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KMID : 0615720170340010049
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Jouranl of Korean Acupuncture and Moxibustion society
2017 Volume.34 No. 1 p.49 ~ p.58
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A Case Report on the Use of Korean Medicine Treatment for a Patient with Dysarthria Caused by Progressive Bulbar Palsy (PBP)
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Ahn Jae-Hyun
Kim Sung-Yoon
Park Jun-Hyeong
Cho Jeong-Jae
Choi Do-Young
Lee Seung-Hoon
Lee Jae-Dong
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Abstract
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Objectives: To introduce a rare case of a patient with Progressive Bulbar Palsy (PBP) and suggest the possibility of treatment using electroacupuncture and Korean Medicine.
Methods: A 61-year-old man with PBP, complaining of dysarthria, was treated with electroacupuncture and Korean Medicine, from June 16 to July 10, 2015. Improvements in symptoms were measured using the speech mechanism screening test (SMST), measurement of tongue and orbicularis oris motility, and speech handicap index (SHI).
Results: The scores of SMST, motility of tongue and orbicularis oris showed a tendency for gradual improvement with 25 days of Korean Medicine Treatment after admission, but conversation was still impossible. In SHI scores, one point increased in the speech domain and one point decreased in the psycho-social domain, and three points increased in the other domain.
Conclusion: Electroacupuncture and Korean Medicine Treatment improved dysarthria caused by PBP, but not completely. Korean Medicine Treatment seems effective in the management of accompanying symptoms such as black hairy tongue, dry mouth, and general condition. The symptoms of PBP are similar to those of amyotrophic lateral sclerosis and there is controversy regarding the classification of PBP. The most important aspect of treating a patient with PBP is an early diagnosis and devising appropriate rehabilitation strategies.
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KEYWORD
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Progressive Bulbar Palsy, PBP, Electroacupuncture, Korean Medicine, Dysarthria
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