Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지
DOI QR코드

DOI QR Code

The Effectiveness of Korean Medicine Treatment Including Facial Chuna Manual Therapy for the Sequelae of Bell's Palsy: Four Case Series

특발성 안면마비 후유증에 대한 안면추나를 포함한 한의한 치료: 4예 보고

  • Seojung Ha (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Byung-Jun Kim (Department of Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Minjeong Kim (Department of Korean Medicine, College of Korean Medicine, Sangji University)
  • 하서정 (경희대학교 일반대학원 임상한의학과) ;
  • 김병준 (상지대학교 한의과대학 한의학과) ;
  • 김민정 (상지대학교 한의과대학 한의학과)
  • Received : 2023.04.10
  • Accepted : 2023.04.17
  • Published : 2023.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study aims to demonstrate the effectiveness of facial chuna manual therapy in treating the sequelae of Bell's palsy. Four patients were treated with facial chuna manual therapy once a week for 4 weeks, consisting of facial muscle massage, acupoint pressure, contracture chuna, and synkinesis chuna. The changes in symptoms (contracture and sysnkinesis) were measured using the Sunnybrook Facial Grading Scale (SFGS), Synkinesis Assessment Questionnaire (SAQ), Facial Disability Index (FDI), Contracture/Synkinesis scale using a facial scanning system, Numeric Rating scale (NRS) for synkinesis or contracture, and Was It Worth It questionnaire. After treatments, SFGS, Contracture/Synkinesis scale, and NRS for synkinesis or contracture showed significant improvements. SFGS increased in three cases from 39~76 to 52~85 score. SAQ decreased in two cases from 53.33~57.78 to 40.00~55.56. FDI increased in three cases from 120~128 to 138~145. These results suggest that Korean medicine treatment, including facial chuna manual therapy can be effective in improving the sequelae of Bell's palsy.

Keywords

References

  1. Peitersen E. The natural history of Bell's palsy. The American Journal of Otology. 1982;4(2):107-11.
  2. Peitersen E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Oto-laryngologica Supplementum. 2002;122(7):4-30. https://doi.org/10.1080/000164802760370736
  3. Cho E, Kang JH, Lee H. Case study of Jung-an acupuncture on the sequelae of peripheral facial palsy. Journal of Korean Acupuncture & Moxibustion Society. 2013;30(3):155-63.
  4. Bae HB, Yoon HJ, Ko WS. A retrospective study of facial paralysis sequelae for Korean medical treatment. The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology. 2019;32(1):59-73.
  5. Lee SE, Yoon HJ, Ko WS. Research trends on non-surgical treatment of peripheral facial paralysis sequelae. The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology. 2018;31(4):42-64.
  6. Park YK, Lee CI, Lee JH, Lee HJ, Lee Yk, Seo JC, Kim JS. A facial chuna manual therapy for peripheral facial nerve palsy. Journal of Acupuncture Research. 2019;36(4):197-203. https://doi.org/10.13045/jar.2019.00283
  7. Shin JS. Clinical standard guideline for Korean chuna manual medicine. 3rd ed. Korean Society of Chuna Manual Medicine for Spine and Nerves. 2019:237-40.
  8. Ross BG, Fradet G, Nedzelski JM. Development of a sensitive clinical facial grading system. Otolaryngology and Head and Neck Surgery. 1996;114(3):380-6. https://doi.org/10.1016/S0194-59989670206-1
  9. Mehta RP, WernickRobinson M, Hadlock TA. Validation of the Synkinesis Assessment Questionnaire. Laryngoscope. 2007;117(5):923-6. https://doi.org/10.1097/MLG.0b013e3180412460
  10. Beurskens CH, Heymans PG. Positive effects of mime therapy on sequelae of facial paralysis: stiffness, lip mobility, and social and physical aspects of facial disability. Otology & Neurotology. 2003;24(4):677-81. https://doi.org/10.1097/00129492-200307000-00024
  11. Nakamura K, Toda N, Sakamaki K, Kashima K, Takeda N. Biofeedback rehabilitation for prevention of synkinesis after facial palsy. Otolaryngology - Head and Neck Surgery. 2003;128(4):539-43. https://doi.org/10.1016/S0194-59980223254-4
  12. Thanarajasingam G, Basch E, Mead-Harvey C, Bennett AV, Mazza GL, Schwab G, Roydhouse J, Rogak LJ, Dueck AC. An exploratory analysis of the "Was It Worth It?" Questionnaire as a novel metric to capture patient perceptions of cancer treatment. Value Health. 2022;25(7):1081-6. https://doi.org/10.1016/j.jval.2021.11.1368
  13. Health Insurance Review & Assessment Service. Healthcare Bigdata Hub. Disease subtypes (3rd degree) statistics [Internet] 2023 [cited 2023 Apr 9]. Available from: URL: http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do
  14. Hohman MH, Hadlock TA. Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. Laryngoscope. 2014;124(7):E283-93. https://doi.org/10.1002/lary.24542
  15. VanSwearingen J. Facial rehabilitation: a neuromuscular reeducation, patient-centered approach. Facial Plastic Surgery. 2008;24(02):250-9. https://doi.org/10.1055/s-2008-1075841
  16. Filipo R, Spahiu I, Covelli E, Nicastri M, Bertoli GA. Botulinum toxin in the treatment of facial synkinesis and hyperkinesis. The Laryngoscope. 2012;122(2):266-70. https://doi.org/10.1002/lary.22404
  17. Silva MFF, Guedes ZCF, Cunha MC. Psychosocial aspects associated with peripheral facial paralysis in sequelae stage: clinical case study/aspectos psicossociais associados a paralisia facial periferica na fase sequelar: estudo de caso clinico. Revista CEFAC. 2013;15(4):1025.
  18. Hadlock TA, Greenfield LJ, Wernick-Robinson M, Cheney ML. Multimodality approach to management of the paralyzed face. Laryngoscope. 2006;116(8):1385-9. https://doi.org/10.1097/01.mlg.0000225980.38147.c6
  19. Robinson MW, Baiungo J. Facial rehabilitation: evaluation and treatment strategies for the patient with facial palsy. Otolaryngologic Clinics of North America. 2018; 51(6):1151-67. https://doi.org/10.1016/j.otc.2018.07.011
  20. Tollefson TT, Hadlock TA, Lighthall JG. Facial paralysis discussion and debate. Facial Plastic Surgery Clinics of North America. 2018;26(2):163-80. https://doi.org/10.1016/j.fsc.2017.12.004
  21. Cabin JA, Massry GG, Azizzadeh B. Botulinum toxin in the management of facial paralysis. Current Opinion in Otolaryngology & Head and Neck Surgery. 2015;23(4):272-80. https://doi.org/10.1097/MOO.0000000000000176