A case report of Korean medicine treatment including Giungoroen-therapy for adhesive capsulitis with insomnia

Cha Young Lee; Dong Hoon Kang; Da Woon Song; Min Ji Lim; In Chul Jung; Chung Sik Lee; Lee, Cha Young; Kang, Dong Hoon; Song, Da Woon; Lim, Min Ji; Jung, In Chul; Lee, Chung Sik

doi:10.13048/jkm.23036

JKM > Volume 44(3); 2023 > Article

Lee, Kang, Song, Lim, Jung, and Lee: A case report of Korean medicine treatment including Giungoroen-therapy for adhesive capsulitis with insomnia

Case Report

The Journal of Korean Medicine 2023; 44(3): 126-139.

Published online: September 1, 2023

DOI: https://doi.org/10.13048/jkm.23036

A case report of Korean medicine treatment including Giungoroen-therapy for adhesive capsulitis with insomnia

Cha Young Lee¹

, Dong Hoon Kang¹

, Da Woon Song²

, Min Ji Lim³

, In Chul Jung¹^{, *}

, Chung Sik Lee⁴^{, *}

¹Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University, Republic of Korea

²Department of Korean Rehabilitation Medicine, Gwangju Jaseng Hospital of Korean Medicine, Republic of Korea

³Department of Acupuncture and Moxibustion, Gwangju Jaseng Hospital of Korean Medicine, Republic of Korea

⁴Department of Oriental Neuropsychiatry, Gwangju Jaseng Hospital of Korean Medicine, Republic of Korea

Correspondence to: In Chul Jung, Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University, 62, Daehakro, Dong-gu, Daejeon Republic of Korea, Tel: +82-42-470-9129, Fax: +82-42-470-9005, E-mail: npjeong@dju.kr

Correspondence to: Chung Sik Lee, Department of Oriental Neuropsychiatry, Gwangju Jaseng Hospital of Korean Medicine, 1243-1, Chipyeong-Dong, Seo-gu, Gwangju Republic of Korea, Tel: +82-62-3218-2100, Fax: +82-62-720-0115, E-mail: faithlife@daum.net

Received June 28, 2023 Revised August 7, 2023 Accepted August 17, 2023

Abstract

Objectives

The purpose of this study was to evaluate the effectiveness of insomnia treatment applied with Giungoroen-therapy in relieving adhesive capsulitis.

Methods

There is a patient who has had insomnia symptoms for 2 years ago and complained of shoulder pain from 5 months ago. Korean medicine treatment like acupuncture, pharmacopuncture, herbal medicine and Giungoroen-therapy was applied to this patient. As evaluation tools, the numeral rating scale(NRS), a tool for pain evaluation and the Insomnia Severity Index(ISI), a sleep quality evaluation tool, were used. After 12 days of treatment, the range of motion of the shoulder joint increased and the NRS score improved from 8 to 5 and the ISI score improved from 22 to 16.

Conclusion

For the treatment of adhesive capsulitis, it can be effective to relieve insomnia by applying Korean medicine treatments, including Giungoroen-therapy.

Keywords: Adhesive Capsulitis, Insomnia, Psychotherapy, Giungoroen-therapy

Fig. 1

Changes of Insomnia Severity Index

Fig. 2

Changes of Numerical Rating Scale

Table 1

Insomnia Severity Index

Score	0 (None)	1 (Mild)	2 (Moderate)	3 (Severe)	4 (Very Severe)
Insomnia problem	0 (None)	1 (Mild)	2 (Moderate)	3 (Severe)	4 (Very Severe)
1. Difficulty falling asleep
2. Difficulty staying asleep
3. Problems waking up too early
4. How dissatisfied are you with your current sleep pattern?
5. How noticeable to others do you think your sleep problem is in terms of impairing the quality of your life?
6. How worried are you about your current sleep problem?
7. To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. daytime fatigue, mood, ability to function at work/daily chores, concentration, memory, mood, etc.) currently?

Table 2

Target and Detailed Intervention of Giungoroen-therapy During Hospitalization

Hospital day	Target	Detailed intervention
1~2	Lack of awareness of insomnia.	Help patient recognizes her insomnia as a target for treatment by having talk about her symptoms and fill out a questionnaire in a relaxed setting. Explain the current situation of insomnia and insomnia is a disease that can be sufficiently improved.
3~4	Emotional stagnation. Anxiety about relapse.	Listen to the patient’s story as it is and provide words of empathy and support. Conduct Listening-focused counseling to comfortable atmosphere. Through this process, patient could speak up stories couldn’t tell even to people close to her.
5~7	Guilt over the death of her sister.	Change patient’s perception of the guilt that weighed on her by emphasizing that she had been grieving enough so far.
8~11	Anxiety about recurrence after discharge.	Reassure that anxiety after discharge is normal and encourage the current treatment progress is good. Give courage to do well even after being discharged.

참고문헌

1. Choi S.J.2021; Adhesive Capsulitis of the Shoulder. J Korean Soc Radiol. 82:6. 1355–1365. https://doi.org/10.3348/jksr.2021.0131

2. The Society of Korean Medicine Rehabilitation. 2016. Korean Medicine Rehabilitation. 4th rev. edPaju: Gunja Publishing Company.

3. Lee S.J., Kim J.K.2015; Inflammation and Insufficient or Disordered Sleep. Korean J Clin Lab Sci. 47:3. 97–104. https://doi.org/10.15324/kjcls.2015.47.3.97

4. Lee J.S.2012; Sleep and Pain. Sleep medicine and psychophysiology. 19:2. 63–67. https://doi.org/10.14401/KASMED.2012.19.2.063

5. Onen S.H., Alloui A., Gross A.2001; The effects of total sleep deprivation, selective sleep interruption and sleep recovery on pain tolerance thresholds in healthy subjects. J Sleep Res. 10:1. 35–42.

6. Stiefel F., Stagno D.2004; Management of insomnia in patients with chronic pain conditions. CNS Drugs. 18:285–96. https://doi.org/10.2165/00023210-200418050-00002

7. Cho C.H.2012; Sleep Status and Quality of Life in Patients with Frozen Shoulder. J Korean Orthop Assoc. 47:3. 205–210. https://doi.org/10.4055/jkoa.2012.47.3.205

8. Celiker R., Borman P., Oktem F., Kutsal Y., Başgöze O.1997; Psychological disturbance in fibromyalgia: relation to pain severity. Clin Rheumatol. 16:179–84. https://doi.org/10.1007/bf02247848

9. Onen S.H., Onen F., Courpron P., Dubray C.2005; How pain and analgesics disturb sleep. Clin J Pain. 21:422–31. https://doi.org/10.1097/01.ajp.0000129757.31856.f7

10. National Institutes of Health. 2005. NIH State of the Science Conference statement on Manifestations and Management of Chronic Insomnia in Adults statement. J Clin Sleep Med. 1:4. 412–21. https://focus.psychiatryonline.org/doi/epdf/10.1176/foc.7.4.foc538

11. Heo J.2002. Donguibogam. 2nd edition. Seoul: Bubinbooks.

12. Espie C.A.2002; Insomnia: conceptual issues in the development, persistence, and treatment of sleep disorder in adults. Annu Rev Psychol. 53:215–43. https://doi.org/10.1146/annurev.psych.53.100901.135243

13. Shin Y.C.1992; A Study on the Oriental psychotherapy. Korea Journal of Oriental Medicine. 2:1. 430–53.

14. Seo Y.M.2010; A Clinical Report of a postpartum depression patient who treated by Giungoroen-therapy and IiGyeungByunQi-therapy. The Korean Society of Oriental Neuropsychiatry. 21:3. 151–161.

15. Lee H.J., Min B.K., Jin J.S., Seo J.H.2018; A Case Report of Conversion Disorder Treated with Psychotherapy of Korean Medicine and M&L Psychotherapy. Journal of Oriental Neuropsychiatry. 29:3. 197–206. https://doi.org/10.7231/jon.2018.29.3.197

16. American Academy of Sleep Medicine. 2014. International classification of sleep disorders. 3rd ed. Darien, IL: American Academy of Sleep Medicine; https://doi.org/10.1378/chest.14-0970

17. Shim S.Y., Park H.J., Lee J.M., Lee H.S.2007; An Overview of Pain Measurements. The Korean Journal of Meridian & Acupoint. 24:2. 77–97.

18. Jacobs G.D., Pace-Schott E.F., Stickgold R., Otto M.W.2004; Cognitive behavior therapy and pharmacotherapy for insomnia. Arch Intern Med. 164:1888–96. https://doi.org/10.1001/archinte.164.17.1888

19. Codman E.A.1934. The shoulder; rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston: Thomas Todd Co.

20. Terzano M.G., Parrino L., Cirignotta F., Ferini-Strambi L., Gigli G., Rudelli G., et al2004; Insomnia in primary care, a survey conducted on the Italian population. Sleep Med. 5:67–75. https://doi.org/10.1016/j.sleep.2003.09.006

21. Theodore A., Omachi M.D.2011; Measuring Sleep in Rheumatologic Diseases: The ESS, FOSQ, ISI, and PSQI. Arthritis Care Res (Hoboken). 63:011. S287–S296. https://doi.org/10.1002/acr.20544

22. Bastien Célyne H, Vallières Annie, Morin Charles M. 2001; Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine. 2:4. 297–307. https://doi.org/10.1016/s1389-9457(00)00065-4

23. Epstein Dana R, Babcock-Parziale Judith L, Herb Christine A, Goren Kathleen, Bushnell Mary Lu. 2013; Feasibility Test of Preference-Based Insomnia Treatment for Iraq and Afghanistan War Veterans. Rehabilitation Nursing. 38:3. 120–32. https://doi.org/10.1002/rnj.67

24. Jung J.H., Lee S.Y.2022. Psychosomatic Medicine. 2nd ed. Paju: Gunja Publishing Company.

25. Lee J.W., Yeo J.J., Kim K.S.2022; Effectiveness of Cognitive Behavioral Therapy for Sleep D5sorder: An overview of Systematic Review. The Journal of Korean Medicine. 43:2. 75–91. https://doi.org/10.13048/jkm.22021

26. Kim S.J.2020; Recent Advances in Diagnosis and Treatment of Insomnia Disorder. Korean Neuropsychiatric Association. 59:1. 2–12. https://doi.org/10.4306/jknpa.2020.59.1.2

27. Kim J.Y., Park J.I., Yang J.C.2015; Psychodynamic Psychotherapy of PTSD. Anxiety and Mood. 11:2. 106–113.

28. Chung H.J.2010; Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. Journal of Ethnopharmacology. 130:3. 450–459. https://doi.org/10.1016/j.jep.2010.05.020

29. Kim H.W., Kwon Y.B., Ham T.W., Roh D.H., Yoon S.Y., Han H.J., Kang S.K., Lee H.J., Mar W.C., Yang I.S., Beitz A.J., Lee J.H.2002; The antinociceptive and anti-inflammatory effect of ethylacetate extracts from Bang-Poong (Radix ledebouriellae) on the Freund’s adjuvant-induced arthritis in rats. Journal of Veterinary Science. 3:343–349. https://doi.org/10.4142/jvs.2002.3.4.343

30. Ida Y., Satoh Y., Katsumaata M., Nagasao M., Hirai Y., Kajimoto T., Katada N., Tasuda M., Yamamoto T.1998; Two novel oleanolic acid saponins having asialyl Lewis X mimetic structure from Achyranthes fauriei root. Bioorgarnic and Medical Chemistry Letters. 8:2555–2558. https://doi.org/10.1002/chin.199902187

31. Jun B.C.2011; Effectiveness of ShinBaro Pharmacopuncture on Lumbar Spinal Herniated Intervertebral Disc: A Randomized Controlled Trial. Korean Society of Chuna manual Medicine for Spine and Nerves. 6:2. 109–119.