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Case Report: Improvement of 3 Stroke Patients Through Integrative Medicine Based on Scalp Acupuncture

두침치료를 위주로 한 의한협진을 통해 호전된 뇌졸중 환자 3례의 증례보고

  • Siyoung Song (Department of Korean Medicine Rehabilitation, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Esther Jang (Department of Neuropsychiatry, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Joonyong Noh (Department of Acupuncture & Moxibustion Medicine, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Soomin Jo (Department of Neuropsychiatry, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Eunseo Kim (Department of Internal Korean Medicine, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Geunjeong Kim (Department of Korean Medicine Rehabilitation, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Kyungok Kim (Department of Neuropsychiatry, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Jaeuk Sul (Department of Korean Medicine Rehabilitation, Gwangju Korean Medicine Hospital, Dongshin University) ;
  • Changsu Na (Department of Acupoint & Meridian, College of Korean Medicine, Dongshin University)
  • 송시영 (동신대학교 광주한방병원 한방재활의학과) ;
  • 장에스더 (동신대학교 광주한방병원 한방신경정신과) ;
  • 노준용 (동신대학교 광주한방병원 침구의학과) ;
  • 조수민 (동신대학교 광주한방병원 한방신경정신과) ;
  • 김은서 (동신대학교 광주한방병원 한방내과) ;
  • 김근정 (동신대학교 광주한방병원 한방재활의학과) ;
  • 김경옥 (동신대학교 광주한방병원 한방신경정신과) ;
  • 설재욱 (동신대학교 광주한방병원 한방재활의학과) ;
  • 나창수 (동신대학교 한의과대학 침구학교실)
  • Received : 2024.08.01
  • Accepted : 2024.08.19
  • Published : 2024.09.27

Abstract

A stroke is a condition where an ischemic injury occurs in the brain tissue due to blockage or rupture of cerebral blood vessels. The damage to the brain nerve cells caused by a stroke is irreversible. Significant recovery is generally observed within the first six months after the onset, but the natural recovery rate decreases after six months. Therefore, intensive rehabilitation therapy is necessary within the first six months of the onset. This case report presents three cases of patients in the sequelae phase of stroke, where treatments based on integrative medicine system between traditional Korean medicine and Western medicine were applied. The treatments included scalp acupuncture from traditional Korean medicine and rehabilitation exercises and electrical therapy from Western medicine. In this case report, we evaluated the Manual Muscle Test (MMT), Modified Barthel Index (MBI), and the patients' subjective symptom interviews before and after the implementation of the integrative treatment. As a result, significant improvements in MMT and MBI were observed in acute stroke cases, whereas the improvement was minimal in cases with chronic progression. However, in all cases, the patients expressed high satisfaction with the treatment during the interviews.

Keywords

Acknowledgement

The authors express their sincere thanks to the staff at Dongshin University Gwangju Korean Medicine Hospital and AICC (Acupuncture Treatment by ICT Convergence Research Center) for their support.

References

  1. Statistics Korea. Cause of death statistics. 2021. Statistics Korea. 1. [serial online] 2023 Sep[cited 2024 Jul 1]. Available from: URL: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E01&checkFlag=N
  2. Kim HJ, Ho SH, Lee S, Oh IH, Kim JH, Kim EJ, et al. The Economic burden of brain disability in Korea, 2008-2011. Inquiry. 2020 ; 57 : 1-10. https://doi.org/10.1177/0046958020936396
  3. Kim DY, Ryu B, Oh BM, Kim DY, Kim DS, Kim DY, et al. Clinical practice guideline for stroke rehabilitation in Korea-Part 1: rehabilitation for motor function (2022). Brain Neurorehabil. 2023 ; 16(2) : 1-11. https://doi.org/10.12786/bn.2023.16.e18
  4. Hu X, Li B, Wang X. Scalp acupuncture therapy combined with exercise can improve the ability of stroke patients to participate in daily activities. Complement Ther Clin Pract. 2021 ; 43 : 101343. https://doi.org/10.1016/j.ctcp.2021.101343
  5. Zhong LL, Zheng Y, Lau AY, Wong N, Yao L, Wu X, et al. Would integrated Western and traditional Chinese medicine have more benefits for stroke rehabilitation? A systematic review and meta-analysis. Stroke Vasc Neurol. 2022 ; 7(1) : 77-85. https://doi.org/10.1136/svn-2020-000781
  6. Hao JJ, Zhongren S, Xian S, Tiansong Y. Chinese scalp acupuncture for cerebral palsy in a child diagnosed with stroke in utero. Glob Adv Health Med. 2012 ; 1(1) : 14-7. https://doi.org/10.7453/gahmj.2012.1.1.005
  7. Pathak A, Gyanpuri V, Dev P, Dhiman NR. The Bobath Concept (NDT) as rehabilitation in stroke patients: A systematic review. J Family Med Prim Care. 2021 ; 10(11) : 3983-90. https://doi.org/10.4103/jfmpc.jfmpc_528_21
  8. Conable KM, Rosner AL. A narrative review of manual muscle testing and implications for muscle testing research. J Chiropr Med. 2011 ; 10(3) : 157-65. https://doi.org/10.4103/jfmpc.jfmpc_528_21
  9. Hong I, Woo HS, Shim S, Li CY, Yoonjeong L, Velozo CA. Equating activities of daily living outcome measures: the Functional Independence Measure and the Korean version of Modified Barthel Index. Disabil Rehabil. 2018 ; 40(2) : 217-24. https://doi.org/10.1080/09638288.2016.1247468
  10. Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J. Harrison's principles of internal medicine. 21st ed. Seoul: McGraw-Hill. 2017 : 1-30.
  11. Park SU, Cho SY, Park UM, Ko CN, Park HJ, Walls BL, et al. Integrative treatment modalities for stroke victims in Korea. Complement Ther Clin Pract. 2014 ; 20(1) : 37-4. https://doi.org/10.1016/j.ctcp.2013.10.007
  12. Moon SR, Keum DH. Effect of East-West integrative rehabilitation on activities of daily living and cognitive functional recovery in stroke patients: A retrospective Study. JKMR. 2020 ; 30(2) : 105-23. https://doi.org/10.18325/jkmr.2020.30.2.105
  13. Fang J, Chen L, Ma R, Keeler CL, Shen L, Bao Y, et al. Comprehensive rehabilitation with integrative medicine for subacute stroke: A multicenter randomized controlled trial. Scientific Reports. 2016 ; 6(1) : 25850. https://doi.org/10.1038/srep25850