[논문]3차원 보행분석기로 평가한 보행장애 및 자세불안정을 주소로 하는 파킨슨병 환자 한의 치험 2례

이혜진; 황예채; 이경화; 김동주; 조승연; 박정미; 고창남; 박성욱

doi:10.22246/jikm.2023.44.4.774

3차원 보행분석기로 평가한 보행장애 및 자세불안정을 주소로 하는 파킨슨병 환자 한의 치험 2례
Two Cases of Korean Medicine Treatment for Patients with Parkinson's Disease Evaluated Using a Three-Dimensional Gait Analysis System 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.4, 2023년, pp.774 - 790

이혜진 (강동경희대학교병원 뇌신경센터 한방내과) , 황예채 (경희대학교 대학원 한방순환신경내과학교실) , 이경화 (경희대학교 대학원 한방순환신경내과학교실) , 김동주 (경희대학교 대학원 한방순환신경내과학교실) , 조승연 (강동경희대학교병원 뇌신경센터 한방내과) , 박정미 (강동경희대학교병원 뇌신경센터 한방내과) , 고창남 (강동경희대학교병원 뇌신경센터 한방내과) , 박성욱 (강동경희대학교병원 뇌신경센터 한방내과)

초록
AI-Helper

본 증례에서는 파킨슨병으로 인한 보행장애 및 자세불안정을 호소하는 환자 2명에 대하여 한의 치료를 시행한 결과 시공간적 보행지표, 운동형상학적 보행지표, UPDRS part III 점수에서 호전이 있었으며, 향후 보행장애 및 자세불안정을 호소하는 파킨슨병 환자에 한의 치료를 활용할 수 있음을 제시하였기에 증례를 보고하는 바이다.

Abstract ▼ AI-Helper

Objective: This study examined the effectiveness of Korean medicine treatments in two patients with Parkinson's disease complaining of discomfort stemming from postural instability and gait disturbance (PIGD). Methods: Two patients were treated for 3 months. They visited the clinic once a week for the first month and thereafter once every 2 weeks. The Unified Parkinson's Disease Rating Scale (UPDRS) and a three-dimensional gait analysis were performed at the first visit and at 1, 2, and 3 months thereafter. Results: In Case 1, gait speed, stride length, and swing phase increased. Double support decreased until 2 months after treatment but increased slightly after 3 months. Among the kinematic parameters, tilt and rotation increased. The total UPDRS Part III score decreased from 51 points to 29 points after 3 months of treatment. In Case 2, gait speed, stride length, and swing phase increased, but double support decreased. Among the kinematic parameters, tilt, rotation, and obliquity decreased. The total UPDRS Part III score decreased from 11 points to 7 points after 3 months of treatment. Conclusions: This study suggests that Korean medicine can be an effective treatment for patients with Parkinson's disease who experience discomfort due to PIGD.

주제어

표/그림 (20)

표 Table 1. The Composition of Bogolgongjin-dan
표 Table 2. The Composition of Gamisoyo-san
표 Table 3. The Composition of Jaeumganghwa-tang
표 Table 4. Prescription of Western Medicine
표 Table 5. Changes of Spatio-temporal Gait Parameters
그림 Fig. 1. Changes of gait speed.
그림 Fig. 2. Changes of stride length.
표 Table 6. Changes of Kinematic Gait Parameters
그림 Fig. 3. Changes of kinematic gait parameters.
표 Table 7. Changes of UPDRS Part III Total and Sub Score
그림 Fig. 4. Changes of UPDRS part III total score. UPDRS : unified Parkinson's disease rating scale
표 Table 8. The Composition of Jakyakgamcho-tang
표 Table 9. Prescription of Western Medicine
그림 Fig. 5. Changes of gait speed.
그림 Fig. 6. Changes of stride length.
표 Table 10. Changes of Spatio-temporal Gait Parameters
그림 Fig. 7. Changes of kinematic gait parameters.
표 Table 12. Changes of UPDRS Part III Total and Sub Score
표 Table 11. Changes of Kinematic Parameters
그림 Fig. 8. Changes of UPDRS part III total score.

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