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Comparison of Efficacy between Acupuncture Treatment and Collaborative Treatment with Prednisolone on Acute Bell's Palsy  

Yi, Joo-Il (Department of Internal Medicine of Korean Medicine, Jain Medi Hospital)
Kim, Hae-Jin (Department of Western Internal Medicine, Jain Medi Hospital)
Ryu, Eun-Kyung (Department of Oriental Rehabilitation Medicine, Jain Medi Hospital)
Publication Information
Journal of Korean Medicine Rehabilitation / v.23, no.3, 2013 , pp. 125-132 More about this Journal
Abstract
Objectives The purpose of this study was to compare the effects of acupuncture treatment with those of collaborative treatment regarding acute Bell's palsy. Methods Twenty-six patients who received outpatient treatment between March 2012 and February 2013 were divided into 2 groups. The East-West treatment group (EW group, n=12) received prednisolone and then acupuncture afterwards. The Eastern treatment group (E group, n=14) received just acupuncture. Acupuncture was administered 3 to 4 times a week, and both groups were educated to practice facial muscle exercises at home. Evaluations were made before treatment, after 1 week, 2 weeks, and 3 weeks using the House-Brackmann facial nerve grading system. Results Compared to before treatment, the House-Brackmann grades of both EW and E groups after 1, 2 and 3 weeks of treatment significantly decreased (p<0.05). Regarding group comparison, the House-Brackmann grade of the EW group was significantly lower than the E group at 1 week (p=0.043), but there was no significant difference at 2 and 3 weeks. Regarding improvement of House-Brackmann grades, there was no significant difference between the two groups at 1, 2 and 3 weeks (p>0.05). Conclusions Compared to just acupuncture treatment, collaborative treatment with prednisolone significantly improved the House-Brackmann grade after 1 week, but there was no difference as time passed. Because early intervention determines the prognosis of Bell's palsy, collaborative treatment at the early stage will be clinically helpful to patients.
Keywords
Acute Bell's palsy; Acupuncture; Prednisolone; House-Brackmann grade;
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Times Cited By KSCI : 1  (Citation Analysis)
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