총비골신경마비의 근골격계 초음파를 이용한 침도치료 임상증례

The Case Report of Common Peroneal Nerve Palsy Treated with Musculoskeletal Ultrasound-guided Acupotomy Therapy

  • 김성하 (원광대학교 광주한방병원 침구의학과) ;
  • 박만용 (원광대학교 광주한방병원 침구의학과) ;
  • 이상미 (원광대학교 광주한방병원 침구의학과) ;
  • 정호현 (원광대학교 광주한방병원 침구의학과) ;
  • 박세운 (원광대학교 산본한방병원 침구의학과) ;
  • 박옥주 (원광대학교 익산한방병원 침구의학과) ;
  • 김성철 (원광대학교 광주한방병원 침구의학과)
  • Kim, Sung-Ha (Dept. of Acupuncture & Moxibustion Medicine, Gwangju Oriental Medicine Hospital in Wonkwang University) ;
  • Park, Man-Young (Dept. of Acupuncture & Moxibustion Medicine, Gwangju Oriental Medicine Hospital in Wonkwang University) ;
  • Lee, Sang-Mi (Dept. of Acupuncture & Moxibustion Medicine, Gwangju Oriental Medicine Hospital in Wonkwang University) ;
  • Jung, Ho-Hyun (Dept. of Acupuncture & Moxibustion Medicine, Gwangju Oriental Medicine Hospital in Wonkwang University) ;
  • Park, Se-Woon (Dept. of Acupuncture & Moxibustion Medicine, Sanbon Oriental Medicine Hospital in Wonkwang University) ;
  • Park, Ok-Ju (Dept. of Acupuncture & Moxibustion Medicine, Iksan Oriental Medicine Hospital in Wonkwang University) ;
  • Kim, Sung-Chul (Dept. of Acupuncture & Moxibustion Medicine, Gwangju Oriental Medicine Hospital in Wonkwang University)
  • 투고 : 2012.09.08
  • 심사 : 2012.09.22
  • 발행 : 2012.10.20

초록

Objectives : The objective of this case report was to observe the effect of musculoskeletal ultrasound-guided acupotomy therapy on common peroneal nerve palsy. Methods : From June, 2010 to September, 2012, 3 patients clinically diagnosed as common peroneal nerve palsy were treated with general oriental medicine therapy (acupuncture, pharmacopuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results : The foot drop of the patients was remarkably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy hasnotable effect in improving symptoms of common peroneal nerve palsy. As though we had not widly experienced in this treatment, more research is needed.

키워드

참고문헌

  1. David J Magee. Orthopedic Physical Therapy Diagnostics. Seoul : Hyunmoon. 1998 : 805.
  2. Society of Korean Orthopedic Surgery. Orthopedic Surgery 6th : The latest mecicine. 2006 : 435-36.
  3. Togrol E. Bilateral peroneal nerve palsy induced by prolonged squatting. Mil Med. 2000 Mar ; 165(3) : 240-2.
  4. Chu MG, Kim SJ, We J, Choi JB. A Clinical Case Study of Foot Drop Caused by Common Peroneal Neuropathy. J Oriental Rehab Med. 2007 ; 17(3) : 218, 227.
  5. Hwang JU, Lee JY, Won SH, Kim DY, Kim SH, Park HS. Case Report of Foot Drop Patient Treated with Electroacupuncture. The Journal of Korean Acupuncture & Moxibustion Society. 2005 ; 22(05) : 161-66.
  6. Lee SH, Choi SY, Lee SK, Gug YJ, Kim DJ. Clinical Study on 1 Case of Patient with the Foot Drop Diagnosed as Peripheral Neuropathy. The Journal of Korean Acupuncture & Moxibustion Society. 2006 ; 23(1) : 217-23.
  7. Jang WS. A case of foot drop treated with placenta pharmacopuncture. The Journal of Pharmacopuncture. 2009 ; 12(1) : 99-102. https://doi.org/10.3831/KPI.2009.12.1.099
  8. Jeung HY, Kang SG, Koh HG. Review on The XiaZhenDao Therapy. The Journal of Korean Acupuncture & Moxibustion Society. 2002 ; 19(1) : 244-61.
  9. Kim SC, Seo GY, Lee SW, Parck SU, Kim JH, Ahn SH, Hwang SY. Biological Activities of Scolopendrid Pharmacopuncture. The Journal of Pharmacopuncture. 2010 ; 13(3) : 5-13. https://doi.org/10.3831/KPI.2010.13.3.005
  10. Takakura Y, Kumai T, Takaoka T and Tamai S. Peroneal nerve palsy caused by coalition associated with a ganglion. J Bone Joint Surg. 1998 : 80-B ; 130-33.
  11. Kim SM. Clinical Diagnostics of neuron. Seoul : Jungdam. 1999 : 3, 41, 45.
  12. Kang SY, Park KH, Moon JL. Clinical and Electromyography study of peroneal nerve palsy. Korean Academy of Rehabilitation Medicine. 1987 ; 1(2) : 236-42.
  13. Meals RA. Peroneal nerve palsy complicating ankle sprain: Report of two cases and review of the literature. J Bone Joint Surg. 1966 ; 48 : 1484-95.
  14. Krackow KA, Maar DC, Mont MA, Carroll IV. Surgical decompression for peroneal nerve palsy after total knee arthroplasty. Clin Orthop. 1993 ; 292 : 223-8.
  15. Cho SG, Chung BS, Yun HS, Lee JH, Lee SH, Seo DM, Lee JD. Clinical study on a case of axonotmesis of common peroneal mononeropathy by using 3 times EMG studies. The Journal of Pharmacopuncture. 2001 ; 4 : 105-12.
  16. Michael A Mont, A Lee Dellon, Franklin Chen, Marc W Hungerford, Kenneth AKrackow and David S Hungerford. The Operative Treatment of Peroneal Nerve Palsy. The Journal of Bone & Joint Surgery. 1996 ; 78 : 863-9. https://doi.org/10.1302/0301-620X78B6.6714
  17. Yang Yu Gul. The translation of Huangdi Neijing Suwen. Seoul : Yiljong. 1991: 337-41.
  18. Hong Won Sik. Exquisite Huangdi Neijing Suwen. Seoul : Institute of Oriental Medicine. 1985 : 14.
  19. Zhu Han Zhang. Therapy of Acupotomy. Beijing : Chinese Medicine Publishers. 1992 : 9-42.
  20. Wu Xu Ping, Zhang Tian Min. Acupotomy of low back & abdomen pain. Beijing : Chinese Medicine Publishers. 2008 : 156-62.