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KMID : 0363320190400050851
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Journal of Korean Oriental Internal Medicine
2019 Volume.40 No. 5 p.851 ~ p.864
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A Case of Multiple System Atrophy with Antecollis and Gait Disturbance Treated with Korean Medicin
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Kim Seo-Young
Choi Jeong-Woo
Jeong Hye-Seon
Lee Sang-Hwa
Yang Seung-Bo
Cho Seung-Yeon
Park Jung-Mi
Ko Chang-Nam
Park Seong-Uk
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Abstract
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Multiple system atrophy is a neurodegenerative disease that causes diverse bodily dysfunctions (cerebellar, pyramidal, automatic, and urological, in any combination), as well as Parkinsonism. Patients with multiple system atrophy commonly display antecollis, a condition where the patient’s head tilts forward more than 45 degrees. Despite its common occurrence in these patients, no current standardized therapies are effective for treating antecollis. In this study, Korean medicinal treatments, including Chuna manual therapy, pharmaco-acupuncture, bee venom acupuncture, acupuncture, herbal medicine, and moxibustion therapy, were administered to the patient over a 27-day period.
After the treatment, assessments of the head position on the EPIS-PD scale (Part I) and at a standing position from the side (Part Ⅱ) both revealed improvements. As the head flexion angle decreased, the patient’s head posture improved, as determined by a decrease in angle from 80 degrees to 30 degrees in the upright, standing position. As a result, patients who previously were unable to walk without the support of walking frames could now roam freely and independently, with significant increases in both walking speed and distance.
In essence, this study suggests that Korean medicine is an effective treatment for patients with multiple system atrophy who suffer from antecollis and gait disorders.
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KEYWORD
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Parkinsonism, multiple system atrophy, antecollis, gait disturbance, Chuna, pharmaco-acupucture
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