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A Case Report of Neck Pain Patient with Klippel-Feil Syndrome by Cervical Manipulation Treatment

Klippel-Feil 증후군 환자의 경추 도수치료 후 발생한 부작용 치험1례

  • Lee, Jong-Ha (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dongguk University) ;
  • Kwon, Jeong-Gook (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dongguk University) ;
  • Keum, Dong-Ho (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dongguk University)
  • 이종하 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 권정국 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 금동호 (동국대학교 한의과대학 한방재활의학과교실)
  • Received : 2015.03.16
  • Accepted : 2015.04.08
  • Published : 2015.04.30

Abstract

The Klippel-Feil Syndrome (KFS) is characterized by congenital fusion of two or more vertebrae with hypermobile normal segment. According to this, a patient with KFS can be at risk of severe neurological symptoms after manipulation treatment. We had a KFS patient who suffered from neck pain and limited range of motion at cervical after manipulation treatment. The patient, 49-year-old woman was diagnosed as KFS through Cervical X-ray and MRI. The patient was treated by acupuncture therapy and SCENAR therapy. We measured neck pain by visual analog scale (VAS) and neck disability index (NDI) and checked range of motion at cervical before and after the treatments. After 8 times treatments, the patient's pain decreased and the range of motion increased. From this case, we can recognize the risk of Chuna manipulation treatment for KFS patient. So, we suggest that radiological examination is needed before cervical Chuna manipulation treatment to avoid adverse reactions.

Keywords

Klippel-Feil syndrome;Manipulation treatment;Scenar therapy

References

  1. Ludwig O, Pierre B, Herman JV. 근골격계 통증의학. 서울:한미의학. 2008:105-10, 248-9, 543-4.
  2. 척추신경추나의학회 편저. 추나의학. 서울:척추신경추나의학회. 2013:4-5, 74-7.
  3. 한방재활의학과학회. 한방재활의학. 서울:군자출판사. 2011: 42, 254.
  4. 김기병, 박태용, 이정한, 공재철, 이수경, 신병철, 권영달, 송용선. 추나요법을 포함한 수기치료의 효과 및 안정성에 관한 문헌고찰. 한방재활의학과학회지. 2008;18(4):103-20.
  5. 박기정, 윤상수, 박정혁, 장대일, 김의종, 최우석, 정경천. 경부척추조작술 또는 경부수상과 관련된 척추기저동맥계뇌경색 3예. 대한신경과학회지. 1997;15(4):858-66.
  6. 이상호, 이종립, 김성수. 경추 추나치료 후 발생한 뇌종중1례. 대한한의학회지. 2000;21(4):264-70.
  7. 고연석, 박태용, 공재철, 오원교, 송용선, 신병철. 경추 추나치료의 안전성에 대한 임상보고. 한방재활의학과학회지. 2006;16(4):83-95.
  8. 공재철, 박태용, 고연석, 원재균, 박단서, 신병철. 경추추나 치료 후 발생한 경막파열 환자 1례 보고. 척추신경추나의학회지. 2006;1(1):45-50.
  9. 문태웅, 엄태웅, 강명진, 공덕현, 정영훈, 조태영, 김기주, 이광환. 추나치료의 절대적 금기증에 대한 보고 1례 - Os Odontoideum을 진단받은 환자를 대상으로. 척추신경추나의학회지. 2008;3(1):1-7.
  10. 대한정형외과학회. 정형외과학 제 5판. 서울:최신의학사. 1999:80-2.
  11. Smith BA, Griffin C. Klippel-Feil syndrome. American journal of emergency medicine. Annals of emergency medicine. 1992;21(10):876-9. https://doi.org/10.1016/S0196-0644(05)81038-8
  12. 박진규, 허한용, 유경식, 박춘군. Traumatic hemiparesis associated with type III Klippel-Feil syndrome. 대한신경외과학회지. 2007;42(2):145-8.
  13. O'Donnel DP, Seupaul RA. Seupaul. Klippel-Feil syndrome. American journal of emergency medicine. 2008; 26(2):252e1-2.
  14. 하인혁, 박원상, 우인, 김하늘, 고동현, 윤유석. 요각통 환자의 통증 평가에 있어서 수직, 수평선 Visaul Analogue Scale과 Numerical Rating Scale 간의 상관과계. 한방재활의학과학회지. 2006;16(4):125-33.
  15. Vernon H, Mior S. The neck disability index:a study of reliability and validity. Journal of Manipulative and Physiological Therapeutics. 1991;14:409-15.
  16. Yi S, Kim SH, Shin HC, Kim KN, Yoon DH. Cervical arthroplasty in a patient with Klippel-Feil syndrome. Acta Neurochirurgica. 2007;149:805-9. https://doi.org/10.1007/s00701-007-1115-7
  17. Bergmann TF, Peterson DH. 카이로프랙틱 테크닉. 서울: 엘스비어코리아. 2011:122-34.
  18. WHO Library Cataloguing-in-Publication Data. WHO guidelines on basic training and safety in chiropractic. 2005: 19-27.
  19. 하태국. 2009. 건강한 성인에서 SCENAR 시술이 PWV에 미치는 효과에 대한 교차 연구. 석사학위논문. CHA 의과대학교 대학원. 서울.
  20. Ing MR. The use of electronic biofeedback for the management of post-herpetic neuralgia-A report of 3 cases. Hawaii Medical Journal. 2007;66(9):232-4.