Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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The Effect of Combined Korean Medicine Treatment of Patients with Vascular Disease of Spinal Cord: A Case Report

혈관성 척수병증 환자에 대한 한의 복합 치료의 효과: 증례보고

  • Hyeonsun Park (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Sanghyeon Park (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Jiho Lee (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Seohyun Park (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Dongho Keum (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital)
  • 박현선 (동국대학교 분당한방병원 한방재활의학과) ;
  • 박상현 (동국대학교 분당한방병원 한방재활의학과) ;
  • 이지호 (동국대학교 분당한방병원 한방재활의학과) ;
  • 박서현 (동국대학교 분당한방병원 한방재활의학과) ;
  • 금동호 (동국대학교 분당한방병원 한방재활의학과)
  • Received : 2023.09.21
  • Accepted : 2023.10.17
  • Published : 2023.10.31
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Abstract

This case study reports the clinical effect of Korean medicine treatment on vascular disease of spinal cord. A 58-year-old female patient was diagnosed as vascular disease of spinal cord and treated with combined Korean medicine treatment such as acupuncture, electro-acupuncture, herbal medication, and physical therapy for 16 days. The patient was assessed for International Standard for Neurological Classification of Spinal Cord Injury (ISNCSCI), Berg Balance Scale (BBS), and Numeral Rating Scale (NRS). After treatment, total scores of ISNCSCI, BBS, and NRS were numerically improved. Also symptoms of neurogenic bladder were improved. This study suggests that Korean medicine treatment could be effective treatment for vascular disease of spinal cord.

Keywords

References

  1. Kenneth W, Ian B. Neurology and neurosurgery illustrated. 4th ed. E-public. 2011:589-94.
  2. Singh U, Silver JR, Welply NC. Hypotensiveinfarction of the spinal cord. Paraplegia. 1994;32(5):314-22.
  3. Gregory DC A, Susan AD. Basic and clinical anatomy of the spine, spinal cord, and ANS. 2nd ed. Elsevier Inc. 2009:100-6, 429-30.
  4. Kim AL. An explanatory model for patient adherence of rehabilitation in patients with spinal cord injury. Journal of Korean Academy of Nursing. 2010;22(1):90-102.
  5. Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, Johansen M, Jones L, Krassioukov A, Mulcahey MJ, Schmidt-Read M, Waring W. International standards for neurological classification of spinal cord injury. Journal of Spinal Cord Medicine. 2011;34(6):535-46. https://doi.org/10.1179/204577211X13207446293695
  6. Berg K, Wood-Dauphinee S, David G. Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada. 1989;41(6):304-11. https://doi.org/10.3138/ptc.41.6.304
  7. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. Journal of Clinical Nursing. 2005;14(7):798-804. https://doi.org/10.1111/j.1365-2702.2005.01121.x
  8. Cheshire WP, Santos CC, Massey EW, Howard JF. Spinal cord infarction: etiology and outcome. Neurology. 1996;47(2):321-30. https://doi.org/10.1212/WNL.47.2.321
  9. Yang HD, Oh SK, Shim DM. Acute spinal cord infarction: diffusion-weighted MR imaging-case report. Journal of Korean Society of Spine Surgery. 2013;20(2):64-6. https://doi.org/10.4184/jkss.2013.20.2.64
  10. Mohr JP, Choi DW, Grotta JC, Weir B, Wolf PA. Stroke. 4th ed. Churchill Livingstone. 2004:423-36.
  11. Nasr DM, Brinjikji W, Rabinstein AA, Lanzino G. Clinical outcomes following corticosteroid administration in patients with delayed diagnosis of spinal arteriovenous fistulas. Journal of NeuroInterventional Surgery. 2017;9(6):607-10. https://doi.org/10.1136/neurintsurg-2016-012430
  12. Burns AS, Marino RJ, Flanders AE, Flett H. Clinical diagnosis and prognosis following spinal cord injury. Handbook of Clinical Neurology. 2012;109:47-62. https://doi.org/10.1016/B978-0-444-52137-8.00003-6
  13. Jiang SH, Tu WZ, Hu J, Zou EM, Wang S, Li JR. Neuroprotective effects of different modalities of acupuncture on traumatic spinal cord injury in rats. Evidence-Based Complementary and Alternative Medicine. 2014. Article 431580.
  14. Yang C, Li B, Liu TS, Zhao DM, Hu FA. Effect of electroacupuncture on proliferation of astrocytes after spinal cord injury. Zhongguo zhen jiu= Chinese Acupuncture & Moxibustion. 2005;25(8):569-72.
  15. Yang Y, Xu HY, Wu GH, Zeng X, Deng QW, Wang LJ, Lai BQ, Ma YH, Jiang B, Li G, Wang YQ, Zeng YS, Ding Y. Electroacupuncture facilitates the integration of a grafted TrkC-modified mesenchymal stem cell-derived neural network into transected spinal cord in rats via increasing neurotrophin-3. CNS Neuroscience Therapeutics. 2021;27(7):776-91. https://doi.org/10.1111/cns.13638
  16. Nam JK, Kim HJ, Lee MJ. The clinical study on Hua-Tuo-Jia-Ji-Xue acupuncture treatment to neuropathic pain of patients with spinal cord injury. J Korean Med Rehabil. 2010;20(2):183-90.
  17. Ahn SG, Yang YS, Lee SR. The treatise research on Hua-Tuo-Jia-Ji-Xue. Journal of Korean Acupuncture & Moxibustion Society. 2000;17(4):139-48.
  18. Lou XF, Yang XD, Jiang SH, Zhang RF, Sun CY. Study on angle and depth of needle insertion in acupuncture at Zusanli (ST 36). Zhongguo zhen jiu= Chinese Acupuncture & Moxibustion. 2006;26(7):483-6.
  19. Yang MS, Kee YB, Shin MS, Kang DH, Choi JB, Kim SJ. The effects of ST36, GB34, GB39 and hyeopcheok points on nerve regeneration in spinal cord injury rat model. J Korean Med Rehabil. 2012;22(4):1-21.
  20. Jin GJ, Yang SJ. Practical diagnostics and therapeutics of integrated traditional Chinese and western medicine. Iljoongsa. 1992:776-8.
  21. He YY, Zheng HZ, Zhong LY, Zhong NJ, Wen GQ, Wang LS, Zhang Y. Identification of active ingredients of Huangqi Guizhi Wuwu decoction for promoting nerve function recovery after ischemic stroke using HT22 live-cell-based affinity chromatography combined with HPLC-MS/MS. Drug Design, Development and Therapy. 2021;15:5165-78. https://doi.org/10.2147/DDDT.S333418
  22. Fu DL, Lu L, Zhu W, Li JH, Li HQ, Liu AJ, Xie C, Zheng GQ. Xiaoxuming decoction for acute ischemic stroke: a systematic review and meta analysis. Journal of Ethnopharmacology. 2013;148(1):1-13. https://doi.org/10.1016/j.jep.2013.04.002
  23. Rehabilitation Medicion of Korean Medicine. Korean medicine rehabilitation. 4th ed. Koonja Publishing. 2015:323-4.
  24. Hino K, Honjo H, Kitakoji H, Nakao M. The effects of sacral acupuncture on acetic acid induced bladder irritation in conscious rats. Urology. 2010;75(3):730-4. https://doi.org/10.1016/j.urology.2009.04.025
  25. Zhu YF, Shao F, Cheng J. Clinical effect of acupuncture at baliao point combined with electroacupuncture in the treatment of neurogenic bladder. Journal of Modern Medicine and Health. 2019;26(27):26-8.
  26. Harvey LA. Physiotherapy rehabilitation for people with spinal cord injuries. Journal of Physiotherapy. 2016;62(1):4-11. https://doi.org/10.1016/j.jphys.2015.11.004
  27. Seyam R, Taweel WA. Neurogenic bladder in spinal cord injury patients. Research and Reports in Urology. 2015;7:85-99. https://doi.org/10.2147/RRU.S29644
  28. Temml C, Haidinger G, Schatzl G, Madersbacher S, Schmidbauer J. Urinary incontinence in both sexes: prevalence rates and impact on quality of life and sexual lfe. Neurourology and Urodynamics. 2000;19(3):259-71. https://doi.org/10.1002/(SICI)1520-6777(2000)19:3<259::AID-NAU7>3.0.CO;2-U
  29. Stephan K, Huber S, Kanz KG, Buhren V, Haberle S, van Griensven M. Spinal cord injury incidence, prognosis, and outcome: an analysis of the Trauma Register DGU. Spine Journal. 2015;15(9):1994-2001. https://doi.org/10.1016/j.spinee.2015.04.041