[논문]중대뇌동맥 영역에 발생한 다발성 뇌경색 환자의 보행장애에 대한 한의 복합 치료: 증례보고 1례

채인철; 최인우; 양지혜; 강지윤; 유주영; 정은선; 김윤식; 설인찬; 유호룡

doi:10.22246/jikm.2021.42.2.75

중대뇌동맥 영역에 발생한 다발성 뇌경색 환자의 보행장애에 대한 한의 복합 치료: 증례보고 1례
Case Report of Multiple Cerebral Infarction in Middle Cerebral Artery with Gait Disturbance Treated by Korean Medicine 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.2, 2021년, pp.75 - 85

Abstract ▼ AI-Helper

Objectives: This study reported about a patient with a right middle cerebral artery infarction whose gait disturbance was improved by Korean medicine treatment. Methods: The patient was treated with a Korean herbal medicine (Gami-yukmijihwang-tang) along with acupuncture, electroacupuncture, moxibustion, cupping, and physical therapy. The treatment effect was evaluated with the manual muscle test (MMT) and the Korean version of the modified Barthel index (K-MBI). The gait of the patient was evaluated by a 10-m walk test (10MWT), the timed up and go (TUG) test, the functional ambulation profile (FAP) score, and the functional ambulatory category (FAC) score. Spatiotemporal parameters were evaluated using a walkway system (GAITRite®, CIR Systems, Inc., USA). Results: After 83 days of traditional Korean medicine treatment, the K-MBI and FAC scores improved from 50 to 70 and from 1 to 4, respectively. The 10MWT and TUG tests also improved from 24.86 to 16.66 sec and from 22.35 to 17.62 sec, respectively. GAITRite® measurements reflected gait improvements: the FAP score improved from 55 to 86 sec; the step time improved from 0.72 to 0.669 sec; the step length improved from 31.076 cm to 41.284 cm; the gait velocity improved from 42.8 cm/sec to 64.1 cm/sec; the cadence improved from 93.6 steps/min to 90.8 steps/min. No adverse effects resulting from treatment or evaluation occurred during the admission period. Conclusions: This study suggests that traditional Korean medicine treatment may reduce symptoms and improve the quality of life in patients with cerebral infarction.

주제어

표/그림 (9)

그림 Fig. 1. Timeline of the patient’s history.
그림 Fig. 2. Brain MRI & MRA (2020.06.11). *DWI : diffusion weighted image
표 Table 1. Composition of Gami-yukmijihwang-tang
표 Table 2. Western Medicine
표 Table 3. The Functional Ambulation Categories
표 Table 4. The Change of MMT, K-MBI and FAC
표 Table 5. The Change of GAITRite® Parameter
표 Table 6. The Change of 10MWT, TUG test
그림 Fig. 3. The change of 10MWT, TUG test. *10MWT : 10 m walk test, TUG test : timed up and go test

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