Yang SoonRae-Amyotrophic Lateral Sclerosis-(Korea)

The second round of treatment:

Name: Yang SoonRae
Sex: Female
Nationality:
Korean
Age:
65Y
Diagnosis:
1. Amyotrophic Lateral Sclerosis(ALS) 2. Diabetes (type 2)

Before treatment:
The patient fell down several times 5 years ago, she didn’t know why and didn’t care that much. 1 year later she fell down more often so she went to a local hospital but was not diagnosed. Later she fell down and had fragmentation of the crucial ligament of her right knee joint and she had plaster immobilization for 4 months. After that her right leg was unable to move and her left leg was also unable to move later on. She was diagnosed with ALS in May 2015. Her arms became weak 1 year ago and it was hard for her to lift heavy objects. She had been to our hospital before in April 2017 and after our treatment her sleep was better, the muscle power of her right arm was increased and her legs became more flexible where it was easier for her to move her knee joints. One month ago she felt her legs had become weak again so she returned to our hospital .
Her spirit is good, her sleeping is not. Her diet is normal. She defecates twice a week, she takes some pills for urination. She has diabetes type 2.

Admission PE:
Bp: 135/82mmHg, Hr: 84/min, breathing rate: 18/min, body temperature: 36 degrees. Height 159cm, weight 63Kg. Nutrition status is good with normal physical development. There is no injury or bleeding spots of her skin and mucosa and no blausucht. The chest development  is normal and movement was basically normal. Breathing sounds of both lungs were clear with no obvious dry or moist rales. The heart beat is powerful with regular cardiac rhythm and no obvious murmur in the valves. The abdomen was bulging with no mass or tenderness. The liver and spleen were normal, shifting dullness is negative. The spinal column is normal, there was slight edema of her legs and she had feet drop.

Nervous System Examination:
Patient was alert and her mental status is good with clear speech. Her memory, orientation and calculation abilities were normal . Both pupils were equal in size and round with a diameter of 3.5 mm, react well to light and the eyeballs can move freely. No nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical, showing the teeth is normal, her tongue is in middle and there is no tongue muscle atrophy, she can move her tongue freely. She can chew food and blow out the cheeks as normal, her tongue can touch the cheek powerfully, the soft palate can lift powerfully. She can close eyes her powerfully, her neck was soft and she can turn her neck powerfully. The shrug ability is slightly weakened, the right arm adductor muscles and proximal muscle power was 3+ degrees, distal abductor muscle power was 3- degrees, right hand grip force was 4 degrees. Muscle power of the left arm was 4- degrees, grip force of the left hand was 4 degrees, muscle power of right leg distal side was 2+ degrees, proximal side was 1 degree. Muscle power of the left leg distal side was 2+ degrees, proximal side was 1+ degree. Muscle tone of the arms was normal and  slightly lower in the legs than normal. Bilateral biceps reflex and radial periosteal reflex are normal, the patellar tendon reflex and tendon reflex can not be induced, bilateral palm-jerk reflex was negative, Hoffmann sign of both sides were negative, Rossilimo sign of both sides were negative. The patient can perform the finger to nose test, fast alternate movement and finger opposite movements in a  stable manner. She cannot perform the heel-knee-tibia test, the meningeal irritation sign is negative.

Treatment:
After the admission she received related examinations and received 3 times nerve regeneration treatment to repair her damaged nerves, replace dead nerves, nourish nerves, regulate her immune system and improve blood circulation. This was done with rehabilitation training.     

Post-treatment:
After 12 days treatment her motor functions are better, her arm muscle power increased 20% and she was able to raise her arms easier. Her grasp was more powerful, her fingers were flexible and her arm movement became normal. The muscle power of her legs was increased and she can now bend the knee joints much better than before.


The frist round of treatment:
Age: 65Y
Diagnosis: 1. Amyotrophic Lateral Sclerosis(ALS) 2. Diabetes (type 2)

Before treatment:
In the summer of 2012, the patient fell some times, she didn’t know the reasons and didn’t care, one year later, she fell more, and she couldn’t move lower limbs well, so she went to hospital in May 2015, the doctor diagnosed her with ALS. One year ago, her felt weakness in upper limbs, especially in right upper limb, it was hard for her to raise, she took Riluzole without any effect. She wants a better treatment so she comes to our hospital.
Her spirit is good, her sleep is bad, she could only sleep 5 hours under some medicines, her diets are normal, she defecates twice a week, she takes some medicines for urination.

Admission PE:
Bp: 135/82mmHg, Hr: 84/min, breathing rate: 18/mim, body temperature: 36 degrees. Height 159cm, weight 63Kg. Nutrition status is good, normal physical development. There is no injury or bleeding spots of her skin and mucosa, no blausucht. The chest develop is normal, chest movement was basically normal. Breathing sounds of both lungs were clear, no obvious dry or moist rales. The heart beat is powerful with regular cardiac rhythm, with no obvious murmur in the valves. The abdomen was bulge, no mass or tenderness. The liver and spleen were normal, shifting dullness is negative. The spine column is normal, there was slight edema of lower limbs, patient had feet drop.

Nervous System Examination:
Patient was alert and hermental status is good,clear speech. Her memory, the orientation and calculation ability were normal .Both pupils were equal in size and round, diameter as 3.5mm, react well to light, eyeballs can move freely. No nystagmus. Bilateral forehead wrinkle and nasolabial fold are symmetrical, show teeth is normal. Her tongue is in middle and no tongue muscle atrophy, she can move her tongue freely. She can chewing food and blow out the cheek as normal, her tongue can touch the cheek powerfully. Soft plate can lift powerfully. She can close eyes powerfully. Neck was soft, she can turn her neck powerfully. Patient shrug ability is slightly weak, the right arm adductor muscles and proximal muscle power was 5- degree, distal abductor muscle power was 3+ degree, right hand grip force was 5- degree; muscle power of left arm was 5- degree, grip force of left hand was 5 degree, muscle power of right lower limb was 1 degree, of left lower lim was 1+ degree. Muscle tone of upper limbs was normal, of lower limbs slightly lower than normal. Bilateral biceps reflex and radial periosteal reflex are normal, the patellar tendon reflex and tendon reflex can not be induced, bilateral palm-jerk reflex was negative, Hoffmann sign of both sides were negative, Rossilimo sign of both sides were negative; patient can perform the finger to nose test, fast alternate movement and finger opposite movement stable. She can not perform the Heel-knee-tibia test, the meningeal irritation sign is negative.

Treatment:
After the admission, she received related examinations and diagnosed with 1. ALS 2.Diabetes (type 2). She received 3 times nerve regeneration treatment to repair her damaged nerves, replace dead nerves, nourish nerves, regulate her immune system and improve blood circulation, with rehabilitation training.     

Post-treatment:
After 14 days’ treatment, her sleep got better, upper limbs muscle power increased, and her endurance improved. Right arm adductor muscles power was 4+ degree; grip force 5 degree. She can stretch her knee joints much flexible once bend her knee passively. Her muscle power of adduction and abduction improved when bending her knee, the muscle power of it is 2+ degree.

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