파킨슨병 환자의 개인별 Wearing-off 증상 및 해결책 현황 조사를 위한 설문 연구

박미소,박상수,류호룡,편우석,허왕정,박신영,Miso S. Park,Sang Soo Park,Horyong Yoo,Jaeson Pyeon,Wang Jung Hur,Shin Young Park 턱관절균형의학회 2023 턱관절균형의학회지 Vol.13 No.sup

Objectives: Parkinson's disease (PD) is currently the most rapidly increasing degenerative brain disease due to population aging and westernization of lifestyle. Levodopa is the most commonly used drug to manage PD symptoms. However, levodopa has a problem in that the wearing-off phenomenon occurs as the duration and dose of administration increase. In order to investigate the wearing-off phenomenon in PD patients and devise countermeasures, we conducted a questionnaire survey in Korea. Methods: For the study, a questionnaire with a total of seven items was prepared. Part IV of the MDS-UPDRS (Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale) and the WOQ-9 (9-symptom Wearing-off Questionnaire) were used as references. Results: Of the 48 patients who completed the questionnaire, all 47 patients who completed the questionnaire experienced the wearing-off phenomenon. Only one of the patients diagnosed with PD a year ago did not experience the wearing-off phenomenon. Patients frequently mentioned a lack of sleep and stress as aggravating factors for wearing-off. They also stated that in order to resolve the off-state, they walked, massaged, warmed up the body, stretched and exercised. Conclusions: Because wearing-off is such a common occurrence, it is thought necessary to develop wearing-off prevention and resolution measures that PD patients can use in their daily lives.

안마의자를 활용하는 마사지가 성인 남녀의 자율신경균형도에 미치는 즉각적 영향: 전향적 관찰연구

박미소(Miso S. Park),최정은(Jungeun Choi),류호룡(Horyong Yoo),박상수(Sangsoo Park) 대한미병의학회 2024 대한미병의학회지 Vol.5 No.1

Objectives The aim of this study was to examine the immediate impact of a massage chair intervention on homeostasis and the balance of the autonomic nervous system in individuals aged 20 to 64. Methods This study was a single-center, prospective, single-arm, investigator-initiated observational study. Non-underweight adults without significant health concerns underwent a 40-minute massage chair intervention. Measurements of heart rate variability, functional near-infrared spectroscopy, and vital signs were conducted before and after the intervention. Additionally, participants completed the Mibyeong questionnaire and a satisfaction survey. Results A 40-minute massage chair session led to a notable decrease in average heart rate and low frequency to high frequency (LF/HF) ratio, coupled with an increase in root mean square of the successive differences (RMSSD) and standard deviation of NN interval (SDNN). No adverse reactions were noted. Subjects with elevated sympathetic nerve activity exhibited a reduction in LF/HF ratio, whereas those with heightened parasympathetic activity demonstrated an increase in LF/HF ratio post-intervention. Conclusions The findings indicate that the massage chair intervention has the potential to activate the parasympathetic nervous system, promote blood pressure homeostasis and autonomic nervous system balance. However, further research over a more extended period is crucial to validate these conclusions.

파킨슨병 환자 대상 음악 및 미술 치료 수요 설문조사

박신영,박미소,허왕정,편우석,류호룡,Shin Young Park,Miso S. Park,Wang Jung Hur,Jaeson Pyeon,Horyong Yoo 턱관절균형의학회 2023 턱관절균형의학회지 Vol.13 No.sup

Objectives: The purpose of this study was to investigate patients' demand for music and art therapy in the treatment of Parkinson's disease and to understand how patients view the use of music and art therapy as a complementary form of treatment that can improve their quality of life and increase their self-efficacy in addition to medication. Methods: To this end, 60 Parkinson's patients visiting Daejeon Korean Medicine Hospital at Daejeon University were surveyed about music and art therapy. Results: The survey demonstrated a highly positive response to the music program, with strong belief in its efficacy for Parkinson's disease and significant interest in participation. Group music therapy was perceived as effective for enhancing mental health, respiratory function, language disorders, and overall quality of life. Although the art program was also deemed effective, patients showed slightly lower interest and willingness to participate compared to music therapy. The patients preferred 60-minute sessions once a week for about 8 weeks. Conclusions: We propose the following directions for a Parkinson's music and art therapy program. First, develop a once-a-week, 8-week music and art program for Parkinson's patients. Second, design the music program to focus on improving respiratory function and quality of life. Third, the art program focuses on creating a sense of security and comfort through emotional exchange among patients and improving self-efficacy.

경부 자가 마사지 후 척수부신경병증을 호소하는 환자의 턱관절균형요법 치험례

김하권,최정은,박상수,허왕정,류호룡,박미소,Hakwon Kim,Jung Eun Choi,Sang Soo Park,Wang Jung Hur,Horyong Yoo,Miso S. Park 턱관절균형의학회 2023 턱관절균형의학회지 Vol.13 No.sup

The purpose of this study is to describe the effects of temporomandibular joint balancing therapy on a patient with a spinal accessory neuropathy. A patient reported sternocleidomastoid muscle and trapezius muscle weakness after self-massage. The patient was instructed to wear the Accurate Balancing Appliance (ABA) for at least 8 hours per day and maintain an upright posture. The patient received cervical spine manipulation on day 2, 4, and 6. The patient's progress was tracked based on the angle at which the head turned to the right from the midline when she lifted her head while lying down, as well as the muscle strength and pain in the right trapezius muscle. The patient recovered spontaneously after 7 days. The ABA and cervical spine manipulation assisted the patient in reducing fatigue and discomfort during daily activities. 본 증례의 환자는 자가 경부 마사지로 인한 척수부신경병증으로 경추부 근력 불균형 및 그에 따른 피로를 호소하였다. 자가 마사지로 인한 일시적 신경 압박은 7일에 걸쳐 자연 회복되었으며, 턱관절균형요법을 통해 자세와 척추 구조의 균형점을 회복시켜 환자의 피로와 자세 불균형을 개선할 수 있었다.

<황제내경 소문 상고천진론>의 양생법과 공동체 기반 건강 노화 요인의 비교고찰

최정은(Jungeun Choi),류호룡(Horyong Yoo),박미소(Miso S. Park) 대한미병의학회 2024 대한미병의학회지 Vol.5 No.1

We reexamined the meaning of <Hwangjenaegyeong Somun Sanggocheonjinron> by drawing on findings from studies on Blue Zones and healthy communities. The first chapter of Sanggocheonjinron highlighted the concept of living in harmony with the principles and essence of the universe. It emphasized the importance of a balanced diet, coupled with a regular lifestyle, as fundamental factors for achieving health and longevity. Chapter 2 highlighted the significance of harmonious community living as a key element for overall well-being. Chapter 4 further emphasized the importance of living one’s life in accordance with the principles of nature and community living. Numerous investigations into longevity and well-being have been conducted. Notably, an examination of the lifestyle of elderly people living in Blue Zones—regions densely populated with people living beyond 100 years without significant health issues—demonstrated that these people thrive by embracing a sense of purpose, leading simple lives, engaging in natural daily activities, and effectively managing stress. According to the findings, eating a vegetarian diet, avoiding excessive eating and drinking, and cultivating connections within a healthy community and family all helped to maintain health. While genetic factors were acknowledged to contribute to human longevity, constituting approximately 25%, the remaining portion was recognized as being influenced by lifestyle choices. Consequently, the pursuit of a healthy and long life, as advocated in the Hwangjenaegyeong and Blue Zones, emphasized the importance of belonging to a healthy community and cultivating healthy lifestyle habits.