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J Acupunct Res > Volume 32(3); 2015 > Article
Park, Kim, Kim, Kim, Kim, and Kim: The Effect of Complex Korean Medical Treatment on a Spinal Cord Tumor: Focused on Changes of Pain and Temperature Sensation and Pain Sensation
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Abstract

Objectives:

The purpose of this study is to report the clinical effect of Korean medical treatment on a spinal cord tumor.

Methods:

We treated a patient who was diagnosed with a spinal cord tumor. We used acupuncture, bee venom pharmacopuncture, herbal medicine, moxibustion and physical therapy; the patient was evaluated using the visual analogue scale(VAS) and given an International Standards for Neurological Classification of Spinal Cord Injury(ISNCSCI) score.

Results:

VAS decreased and ISNCSCI score increased meaningfully.

Conclusions:

According to these results, this report possibly suggests that Korean medical treatment could be a helpful choice for treating a spinal cord tumor.

Fig. 1
CT image of spinal tumor, T4~5
acupunct-32-3-229f1.gif
Fig. 2
Change of VAS score
acupunct-32-3-229f2.gif
Fig. 3
Change of sensory score
acupunct-32-3-229f3.gif
Table 1
Functional and Neurological Examination
1. Functional evaluation

Neck Hoffmann’s sign − / −
Lhermitte’s sign +
Spurling sign − / −
Shoulder abduction test − / −

Motor C5 elbow flexors 5 / 5
C6 wrist extensors 5 / 5
C7 finger flexors 5 / 5
C8 finger abductors 5 / 5
L2 hip flexors 5 / 5
L3 knee extensors 5 / 5
L4 ankle dorsiflexors 5 / 5
L5 long toe extensors 5 / 5
S1 ankle plantar flexors 5 / 5

Sensory Symmetrically intact

2. Neurological examination

DTR Triceps jerk ++ / ++
Biceps jerk ++ / ++
Brachioradialis jerk ++ / ++
Knee jerk ++ / ++
Ankle jerk ++ / ++
Ankle clonus − / −
Babinski sign − / −

3. Others examination

Straight leg raising test − / −
Gait Intact
Tandem gait
Urinary incontinence
Anal tone Intact
Table 2
Change of Touch Score of Modified ISNCSCI
5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 2 0 / 2 1 / 1 1 / 1
L2 0 / 0 0 / 0 0 / 2 0 / 1 0 / 0 0 / 0
L3 0 / 1 0 / 1 0 / 1 0 / 0 0 / 0 0 / 0
L4 0 / 1 1 / 1 1 / 0 0 / 0 1 / 0 1 / 0
L5 1 / 1 1 / 1 0 / 1 0 / 1 1 / 1 1 / 1
S1 1 / 1 1 / 1 1 / 0 2 / 0 1 / 0 1 / 0
S2 0 / 0 0 / 0 1 / 2 2 / 1 1 / 0 1 / 1
S3 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
S4~5 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Total 43 / 44 43 / 44 43 / 48 44 / 45 44 / 42 44 / 43

Total score 86 87 91 89 86 87
Table 3
Change of Pin Score of Modified ISNCSCI
5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 1 0 / 0 2 / 0 2 / 0
L2 0 / 0 0 / 0 0 / 1 1 / 0 1 / 0 1 / 0
L3 0 / 0 0 / 0 0 / 0 2 / 2 2 / 2 2 / 2
L4 2 / 0 2 / 0 1 / 1 2 / 1 2 / 1 2 / 1
L5 2 / 0 2 / 0 2 / 1 2 / 0 2 / 0 2 / 0
S1 0 / 1 1 / 1 2 / 2 2 / 2 2 / 2 2 / 2
S2 1 / 1 1 / 1 1 / 2 2 / 1 2 / 2 2 / 2
S3 1 / 1 1 / 1 2 / 1 2 / 1 2 / 1 2 / 1
S4~5 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Total 45 / 42 46 / 42 47 / 48 52 / 46 54 / 47 54 / 47

Total score 87 88 95 98 101 101
Table 4
Change of Hot Score of Modified ISNCSCI
5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L2 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L3 1 / 0 1 / 0 1 / 1 1 / 0 1 / 0 1 / 0
L4 1 / 0 1 / 0 2 / 0 2 / 0 2 / 0 2 / 0
L5 1 / 0 1 / 0 2 / 0 1 / 0 2 / 0 2 / 0
S1 0 / 0 1 / 0 2 / 0 2 / 0 2 / 0 2 / 0
S2 0 / 1 1 / 1 2 / 0 2 / 0 1 / 0 1 / 0
S3 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
S4~5 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
Total 41 / 39 43 / 39 47 / 39 46 / 38 46 / 38 46 / 38

Total score 80 82 86 84 84 84
Table 5
Change of Cold Score of Modified ISNCSCI
5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
L2 0 / 0 0 / 0 0 / 0 1 / 0 0 / 0 1 / 0
L3 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L4 1 / 0 1 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L5 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
S1 0 / 0 1 / 0 2 / 0 1 / 0 1 / 0 1 / 0
S2 1 / 0 1 / 0 2 / 0 1 / 0 1 / 0 1 / 0
S3 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
S4~5 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Total 42 / 40 43 / 40 44 / 40 46 / 40 45 / 40 46 / 40

Total score 82 83 84 86 85 86
V.
V.

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Appendices

Appendix 1

acupunct-32-3-229a1.gif

Appendix 2

acupunct-32-3-229a2.gif


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