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A Case Report on Idiopathic Late Onset Cerebellar Ataxia Treated with Temporomandibular Joint Balancing Therapy and Sasang Constitutional Medicine

  • Journal of Sasang Constitution and Immune Medicine
  • Abbr : J Sasang Constitut Med
  • 2024, 36(3), pp.94-107
  • Publisher : The Society of Sasang Constitution and Immune Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine
  • Received : October 28, 2024
  • Accepted : November 22, 2024
  • Published : November 30, 2024

Boram Bae 1 Soo Hyung Jeon 2 Young Jun Lee 3 Jong Won Kim 2

1동의대학교부속한방병원 한방내과
2동의대학교 한의과대학 사상체질과
3이영준한의원

Accredited

ABSTRACT

Objectives This study presents the improvement of symptoms using Functional Cerebrospinal Therapy (FCST) and Sasang Constitutional Medicine (SCM) in a patient with Idiopathic Late Onset Cerebellar Ataxia (ILOCA). Methods A 64-year-old female diagnosed with ILOCA underwent FCST and SCM treatments. Primary outcomes were assessed through Visual Analog Scales (VAS) for gait disturbance, hand weakness, and aphasia, alongside the Korean version of the Scale for the Assessment and Rating of Ataxia (K-SARA). Secondary outcomes included finger-tapping tests and sway analysis during walking and directional changes. Results Gait disturbance showed improvement, with the VAS score decreasing from 7.1 to 3.1. Sway was absent during 72 consecutive steps of walking, although it persisted during directional changes. Right-hand motor function improved significantly, as the VAS score reduced from 5.1 to 1.3 and finger-tapping delay from 8.29 to 2.51 seconds. Dysarthria improved, as indicated by a reduction in VAS score from 5.7 to 2.5. Conclusions This case suggests that FCST, SCM, and voluntary exercise are effective in improving gait disturbance, fine motor control, and dysarthria in patients with ILOCA.

Citation status

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