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논문KCI 등재

경전굴 및 보행장애를 주소로 하는 다계통 위축증 환자의 한의 치료 증례 1례

A Case of Multiple System Atrophy with Antecollis and Gait Disturbance Treated with Korean Medicine

이상화|조승연|박정미|고창남|박성욱|최정우|양승보|김서영|정혜선
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2019.10|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제40권 제5호|pp. 851-864|DOI https://doi.org/10.22246/jikm.2019.40.5.851

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참고문헌

키워드

ChunaParkinsonismmultiple system atrophygait disturbanceantecollispharmaco-acupucture
주제분류한의학

초록

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.

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.

참고문헌 (39)

  1. Keener AM, "Parkinsonism", Semin Neurol, 36(4), pp.330~334 (2016)
  2. Kashihara K, "Dropped head syndrome in Parkinson's disease", Mov Disord, 21(8), pp.1213~1216 (2006)
  3. Lava NS, "Focal myopathy as a cause of anterocollis in parkinsonism", Mov Disord, 16(4), pp.754~756 (2001)
  4. Yoshiyama Y, "The dropped head sign in parkinsonism", J Neurol Sci, 167(1), pp.22~25 (1999)
  5. Van de Warrenbur BPC, "The Phenomenon of Disproportionate Antecollis in Parkinson's Disease and Multiple System Atrophy", Mov Disord, 22(16), pp.2325~2331 (2007)
  6. Korea society of chuna manual medicine for spine & nerves, "Chuna medicine", pp.28~ (2017), Korea society of chuna manua medicine for spine & nerves
  7. Park KJ, "The case report of chuna treatment on neck pain patients with kyphotic cervical curvature", The Journal of korea chuna manual medicine for spine & nerves, 7(1), pp.95~101 (2012)
  8. Fahn S, "Recent development in Parkinson's disease volume II", pp.153~163 (1987), Macmillan
  9. Deitos MV, "Evaluation of posture image in parkinson's disease : a developmental study", Journal of Physiotherapy Research, 7(4), pp.462~469 (2017)
  10. Vaugoyeau M, "Proprioceptive impairment and postural orientation control in Parkinson's disease", Hum Mov Sci, 30(2), pp.405~414 (2011)
  11. Fujimoto K, "Dropped head in Parkinson's disease", J Neurol, 253(7), pp.VII21~VII26 (2006)
  12. Ashour R, "Joint and skeletal deformities in Parkinson's disease, multiple system atrophy, and progressive supranuclear palsy", Mov Disord, 21(11), pp.1856~1853 (2006)
  13. Yamada H, "Parkinson's disease and dropped head", Rinsho Shinkeigaku, 45, pp.955~ (2003)
  14. Suzuki M, "Pramipexole-induced antecollis in Parkinson's disease", J Neurol Sci, 264(1-2), pp.195~197 (2008)
  15. Kataoka H, "Dropped head associated with amantadine in Parkinson disease", Clin Neuropharmacol, 34(1), pp.48~49 (2011)
  16. Postuma RB, "MDS clinical Diagnostic Criteria for Parkinson'Disease", Mov Disord, 30(12), pp.1591~1599 (2015)
  17. Jorens P, "Antecollis in parkinsonism", Lancet, 333(8650), pp.1320~1321 (1989)
  18. Herting B, "Computed omographically-controlled injection of botulinum toxin into the longus colli muscle in severe anterocollis", Mov Disord, 19(5), pp.588~590 (2004)
  19. Quinn N, "Disproportionate antecollis in multiple system atrophy", Lancet, 333(8642), pp.844~ (1989)
  20. Quinn N, "Parkinsonism and dystonia, pseudoparkinsonism and pseudodystonia", Advances in Neurology, 60, pp.540~543 (1993)
  21. Rivest J, "Dystonia in Parkinson'disease, multiple system atrophy, and progressive supranuclear palsy", Neurology, 40(10), pp.1571~1578 (1990)
  22. The Co-Textbook of Herbology Publishing Committee of Korean Oriental Medicine School, "Herbology", pp.207~208 (2008), Younglim Publishing Inc
  23. 정일문, "中性瘀血 藥鍼과 當歸鬚散加味湯이 외상성 뇌손상 흰쥐의 신경보호에 미치는 영향", 한방재활의학과학회지, 20(1), pp.13~26 (2010), 한방재활의학과학회
  24. Bracher ES, "A combined approach for the treatment of cervical vertigo", J Manipulative Physiol Ther, 23(2), pp.96~100 (2000)
  25. Doherty KM, "Postural deformities in Parkinson's disease", Lancet Neurology, 10(6), pp.538~549 (2011)
  26. Doo KH, "A Prospective Open-Label Study of Combined Treatment for Idiopathic Parkinson's Disease Using Acupuncture and Bee Venom Acupuncture as an Adjunctive Treatment", J Altern Complement Med, 21(10), pp.598~603 (2015)
  27. 이영은, "파킨슨병 환자의 자세 불안정과 보행장애에 대한 한양방 복합치료 3예", Korean Journal of Acupuncture, 31(1), pp.40~47 (2014), 경락경혈학회[DOI]
  28. Chung ES, "Neuro-protective effects of bee venom by suppression of neuroinflammatory responses in a mouse model of Parkinson's disease : Role of regulatory T cells", Brain, Behavior, and Immunity, 26(8), pp.1322~1330 (2012)
  29. Doo AR, "Neuroprotective effects of bee venom pharmaceutical acupuncture in acute 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine-induced mouse model of Parkinson's disease", Neurol Res, 32(1), pp.88~91 (2010)
  30. Alvarez-Fischer D, "Bee venom and its component apamin as neuroprotective agents in a Parkinson disease mouse model", PLoS ONE, 8(4), pp.e61700~ (2013)
  31. Cho SY, "Efficacy of Combined Treatment with Acupuncture and Bee Venom Acupuncture as an Adjunctive Treatment for Parkinson's Disease", J Altern Complement Med, 24(1), pp.25~32 (2018)
  32. Koga S, "When DLB, PD, and PSP masquerade as MSA : an autopsy study of 134 patients", Neurology, 85(5), pp.404~412 (2015)
  33. Stankovic I, "A critique of the second consensus criteria for multiple system atrophy", Mov Disord, 34(7), pp.975~984 (2019)
  34. Palma JA, "Diagnosis of multiple system atrophy", Auton Neurosci, 211, pp.15~25 (2018)
  35. 우성진, "보행장애를 주소로 하는 소뇌형 다계통 위축증 환자의한방 치료 1례", 대한한방내과학회지, 37(5), pp.806~814 (2016), 대한한방내과학회
  36. 정민호, "복시를 호소하는 다계통위축증 환자 치험 1례", 대한한방내과학회지, 38(2), pp.246~251 (2017), 대한한방내과학회
  37. 조준호, "소뇌성 다계통위축증(MSA-C) 환자 한방 치험 1례", 대한한방내과학회지, 39(5), pp.1042~1051 (2018), 대한한방내과학회
  38. Helgadottir H, "Altered Alignment of the Shoulder Girdle and Cervical Spine in Patients With Insidious Onset Neck Pain and Whiplash Associated Disorder", Journal of Applied Biomechanics, 27(3), pp.181~191 (2011)
  39. Kim JS, "The Experimental Study of Palmoolgoonjatang and Seungyangikgitang of Soyum-In on Yang-Insufficient Syndrome Induced by Hydrocortisone Acetate", J Korean Med, 9(1), pp.42~61 (1988)

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