• 제목/요약/키워드: Cervical dystonia

검색결과 21건 처리시간 0.022초

경련성(痙攣性) 사경증(斜頸症) 환자(患者) 치험(治驗) 1예(例) 보고 (A Clinical Case Report on Treatments of Cervical Dystonia)

  • 변성범;윤종민;문병순
    • 대한한방내과학회지
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    • 제34권4호
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    • pp.456-465
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    • 2013
  • Objectives : A case of cervical dystonia improved after Korean medical treatments by using measurements of Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), and Cervical Dystonia Impact Profile (CDIP-58) to evaluate the changes of symptoms. Methods : Korean medical treatments for relieving symptoms of cervical dystonia including acupuncture, herb medication, cupping therapy, and physical therapy were performed. To evaluate the effect of the treatments, TWSTRS and CDIP-58 were used. Results : TWSTRS decreased from 55 to 24.5 and CDIP-58 also decreased from 79.3 to 36.2. Conclusions : This report suggests that Korean medical treatments can be effectively used for patients with cervical dystonia. Further clinical studies are needed to verify the findings.

말초성 외상후 경부 근긴장이상증에 대한 도침치료: 증례 보고 (Peripheral Post-traumatic Cervical Dystonia Treated by Miniscalpel-Acupuncture: A Case Report)

  • 윤상훈;조희근;권민구;송민영
    • 한방재활의학과학회지
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    • 제28권1호
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    • pp.161-166
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    • 2018
  • This report describes the miniscalpel-acupuncture treatment of a 68-yr-old woman who had abnormal posture and involuntary dystonic movements of the head and neck. She suffered muscle contracture associated symptoms after she fell injured in 2014. Her neck had abnormal posture findings due to muscle tension. The spasms gradually worsened and did not respond to botulinum toxin injections. Involuntary dystonic movements may be due to peripheral post-traumatic cervical dystonia. Outcomes support cervical dystonia may be managed effectively with miniscalpel-acupuncture. Further research is recommended.

턱관절음양균형요법과 도침치료를 병행한 한방치료를 이용한 경부 근긴장이상증 치험 1례 (A Case Report of Cervical Dystonia Treated by Korean Medical Treatment with Yin-yang Balancing Therapy of the Temporomandibular Joint [Functional Cerebrospinal Therapy, FCST] and Miniscalpel-Acupuncture)

  • 박정현;도현정;정수은;박송미;이영준;김철홍
    • 턱관절균형의학회지
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    • 제10권1호
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    • pp.26-31
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    • 2020
  • Objectives: The purpose of this study is to report the effect of Korean medical treatment with FCST and Miniscalpel-Acupuncture on patient with cervical dystonia. Methods: In this study, A patient with cervical dystonia was admitted to ◯◯ Korean medicine Hospital from Oct 20th, 2020 to Nov 28th, 2020. During the admission period, the patient was treated by Korean medical treatment (acupuncture, pharmacopuncture, herb medicine, etc.), especially using FCST and Miniscalpel-Acupuncture. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), the Tsui score and CDIP (Cervical Dystonia Impact Profile)-58 were used for measuring the Cervical Dystonia. Results: After treatment for 40 days, the TWSTRS showed a decrease from 52.75 to 13.75, the Tsui score also decreased from 17 to 3 and the CDIP-58 score decreased from 64.1 to 25.5. Conclusions: These results showed that Korean medical treatment especially using FCST and Miniscalpel-Acupuncture may have an effect on reducing symptoms of cervical dystonia. But the further researches are needed.

사경증 환자에 대한 경근자법 중심의 한방치료 치험 1례 (A Case Report of a Patient with Cervical Dystonia Treated by Korean Medical Treatment Based on Meridian Tendino-Musculature Acupuncture)

  • 신대철;강미숙
    • Korean Journal of Acupuncture
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    • 제33권4호
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    • pp.226-230
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    • 2016
  • Objectives : The objective of this study is to report a effectiveness of korean medical treatment based on Meridian Tendino-musculature Acupuncture to patient with cervical dystonia. Methods : In this study, we conducted treatment based on Meridian Tendino-musculature Acupuncture to patients. And we also carried out treatments like herb medicine and cupping therapy etc. Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine were measured once a month to evaluate the severeness of symptom. Results : After 24 sessions of treatment, there were improvements on Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine. Conclusions : Korean medical treatment based on Meridian Tendino-musculature Acupuncture may be effective for relieving symptoms of cervical dystonia.

경추부 근육긴장이상에 대한 턱관절 경락음양 균형치료시 영상의학적으로 관찰된 경추정렬 개선 효과 (Meridian Yinyang Balance Treatment of Temporomandibular Joint Improves Cervical Spine Alignment in Spasmodic Torticollis Cases, a Medical Imaging Study)

  • 인창식;이영진;이영준
    • 동의생리병리학회지
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    • 제22권2호
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    • pp.459-463
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    • 2008
  • Postural balance of temporomandibular joint (TMJ) reflects the neuromuscular balance. TMJ posture treatment for meridian yinyang balance has been asserted to have an impact upon cervical spine alignment with an episodic good clinical result for refractory torticollis cases. A retrospective study with one-group pretest-posttest design was conducted to review cervical spine imaging data and clinical symptom changes in cervical dystonia cases to explore the effect of TMJ balance treatment. Review of clinical symptoms and cervical spine imaging data including computed tomography and simple x-ray of 9 cervical dystonia cases revealed significant improvement of cervical spine alignment and clinical symptoms. Improvement of cervical spine alignment may be an underlying mechanism of TMJ balance treatment, as a way of balancing the whole-body meridian system.

FCST의 음양균형장치를 이용한 연축성 사경증 증례보고 (Cervical Dystonia Cases Managed by Yinyang Balancing Appliance for FCST, Functional Cerebro Spinal Therapy of TMJ)

  • 최근욱;이영준
    • 턱관절균형의학회지
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    • 제2권1호
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    • pp.20-25
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    • 2012
  • 본 증례에서는 원인불명의 전신 연축성 사경증과 강박장애를 동반한 경부 연축성 사경증의 두 증례에 대해 음양균형장치를 포함한 표준형 구강내 균형장치, 침구치료, 한약처방, 골반교정 등 복합치료를 통해 뚜렷한 치유효과를 관찰했다. 음양균형장치와 표준형구강내 균형장치 등 턱관절의 균형조절을 통한 기능적뇌척주요법의 치료가 경추와 흉추의 구조변화는 물론 전신자세에도 긍정적인 변화를 주고 있음을 관찰했다.

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경부 근긴장이상증 환자에 대한 한방치료 증례보고 1례 (A Case Report of Korean Medicine Treatment for a Patient with Cervical Dystonia)

  • 진효원;박정림;박정림;윤종민;문병순
    • 대한한방내과학회지
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    • 제44권5호
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    • pp.948-956
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    • 2023
  • The purpose of this study is to report a case of cervical dystonia and the effects of a series of traditional Korean medicine treatments applied to the patient. The patient was treated with conventional treatment and traditional Korean medicine consisting of acupuncture, moxa, chuna therapy, and herbal medicine (Hoesu-san-gami) for 48 days. Progress was measured by Tsui's score, the Toronto Western Spasmodic Torticollis Rating Scale, and the Neck Disability Index. We observed some improvements in the patient's symptoms: Tsui's score of 15 to 11, TWSTRS of 63.3 to 47.8, and NDI of 24 to 17. These findings indicate that the application of traditional Korean medicine to cervical dystonia can yield decent clinical outcomes.

턱관절음양균형요법을 이용한 연축성 사경증 치험 1례 (A Case of Cervical dystonia Treatment Using Yin-yang Balancing Therapy of Temporomandibular Joint)

  • 이상배;이영준
    • 턱관절균형의학회지
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    • 제12권1호
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    • pp.15-21
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    • 2022
  • 본 증례에서는 턱관절 문제가 시작 된 후 연축성 사경증이 발병한 뒤 다년간의 치료로 호전이 없던 환자에게서 턱관절 음양균형요법(Yin-yang Balancing Therapy of TMJ)을 위주로 침, 추나, 약물요법 등의 한의학적 치료를 통해 유의한 효과를 얻어 보고하는 바이다.

메이그증후군으로 진단받은 안면 근육 긴장 이상 환자 증례 보고 1례 (A Case Report of a Patient with Cranial Dystonia Diagnosed as Meige Syndrome)

  • 박송원;김영지;송주연;이찬솔;홍승철;오지혜;정지천
    • 대한한방내과학회지
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    • 제39권5호
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    • pp.886-894
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    • 2018
  • Objective: Despite being the most common cause of cranial dystonia, Meige syndrome remains a rare clinical entity. It is characterized by blepharospasm and orofacial dystonia. This case study reports on the use of traditional Korean medicine for a patient who suffered from blepharospasm and oromandibular dystonia suspected to be the result of Meige syndrome. Methods: A patient was given a series of Korean medicine therapy treatments, including administration of the herbal medicine Gamiguibi-tang-gamibang, acupuncture, and cupping, over a 19 day hospitalization period. We measured the state and progress of this case using the numeric rating scale and dystonia frequency. Results: A decrease in subjective symptoms and reduction in the frequency of oromandibular dystonia was observed after Korean medicine therapy treatments. Conclusion: This case is useful for describing herbal medicine treatment for Meige syndrome, and further case reports and studies will be needed in the future.

Pallidal Deep Brain Stimulation in Primary Cervical Dystonia with Phasic Type : Clinical Outcome and Postoperative Course

  • Jeong, Seong-Gyu;Lee, Myung-Ki;Kang, Ju-Young;Jun, Sung-Man;Lee, Won-Ho;Ghang, Chang-Ghu
    • Journal of Korean Neurosurgical Society
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    • 제46권4호
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    • pp.346-350
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    • 2009
  • Objective : The purpose of this study was to analyze in detail the relationship between outcome and time course of effect in medically refractory primary cervical dystonia (CD) with phasic type that was treated by bilateral globus pallidus internus (Gpi) deep brain stimulation (DBS). Methods : Six patients underwent bilateral implantation of DBS into the Gpi under the guide of microelectrode recording and were followed for $18.7{\pm}11.1$ months. The mean duration of the CD was $5.8{\pm}3.4$ years. The mean age at time of surgery was $54.2{\pm}10.2$ years. Patients were evaluated with the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) and relief scale using patient self-reporting. Results : The TWSTRS total scores improved by 64.5%, 65.5%, 75.8%, and 76.0% at 3, 6, 12 months, and at the last available follow-up after surgery, respectively. Statistically significant improvements in the TWSTRS scores were observed 3 months after surgery (p=0.028) with gradual improvement up to 12 months after surgery, thereafter, the improvement was sustained. However, there was no statistically significant difference between the scores at 3 and 12 months. Subjective improvement reported averaged $81.7{\pm}6.8%$ at last follow-up. Mild dysarthria, the most frequent adverse event, occurred in 3 patients. Conclusions : Our results show that the bilateral Gpi-DBS can offer a significant therapeutic effect from 3 months postoperatively in patients with primary CD with phasic type, without significant side effects.