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J Acupunct Res > Volume 33(2); 2016 > Article
Park, Kim, Kim, Kim, and Kim: The Effect of Complex Korean Medical Treatment on Spinal Cord Infarction: A Case Report
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Abstract

Objectives:

The purpose of this study is to report the clinical effect of Korean medical treatment on spinal cord infarction.

Methods:

We treated a patient who was diagnosed with spinal cord infarction We used acupuncture, bee venom pharmacopuncture, herbal medicine, moxibustion and physical therapy. We evaluated the patient through Manual Muscle Testing (MMT) and International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) score.

Results:

MMT grade improved grade from 1 to 5 and ISNCSCI score increased from 2 to 14.

Conclusion:

According to these results, this report suggests that Korean medical treatment could be effective for spinal cord infarction.

Fig. 1
MRI image of spinal cord infarction, T12-L3
acup-33-2-189f1.gif
Fig. 2
Change of sensory score
acup-33-2-189f2.gif
Table 1
Manual Muscle Testing
Grade Function of the Muscle
Grade0 Zero(0) No contraction flet in the muscle
Grade1 Trace(T) No visible movement palpable or observable tendon
Grade2− (P−) Moves through partial ROM gravity eliminated
Grade2 Poor(P) Moves through complete ROM gravity eliminated
Grade2+ (P+) Moves through partial ROM against gravity or Moves through complete ROM gravity eliminated and holds against tressure
Grade3− (F−) Gradual release from test position
Grade3 Fair(F) Hold test position against gravity
Grade3+ (F+) Hold test position against slight resistance
Grade4 Good(G) Hold test position against moderate resistance
Grade5 Normal(N) Hold test position against maximal resistance
Table 2
Change of MMT Grade
2015.04.11 2015.05.09 2015.06.17 2015.06.28 2015.07.08
HIP Flexors G/G G/N N/N N/N N/N
Extensors F/F P/P P+/P+ F+/F+ N/G
KNEE Flexors G/G G/N N/N N/N N/N
Extensors F/F G/N N/N N/N N/N
ANKLE Dorsiflexors T/T F−/F− G/F+ G/F+ G/F+
Plantarflexors T/T F−/F− G/F+ G/F+ G/F+
EHL(Extensors Hallucis Longus) T/T F−/P F+/P F+/P F+/P
2015.04.11 2015.05.09 2015.06.17 2015.06.28 2015.07.08
HIP Flexors 4/4 4/5 5/5 5/5 5/5
Extensors 3/3 2/2 2+/2+ 3+/3+ 5/4
KNEE Flexors 4/4 4/5 5/5 5/5 5/5
Extensors 3/3 4/5 5/5 5/5 5/5
ANKLE Dorsiflexors 1/1 3−/3− 4/3+ 4/3+ 4/3+
Plantarflexors 1/1 3−/3− 4/3+ 4/3+ 4/3+
EHL 1/1 3−/2 3+/2 3+/2 3+/2
Table 3
Change of TOUCH SCORE of Modified ISNCSCI
4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 0/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2
L5 0/0 0/0 0/1 0/1 0/1 1/1 1/1 0/1 0/1 0/1 1/2
S1 0/0 0/0 0/0 0/1 0/1 1/1 1/1 1/1 1/1 1/1 1/1
S2 0/0 0/0 1/1 1/1 1/1 1/1 1/1 1/1 1/1 1/1 1/1
S3 0/0 0/0 0/0 0/0 0/0 0/0 0/0 1/1 2/2 2/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 0/2 2/4 2/5 2/5 5/5 5/5 4–6 5–7 5–7 6/8

Total Score 2 2 6 7 7 10 10 10 12 12 14/24
Table 4
Change of PIN SCORE of Modified ISNCSCI
4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 0/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2
L5 0/0 0/0 0/1 0/1 0/1 0/1 16/1/1 0/1 0/2 0/1 0/1
S1 0/0 0/0 0/0 0/1 0/1 0/0 1/0 1/0 16/1/1 16/1/1 0/0
S2 0/0 1/1 1/1 1/1 1/1 2/2 2/2 2/2 2/2 2/2 2/2
S3 0/0 0/0 0/0 0/0 0/0 1/0 1/0 1/1 1/2 2/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 1/3 2/4 2/5 2/5 4/5 6/5 5/6 5/9 6/8 5/7

Total Score 0/2 1/4 1/6 1/7 1/7 1/9 1/11 1/11 1/14 1/14 12/24
Table 5
Change of COLD SCORE of Modified ISNCSCI
4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 0/2 1/2 1/2 1/2 0/2 1/2 1/2 1/2 1/2 1/2
L5 0/0 0/0 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1
S1 0/0 0/0 0/0 0/1 0/1 2/2 2/2 1/2 1/1 1/1 1/1
S2 0/0 0/0 1/1 1/1 1/1 2/2 2/2 2/2 2/2 2/2 2/2
S3 0/0 1/1 0/0 0/0 0/0 1/1 1/1 2/2 2/2 2/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 1/3 2/4 2/5 2/5 5/8 6/8 6/9 6/8 6/8 6/8

Total Score 1/2 1/4 1/6 1/7 1/7 1/13 1/14 1/15 1/14 1/14 14/24
Table 6
Change of HOT SCORE of Modified ISNCSCI
4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 1/2 1/2 0/2 0/2 0/2 0/2 1/2 1/2 1/2 0/2
L5 0/0 0/0 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1
S1 0/0 0/0 0/0 0/1 0/1 0/0 0/0 1/1 1/2 1/1 1/1
S2 0/0 1/1 1/1 1/1 1/1 1/1 1/1 2/2 2/2 2/2 2/2
S3 0/0 0/0 0/0 0/0 0/0 1/1 1/1 2/2 2/2 1/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 2/3 2/4 1/5 1/5 2/5 2/5 6/9 6/8 5/8 5/8

Total Score 1/2 1/5 1/6 1/6 1/6 1/7 1/7 1/15 1/14 1/13 13/24

V. References

1. Singh U, Silver JR, Welply NC. Hypotensive infarction of the spinal cord. Paraplegia. 1994;32(5):314–22.
crossref pmid
2. Kim DH, Park SW, Kim HJ. Lumbar sympathetic block for spinal cord infarction patient. Korean J pain. 2006;19(2):237–40.
crossref
3. Jin GJ, Yang SJ. Practical diagnostics and therapeutics of integrated traditional Chinese and western medicine. Seoul: Iljoongsa. 1992:776–8.

4. Chinese medicine researcher. Chinese medicine symptom differential diagnosis. Beijing: The people sanitation Publisher Co. 1987:191–2.

5. The Korean Neurosurgical Society. Neurosurgery. Seoul: Joongang Publisher Co. 2000:321–4.

6. Kim SY, Kwon BH, Song BY. Clinical Study of 1 case of patient with Quadriparesis diagnosed spinal cord infarction. The Acupuncture. 2000;17(4):200–10.

7. Lee SH, Son CH, Jeong HC, Han SH, Nam Y. An Improved 1 Case of patient with Lower limbs hemiplegia by Spinal cord Infarction after using Acupuncture therapy(Hwando, G30). The Acupuncture. 2003;1(2):144–52.

8. Kim JA, Ji MJ, Won JH, An TEB, Kim DC. A Clinical study on Sitting Cross-Legged Patient Diagnosed as Peroneal Neuropathy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2014;9(1):77–87.
crossref
9. Wi J, Rym MS, Lee JE, Yun YC, Kim JH, Park YH. The Clinical Study on Hua-Tuo-Jia-Ji-Xue Acupuncture Treatment to Patient with Herniation of Nucleus Pulposus. The Acupuncture. 2009;26(1):59–66.

10. Oriental Rehabilitation Society. Oriental rehabilitation medicine. Seoul: Goonja Publisher Co. 2011:82–3, 136–70.

11. Steven C, Stephen P, William D. International standards for neurological classification of spinal cord injury (Revised 2011). J Spinal Cord Med. 2011;34(6):535–46.
crossref pmid pmc
12. Cheshire WP, Santos CC, Massey EW, Howard JF. Spinal cord infarction: etiology and outcome. Neurology. 1996;47(2):321–30.
crossref pmid
13. Mohr JP, Choi DW, Grotta JC, Weir B, Wolf PA. Stroke. 4th ed. New york: Churchill Livingstone. 2004:423–36.
crossref
14. Jun Heo. Donguibogam. Seoul: Bubin Publisher Co. 2009:854–5.

15. Shin YI, Lee BR. The literatual study on We Jeung. Medicine hospital of Daejeon University. 2000;9(1):102–23.

16. Kim EM, Park YS, Heo YK, et al. A Case Report of Radial Nerve Palsy Patients with Locating Yangming Channel. The Acupuncture. 2005;22(5):167–74.

17. Lee SH, Lee KM, Jung TY, Seo JC, Han SW. A Case of Radial Nerve Palsy. The Acupuncture. 2003;20(1):236–43.

18. Suzuki Y, Goto K, Ishige A, Komatsu Y, Kamei J. Antinociceptive effect of Gosha-jinki-gan, a Kampo medicine, in streptozotocin-induced diabeticmice. Jpn J Pharmacol. 1999;79(2):169–75.
crossref pmid
19. Watanabe A, Akashi T, Fujiuchi Y, Mizuno I, Nagakawa O, Fuse H. The efficacy of Gosyajinkigan for pollakisuria. Hinyokika Kiyo. 2006;52(3):197–201.
pmid


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