Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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Effect of Therapeutic Massage and Muscle Reeducation Training in People with Facial Nerve Paralysis

치료적 마사지와 근재교육 훈련이 안면신경마비 환자의 회복에 미치는 영향

  • Kwon, Oh-Sung (Dept. of Physical Therapy, Dun San Oriental Hospital of Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Health Sports Science, Daejeon University) ;
  • Oh, Duck-Won (Dept. of Physical Therapy, College of Health Sports Science, Daejeon University) ;
  • Kim, Jin-Seop (Dept. of Physical Therapy, Dun San Oriental Hospital of Daejeon University)
  • 권오성 (대전대학교부속 둔산한방병원) ;
  • 김선엽 (대전대학교 보건스포츠대학원 물리치료학과) ;
  • 오덕원 (대전대학교 보건스포츠대학원 물리치료학과) ;
  • 김진섭 (대전대학교부속 둔산한방병원)
  • Received : 2009.01.10
  • Accepted : 2009.03.01
  • Published : 2009.03.31
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Abstract

Background: The purpose of this study was to determine the effect of massage and muscle reeducation training with conventional treatment in patients with facial paralysis. Methods: Twenty-five patients with facial nerve paralysis were randomly allocated to 3 groups: massage, muscle reeducation training, and control groups. Therapeutic intervention for the massage (n=8) and muscle reeducation training (n=8) groups consisted of conventional therapy such as application of hot pack and electrical stimulation plus massage therapy and muscle reeducation training, respectively. The control group (n=9) received only conventional therapy. Therapeutic intervention for each group was performed 6 times per week for 4 weeks. The patients were assessed by using the House-Brackmann Grading System (H-B grade) and Yanagihara Unweighted Grading System (Y grade) once every week. Results: The H-B and Y grades improved significantly in all 3 groups after a 4-week intervention (p<.01). At 3 and 4 weeks, the H-B and Y grades of the massage group improved significantly when compared with those of the control group (p<.01). Muscle reeducation training group showed significant improvements in the scores of the two grades with time when compared with the massage and control groups (p<.01). The rate of change in the H-B grade was significantly different between the control and muscle reeducation training groups (p<.01), and that of change in the Y grade was significantly different between the control and muscle reeducation training groups (p<.01) and between the control and massage groups (p<.01). Conclusion: These findings suggest that massage and muscle reeducation training are more effective in improving the condition of patients with facial nerve paralysis than conventional therapy. In particular, the results of this study indicate that muscle reeducation training can be recommended by clinicians since it provides more benefits.

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