A Case Report on the Use of Korean Medicine Treatment for a Patient with Dysarthria Caused by Progressive Bulbar Palsy (PBP)

Ahn, Jae Hyun; Kim, Sung Yoon; Park, Jun Hyeong; Cho, Jeongjae; Choi, Do Young; Lee, Seung Hoon; Lee, Jae Dong

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자료유형: 학술저널

저자정보: Ahn, Jae Hyun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) Kim, Sung Yoon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) Park, Jun Hyeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) Cho, Jeongjae (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) Choi, Do Young (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) Lee, Seung Hoon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) Lee, Jae Dong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)

저널정보: 대한침구의학회 대한침구의학회지 Journal of acupuncture research 제34권 제1호

발행연도: 2017.1

수록면: 49 - 58 (10page)

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Objectives : To introduce a rare case of a patient with Progressive Bulbar Palsy (PBP) and suggest the possibility of treatment using electroacupuncture and Korean Medicine. Methods : A 61-year-old man with PBP, complaining of dysarthria, was treated with electroacupuncture and Korean Medicine, from June 16 to July 10, 2015. Improvements in symptoms were measured using the speech mechanism screening test (SMST), measurement of tongue and orbicularis oris motility, and speech handicap index (SHI). Results : The scores of SMST, motility of tongue and orbicularis oris showed a tendency for gradual improvement with 25 days of Korean Medicine Treatment after admission, but conversation was still impossible. In SHI scores, one point increased in the speech domain and one point decreased in the psycho-social domain, and three points increased in the other domain. Conclusion : Electroacupuncture and Korean Medicine Treatment improved dysarthria caused by PBP, but not completely. Korean Medicine Treatment seems effective in the management of accompanying symptoms such as black hairy tongue, dry mouth, and general condition. The symptoms of PBP are similar to those of amyotrophic lateral sclerosis and there is controversy regarding the classification of PBP. The most important aspect of treating a patient with PBP is an early diagnosis and devising appropriate rehabilitation strategies.

#Progressive Bulbar Palsy, PBP #Electroacupuncture #Korean Medicine #Dysarthria

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