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KMID : 1146520210220010031
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Journal of the Society of Stroke on Korean Medicine
2021 Volume.22 No. 1 p.31 ~ p.44
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A Case of Korean Medical Treatment on Advanced-Stage Multiple System Atrophy with Gait Disturbance
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Hwang Ye-Chae
Lee Hye-Jin
Choi Jeong-Woo
Jeon Gyu-Ri
Park Seong-Uk
Park Jung-Mi
Ko Chang-Nam
Cho Seung-Yeon
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Abstract
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The purpose of this case report is to describe the effectiveness of Korean medicine in the treatment of gait disturbance in advanced stage multiple system atrophy-cerebellar type (MSA-C). This inpatient was treated with herbal medicine, acupuncture, pharmaco-acupuncture, moxibustion, cupping, and chuna therapy. The gait disturbance was assessed by Unified Multiple System Atrophy Rating Scale(UMSARS), Tinnetti test, and 16m walking spatial features. After treatment, UMSARS Part I score was enhanced, decreasing from 29 to 24, Part II score from 34 to 18. Tinetti test score increased from 7 to 20. Gait stride length increased and width decreased. This study suggests that Korean medical treatment could be an effective treatment for delaying the progress of gait disturbance in advanced-stage MSA-C patients.
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KEYWORD
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Multiple System Atrophy, MSA-C, Gait disturbance, UMSARS, Tinnetti test, Acupuncture, Chuna, Korean medicine
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