뇌졸중 후 발병한 복합부위 통증증후군 환자의 한방치료로 호전된 치험 3례 보고 = Complex Regional Pain Syndrome on Post-Stroke Patients with Korean Medicine: A Case Series of Three Patients

다국어 초록 (Multilingual Abstract)

Objectives: This study was performed to evaluate the efficacy of Korean Medicine on post-stroke patients with upper limb pain due to complex regional pain syndrome diagnosed by three-phase bone scan, digital infrared thermal imaging, and International Association for the Study of Pain diagnostic criteria Methods: To evaluate the effectiveness of the treatments, visual analogue scale, medical research council grade, Brunnstrom stage of motor recovery, modified Ashworth scale, and Korean modified Barthel index were used. Results: After Korean medical treatments like acupuncture, herb medication, bee-venom therapy and rehabilitation therapy for 4 weeks, upper limb pain was considerably less and function of upper limbs was improved. Conclusions: Korean medical treatments have some good effects on post-stroke patients with complex regional pain syndrome.

참고문헌 (Reference)

1 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구" 대한재활의학회 31 (31): 283-297, 2007

2 대한통증학회, "통증의학" 군자출판사 27-29, 1997

3 노주환, "중풍 환자의 상지 경직에 대한 봉약침의 효과" 대한침구의학회 27 (27): 115-125, 2010

4 박상현, "제1형 복합부위 통증증후군의 진단에서 적외선 체열측정과 3상 골스캔의 유용성" 대한통증학회 19 (19): 81-86, 2006

5 한태륜, "재활의학" 군자출판사 164-165, 2011

6 강석영, "알레르기 질환의 진단과 치료" 일조각 313-316, 1993

7 김동은, "복합부위통증증후군에 대한 동서의학적 고찰" 한방재활의학과학회 19 (19): 157-185, 2009

8 양종윤, "복합부위 통증증후군의 치료" 한국정신신체의학회 18 (18): 57-61, 2010

9 최현수, "뇌졸중환자에서 발병한 복합국소통증증후군의 특성" 9 (9): 77-81, 2010

10 정경숙, "뇌졸중 후 중추성 통증 환자에 대한 봉독약침요법 치료 효과에 대한 임상적 연구" 대한침구의학회 22 (22): 69-76, 2005

11 危亦林, "世醫得效方" 남산당 448-, 1990

12 Feldman F, "Thermography of the hand and wrist: practical applications" 7 : 99-112, 1991

13 Pertolidi S, "Shoulder-hand syndrome after stroke. A complex regional pain syndrome" 41 : 283-292, 2005

14 Gregson JM, "Reliability of the tone assesment scale and the modified ashworth scale as clinical tools for assessing poststroke spasticity" 80 : 1013-1016, 1999

15 Stanton-Hicks M, "Reflex sympathetic dystrophy; changing concepts and taxonomy" 63 : 127-133, 1995

16 Oyen WJ, "Reflex sympathetic dystrophy of the hand; an excessive inflammatory response" 55 : 151-157, 1993

17 Petchkura W, "Reassessment of the incidence of complex regional pain syndrome type 1 following stroke" 14 : 59-63, 2000

18 Rommel O, "Quantitive sensory testing, neurophysiological and psychological examination in patients with complex regional pain syndrome and hemisensory deficits" 93 : 279-293, 2001

19 Harden RN, "Objectification of the diagnostic criteria for CRPS" 11 : 1212-1215, 2010

20 Brunnstrom S, "Motor testing procedures in hemiplegia: Based on sequential recovery stages" 46 : 357-375, 1966

21 Wasner G, "Complex regional pain syndrome; diagnostic, mechanism, CNS involvement and therapy" 41 : 61-75, 2003

22 Albazaz R, "Complex regional pain syndrome: a review" 22 : 297-306, 2008

23 김용석, "CRPS treated with Bee-venom Herbal acupuncture: A case report" 23 (23): 191-195, 2006

24 고정민, "CRPS Type-1 Patient Treated with acupuncture and Bee-venom Acupuncture: A case report" 21 (21): 79-87, 2009