한방 복합치료로 호전된 경추성 현훈 환자의 증례보고 1례
A Case Report on a Patient with Cervical Vertigo Who Improved with a Combination of Korean Medicine Treatments
2
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Objective: To report the case of a patient suffering from cervical vertigo who was treated with a combination of Korean medicine treatments (including acupuncture, pharmaco-acupuncture, and Chuna manual therapy). Method: An outpatient with cervical vertigo was given a combination of Korean medicine treatments five times, from December 5 to 16, 2016. All of the treatments, acupuncture with electric stimulation and pharmaco-acupuncture, were applied on the trigger points (TP) of the cervical muscles and the upper trapezoid muscles. Chuna manual therapy was then applied on the cervical area. The Numeric Rating Scale (NRS) - according to outpatient’s statement on vertigo, neck pain and headache - and the Korean Dizziness Handicap Inventory (DHI), which is a self-evaluating scale of dizziness in daily life, were used to evaluate the effects of this treatment. Results: At the end of the treatment, the vertigo and the headache disappeared. The NRS decreased from 9 to 0 for vertigo and from 5 to 0 for headache. Although the neck pain also decreased, it did not disappear; this NRS decreased from 7 to 1. The DHI score also decreased significantly, from 64 to 4. Conclusion: Since the symptoms of the patient with cervical vertigo improved after the very first treatment and the improvement of the symptoms was observed as the treatment progressed, this case report is worth supporting the efficacy of combined Korean medical treatments. However, because there was only one subject, it is hard to say that this efficacy can be generalized. Moreover, this report cannot prove the individual efficacy since various treatments were combined. While there are many researches related to cervical vertigo in Western medicine, the studies in Korean medicine are comparably insufficient; therefore, follow-up research on more subjects is needed.
Abstract
Objective: To report the case of a patient suffering from cervical vertigo who was treated with a combination of Korean medicine treatments (including acupuncture, pharmaco-acupuncture, and Chuna manual therapy). Method: An outpatient with cervical vertigo was given a combination of Korean medicine treatments five times, from December 5 to 16, 2016. All of the treatments, acupuncture with electric stimulation and pharmaco-acupuncture, were applied on the trigger points (TP) of the cervical muscles and the upper trapezoid muscles. Chuna manual therapy was then applied on the cervical area. The Numeric Rating Scale (NRS) - according to outpatient’s statement on vertigo, neck pain and headache - and the Korean Dizziness Handicap Inventory (DHI), which is a self-evaluating scale of dizziness in daily life, were used to evaluate the effects of this treatment. Results: At the end of the treatment, the vertigo and the headache disappeared. The NRS decreased from 9 to 0 for vertigo and from 5 to 0 for headache. Although the neck pain also decreased, it did not disappear; this NRS decreased from 7 to 1. The DHI score also decreased significantly, from 64 to 4. Conclusion: Since the symptoms of the patient with cervical vertigo improved after the very first treatment and the improvement of the symptoms was observed as the treatment progressed, this case report is worth supporting the efficacy of combined Korean medical treatments. However, because there was only one subject, it is hard to say that this efficacy can be generalized. Moreover, this report cannot prove the individual efficacy since various treatments were combined. While there are many researches related to cervical vertigo in Western medicine, the studies in Korean medicine are comparably insufficient; therefore, follow-up research on more subjects is needed.
참고문헌 (17)
- artment of Simgye Internal Medicine in national university of Korean Medicine, "Department of Simgye Internal Medicine in national university of Korean Medicine", pp.388~403 (2010), Gunja publisher
- Wrisley DM, "Cervicogenic dizziness: a review of diagnosis and treatment", J Orthop Sports Phys Ther, 30(12), pp.755~766 (2000)
- Li Y, "Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo", Pain Physician, 18(4), pp.E583~E595 (2015)
- Yacovino DA, "Clinical Characteristics of Cervicogenic-Related Dizziness and Vertigo", Semin Neurol, 33, pp.244~255 (2013)
- Ahn JL, "Treatment of Cervicogenic Vertigo by General Coordinative Manipulation: Two Cases Report", J Korean Med Rehabil, 11(1), pp.281~287 (2001)
- Jo CH, "2 Cases Study of The Effect of Jaeumgeonbi-tang Gamibang on the functional dizziness", J Int Korean Med, 32, pp.390~394 (2011)
- 심성윤, "통증평가도구에 관한 고찰", Korean Journal of Acupuncture, 24(2), pp.77~97 (2007), 경락경혈학회
- Han GC, "The Study of Standardization for a Korean Adaptation of Self-report Measures of Dizziness", J Korean Bal Soc, 3(2), pp.307~325 (2004)
- Korean Society of Chuna manual Medicine for Spine & Nerves, "Chuna manual medicine", pp.133~134 (2014), Korean Society of Chuna manual Medicine for Spine & Nerves publisher
- 김주영, "경추성 어지럼증의 진단과 치료", 대한이비인후과학회지 두경부외과학, 58(3), pp.177~181 (2015), 대한이비인후과학회[DOI]
- Ryan GM, "Cervical vertigo", Lancet, 269(6905), pp.1355~1358 (1955)
- Kentala E, "A practical assessment algorithm for diagnosis of dizziness", Otolaryngol Head Neck Surg, 128(1), pp.54~59 (2003)
- Brandt T, "Cervical vertigo", J Neurol Neurosurg Psychiatry, 71(1), pp.8~12 (2001)
- Yahia A, "Chronic neck pain and vertigo: Is a true balance disorder present", Ann Phys Rrhabil Med, 52(7-8), pp.556~567 (2009)
- Dae Kyung Cho, "Myofascial Pain Syndrome in Patients with Cervical Vertigo", Annals of Rehabilitation Medicine, 35(2), pp.243~249 (2011), 대한재활의학회
- Reid SA, "Manual therapy treatment of cervicogenic dizziness: A systematic review", Man Ther, 10(1), pp.4~13 (2005)
- Heikkila H, "Effects of acupuncture, cervical manipulation, and NSAID therapy on dizziness and impaired head repositioning of suspected cervical origin: A pilot study", Man Ther, 5(3), pp.151~157 (2000)