Journal of TMJ Balancing Medicine (턱관절균형의학회지)

Association of TMJ Balancing Medicine (턱관절균형의학회)
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A Case Report of Glancing Up Motor Tic Disorder Managed by Temporomandibular Joint Balancing Therapy with Korean Medicine Treatment

위로 치켜뜨는 운동 틱 장애 환자에 대해 턱관절균형요법을 병행한 한방치료 치험 1례

  • Chang Min Shin (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Tae Kyung Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Eun Ju Lee (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Hyun Seob Park (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Young Jun Lee (Leeyoungjun Korean Medical Clinic) ;
  • Cheol Hong Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University)
  • 신창민 (동의대학교 한의과대학 침구학교실) ;
  • 김태경 (동의대학교 한의과대학 침구학교실) ;
  • 이은주 (동의대학교 한의과대학 침구학교실) ;
  • 박현섭 (동의대학교 한의과대학 침구학교실) ;
  • 이영준 (이영준한의원) ;
  • 김철홍 (동의대학교 한의과대학 침구학교실)
  • Received : 2023.11.30
  • Accepted : 2023.12.13
  • Published : 2023.12.30
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Abstract

Objectives: The purpose of this study is to report the effect of Korean medical treatment with Temporomandibular Joint Balancing Therapy (TBT) on Tic disorder patient who often glancing up when feels nerves, frightened or tired. Methods: In this study, Tic disorder patient was treated to △△ Korean medicine Hospital from June 12nd, 2022 to July 26th, 2023 by outpatient way. During the clinic period, the patient was treated by Korean medical treatment (acupuncture, cupping, herb medicine), especially using TBT. YGTSS (Yale Global Tic Severity Scale), NDI (Neck Disability Index) and VAS were used for measuring the Tic disorder and neck pain. Results: After treatment for 46 days, the YGTSS showed a decrease from 17 to 3, the VAS associated with Tic disorder also decreased from 6 to 1 and NDI associated with neck pain decreased from 7 to 4. Conclusions: These results showed that Korean medical treatment especially using TBT may have an effect on reducing symptoms of Tic disorder and neck pain. But the further researches are needed.

본 임상사례에서 보는 것처럼 눈을 위로 치켜뜨는 단일 운동 틱과 경항통 등의 겸증을 호소하는 상태에서 TBT의 턱관절균형장치와 복합한방치료로 증상의 대한 현저한 치료 효과가 나타남을 확인하였다. 하루 수차례 발생하던 위로 치켜 올려보는 증상은 치료 후 간혹 긴장하였을 때를 제외하고는 나타나지 않았으며, 목과 견정부의 뻐근한 통증은 치료 종결 후 환자가 소실되었다고 언급하였으며, 각각의 증상에 따른 scale에서도 볼 수 있듯 틱 증상은 YGTSS 17점, VAS 6점에서 YGTSS 3점, VAS 1점으로 감소, 경항통 및 견정부 통증의 NDI score는 7점에서 4점으로 감소됨을 확인하였다. 이에 추후 본 증례와 유사한 운동 틱 장애 TBT 치료에 관하여 임상상 참고가 될 수 있을 것이라 사료되어 보고하는 바이다.

Keywords

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