Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage

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...

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Main Authors: WooSang Jung, SeungWon Kwon, SeongUk Park, SangKwan Moon, JungMi Park, ChangNam Ko, KiHo Cho
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/524603
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author WooSang Jung
SeungWon Kwon
SeongUk Park
SangKwan Moon
JungMi Park
ChangNam Ko
KiHo Cho
author_facet WooSang Jung
SeungWon Kwon
SeongUk Park
SangKwan Moon
JungMi Park
ChangNam Ko
KiHo Cho
author_sort WooSang Jung
collection DOAJ
description 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.
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spelling doaj-art-e1b79eddb0e249e19b6fd12d166dde752025-02-03T05:44:29ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/524603524603Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain DamageWooSang Jung0SeungWon Kwon1SeongUk Park2SangKwan Moon3JungMi Park4ChangNam Ko5KiHo Cho6Department of Cardiovascular and Neurological Diseases, Kyung Hee University Oriental Medicine Hospital, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Republic of KoreaDepartment of Cardiovascular and Neurological Diseases, Kyung Hee University Oriental Medicine Hospital, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Republic of KoreaDepartment of Cardiovascular and Neurologic Diseases, Kyung Hee University Hospital at Gangdong, 149, Sangil-dong, Seoul, Republic of KoreaDepartment of Cardiovascular and Neurological Diseases, Kyung Hee University Oriental Medicine Hospital, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Republic of KoreaDepartment of Cardiovascular and Neurologic Diseases, Kyung Hee University Hospital at Gangdong, 149, Sangil-dong, Seoul, Republic of KoreaDepartment of Cardiovascular and Neurologic Diseases, Kyung Hee University Hospital at Gangdong, 149, Sangil-dong, Seoul, Republic of KoreaDepartment of Cardiovascular and Neurological Diseases, Kyung Hee University Oriental Medicine Hospital, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Republic of KoreaDecorticate 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.http://dx.doi.org/10.1155/2013/524603
spellingShingle WooSang Jung
SeungWon Kwon
SeongUk Park
SangKwan Moon
JungMi Park
ChangNam Ko
KiHo Cho
Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage
Case Reports in Medicine
title Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage
title_full Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage
title_fullStr Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage
title_full_unstemmed Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage
title_short Electroacupuncture for Decorticate Rigidity of the Upper Limbs in a Patient with Anoxic Brain Damage
title_sort electroacupuncture for decorticate rigidity of the upper limbs in a patient with anoxic brain damage
url http://dx.doi.org/10.1155/2013/524603
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