The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Gait Disturbance in a Patient with Idiopathic Normal Pressure Hydrocephalus Induced by Secondary Parkinsonism Treated with Korean Medicine

보행 장애를 주소로 하는 특발성 정상압 수두증으로 인한 이차성 파킨슨증 환자의 한의치료 증례보고 1례

  • Choi, In-woo (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Yang, Ji-hye (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Chae, In-cheol (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Kim, Chan-young (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Ryu, Ju-young (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Jung, Eun-sun (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Kim, Yoon-sik (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Seol, In-chan (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Yoo, Ho-ryong (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
  • 최인우 (대전대학교 한의과대학 심계내과학교실) ;
  • 양지혜 (대전대학교 한의과대학 심계내과학교실) ;
  • 채인철 (대전대학교 한의과대학 심계내과학교실) ;
  • 김찬영 (대전대학교 한의과대학 심계내과학교실) ;
  • 유주영 (대전대학교 한의과대학 심계내과학교실) ;
  • 정은선 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실)
  • Received : 2020.09.13
  • Accepted : 2020.11.02
  • Published : 2020.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The aim of this study was to report the effectiveness of traditional Korean medicine treatment of a gait disturbance in a patient with idiopathic normal pressure hydrocephalus induced by secondary Parkinsonism. Methods: The patient was treated with Korean herbal medicine (Yukmijihwang-tang-gami), acupuncture, moxibustion, and rehabilitation exercise. The gait of the patient was evaluated by the 10 m Walk Test, Timed Up and Go (TUG) test, 360° turning test, Functional Ambulatory Category (FAC), and GAITRite. Results: After 20 days of traditional Korean medicine treatment, we observed improvement in the symptoms of the gait disturbance. Conclusion: Traditional Korean medicine treatment might be effective in the treatment of gait disturbance in patients with idiopathic normal pressure hydrocephalus induced by secondary Parkinsonism.

Keywords

References

  1. Olanow C, Klein C, Schapira AV. Parkinson's Disease. In: Jameson J, Fauci AS, Kasper DL, Hauser SL, Longo DL,Loscalzo J. eds. Harrison's Principles of Internal Medicine, 20e. McGraw-Hill; http://accessmedicine.mhmedical.com.ssl.openlink.inha.ac.kr:8080/content.aspx?bookid=2129§ionid=19253236
  2. Disturbances of Cerebrospinal Fluid, Including Hydrocephalus, Pseudotumor Cerebri, and Low-Pressure Syndromes. In: Ropper AH, Samuels MA, Klein JP, Prasad S. eds. Adams and Victor's Principles of Neurology, 11e. McGraw-Hill; http://accessmedicine.mhmedical.com.ssl.openlink.inha.ac.kr:8080/content.aspx?bookid=1477§ionid=145989641
  3. Go HY, Jung SN, Im YN, Park JS, Jun CY, A case report of normal pressure hydrocephalus. Korean J Orient Ing Med 2004;25(4):221-6.
  4. Jung HJ, Yoon KS, Kwon GR, Han CH, Jung SH, Sin GJ, et al, One case study of a patient with NPH who showed no improvement after ventriculo-peritoneal shunt. Korean J Orient Med 2005;26(4):918-25.
  5. Cho BH, Yu BC, Kim YS, Seol IC, A clinical study of two patients suffering from normal pressure hydrocephalus, Korean J Acupunct 2005;22(1):43-53.
  6. Podsiadlo D, Richardson S. The timed "up& go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  7. Berg K, Wood-Dauphinee S, Williams JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med 1995;27(1):27-36.
  8. Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Standards for outcome assessment. Phys Ther 1986;66(10):1530-9. https://doi.org/10.1093/ptj/66.10.1530
  9. Wissam D, Daniel M, Juan G, Michael O, Chris H. GAITRite Comparison Between Parkinson's Disease Stages (P5.370). Neurology 2016;86(16)P5.370;
  10. Nelsona J, Dalia Z, Susan B, Christine D, Lori P, Gitty R, et al. The validity of the GaitRite and the Functional Ambulation Performance scoring system in the analysis of Parkinson gait. Neuro Rehabilitation 2002;17(3):255-62.
  11. Won JI, An CM. Knee Strength and Ankle Range of Motion Influencing Gait Velocity and Gait Asymmetry in Patiens with Chronic Storke. Phys ther Korea 2015;22(2):1-10.
  12. Degenerative Diseases of the Nervous System. In: Ropper AH, Samuels MA, Klein JP, Prasad S. eds. Adams and Victor's Principles of Neurology, 11e. McGraw-Hill; http://accessmedicine.mhmedical.com.ssl.openlink.inha.ac.kr:8080/content.aspx?bookid=1477§ionid=215144059
  13. Mori E, Ishikawa M, Kato T, Kazui H, Miyake H, Miyajima M, et al. Guidelines for management of idiopathic normal pressure hydrocephalus: second edition. Neurol Med Chir 2012;52(11):775-809. https://doi.org/10.2176/nmc.52.775
  14. Karin M, Lars S, Katarina L. Parkinsonian symptomsin normal pressure hydrocephalus: a population-based study. J Neurol 2017;264(10):2141-8. https://doi.org/10.1007/s00415-017-8598-5
  15. Relkin N, Marmarou A, Klinge P, Bergsneider M, Black PM. Diagnosing idiopathic normal-pressure hydrocephalus. Neurosurgery 2005;57(3):S4-16.
  16. Jung HJ, Yoon SK, Kwon GR, Han CH, Jung SH, Sin GJ, et al. One Case Study of a Patient with NPH Who Showed No Improvement after Ventriculo-peritoneal Shunt. Korean J Orient Int Med 2005;26(4):918-25.
  17. Lee JH, Lee IW, Moon SH, Kang JS, Lim SM, An JJ, et al. The Effects of Juheng Acupuncture Treatment on Gait Disturbed Patient Caused by Stroke. Korean J Orient Int Med 2007;fal:77-87.
  18. College of Korean medicine, Cardiology Internal Medicine Professor Counsil. Text of Traditional Korean circulatory internal medicine. Seoul: Woori medical publisher; 2016, p. 311-7.
  19. Yun YG. 동의방제와처방해설. Seoul: Euisungdang: 2015, p. 250-95.
  20. Yun YK. Korean medicine prescription and commentary. Seoul: Uisungdang; 2011, p. 508-9.
  21. Lee JK, Lee NH, Ha HK, Lee HY, J DY, Choi JY, et al. Analysis of studies on Yukmijihwang-tang for establishment of evidence based medicine. Korean J Oriental Physiology & Pathology 2009;23(1):15-26.
  22. Kim BO, Kim HJ, Kim SJ, Jeung SM, Ryu HC, Jeon SY, et al. A case of Normal pressure hydrocephalus with dementia, gait disturbance and urinary incontinence. J Orient Int Med 2004;25(2):314-9.
  23. Jankovic J, Kapadia AS. Functional decline in Parkinson disease. Arch Neurol 2001;58(10):1611-5. https://doi.org/10.1001/archneur.58.10.1611
  24. Lewis GN, Byblow WD, Walt SE. Stride length regulation in Parkinson's disease: The use of extrinsic,visual cues. Brain 2000;123(10):2077-90. https://doi.org/10.1093/brain/123.10.2077
  25. Park JH, Characteristics of Gait in the Elderly: Normal vs. Abnormal. J Korean Neurol Assoc 2017;35(4):1-4. https://doi.org/10.17340/jkna.2017.4.23
  26. Lee SK, Choi SH, Oh JG, Lee IS, Park KE, Hong HJ, et al. Spatiotemporal characteristics of stroke patients gait. The Journal of the Society of Stroke on Korea Medicine 2013;14(1):1-7.

Cited by

  1. 루이소체 치매로 추정되는 이차성 파킨슨증 환자의 Non-Motor Symptom Scale(NMSS)로 평가한 비운동성 증상을 한약과 침의 복합치료로 호전시킨 증례보고 1례 vol.42, pp.5, 2021, https://doi.org/10.22246/jikm.2021.42.5.833