Two Cases of Korean Medicine Treatment for Patients with Parkinson’s Disease Evaluated Using a Three-Dimensional Gait Analysis System

Hye-jin Lee, Ye-chae Hwang, Kyeong-hwa Lee, Dong-joo Kim, Seung-yeon Cho, Jung-mi Park1, Chang-nam Ko, Seong-uk Park
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Abstract

Objective: This study examined the effectiveness of Korean medicine treatments in two patients with Parkinson’s disease complaining of discomfort stemming from postural instability and gait disturbance (PIGD).Methods: Two patients were treated for 3 months. They visited the clinic once a week for the first month and thereafter once every 2 weeks. The Unified Parkinson’s Disease Rating Scale (UPDRS) and a three-dimensional gait analysis were performed at the first visit and at 1, 2, and 3 months thereafter.Results: In Case 1, gait speed, stride length, and swing phase increased. Double support decreased until 2 months after treatment but increased slightly after 3 months. Among the kinematic parameters, tilt and rotation increased. The total UPDRS Part III score decreased from 51 points to 29 points after 3 months of treatment. In Case 2, gait speed, stride length, and swing phase increased, but double support decreased. Among the kinematic parameters, tilt, rotation, and obliquity decreased. The total UPDRS Part III score decreased from 11 points to 7 points after 3 months of treatment.Conclusions: This study suggests that Korean medicine can be an effective treatment for patients with Parkinson’s disease who experience discomfort due to PIGD.
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用三维步态分析系统评价两例帕金森病韩药治疗
目的:探讨韩药治疗2例以姿势不稳和步态障碍(PIGD)为主诉的帕金森病患者的疗效。方法:2例患者治疗3个月。他们在第一个月每周去一次诊所,之后每两周去一次。统一帕金森病评定量表(UPDRS)和三维步态分析在第一次就诊和1、2、3个月后进行。结果:病例1的步态速度、步幅和摇摆相增加。治疗后2个月双支持减少,3个月后略有增加。在运动学参数中,倾斜和旋转增加。治疗3个月后,UPDRS第三部分总评分从51分下降到29分。在病例2中,步态速度、步幅和摇摆相增加,但双支撑减少。在运动学参数中,倾斜、旋转和倾斜度下降。治疗3个月后,UPDRS第三部分总评分从11分下降到7分。结论:本研究提示韩国药物可以有效治疗因PIGD而感到不适的帕金森病患者。
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