발표논문

제목 [경직] 저산소성 뇌손상 환자의 상지 제피질경직에 대한 전기침 치료 증례 보고
저산소성 뇌손상 환자의 상지 제피질경직에 대한 전기침 치료 증례 보고
Case Report: Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage
저자 강동경희대병원 의료진 : 박성욱(공동), 박정미(공동), 고창남(공동)
타기관 의료진: 권승원(교신저자), 정우상(1저자), 문상관(공동), 조기호(공동)
저널명 Case Reports in Medicine. 2013;524603
게재일 2013.10.01.
논문소개
-초록정리
Decorticate rigidity is a type of abnormal posturing that can make it difficult to move a patient and to change the patient’s position to prevent a decubitus ulcer. This condition poses a latent risk of bed sores. To prevent those complications, we used electroacupuncutre for decorticate rigidity of the upper limbs in a patient with anoxic brain damage. A 51-year-old man complained of rigidity of both of the upper and lower extremities due to anoxic brain damage. His rigidity was exhibited as flexed arms and extended legs, which are the typical positions in decorticate rigidity. Prior to electroacupuncture, his decorticate rigidity was treated with dantrolene sodium and baclofen. However, his rigidity had not improved. This patient received total 41 sessions of electroacupuncture. The patient’s Modified Ashworth’s Scale changed from 4 at baseline to 2 after the treatment, indicating an improvement in the rigidity of the upper limbs. Preston’s Hypertonicity Scale and passive ROM of the elbow joints also improved. We report the observed effects of electroacupuncture for decorticate rigidity of the upper limbs in a patient with anoxic brain damage. Further controlled studies are needed to determine whether electroacupuncture is a useful alternative treatment for decorticate rigidity in patients with anoxic brain damage.
페이지 URL http://www.hindawi.com/journals/crim/2013/524603/abs/

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