Improvement of Tetraplegia and Respiratory Symptoms with Complex Korean Medicine Treatment After Traumatic Cervical Spinal Cord Injury: A Case Report

This study reports the effectiveness of traditional Korean medicine in treating tetraplegia and respiratory symptoms (including dyspnea) after traumatic cervical spinal cord injury surgery. The patient was treated with complex Korean medical treatment including electroacupuncture, pharmacopuncture, and herbal medicine. The manual muscle test (expanded Medical Research Council system) was used to measure the patient’s muscle strength. The Korean version of the modified Barthel index and the functional independent measure were used to evaluate the patient’s independence in performing daily activities. Following 2 hospitalizations and treatments, the patient’s muscle strength improved > 4+ score for all joints, and the Korean version of the modified Barthel index and functional independent measure scores increased from 26 to 79 and 56 to 95, respectively. Symptoms of dyspnea, coughing, and sputum gradually improved and finally disappeared during hospitalization. This study suggests complex Korean medicine treatment may be effective in the rehabilitation of post-surgical cervical spinal cord injury patients.

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Resistive Inspiratory Muscle Training Improves Inspiratory Muscle Strength in Subjects with Cervical Spinal Cord Injury

Neurology Report ◽

10.1097/01253086-200226010-00004 ◽

2002 ◽

Vol 26 (1) ◽

pp. 3-7

Author(s):

Deirdre Cruzado ◽

Mary Jo Jones ◽

Stacie Segebart ◽

Jennifer McDonagh

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Muscle Strength ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Inspiratory Muscle ◽

Inspiratory Muscle Training ◽

Muscle Training ◽

Cord Injury ◽

Inspiratory Muscle Strength

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THE RELATIONSHIP OF VENTILATORY MUSCLE STRENGTH TO CHEST WALL EXCURSION IN NORMAL SUBJECTS AND PERSONS WITH CERVICAL SPINAL CORD INJURY.

Cardiopulmonary Physical Therapy Journal ◽

10.1097/01823246-199809040-00021 ◽

1998 ◽

Vol 9 (4) ◽

pp. 20 ◽

Cited By ~ 2

Author(s):

D Feldman ◽

M Ouellette ◽

A Villamez ◽

M Massery ◽

L Cahalin

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Muscle Strength ◽

Chest Wall ◽

Cervical Spinal Cord ◽

Normal Subjects ◽

Cervical Spinal Cord Injury ◽

Cord Injury ◽

Relationship Of ◽

The Relationship

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Effect of Mobile Game-based Respiratory Exercise on Respiratory Muscle Strength and Cough Capacity in People with Severe Cervical Spinal Cord Injury: A Preliminary Case Study

Journal of rehabilitation welfare engineering & assistive technology ◽

10.21288/resko.2020.14.4.263 ◽

2020 ◽

Vol 14 (4) ◽

pp. 263-271

Author(s):

D. H. Kang ◽

J. Y. Park ◽

H. J. Park ◽

K. T. Kim ◽

S. D. Eun

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Muscle Strength ◽

Respiratory Muscle ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Respiratory Muscle Strength ◽

Mobile Game ◽

Cord Injury

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The Effects of Supervised Six Weeks Breathing Exercise on Dyspnea and Respiratory Muscle Strength in Cervical Spinal Cord Injury Patients

Turkish Thoracic Journal ◽

10.5152/turkthoracj.2019.213 ◽

2019 ◽

Vol 20 (-1) ◽

pp. 213-213

Author(s):

Rustem Mustafaoglu ◽

◽

Abdurrahim Yildiz ◽

Pinar Atagun Guney ◽

Fatma Nur Kesiktas ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Muscle Strength ◽

Respiratory Muscle ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Respiratory Muscle Strength ◽

Breathing Exercise ◽

Cord Injury

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Are subjects with spondylotic cervical cord encroachment at increased risk of cervical spinal cord injury after minor trauma?

Yearbook of Neurology and Neurosurgery ◽

10.1016/j.yneu.2011.12.006 ◽

2012 ◽

Vol 2012 ◽

pp. 282-283

Author(s):

R. Riesenburger

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Cervical Cord ◽

Minor Trauma ◽

Increased Risk ◽

Cord Injury

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Effects of neurocognitive rehabilitation on task performance and upper limb function in patients with incomplete cervical spinal cord injury

The Korean Society of Cognitive Therapeutic Exercise ◽

10.29144/kscte.2017.9.1.51 ◽

2017 ◽

Vol 9 ◽

pp. 51-58

Author(s):

Bo Ra Kang ◽

Jun Young Kim ◽

Su Ji Lee ◽

Si Nae Ahn

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Task Performance ◽

Upper Limb ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Limb Function ◽

Upper Limb Function ◽

Cord Injury ◽

Neurocognitive Rehabilitation

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An Inertial Measurement Unit-Based Wireless System for Shoulder Motion Assessment in Patients with Cervical Spinal Cord Injury: A Validation Pilot Study in a Clinical Setting

Sensors ◽

10.3390/s21041057 ◽

2021 ◽

Vol 21 (4) ◽

pp. 1057

Author(s):

Riccardo Bravi ◽

Stefano Caputo ◽

Sara Jayousi ◽

Alessio Martinelli ◽

Lorenzo Biotti ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Clinical Setting ◽

Cervical Spinal Cord ◽

Wearable Sensors ◽

Cervical Spinal Cord Injury ◽

Measurement Unit ◽

Innovative Technology ◽

Inertial Measurement ◽

Cord Injury

Residual motion of upper limbs in individuals who experienced cervical spinal cord injury (CSCI) is vital to achieve functional independence. Several interventions were developed to restore shoulder range of motion (ROM) in CSCI patients. However, shoulder ROM assessment in clinical practice is commonly limited to use of a simple goniometer. Conventional goniometric measurements are operator-dependent and require significant time and effort. Therefore, innovative technology for supporting medical personnel in objectively and reliably measuring the efficacy of treatments for shoulder ROM in CSCI patients would be extremely desirable. This study evaluated the validity of a customized wireless wearable sensors (Inertial Measurement Units—IMUs) system for shoulder ROM assessment in CSCI patients in clinical setting. Eight CSCI patients and eight healthy controls performed four shoulder movements (forward flexion, abduction, and internal and external rotation) with dominant arm. Every movement was evaluated with a goniometer by different testers and with the IMU system at the same time. Validity was evaluated by comparing IMUs and goniometer measurements using Intraclass Correlation Coefficient (ICC) and Limits of Agreement (LOA). inter-tester reliability of IMUs and goniometer measurements was also investigated. Preliminary results provide essential information on the accuracy of the proposed wireless wearable sensors system in acquiring objective measurements of the shoulder movements in CSCI patients.

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