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KMID : 0363320200410050821
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Journal of Korean Oriental Internal Medicine
2020 Volume.41 No. 5 p.821 ~ p.829
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A Case of Korean Medical Treatment on Multiple System Atrophy with Gait Disturbance
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Yim Tae-Bin
Jeon Gyu-Ri
Kim Seo-Young
Jeong Hye-Seon
Cho Seung-Yeon
Park Seong-Uk
Park Jung-Mi
Ko Chang-Nam
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Abstract
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This case report describes the effects of Korean Medicine for the gait disturbance of Multiple System Atrophy (MSA). Korean Medicine that included chuna manual therapy, pharmaco-acupuncture, herbal medicine, acupuncture, electro-acupuncture, and moxibustion was administered for 23 days. During the hospitalization period, evaluations were performed using the Unified Multiple System Atrophy Rating Scale (UMSARS), Berg Balance Scale (BBS), and 20 m Round Timed Walking Test on day 1, day 15, and day 23. The UMSARS Part I score decreased from 11 to 5, Part Ⅱ score from 11 to 9, and total score from 22 to 14, and the BBS score increased from 36 to 48. The 20 m Round Timed Walking Test score also improved. The width of the gait decreased from 65 to 40 cm, and the number of staggering incidents decreased from 6 times to 2 times. The findings of this case study suggest that Korean Medicine, including Chuna manual therapy, has potential benefits in MSA patients with gait disturbance.
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KEYWORD
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Parkinsonism, multiple system atrophy, gait disturbance, Chuna, Korean medicine
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