Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case Report

Stroke is a considerable cause of death; patients with stroke require continuous treatment. The recovery rates dramatically decline in the chronic phase (6 months post-onset), making it difficult to achieve meaningful therapeutic effects. Posterior lumbar interbody fusion (PLIF) is used to correct d...

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Main Authors: Shin-Hyeok Park, Sohae Cho, HyunSeung Lee, Jieun Kim, Nam Geun Cho
Format: Article
Language:English
Published: MEDrang Inc. 2025-02-01
Series:Journal of Acupuncture Research
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author Shin-Hyeok Park
Sohae Cho
HyunSeung Lee
Jieun Kim
Nam Geun Cho
author_facet Shin-Hyeok Park
Sohae Cho
HyunSeung Lee
Jieun Kim
Nam Geun Cho
author_sort Shin-Hyeok Park
collection DOAJ
description Stroke is a considerable cause of death; patients with stroke require continuous treatment. The recovery rates dramatically decline in the chronic phase (6 months post-onset), making it difficult to achieve meaningful therapeutic effects. Posterior lumbar interbody fusion (PLIF) is used to correct deformities in spinal disorders, but it can induce chronic radiculopathy, necessitating prolonged treatment. We report the effectiveness of complex Korean medicine treatment in a patient with chronic stroke and post-PLIF complications. The patient presented with right hemiparesis, low back pain, and bilateral radiculopathy. She underwent > 100 days of treatments, including acupuncture, cupping, herbal medicine, and physiotherapy. Her right handgrip strength and hip flexion improved from grade 1+ to 2+ and from grade 2+/3- to 4/5, respectively. The score on the Korean version of the Modified Barthel Index increased from 32 to 42. Given the treatment challenges in chronic stroke with overlapping symptoms, complex Korean medicine may improve the outcomes.
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institution Kabale University
issn 2586-288X
2586-2898
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publishDate 2025-02-01
publisher MEDrang Inc.
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series Journal of Acupuncture Research
spelling doaj-art-0a19f8dad4df41d19466bcecd53df9ee2025-02-03T09:22:39ZengMEDrang Inc.Journal of Acupuncture Research2586-288X2586-28982025-02-01421142010.13045/jar.24.0056Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case ReportShin-Hyeok Park0https://orcid.org/0000-0002-0652-365XSohae Cho1https://orcid.org/0009-0000-7420-4389HyunSeung Lee2https://orcid.org/0009-0004-2100-0576Jieun Kim3https://orcid.org/0009-0008-3139-992XNam Geun Cho4https://orcid.org/0000-0002-6778-9160Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Wonkwang University, Iksan, KoreaDepartment of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Wonkwang University, Iksan, KoreaDepartment of Korean Medicine, Graduate School of Wonkwang University, Iksan, KoreaDepartment of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University, Iksan, Korea Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Wonkwang University, Iksan, KoreaStroke is a considerable cause of death; patients with stroke require continuous treatment. The recovery rates dramatically decline in the chronic phase (6 months post-onset), making it difficult to achieve meaningful therapeutic effects. Posterior lumbar interbody fusion (PLIF) is used to correct deformities in spinal disorders, but it can induce chronic radiculopathy, necessitating prolonged treatment. We report the effectiveness of complex Korean medicine treatment in a patient with chronic stroke and post-PLIF complications. The patient presented with right hemiparesis, low back pain, and bilateral radiculopathy. She underwent > 100 days of treatments, including acupuncture, cupping, herbal medicine, and physiotherapy. Her right handgrip strength and hip flexion improved from grade 1+ to 2+ and from grade 2+/3- to 4/5, respectively. The score on the Korean version of the Modified Barthel Index increased from 32 to 42. Given the treatment challenges in chronic stroke with overlapping symptoms, complex Korean medicine may improve the outcomes.acupuncturecase reportcomplicationsspinal stenosisstroketraditional medicine
spellingShingle Shin-Hyeok Park
Sohae Cho
HyunSeung Lee
Jieun Kim
Nam Geun Cho
Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case Report
Journal of Acupuncture Research
acupuncture
case report
complications
spinal stenosis
stroke
traditional medicine
title Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case Report
title_full Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case Report
title_fullStr Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case Report
title_full_unstemmed Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case Report
title_short Effect of a Complex Korean Medicine Treatment in a Patient with Chronic Ischemic Stroke Who Developed Neurological Complications after Posterior Lumbar Interbody Fusion: A Case Report
title_sort effect of a complex korean medicine treatment in a patient with chronic ischemic stroke who developed neurological complications after posterior lumbar interbody fusion a case report
topic acupuncture
case report
complications
spinal stenosis
stroke
traditional medicine
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