• 제목/요약/키워드: House-Brackmann grading system

검색결과 87건 처리시간 0.034초

전기와 자기장의 침 자극을 포함한 복합치료가 말초성 안면신경마비에 미치는 영향에 대한 관찰 연구 (Clinical Observations of Complex Therapy, including Electroacupuncture and Magnetic-acupuncture, for Treating Peripheral Facial Nerve Palsy)

  • 오서영;이현;강재희
    • Journal of Acupuncture Research
    • /
    • 제33권3호
    • /
    • pp.117-127
    • /
    • 2016
  • Objectives : This study was performed to observe the effect of complex therapy, including electro-acupuncture and magnetic-acupuncture, on peripheral facial nerve palsy. Methods : Nine patients with peripheral facial nerve palsy were treated with acupuncture using electrical and magnetic stimulation. Acupoints in the face were stimulated with an electromagnetic field, as widely and as evenly as possible. To evaluate the effects before and after treatment we used Yanagihara's unweighted grading system, House-Brackmann scale, and Sunnybrook facial grading system and image once a week. Results : After treatment, the scores of Yanagihara's unweighted grading system, House-Brackmann scale and Sunnybrook facial grading system each improved (p-value < 0.05). Conclusion : Complex therapy using electro-acupuncture and magnetic-acupuncture might be an effective treatment to improve symptoms of peripheral facial nerve palsy. Further randomized-controlled trials are required to verify the efficacy and results of this study.

말초성 안면신경마비에 대한 섬관법 복합치료 효과 (Effect of Cupping Complex Therapy on Peripheral Facial Paralysis)

  • 오현준;송호섭
    • Journal of Acupuncture Research
    • /
    • 제28권4호
    • /
    • pp.119-125
    • /
    • 2011
  • Objectives : This study was to investigate the effectiveness of cupping therapy on peripheral facial paralysis. Methods : We investigated 39 cases of patients with peripheral facial paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with cupping therapy, and did the other group by complex oriental medical treatment without cupping therapy. To evaluate the effectiveness of treatment applied for two groups, we used gross grading system of House-Brackmann(HB score), Yanagihara's unweighed grading system(Y score) at baseline and final. Results : 1. In cupping group and non-cupping group, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, cupping group showed significant decrease on HB score and significant increase on Y score compared with non-cupping group. Conclusions : Cupping therapy can be available for relieving symptoms related with peripheral facial paralysis.

안면신경평가기준에 따른 구안와사(口眼喎斜)의 임상관찰 (The clinical observation on Bell's palsy according to facial nerve grading system)

  • 김종인;서정철;이상훈;최도영;강성길;고형균
    • Journal of Acupuncture Research
    • /
    • 제19권5호
    • /
    • pp.112-123
    • /
    • 2002
  • Background and Objective : The evaluation of facial nerve function is a complex procedure. The House-Brackmann facial nerve grading system(H-B grade)and the Yanagihara grading system(Y-system) have been recommended as universal standards for assessing the degree of facial nerve palsy. The purpose of this study is to compare the effectiveness of Y-system and H-B system and to know the advantages of each system for each stage of incomplete recovery or sequelae of facial paralysis. Materials and Methods : A comparison between H-B grade and Y-system was studied with 137 evaluations of 61 cases of incomplete recovery or sequelae of peripheral facial paralysis. Each case was graded by using H-B system as a gross system and Y-system as a regional system before treatment, after 12 weeks and 6 months Results and Conclusions : The range of score in the Y-system 0-6, 8-16, 14-22, 24-34, 32-38, 38-40 were matched with grade VI, V, IV, III, II and I in the H-B system. The percentage of H-B grade III was the greatest among 137 evaluations and y-system showed the greatest score range. H-B system is easy to use but Y-system is more objective, quantitative and convenient to use in the incomplete recovery or sequelae state.

  • PDF

급성 Bell's Palsy의 침 치료와 Prednisolone을 병행한 협진 치료의 효과 비교 (Comparison of Efficacy between Acupuncture Treatment and Collaborative Treatment with Prednisolone on Acute Bell's Palsy)

  • 이주일;김혜진;류은경
    • 한방재활의학과학회지
    • /
    • 제23권3호
    • /
    • pp.125-132
    • /
    • 2013
  • 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.

말초성안면신경마비에 대한 예풍혈 봉약침 복합치료 효과 (Effect of Bee Venom Pharmacopuncture Complex Therapy at Yepung on Peripheral Facial Paralysis)

  • 오현준;송호섭
    • Journal of Acupuncture Research
    • /
    • 제27권4호
    • /
    • pp.179-185
    • /
    • 2010
  • Objectives : This study was to investigate the effectiveness of Bee Venom Pharmacopuncture therapy at Yepung($TE_{17}$) on peripheral facial paralysis. Methods : We investigated 36cases of patients with Peripheral Facial Paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with Bee Venom Pharmacopuncture therapy at local point with Yepung(VY), and did the other group by complex oriental medical treatment with Bee Venom pharmacopuncture therapy at local point without Yepung(VL). To evaluate the effectiveness of treatment applied for two groups, we used Gross Grading System of House-Brackmann(HB score), Yanagihara's Unweighed Grading System(Y score) at baseline and final. Results : 1. In VY and VL, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, VY showed significant decrease on HB score and significant increase on Y score compared with VL. Conclusions : Bee Venom Pharmacopuncture therapy at Yepung can be available for relieving symptoms related with peripheral facial paralysis.

소아(小兒)에서 발생(發生)하는 구안와사(口眼喎斜)의 임상적(臨床的) 고찰(考察) (The Clinical Study of Bell's palsy of Children)

  • 서원희;문익렬;박종태;김진영
    • Journal of Acupuncture Research
    • /
    • 제19권5호
    • /
    • pp.73-91
    • /
    • 2002
  • Objective : The purpose of this study is to assess treatment of children's bell's palsy based on physiological and pathological character. Methods : At the age of 0 to 15, 30 bell's palsy out-patients who visited and treated more than 3weeks at the Department of Acupuncture & Moxibustion, Dong-indang Oriental Medicine Hospital, from 07-01-2001 to 06-30-2002. They were treated with Acupuncture, Herb, Aqua-acupuncture, Physical therapy and measured by HBGS(House-Brackmann Grading System) and DEFS(Detailed of Facial Symmetry of Phillsbury and Fisch) at visit and 3 weeks after. Result and Conclusion : Children's bell's palsy is mostly caused by recent upper respiratory infection and developed most frequently on March, September, seasonally in Spring, Autumn. A group of children's bell's palsy was marked much higher than a group of adult's bell's palsy conducted by Kim's report with oriental medicine in treatment outcome. But we discovered that there was not the signifcant difference between two groups.

  • PDF

Bell's palsy의 중증도와 얼굴 체열진단의 상관성에 대한 연구 (Study on the Correlation between Bell's Palsy Severity and Facial Thermography)

  • 손영진;문병순;윤종민
    • 동의생리병리학회지
    • /
    • 제28권1호
    • /
    • pp.89-93
    • /
    • 2014
  • The aim of this study was to investigate that thermal imaging is objective and effective to evaluate the severity of Bell's palsy. We investigated 19 cases of patients in college of Oriental Medicine, Iksan Oriental medical hospital at Wonkwang university who were diagnosed with Bell's palsy. The degree of palsy was evaluated with House-Brackmann grading system(HBGS) before treatment, then the thermal difference of the face was calculated by thermal imaging, and finally the correlation between HBGS and thermal difference was analyzed. The significance correlation was found between HBGS and thermal imaging's thermal difference. According to the images taken from 17 patients' DITI's temperature value and HBGS's palsy grade, they significantly were correlated. As thermal imaging's thermal differences got larger in number, the palsy grade had increased. These results suggest that thermal imaging identified to be a relatively objective examination method for evaluating the severity of Bell's palsy.

편측 안면경련을 동반한 급성기 안면신경마비 한방 치험 1례 (A Case of Acute Facial Nerve Palsy with Hemifacial Spasm Treated with Korean Medicine)

  • 경다현;김서희;임승환
    • 한방안이비인후피부과학회지
    • /
    • 제35권4호
    • /
    • pp.163-171
    • /
    • 2022
  • Objectives : The aim of this study was to report that effect of Korean medicine treatment for patient with peripheral facial nerve palsy accompanied by hemifacial spasm through hospitalization. Methods : We treated a patient with facial nerve palsy by acupuncture, electroacupuncture, herbal medicine, pharmacopuncture and cupping. The effect of treatment was evaluated using the House-Brackmann scale, the Yanagihara grading system, and the visual analogue scale(VAS). Results : During the 18 days hospitalization period, the symptoms of hemifacial spasm disappeared and the facial palsy improved. The House-Brackmann scale changed from 4 grade to 2 grade, the Yanagihara grading system changed from 19 to 47, and the VAS changed from 3 to 0. Conclusions : This case report suggests that Korean medicine could be effective for facial palsy accompanied by hemifacial spasms.

안면신경마비의 평가척도와 SEMG 검사 결과 간의 상관성 연구 (A Study on the Correlation between Surface Electromyography and Assessment Scale for Facial Palsy)

  • 김종욱;이형걸;정다정;최유민;송범용;육태한;김우경;김락형
    • Journal of Acupuncture Research
    • /
    • 제30권5호
    • /
    • pp.107-116
    • /
    • 2013
  • Objjectives : The purpose of this study is to investigate the correlation between surface electromyography(SEMG) and assessment scales for facial palsy. Methods : The subjects for this study were 21 patients who had peripheral facial nerve palsy. We analyzed about the correlation between the results of SEMG and facial nerve assessment scales that were carried out at the same time. The assessment scales used in this study were House-Brackmann scale, Yanagihara grading system, Sunnybrook facial grading system. Results : There are considerable correlation between the results of SEMG and the results of three kinds of assessment scales for facial nerve palsy. Conclusions : SEMG may be an objective examination for facial nerve palsy. Some research aimed at development of SEMG examination guideline for facial nerve palsy will be needed after this. And we expect that many researches for development of diagnostic equipments or treatment equipments that utilize SEMG will proceed.

말초성 안면마비 환자의 한방치료 치험례 (A Case Study of Oriental Medicine Treatment on Peripheral Facial Palsy)

  • 정유진;최아련;한동근;강아현;서혜진;성재연;송우섭;이형철;엄국현;김수연
    • 대한한방내과학회지
    • /
    • 제38권5호
    • /
    • pp.769-777
    • /
    • 2017
  • Objective: Facial nerve palsy is caused by damage to the 7th cranial nerve. It is the main symptom of facial muscle paralysis on the affected side. Usually, recovery from this disease begins 2-3 weeks after onset and most patients recover in 4-8 weeks. If the patients cannot receive proper treatment, severe permanent impairments, both physical and mental, may remain, so this disease should be treated appropriately. In this study, a patient with facial nerve palsy was admitted to the Korean medicine hospital for treatment. We report on the patient's progress and the effects of treatment. Methods: We cured the patient with herbal medicines, acupuncture, herbal acupuncture therapy, and physical therapy. We used a numerical rating scale, the House Brackmann grading system, and a weighted regional grading system to assess symptom changes. Result: The patient with facial nerve palsy was hospitalized for 23 days and recovered from symptoms without significant problems on the face or in motor function.