Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Correlation Between Accompanying Symptoms of Facial Nerve Palsy, Clinical Assessment Scales and Surface Electromyography

  • Gyu Hui, Kim (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Jung Hyeon, Park (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Tae Kyung, Kim (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Eun Ju, Lee (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Su Eun, Jung (Department of Korean Medicine Rehabilitation, Dong-eui University College of Korean Medicine) ;
  • Jong Cheol, Seo (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Cheol Hong, Kim (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Yoo Min, Choi (Department of Acupuncture and Moxibustion Medicine, Korean Medicine Hospital of Woosuk University) ;
  • Hyun Min, Yoon (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine)
  • Received : 2022.09.14
  • Accepted : 2022.10.17
  • Published : 2022.11.30
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Abstract

Background: This retrospective study aimed to determine whether there were correlations between the number and type of accompanying symptoms of peripheral facial nerve palsy, and surface electromyography (SEMG) and clinical assessment scales to help diagnosis. Methods: There were 30, cases of peripheral facial nerve palsy at Visit 1 to the Korean Medicine Hospital, Dong-eui University, 22 cases at Visit 2 and 10 cases at Visit 3. The study period was from July 19, 2021 to November 31, 2021. Symptoms were evaluated three times (with two-week intervals which began 7 days from onset) using SEMG, clinical assessment scales and accompanying symptoms. In this study, the House-Brackmann grading system (HBGS), and the Yanagihara's unweighted grading system (Y-score) clinical assessment scales were used. The Pearson or Spearman correlation was used for statistical analysis. Results: On Visit 1, the number of accompanying symptoms of peripheral facial nerve palsy had no significant correlation with other measures. On Visits 1-3, the HBGS score had a significant negative correlation with the Y-score. On Visit 2, most of the mean values measured had significant correlations with each other although not between SEMG-Z and SEMG-O that Z means a zygomaticus muscle and O means a orbicularis oris muscle. On Visit 3, the number of accompanying symptoms significantly correlated with the clinical assessment scales. The HBGS score, Y-score, and SEMG measurements (except SEMG-Z) had significant correlations with each other. A significant positive correlation between SEMG-Z and SEMG-T was noted. Conclusion: We predict accompanying symptoms can be used to diagnose the peripheral facial nerve palsy including both clinical assessment scales and SEMG measurements at 2-5 weeks after onset.

Keywords

Acknowledgement

This study was supported by the Korea Institute of Oriental Medicine (no.: KSN2021110, KSN2022130).

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