한방 및 양방 복합치료를 병행한 비특이성 다발성 신경염 치험 증례보고 1례 A Case Report of One Non-specific Polyneuritis Patient Treated with Korean & Western Medical Methods - Including Joint Mobilization Chuna Technique원문보기
Objectives : The purpose of this study was to report the clinical results of various medical methods (including Chuna joint mobilization) used to treat a single patient with polyneuritis. Methods : We treated a 46 year-old female patient diagnosed with polyneuritis using various methods, including a...
Objectives : The purpose of this study was to report the clinical results of various medical methods (including Chuna joint mobilization) used to treat a single patient with polyneuritis. Methods : We treated a 46 year-old female patient diagnosed with polyneuritis using various methods, including acupuncture, moxibustion, infrared therapy, herbal medication, Western medication, Chuna manual therapy, and physical therapy. We evaluated the results using the numeric rating scale (NRS), manual muscle test (MMT), active range of motion (ROM), modified barthel index (MBI). Other evaluation scale included Deep tendon reflex and thickness of muscle especially forearm and lower leg. Results : Following treatment using a combination of the above methods, the general overall condition of the patients was significantly improved. Furthermore, the NRS, MMT, MBI, and the active ROM scores were numerically improved. Conclusions : In this case, a single patient with polyneuritis was treated using a combination of Korean and Western medical methods. Although this study provides useful insight into treatment methods, further studies are required to determine the treatment effects of Korean medicine, specifically Chuna manual therapy, in patients with polyneuritis.
Objectives : The purpose of this study was to report the clinical results of various medical methods (including Chuna joint mobilization) used to treat a single patient with polyneuritis. Methods : We treated a 46 year-old female patient diagnosed with polyneuritis using various methods, including acupuncture, moxibustion, infrared therapy, herbal medication, Western medication, Chuna manual therapy, and physical therapy. We evaluated the results using the numeric rating scale (NRS), manual muscle test (MMT), active range of motion (ROM), modified barthel index (MBI). Other evaluation scale included Deep tendon reflex and thickness of muscle especially forearm and lower leg. Results : Following treatment using a combination of the above methods, the general overall condition of the patients was significantly improved. Furthermore, the NRS, MMT, MBI, and the active ROM scores were numerically improved. Conclusions : In this case, a single patient with polyneuritis was treated using a combination of Korean and Western medical methods. Although this study provides useful insight into treatment methods, further studies are required to determine the treatment effects of Korean medicine, specifically Chuna manual therapy, in patients with polyneuritis.
다발성 신경염(polyneuritis)은 이완성 마비질환 중의 하나로, 증상으로는 대체로 근력저하, 근긴장도 저하, 반사 감소 혹은 소실 등을 보이며, 膝關節 이하 말초부에 대칭적인 피부감각장애, 영양장애 등을 초래하는 질환이다. 대개 빠르게 병이 진행되어 수일 내에 사지말단부위의 감각저하, 근력저하를 동반한 수족하수·근육위축, 피부 냉감 및 건조 등의 증상이 발현된다1).
다발성 신경염의 증상으로 발현되는 것은 무엇인가?
다발성 신경염(polyneuritis)은 이완성 마비질환 중의 하나로, 증상으로는 대체로 근력저하, 근긴장도 저하, 반사 감소 혹은 소실 등을 보이며, 膝關節 이하 말초부에 대칭적인 피부감각장애, 영양장애 등을 초래하는 질환이다. 대개 빠르게 병이 진행되어 수일 내에 사지말단부위의 감각저하, 근력저하를 동반한 수족하수·근육위축, 피부 냉감 및 건조 등의 증상이 발현된다1). 임상에서 발현되는 다발성 신경염의 주된 증상으로는 사지말단부 특히 하지부에 대칭적으로 나타나는 운동·감각신경 이상이 있다.
다발성 신경염의 진단방법은 무엇인가?
다발성 신경염의 진단방법으로는 신경전도검사(nerve conduction velocity)와 근전도검사(electromyography)를 통해 진단하며, 그 외 생화학, 뇌척수액(cerebrospinal fluid)검사 등 실험실 검사를 통해 추가적인 정보를 파악할 수 있다2). 서양의학적 치료의 경우, 경미한(mild)한 경우는 특별히 치료하지 않고 경과관찰하며, 중등도(moderate)의 경우 스테로이드 약물 사용을, 중증(severe)의 경우는 혈장교환술 또는 면역글로불린을 활용한 다고 명시되어 있다4).
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