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초록정보 내용
Objectives
Intracerebral hemorrhage (ICH) causes severe neurological sequelae including hemiparesis and gait disturbance. In chronic-stage patients, functional recovery is limited. Functional CerebroSpinal Technique (FCST), targeting upper cervical misalignment through TMJ balancing, has been proposed as a potential intervention, but clinical evidence in chronic ICH is lacking.
Methods
A 64-year-old woman with right hemiparesis, gait disturbance, and aphasia 4.65 years after left putaminal ICH underwent 27 outpatient sessions over two months. FCST-based upper cervical correction was performed exclusively using 162 Cervical Balancing Appliances (CBA). Motor function, ADL, and gait parameters were assessed before and after intervention.
Results
Motor strength improved in Manual Muscle Testing and isokinetic performance. Korean Modified Barthel Index increased from 71 to 78. Functional gait tests showed significant improvements: TUG time (-23.2%), 10MWT time (-28.0%), and reduced steps in 360° turn test. GAITRite® analysis revealed marked increases in right step length (+192.1%) and stride length (+1150.2%), with improved gait symmetry.
Conclusions
This case demonstrates that FCST-based upper cervical correction may contribute to meaningful improvements in chronic-stage ICH patients beyond the typical recovery window. However, limitations including single-case design indicate the need for controlled trials and standardized diagnostic protocols.
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