural instability.
Abstract
Objectives: Parkinson’s disease is the neurodegenerative disease that affects both motor and non-motor function, including postural instability. Camptocormia is an abnormal condition in which the thoracolumbar spine bends forward during walking or standing. However, the treatment options are limited and often not effective. The purpose of this study was to report on the Korean medical treatment of a Parkinson’s disease patient with postural instability who presented with camptocormia. Methods: We used Korean medical treatment including herbal medicine (Jemageopung-tang), acupuncture and pharmacopuncture therapy to the patient who was admitted to the hospital for 21 days. The clinical symptoms were assessed with the Unified Parkinson’s Disease Rating Scale (UPDRS) and walking time without assistance. Results: After treatment, the UPDRS Parts 2 and 3 scores were decreased from 5 to 3 and 20 to 9, respectively. Also, the walking time without assistance was improved. Conclusion: This study suggested that Korean medical treatment could be an effective option for treating Parkinson’s disease with postural instability.
참고문헌 (25)
- Alexander GE, "Biology of Parkinson's disease : pathogenesis and pathophysiology of a multisystem neurodegenerative disorder", Dialogues in clinical neuroscience, 6(3), pp.259~280 (2004)
- Doherty KM, "Postural deformities in Parkinson's disease", Lancet Neurology, 10(6), pp.538~549 (2011)
- Azher SN, "Camptocormia : pathogenesis, classification, and response to therapy", Neurology, 65(3), pp.355~359 (2005)
- Fahn S, "Unified Parkinson's Disease Rating Scale. Recent development in Parkinson's disease 2", pp.153~163 (1987), Macmillan
- Allen NE, "Recurrent Falls in Parkinson's Disease : A Systematic Review", Parkinson's Disease, 2013, pp.906274~ (2013)
- Djaldetti R, "Camptocormia(bent spine)in patients with Parkinson's disease-characterization and possible pathogenesis of an unusual phenomenon", Movement Disorders, 14(3), pp.443~447 (1999)
- Kim HS, "Rehabilitation for Postural Abnormalities and Gait Disturbances in Parkinson's Disease", Geriatric Rehabilitation, 2, pp.37~42 (2012)
- Hwang SR, "Original Article : Experimental Studies on the Effects of Soumin Kamikopungsan", The Journal of Kyung Hee University Medical Center, 4(1), pp.54~61 (1988)
- Papapetropoulos S, "Retrocollis:classification, clinical phenotype, treatment outcomes and risk factors", European Neurology, 59(1-2), pp.71~75 (2008)
- Yokochi F, "Lateral flexion in Parkinson's disease and Pisa syndrome", Journal of Neurology, 253(7), pp.VII17~VII20 (2006)
- Gambarin M, "Pisa syndrome without neuroleptic exposure in a patient with Parkinson's disease : case report", Movement Disorders, 21(2), pp.270~273 (2006)
- Laroche M, "Is camptocormia a primary muscular disease?", Spine, 20(9), pp.1011~1016 (1995)
- Serratrice G, "Bent spine syndrome", Jounral of Neurology, Neurosurgery, and Psychiatry, 60(1), pp.51~54 (1996)
- Broetz D, "Radicular and nonradicular back pain in Parkinson's disease : a controlled study", Movement Disorders, 22(6), pp.853~856 (2007)
- 김성렬, "파킨슨병 환자에서의 허리통증 특성", 대한신경과학회지, 24(5), pp.452~457 (2006), 대한신경과학회
- Korean Pharmacopuncture Institute, "Pharmacopuncture treatment guidelines", Korean Pharmacopuncture Institute, 161~162 (2000)
- 정문재, "烏藥順氣散 및 中性瘀血 藥鍼이 흰쥐 좌골신경 압좌 손상 후 통증 감소와 신경 재생에 미치는 영향", 한방재활의학과학회지, 19(2), pp.51~72 (2009), 한방재활의학과학회
- 이성환, "腰脚痛에 대한 單鍼治療群, 蜂藥鍼 竝行治療群, 中性瘀血藥鍼 竝行治療群의 비교연구", Journal of Acupuncture Research, 24(5), pp.197~205 (2007), 대한침구의학회
- Yoon IJ, "Effect of Jungsongouhyul Herbal Acupuncture Therapy for Neck Pain Patients", Daejeon University Korean Medicine Research Institution, 16(2), pp.1~5 (2007)
- Cho SY, "Efficacy of Combined Treatment with Acupuncture and Bee Venom Acupuncture as an Adjunctive Treatment for Parkinson's Disease", Journal of Alternative Complementary Medicine, 24(1), pp.25~32 (2018)
- Baek H, "Comparison of Administration Routes on the Protective Effects of Bee Venom Phospholipase A2 in a Mouse Model of Parkinson's Disease", Frontiers in Aging Neuroscience, 10, pp.179~ (2018)
- Taguchi Y, "Pramipexole-induced dropped head syndrome in Parkinson's disease", Internal Medicine, 47(22), pp.2011~2012 (2008)
- Shulman LM, "The clinically important difference on the unified parkinson's disease rating scale", Archives of Neurology, 67(1), pp.64~70 (2010)
- 이영은, "파킨슨병 환자의 자세 불안정과 보행장애에 대한 한양방 복합치료 3예", Korean Journal of Acupuncture, 31(1), pp.40~47 (2014), 경락경혈학회[DOI]
- 양승보, "파킨슨 증후군 환자의 자세 불안정과 보행장애에 대한 한의치료의 효과: 후향적 연구", 대한한의학회지, 38(3), pp.96~102 (2017), 대한한의학회[DOI]