The Effect of Complex Korean Medical Treatment on Spinal Cord Infarction: A Case Report

Article information

Acupunct. 2016;33(2):189-200
Dept. of Acupuncture & Moxibustion, College of Korean Medicine, Daejeon University
*Corresponding author: Department of Acupuncture & Moxibustion Medicine, Dunsan Korean Medicine Hospital of Daejeon University, 75, Daedeokdae-ro, 176beon-gil, Seo-gu, Daejeon, Republic of Korea, Tel: +82-42-470-9137, E-mail: omdkim01@dju.kr
Received 2016 May 11; Revised 2016 June 02; Accepted 2016 June 07.

Abstract

Objectives:

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

Methods:

We treated a patient who was diagnosed with spinal cord infarction We used acupuncture, bee venom pharmacopuncture, herbal medicine, moxibustion and physical therapy. We evaluated the patient through Manual Muscle Testing (MMT) and International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) score.

Results:

MMT grade improved grade from 1 to 5 and ISNCSCI score increased from 2 to 14.

Conclusion:

According to these results, this report suggests that Korean medical treatment could be effective for spinal cord infarction.

Fig. 1

MRI image of spinal cord infarction, T12-L3

Fig. 2

Change of sensory score

Manual Muscle Testing

Change of MMT Grade

Change of TOUCH SCORE of Modified ISNCSCI

Change of PIN SCORE of Modified ISNCSCI

Change of COLD SCORE of Modified ISNCSCI

Change of HOT SCORE of Modified ISNCSCI

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Article information Continued

Fig. 1

MRI image of spinal cord infarction, T12-L3

Fig. 2

Change of sensory score

Table 1

Manual Muscle Testing

Grade Function of the Muscle
Grade0 Zero(0) No contraction flet in the muscle
Grade1 Trace(T) No visible movement palpable or observable tendon
Grade2− (P−) Moves through partial ROM gravity eliminated
Grade2 Poor(P) Moves through complete ROM gravity eliminated
Grade2+ (P+) Moves through partial ROM against gravity or Moves through complete ROM gravity eliminated and holds against tressure
Grade3− (F−) Gradual release from test position
Grade3 Fair(F) Hold test position against gravity
Grade3+ (F+) Hold test position against slight resistance
Grade4 Good(G) Hold test position against moderate resistance
Grade5 Normal(N) Hold test position against maximal resistance

Table 2

Change of MMT Grade

2015.04.11 2015.05.09 2015.06.17 2015.06.28 2015.07.08
HIP Flexors G/G G/N N/N N/N N/N
Extensors F/F P/P P+/P+ F+/F+ N/G
KNEE Flexors G/G G/N N/N N/N N/N
Extensors F/F G/N N/N N/N N/N
ANKLE Dorsiflexors T/T F−/F− G/F+ G/F+ G/F+
Plantarflexors T/T F−/F− G/F+ G/F+ G/F+
EHL(Extensors Hallucis Longus) T/T F−/P F+/P F+/P F+/P
2015.04.11 2015.05.09 2015.06.17 2015.06.28 2015.07.08
HIP Flexors 4/4 4/5 5/5 5/5 5/5
Extensors 3/3 2/2 2+/2+ 3+/3+ 5/4
KNEE Flexors 4/4 4/5 5/5 5/5 5/5
Extensors 3/3 4/5 5/5 5/5 5/5
ANKLE Dorsiflexors 1/1 3−/3− 4/3+ 4/3+ 4/3+
Plantarflexors 1/1 3−/3− 4/3+ 4/3+ 4/3+
EHL 1/1 3−/2 3+/2 3+/2 3+/2

Table 3

Change of TOUCH SCORE of Modified ISNCSCI

4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 0/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2
L5 0/0 0/0 0/1 0/1 0/1 1/1 1/1 0/1 0/1 0/1 1/2
S1 0/0 0/0 0/0 0/1 0/1 1/1 1/1 1/1 1/1 1/1 1/1
S2 0/0 0/0 1/1 1/1 1/1 1/1 1/1 1/1 1/1 1/1 1/1
S3 0/0 0/0 0/0 0/0 0/0 0/0 0/0 1/1 2/2 2/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 0/2 2/4 2/5 2/5 5/5 5/5 4–6 5–7 5–7 6/8

Total Score 2 2 6 7 7 10 10 10 12 12 14/24

Table 4

Change of PIN SCORE of Modified ISNCSCI

4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 0/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2 1/2
L5 0/0 0/0 0/1 0/1 0/1 0/1 16/1/1 0/1 0/2 0/1 0/1
S1 0/0 0/0 0/0 0/1 0/1 0/0 1/0 1/0 16/1/1 16/1/1 0/0
S2 0/0 1/1 1/1 1/1 1/1 2/2 2/2 2/2 2/2 2/2 2/2
S3 0/0 0/0 0/0 0/0 0/0 1/0 1/0 1/1 1/2 2/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 1/3 2/4 2/5 2/5 4/5 6/5 5/6 5/9 6/8 5/7

Total Score 0/2 1/4 1/6 1/7 1/7 1/9 1/11 1/11 1/14 1/14 12/24

Table 5

Change of COLD SCORE of Modified ISNCSCI

4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 0/2 1/2 1/2 1/2 0/2 1/2 1/2 1/2 1/2 1/2
L5 0/0 0/0 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1
S1 0/0 0/0 0/0 0/1 0/1 2/2 2/2 1/2 1/1 1/1 1/1
S2 0/0 0/0 1/1 1/1 1/1 2/2 2/2 2/2 2/2 2/2 2/2
S3 0/0 1/1 0/0 0/0 0/0 1/1 1/1 2/2 2/2 2/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 1/3 2/4 2/5 2/5 5/8 6/8 6/9 6/8 6/8 6/8

Total Score 1/2 1/4 1/6 1/7 1/7 1/13 1/14 1/15 1/14 1/14 14/24

Table 6

Change of HOT SCORE of Modified ISNCSCI

4/11 4/15 4/19 4/30 5/7 5/12 5/24 5/31 6/17 6/28 7/8
R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L R/L
L4 0/2 1/2 1/2 0/2 0/2 0/2 0/2 1/2 1/2 1/2 0/2
L5 0/0 0/0 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1 0/1
S1 0/0 0/0 0/0 0/1 0/1 0/0 0/0 1/1 1/2 1/1 1/1
S2 0/0 1/1 1/1 1/1 1/1 1/1 1/1 2/2 2/2 2/2 2/2
S3 0/0 0/0 0/0 0/0 0/0 1/1 1/1 2/2 2/2 1/2 2/2
S4-5 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Total 0/2 2/3 2/4 1/5 1/5 2/5 2/5 6/9 6/8 5/8 5/8

Total Score 1/2 1/5 1/6 1/6 1/6 1/7 1/7 1/15 1/14 1/13 13/24