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Chronic Obstructive Pulmonary Disease Patients Treated with Korean Medicine Pulmonary Rehabilitation: Two case reports

한방호흡재활치료를 시행한 만성폐쇄성폐질환 환자 2례

  • Kim, Tae Hyun (Division of Respiratory Medicine, Dep. of Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Su Won (Division of Respiratory Medicine, Dep. of Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Lyu, Yee Ran (Division of Respiratory Medicine, Dep. of Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Eun Jung (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Jung, In Chul (Department of Neuropsychology, College of Korean Medicine, Daejeon University) ;
  • Park, Yang Chun (Division of Respiratory Medicine, Dep. of Internal Medicine, College of Korean Medicine, Daejeon University)
  • 김태현 (대전대학교 한의과대학 폐계내과학교실) ;
  • 이수원 (대전대학교 한의과대학 폐계내과학교실) ;
  • 유이란 (대전대학교 한의과대학 폐계내과학교실) ;
  • 이은정 (대전대학교 한의과대학 한방재활의학교실) ;
  • 정인철 (대전대학교 한의과대학 신경정신과학교실) ;
  • 박양춘 (대전대학교 한의과대학 폐계내과학교실)
  • Received : 2020.07.17
  • Accepted : 2020.08.31
  • Published : 2020.09.01

Abstract

Objectives: The purpose of study was to report the clinical improvement of Chronic Obstructive Pulmonary Disease (COPD) patients treated with Korean medicine pulmonary rehabilitation. Methods: The patients were treated with Lung-conduction exercise, Chuna manual therapy, Exercise therapy. To assess the treatment outcomes, we used the pulmonary function test (PFT), modified medical research council scale (mMRC), 6-minute walk distance (6MWD), peak expiratory flow rate (PEFR), COPD assessment test (CAT), St. George respiratory questionnaire (SGRQ). Results: After treatments, the patient's clinical symptoms were improved with CAT, SGRQ's significant decrease and PFT, mMRC, 6MWD and PEFR were maintained or improved slightly. Conclusions: The Korean medicine pulmonary rehabilitation was effective in the treatment of COPD patients. This study suggested the possibility of Korean Medicine pulmonary rehabilitation program in the clinic.

Keywords

References

  1. Adeloye D, Chua S, Lee C, Basquill C, Papana A, Theodoratou E, et al, Global and regional estimates of COPD prevalence: Systematic review and meta-analysis. Journal of global health, 2015;5(2).
  2. Hwang YI, Park YB, Yoo KH, Recent trends in the prevalence of chronic obstructive pulmonary disease in Korea. Tuberculosis and respiratory diseases, 2017;80(3):226-9. https://doi.org/10.4046/trd.2017.80.3.226
  3. Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al, Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American journal of respiratory and critical care medicine, 2007;176(6):532-55. https://doi.org/10.1164/rccm.200703-456SO
  4. Celli BR, MacNee W, Agusti A, Anzueto A, Berg B, Buist AS, et al, Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. European Respiratory Journal, 2004;23(6):932-46. https://doi.org/10.1183/09031936.04.00014304
  5. Yohannes AM, Alexopoulos GS, Depression and anxiety in patients with COPD. European Respiratory Review, 2014;23(133):345-9. https://doi.org/10.1183/09059180.00007813
  6. Montuschi P, Pharmacological treatment of chronic obstructive pulmonary disease. International journal of chronic obstructive pulmonary disease, 2006;1(4):409.
  7. McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y, Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane database of systematic reviews, 2015(2).
  8. The Korea Academy of Tuberculosis and Respiratory diseases, Consensus Document on Pulmonary Rehabilitation in Korea 2015. The Korea Academy of Tuberculosis and Respiratory diseases, 2015; 4
  9. Yee Ran Lyu JJP, So jung Park, Eun Jung Lee, In Chul Jung, Yang Chun Park, Application of Taesikbub and Lung-doyinbub in Dong-Ui-Bo-Gam as a Korean Traditional Pulmonary Rehabilitation Exercise J Korean Med., 2018;39(3): 41-50.
  10. Korean Society of Chuna Manual medicine for Spine & Nerves, Chuna Manual medicine Academy 25th regular workshop. Korean Society of Chuna Manual medicine for Spine & Nerves. 2019:144-49.
  11. Korean Society of Chuna Manual medicine for Spine & Nerves. 2.5th Ed. Korean Society of Chuna Manual medicine for Spine & Nerves. 2017: 104, 281-89
  12. Garvey C, Fullwood MD, Rigler J, Pulmonary rehabilitation exercise prescription in chronic obstructive lung disease: US survey and review of guidelines and clinical practices. Journal of cardiopulmonary rehabilitation and prevention, 2013;33(5):314-22. https://doi.org/10.1097/HCR.0b013e318297fea4
  13. Enright PL, Lebowitz MD, Cockroft DW, Physiologic measures: pulmonary function tests. American Journal of Respiratory and Critical Care Medicine, 2012.
  14. Fletcher CM, Elmes PC, Fairbairn AS, Wood CH, Significance of respiratory symptoms and the diagnosis of chronic bronchitis in a working population. British medical journal, 1959;2(5147):257. https://doi.org/10.1136/bmj.2.5147.257
  15. Puhan MA, Mador M, Held U, Goldstein R, Guyatt G, Schunemann H, Interpretation of treatment changes in 6-minute walk distance in patients with COPD. European Respiratory Journal, 2008;32(3):637-43. https://doi.org/10.1183/09031936.00140507
  16. Gibson PG, Outpatient monitoring of asthma. Current Opinion in Allergy and Clinical Immunology, 2002;2(3):161-6. https://doi.org/10.1097/00130832-200206000-00002
  17. Jones P, Harding G, Berry P, Wiklund I, Chen W, Leidy NK, Development and first validation of the COPD Assessment Test. European Respiratory Journal, 2009;34(3):648-54. https://doi.org/10.1183/09031936.00102509
  18. Jones P, Quirk F, Baveystock C, The St George's respiratory questionnaire. Respiratory medicine, 1991;85:25-31. https://doi.org/10.1016/S0954-6111(06)80166-6
  19. YG Y, Dong-si Acupuncture Therapy. Ancient Chinese Medical Book Press. 1994:29-30.
  20. Mathers CD, Loncar D, Projections of global mortality and burden of disease from 2002 to 2030. PLoS medicine, 2006;3(11):e442. https://doi.org/10.1371/journal.pmed.0030442
  21. Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al., American thoracic society/European respiratory society statement on pulmonary rehabilitation. American journal of respiratory and critical care medicine, 2006;173(12):1390-413. https://doi.org/10.1164/rccm.200508-1211ST
  22. Jang HJ PK, Analysis of Research about Pulmonary Rehabilitation of Patients with COPD. The Journal of Korean Community Nursing, 2003;14(2).
  23. Band J, Kim J, Choi G, Jung H, Jung S, A Clinical Case Report of a Severe Chronic Obstructive Pulmonary Disease (COPD) Patient Treated by Cheonsagunja-tang gagam. Korean J Orient Int Med, 2010:238-46.
  24. Suzuki M, Namura K, Ohno Y, Tanaka H, Egawa M, Yokoyama Y, et al., The effect of acupuncture in the treatment of chronic obstructive pulmonary disease. The Journal of Alternative and Complementary Medicine, 2008;14(9):1097-105. https://doi.org/10.1089/acm.2007.0786
  25. Chan AW, Lee A, Suen LK, Tam WW, Tai chi Qigong improves lung functions and activity tolerance in COPD clients: a single blind, randomized controlled trial. Complementary therapies in medicine, 2011;19(1):3-11. https://doi.org/10.1016/j.ctim.2010.12.007
  26. Chen Q, Shi M-y, Zhang W, Tian J, Effect of breathing and Daoyin exercises on the quality of life in patients with chronic obstructive pulmonary disease. Journal of Acupuncture and Tuina Science, 2015;13(6):353-60. https://doi.org/10.1007/s11726-015-0882-2
  27. Lee SW, Lyu YR, Park SJ, Kwak JY, Yang WK, Kim SH, et al., The effect of lung-conduction exercise in chronic obstructive pulmonary disease: Study protocol for randomized, assessor-blind, multicenter trial. Medicine, 2020;99(18):e19826. https://doi.org/10.1097/MD.0000000000019826
  28. Galletti J, Mcheileh G, Hahne A, Lee AL, The clinical effects of manipulative therapy in people with chronic obstructive pulmonary disease. The Journal of Alternative and Complementary Medicine, 2018;24(7):677-83. https://doi.org/10.1089/acm.2017.0390
  29. Ferrer M, Villasante C, Alonso J, Sobradillo V, Gabriel R, Vilagut G, et al., Interpretation of quality of life scores from the St George's Respiratory Questionnaire. European Respiratory Journal, 2002;19(3):405-13. https://doi.org/10.1183/09031936.02.00213202
  30. Kon SS, Canavan JL, Jones SE, Nolan CM, Clark AL, Dickson MJ, et al., Minimum clinically important difference for the COPD Assessment Test: a prospective analysis. The lancet Respiratory medicine, 2014;2(3):195-203. https://doi.org/10.1016/S2213-2600(14)70001-3