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

Article information

J Korean Med. 2023;44(3):126-139
Publication date (electronic) : 2023 September 1
doi : https://doi.org/10.13048/jkm.23036
Cha Young Lee1orcid_icon, Dong Hoon Kang1orcid_icon, Da Woon Song2orcid_icon, Min Ji Lim3orcid_icon, In Chul Jung1,orcid_icon, Chung Sik Lee4,orcid_icon
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 2023 June 28; Revised 2023 August 7; Accepted 2023 August 17.

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

Insomnia Severity Index

Target and Detailed Intervention of Giungoroen-therapy During Hospitalization

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Article information Continued

Fig. 1

Fig. 1

Changes of Insomnia Severity Index

Fig. 2

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
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.