Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of a Facial Muscle Exercise Program including Facial Massage for Patients with Facial Palsy

안면마비 환자를 위한 안면근육 운동 프로그램의 효과

  • Choi, Hyoung Ju (Department of Nursing, Kyung Hee University Hospital at Gangdong) ;
  • Shin, Sung Hee (College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University)
  • 최형주 (강동경희대학교병원 간호부) ;
  • 신성희 (경희대학교 간호과학대학.동서간호학연구소)
  • Received : 2016.01.11
  • Accepted : 2016.05.14
  • Published : 2016.08.31
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Abstract

Purpose: The purpose of this study was to examine the effects of a facial muscle exercise program including facial massage on the facial muscle function, subjective symptoms related to paralysis and depression in patients with facial palsy. Methods: This study was a quasi-experimental research with a non-equivalent control group non-synchronized design. Participants were 70 patients with facial palsy (experimental group 35, control group 35). For the experimental group, the facial muscular exercise program including facial massage was performed 20 minutes a day, 3 times a week for two weeks. Data were analyzed using descriptive statistics, ${\chi}^2$-test, Fisher's exact test and independent sample t-test with the SPSS 18.0 program. Results: Facial muscular function of the experimental group improved significantly compared to the control group. There was no significant difference in symptoms related to paralysis between the experimental group and control group. The level of depression in the experimental group was significantly lower than the control group. Conclusion: Results suggest that a facial muscle exercise program including facial massage is an effective nursing intervention to improve facial muscle function and decrease depression in patients with facial palsy.

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References

  1. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology. Seoul: Ilchokak; 2005. p. 1-631.
  2. National Health Insurance Service. Facial nerve palsy patient[Internet]. Seoul: Author; 2013[cited 2016 January 10]. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/2966.
  3. Choi SW, Yook TH, Song BY. A clinical study about factors to have an influence on the prognosis of Bell’s palsy. The Journal of Korean Acupuncture & Moxibustion Society. 2004;21(3):43-59.
  4. Min YK, Ahn CB, Jang KJ, Yoon HM, Kim CH, Song CH, et al. An analysis of clinical prognosis factors of Bell's palsy. The Journal of Korean Acupuncture & Moxibustion Society. 2008;25(3):163-177.
  5. Kwon HY, Cho TS, Son IS, Youn HM, Seo JC, Jang KJ, et al. The evaluation of improvement of Bell's palsy by Yanagihara's system. The Journal of Korean Acupuncture & Moxibustion Society. 2002; 19(1):118-126.
  6. Koo GH. Facial nerve palsy. The Journal of the Korean Pain Society. 1996;9(1):14-25.
  7. Hwang YJ. The effects of massage and oro-facial exercise program (MOEP) on spastic dysarthric's lip muscle function[master's thesis]. Daegu: Taegu University; 2004. p. 1-104.
  8. Kang BM, Kwon HC, Kim H, Cho YN. Effect of orofacial exercise on the swallowing function of stroke patients. The Journal of Korean Society of Occupational Therapy. 2013;21(3):57-69.
  9. Seo JE, Jeon BU. The effect of respiration and oral motor training on correctness of consonants and the vocalization prolongation, for children with spastic cerebral palsy. The Educational Journal for Physical and Multiple Disabilities. 2007;49:135-160.
  10. Hardy E, Robinson NM. Swallowing disorders treatment manual. 2nd ed. Austin, TX: Pro-ed; 2004.
  11. Park KS, Lee MH, Kang SK. The influence of skin temperature’s change in manipulative therapy. Journal of the Korean Society of Cosmetology. 2006;12(3):120-125.
  12. Lee JS, Seo NS, Han MS. Effects of meridian massage on facial paralysis, pain, and anxiety in Bell’s palsy patients. Journal of East-West Nursing Research. 2009;15(2):110-118.
  13. Lee J. The effect of acupressure massage on the change of digital infrared thermologic imaging, facial paralysis status, subjective symptoms, and depression in Bell's palsy patients[dissertation]. Naju: Dongshin University; 2010. p. 1-80.
  14. Ahn KM, Hong KH, Lee JS, Shin KO. A study on regulation of sebum.moisture, elasticity and edema in face by combination of manual & jade massage. The Journal of Cosmetological Science. 2010;6(4):337-346. http://dx.doi.org/10.15810/jic.2010.6.4.004
  15. Lee YW, Jeong JY, Kim HJ, Shin YS. Changes of infrared thermographic findings in bilateral Bell’s palsy treated with stellate ganglion block. Journal of the Korean Pain Society. 2001;14(1):93-97.
  16. House JW, Brackmann DE. Facial nerve grading system. Otolaryngology- Head and Neck Surgery. 1985;93(2):146-147. https://doi.org/10.1177/019459988509300202
  17. Kim MB, Kim JH, Shin SH, Yoon HJ, Ko WS. A study of facial nerve grading system. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2007;20(3):147-160.
  18. Lee OB, Kwon DH. The effects of the articulatory training program on the dysarthric speech in subjects with dysarthria. Journal of Speech and Hearing Disorders. 1998;7(2):131-152.
  19. Lee CW, Park IB, Kim SW, Kim HG, Heo SW, Kim CH, et al. The effect of acupuncture and Dong's acupuncture about Bell' palsy. The Journal of Korean Acupuncture & Moxibustion Society. 2004;21(2):287-300.
  20. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. http://dx.doi.org/10.1177/014662167700100306
  21. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1993;32(3):381-399.
  22. Gongole DC. The Source for oral-facial exercises: Updated and expanded. East Moline, IL: LinguiSystems; 1993.
  23. Kim WH, Park EY, Chang KY, Lee YJ. Effect of electromyographic biofeedback training on the muscle activities of unilateral facial palsy. Physical Therapy Korea. 2002;9(3):101-112.
  24. Kim EM, Jung HM. The effect of facial meridian massage on facial paralysis status, pain and stress of Bell’s palsy patients. Clinical Nursing Research. 2006;11(2):135-147.
  25. Lee HY, Kim BE. The effect of meridian points massage nursing intervention on the recovery of facial paralysis. Journal of Korean Academy of Nursing. 2001;31(6):1044-1054. https://doi.org/10.4040/jkan.2001.31.6.1044
  26. Kang YR. A study on self-consciousness and coping method for middle-aged housewives, stress based on exercise[master's thesis]. Seoul: Ewha Woman University; 1997. p. 1-72.
  27. Marra CM. Bell's palsy and HSV-1 infection. Muscle and Nerve. 1999;22(11):1476-1478. http://dx.doi.org/10.1002/ (SICI)1097-4598(199911)22:11<1476::AID-MUS2>3.0.CO;2-N
  28. Yu JH. The effect of exercise program to ease the musculoskeketal symptoms among the people working in a hotel. Korean Journal of Occupational Health Nursing. 2008;17(2):138-145.
  29. Kim ES, Lee SH, Nam SS, Kim YS. A study of psychological distress, anxiety and depression on motor recovery of acute Bell's palsy patients' facial muscle. The Acupuncture. 2014;31(1):149-158. http://dx.doi.org/10.13045/acupunct.2014015

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