DOI QR코드

DOI QR Code

Five Clinical Cases of Facial Chuna Manual Therapy with Korean Medicine Treatment for Acute Bell's Palsy

  • Jung Min, Son (Department of Korean Acupuncture & Moxibustion Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Hye Soo, Youn (Department of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Eun Chang, Lee (Department of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Choong Hyun, Park (Department of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Sun Woo, Kwon (Department of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Ji Yoon, Lee (Department of Rehabilitation Medicine of Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Da Young, Han (Department of Rehabilitation Medicine of Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Haeni, Seo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Gachon University)
  • Received : 2022.10.20
  • Accepted : 2022.11.25
  • Published : 2023.02.28

Abstract

This study individually analyzed the effects of Korean Facial Chuna Manual Treatment (K-FCMT) combined with Korean medicine (KM) treatment (acupuncture, electroacupuncture, pharmacopuncture, and herbal medicine) on five patients with acute Bell's palsy who visited Dongsuwon Korean Medicine Hospital between August 1 and 31, 2022. During inpatient treatment, two of the five patients received K-FCMT 5-6 times a week, and the other three received the same frequency during outpatient treatment for approximately 2 weeks. Patients with a House-Brackmann grading scale (HBGS) score of ≤4 and Yanagihara unweighted grading system (Y-score) ≥7-8 began to recover after the 2nd-3rd sessions of K-FCMT, which entered the recovery phase quickly. As patients entered the recovery phase (7-9th sessions of K-FCMT), symptoms improved to HBGS scores of 1-2 and Y-scores of 35-40 points. This study suggests the possibility of applying K-FCMT combined with KM treatment to patients in the acute stage of Bell's palsy.

Keywords

References

  1. Korean Neurological Association. Textbook of neurology. 3rd ed. Beom Mun Education; 2017:235.
  2. Korean Acupuncture and Moxibustion Medicine Society. Acupuncture medicine. Hanmi Medical Publishing; 2016;639-641.
  3. Lim H, Lee Y, Lee S, Kim YS. Effectiveness and safety of Korean medicine treatment based on the clinical practice guidelines in patients with acute peripheral facial palsy: a protocol for a multicenter, prospective, observational study. Medicine (Baltimore) 2022;101:e29864. doi: 10.1097/MD.0000000000029864
  4. Kim SJ, Lee HY. Acute peripheral facial palsy: recent guidelines and a systematic review of the literature. J Korean Med Sci 2020;35:e245. doi: 10.3346/jkms.2020.35.e245
  5. Kim JS. Kim's facial chuna manual therapy. Wiz Communications; 2020;110-115.
  6. Choi GY, Park YK, Woo SH, Lee JH, Lee YK, Lee HJ, et al. Facial chuna manual therapy and acupuncture treatment for the sequelae of peripheral facial nerve palsy: two clinical cases. J Acupunct Res 2022;39:70-75. doi: 10.13045/jar.2021.00269
  7. Kim D, Jung B, Cho MU, Song SB, Chung SH, Park TY, et al. Analysis of medical services provided to patients with peripheral facial palsy in Korea: a descriptive, cross-sectional study of the health insurance review and assessment service national patient sample database. BMC Health Serv Res 2021;21:1178. doi:10.1186/s12913-021-07078-9
  8. Shin HW, Kang JH, Lee H. Efficacy of Soyeom Pharmacopuncture on postauricular pain accompanied with peripheral facial paralysis. J Korean Acupunct Moxib Soc 2009;26:41-49.
  9. Yang TJ, Lee JH, Kim SW, Jeong JY, Wei TS. 25 cases of facial paralysis inpatients by Korean medical treatment with Hwangryunhaedok-tang Pharmacopuncture. Korean J Acupunct 2014;31:229-233. doi: 10.14406/acu.2014.027
  10. Wang WH, Jiang RW, Liu NC. Electroacupuncture is effective for peripheral facial paralysis: a meta-analysis. Evid Based Complement Alternat Med 2020;2020:5419407. doi: 10.1155/2020/5419407
  11. Yu Z, Shen M, Shang W, Wu J, Xuan L. Timing of acupuncture treatment in peripheral facial paralysis: a systematic review and meta-analysis. Comput Math Methods Med 2021;2021:4221955. doi: 10.1155/2021/4221955
  12. Bae HB, Yoon HJ, Ko WS. A retrospective study of facial paralysis sequelae for Korean medical treatment. J Korean Med Ophthalmol Otolaryngol Dermatol 2019;32:59-73. doi: 10.6114/jkood.2019.32.1.059
  13. Kim PK, Sung WS, Goo BH, Ryu HK, Suk KH, Lee JH, et al. Retrospective study on factors influencing facial nerve damage of acute peripheral facial palsy patients: by electromyography. The Acupuncture 2013;30:155-167. doi: 10.13045/acupunct.2013054
  14. Park JH, Lee YJ, Ryu HM, Lee SJ, Park EJ, Song CH, et al. Effects of muscle energy technique of upper trapezius and sternocleidomastoid muscles on Bell's palsy. J Acupunct Res 2017;34: 190-196. doi: 10.13045/jar.2017.02131
  15. Park YK, Lee CI, Lee JH, Lee HJ, Lee YK, Seo JC, et al. A facial chuna manual therapy for peripheral facial nerve palsy. J Acupunct Res 2019;36:197-203. doi: 10.13045/jar.2019.00283
  16. Choi JH, Yoon YS, Lee KJ, Park KS, Shin JS, Ha IH. The effect of SJS non-resistance technique-facial palsy on a patient with post-acute phase Bell's palsy unresponsive to conventional treatment: a case report. Explore (NY) 2021;17:203-207. doi: 10.1016/j.explore.2019.12.002
  17. Lee YH, Chai JW, Choi DJ, Ku SH, Kim SH, Moon HW. Three case reports of patients with facial nerve palsy treated by SJS non-resistance technique-facial palsy (SJSNRT-F) combined with Korean medicine treatment. J Chuna Man Med Spine Nerves 2021;16:87-95. doi: 10.30581/jcmm.2021.16.2.87
  18. Choi YA, Ryu SM, Lee SM, Heo YJ, Lee Ey, Lee CK, et al. Effect of facial chuna manual therapy combined with Korean medicine treatmeant for Bell's palsy. J Acupunct Res 2022;39:222-228. doi: 10.13045/jar.2022.00087
  19. Chen Q, Chen F, Li YN, Bao WT, Zhang H. Clinical efficacy of electroacupuncture dilatational wave treatment of acute-stage facial paralysis. Acupunct Electro Ther Res 2021;46:405-418. doi: 10.3727/036012921X16237619666085
  20. Manikandan N. Effect of facial neuromuscular re-education on facial symmetry in patients with Bell's palsy: a randomized controlled trial. Clin Rehabil 2007;21:338-343. doi: 10.1177/0269215507070790