Case Study of Oriental Medicine Treatment with Acupotomy Therapy of the Peroneal Nerve Palsy through Ultrasound Case Report
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(2) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지88 MAC-11. Journal of Pharmacopuncture 제 14권 제 1호( 2011년 3월). 88. Togrol. 5. peroneal nerve palsy. 6 2007 2007. 8 4. 1990 7 N/S. 8 15 1 9 10. C/C developed MRI of the brain C-spine L-spine Hip non specific 10.6.10 (Babinski) (extensor hallucis longus) Compression test (lateral). II. 증례 1 (F/16). 6. 9. 2. 2010. 6. 10. 2010. 6. 18. 3. 2010 Left foot drop. 4 2010. 10 6. 9. 6. 10.
(3) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지89 MAC-11. 근골격계 초음파를 이용한 침도침술의 비골신경 마비 증례 보고. 89. within normal limit Chest PA& L-spine& Knee X-ray, MRI of the brain & C-spine, L-spine & hip; non specific. 0.5CC 3 8g 6g. 11. 4g. 1 4 (0.8). 6g 4g. 1g 2g 1. 4g 4g. 2g. 4g 4g. 2g. 4g. 4g 2g. 3g 2g. 2 4 Micro Wave. ICT. 4. 6. 12 (Fig.1 Fig.1 measuring depth of acupoint by ultrasonoscope and gauging the insertion length 1 75%. 1 Tinel's sign. Motor test Range of motor 50. 0.5CC 0.05CC. 0.1CC (Fig. 2) Fig. 2. insertion and exfoliation. 2 Takakura. rating scale Takakura. 5. 10. 8-9. 6-7 5 2 0.30. 40. 1 13 STRICTA.
(4) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지90 MAC-11. 90. Journal of Pharmacopuncture 제 14권 제 1호( 2011년 3월). STRICTA. Intervention. Item. Description. Acupuncture rationale 1 1992; 9-42 GB34. 0.5. 3~4 mm 0.5~ cm. Needling details 2. 4 0.8 Treatment regimen. 3. 1 2 3. Co-interventions 4. 8g 4g. 4g 2g. Practitioner background. 5. Control intervention(s). 6g 4g. 6g 4g. 2g 2g Micro Wave 6 21. 2g ICT. TENS 6. 4g 4g. 4g 3g 2g. 4g 1g.
(5) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지91 MAC-11. 근골격계 초음파를 이용한 침도침술의 비골신경 마비 증례 보고. 91. III. 결과 1 Table 1.. Krackow. Table 1. The changes of physical examination. 3 2 Takakura. rating scale. 9 12 MICHAEL 31. Fig. 3 10.6.10 10.6.14 2 Fig. 3. The changes of rating scale.. 30. IV. 고찰 및 결론 foot drop. L4,5. L4-5, S1-2 Peroneal nerve. S1,2. Peroneous longus m. 4cm. foot drop. steppage gait. 2-3. 97%.
(6) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지92 MAC-11. 92. Journal of Pharmacopuncture 제 14권 제 1호( 2011년 3월). 2 1. 60%. rating scale Table. 1.Figure 3.. 5. V. 참고문헌 1. David J. Magee. Orthopedic Physical Therapy Diagnostics. Seoul. Hyunmoon. 1998 : 805.. 2. Society of Korean Orthopedic Surgery. Orthopedic Surgery 6th : The latest mecicine. 2006 : 435-36 3. Togrol E. Bilateral peroneal nerve palsy induced by prolonged squatting. Mil Med. 2000 Mar;165(3):240-2 4. Chu MG; Kim SJ; We J; Choi JB. A Clinical Case Study of Foot Drop Caused by Common Peroneal Neuropathy. J Oriental Rehab Med 2007;17(3):218, 227 5. Hwang JU, ,Lee JY, Won SH ,Kim DY ,Kim SH, Park HS. Case Report of Foot Drop Patient Treated with Electroacupuncture. The journal of korean acupuncture & moxibustion society. 2005 ; 22(05) : 161-66. 6. Lee SH, Choi SY, Lee SK, Gug YJ, Kim DJ. Clinical Study on 1 Case of Patient with the Foot Drop Diagnosed as Peripheral Neuropathy. The journal of korean acupuncture & moxibustion society. 2006 ; 23(1) : 217-23 7. Jang WS. A case of foot drop treated with placenta pharmacopuncture. The journal of pharmacopuncture. 2009; 12(1): 99-102 8. Jeung HY, Kang SG, Koh HG. Review on The XiaZhenDao Therapy. The journal of korean acupuncture & moxibustion society. 2002; 19(1): 244-61 9. Kim SC, Seo GY, Lee SW, Parck SU, Kim JH, Ahn SH, Hwang SY. Biological Activities of Scolopendrid Pharmacopuncture. The journal of pharmacopuncture. 2010; 13(3):5-13 10. Takakura Y, Kumai T, Takaoka T and Tamai S: Peroneal nerve palsy caused by coalition associated with a ganglion. J Bone Joint Surg, 80-B : 130-33, 1998. 11. Kim Sm. Clinical Diagnostics of neuron. Seoul: Jungdam. 1999 : 3,41,45 12. Kang SY, Park KH, Moon JL. Clinical and Electromyography study of peroneal nerve palsy. Korean academy of rehabilitation medicine. 1987;1(2):236-42 13. Meals RA. Peroneal nerve palsy complicating.
(7) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지93 MAC-11. 근골격계 초음파를 이용한 침도침술의 비골신경 마비 증례 보고. ankle sprain:Report of two cases and review of the literature. J Bone Joint Surg. 1966;48:1484-95 14. Krackow KA, Maar DC, Mont MA, Carroll IV. Surgical decompression for peroneal nerve palsy after total knee arthroplasty. Clin Orthop. 1993;292:223-8 15. Cho SG, Chung BS, Yun HS, Lee JH, Lee SH, Seo DM, Lee JD. Clinical study on a case of axonotmesis of common peroneal mononeropathy by using 3 times EMG studies. The journal of pharmacopuncture. 2001; 4: 105-12 16. Michael A. Mont, A. Lee Dellon, Franklin Chen, Marc W. Hungerford, Kenneth A. Krackow and David S. Hungerford. The Operative Treatment of Peroneal Nerve Palsy. The Journal of bone & joint surgery. 1996; 78:863-9 17. Yang Yu Gul. The translation of Huangdi Neijing Suwen. Seoul. Yiljong. 1991: 337-341 18. Hong Won Sik. Exquisite Huangdi Neijing Suwen. Seoul. Institute of Oriental Medicine. 1985:14 19. Zhu Han Zhang. Therapy of Acupotomy. Beijing: Chinese Medicine publishers. 1992; 9-42 20. W X P ng, Zh ng Ti n M n. Acupotomy of low back & abdomen pain Beijing: Chinese Medicine publishers. 2008; 156-62. 93.
(8) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지94 MAC-11. 94. Journal of Pharmacopuncture 제 14권 제 1호( 2011년 3월). Fig. 1. Measuring depth of acupoint by ultrasono and gauging the insertion length. Fig. 2. Insertion and exfoliation.
(9) 087~96 근골격계.ps 2011.3.31 12:3 PM 페이지95 MAC-11. 근골격계 초음파를 이용한 침도침술의 비골신경 마비 증례 보고. Fig. 3. The changes of rating scale.. Table 1. The changes of physical examination. Before treatment. After treatment. Tinel's sign. -. -. Tibialis anterior muscle atrophy. -. -. Range of motion(Dorsi-flextion). -50. 20. Motor test. 1. 5. 95.
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