• Title/Summary/Keyword: Palsy

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Clinical Studies on Herbal Acupuncture Therapy in Peripheral Facial Palsy (구안와사(口眼喎斜)의 약침시술(藥鍼施術)에 대한 임상적(臨床的) 연구(硏究))

  • Shin, Min-Seop;Park, Chong-Ju;Choi, Seok-Woo;Yook, Tae-Han
    • Journal of Pharmacopuncture
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    • v.4 no.2
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    • pp.27-33
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    • 2001
  • Objectives : The treatment of Bell's palsy must be divided into three states(acute, subacute and healing state). 41 cases of the patient suffering from Bell's palsy were treated and observed from january 2000 to July 2001. The usage of herbal acupunctures on that disease have been effective. So I propose a method of herbal acupunctures on Bell's palsy. Methods : By the states(acute, subacute and healing state) of Bell's palsy, SY(消炎) herbal acupuncture is used at the acute state, Hominis Placenta(紫河車) at the subacute, JGH(中氣下陷) at the healing state. Results : 1. At the acute state, SY(消炎) herbal acupuncture is effective to postauricular pain. 2. At the subacute state, Hominis Placenta(紫河車) herbal acupuncture is effective to decreasing pain and improving symptoms. 3. By the states(acute, subacute and healing state) of Bell's palsy, SY(消炎), Hominis Placenta(紫河車) and JGH(中氣下陷) herbal acupuncture is effective to improving symptoms of Bell's palsy.

Treatment of Peripheral Facial Palsy with Skin Damage Caused by Folk Remedies Using Korean Medicine: A Case Report (민간요법으로 피부손상을 동반한 말초성 안면마비에 대한 한의치료 증례 보고)

  • Yoona, Oh;Yeonhak, Kim;Jihun, Kim;Eunseok, Kim;Byung Ryul, Lee;Gi Young, Yang
    • Korean Journal of Acupuncture
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    • v.39 no.4
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    • pp.191-198
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    • 2022
  • Peripheral facial palsy generally results from damage to the facial nerve. As facial asymmetry is observed, it accompanies not only functional problems but also psychological and social difficulties. Medical institutions treat most patients, however, there are still patients who rely on invasive methods by unqualified practitioners for fear of sequelae. This case describes a 61-year-old woman who experienced facial palsy twice. She visited our hospital with skin damage after folk patch therapy for her facial palsy. Combined Korean medicine treatment was administered during treatment period. After treatments, the symptoms of facial palsy and skin lesions improved. This case showed that Korean Medicine was efficacious in improving symptoms of facial palsy with damaged skin caused by folk patch therapy. Education and awareness of uncontrolled invasive treatments for facial palsy are needed.

Effect of digital therapies on balance and gait in children with cerebral palsy: A systematic review (디지털 치료제가 뇌성마비 아동의 균형 및 보행에 미치는 효과: 체계적 고찰)

  • Jung-Hyun Kim
    • Journal of Korean Physical Therapy Science
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    • v.30 no.4
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    • pp.92-110
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    • 2023
  • Background: Digital therapeutics are software medical devices that provide evidence-based treatments to prevent, manage, and treat disease. Digital therapies have recently been shown to be effective in motivating children with cerebral palsy as a tool in neuropsychological therapy. Digital therapies improve postural control, balance and gait in children with cerebral palsy. Therefore, this study aims to investigate the effects of digital therapies on balance and gait in children with cerebral palsy and to provide guidelines for prescribing digital therapies for children with cerebral palsy. Design: A Systematic Review Methods: This study searched for English-language articles published in medical journals from January 2000 to July 2023 using PubMed and MEDLINE based on the year of initiation of the digital therapy. The search terms used in the study were 'digital technology' OR 'digital therapeutic' OR 'mobile application' OR 'mobile health' OR 'virtual reality' OR 'game' AND 'cerebral palsy', 'balance' 'gait' as the main keywords. The final article was assigned an evidence level and a Physiotherapy Evidence Database (PEDro) score to assess the quality of clinical trials studies. Results: The digital therapies applied to improve balance and gait in children with cerebral palsy are game-based virtual reality training and the Nintendo Wii Fit program. Both digital therapy interventions had a significant effect on improving balance in children with cerebral palsy, and virtual reality training significantly improved balance and gait. However, there were no significant improvements in balance and gait within two weeks of treatment, regardless of the type of digital intervention. Conclusion: The study suggests that this data will be important in building the evidence base for the effectiveness of digital therapies on balance and gait in children with cerebral palsy and in advancing clinical protocols.

Bell's palsy after concomitant chemoradiotherapy: a case report and literature review

  • Sul Gi Choi;Ji Seok Oh;Hoon Myoung;Mi Hyun Seo
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.2
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    • pp.129-135
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    • 2024
  • Concomitant chemoradiotherapy (CCRT) treated patients experience various complications. We present a rare case of post-CCRT Bell's palsy and describe its various possible causes, so as to increase awareness among clinicians about Bell's palsy being a CCRT-associated adverse effect. The patient was a 48-year-old man diagnosed with squamous cell carcinoma who presented with post-CCRT Bell's palsy. After radiotherapy for 6 weeks (overall 67.5 Gy) and four rounds of cisplatin chemotherapy, he complained of paralysis of the entire left face. A test was performed 33 days after the last CCRT session to differentiate Bell's palsy from other causative factors. Based on magnetic resonance imaging findings, facial nerve invasion due to tumor size increase was determined to not cause Bell's palsy. Inflammation of the left Eustachian tube was observed. Hence, steroids and famciclovir were administered, which markedly improved the facial paralysis symptoms within 56 days after facial paralysis development. In conclusion, patients can develop Bell's palsy owing to complex effects of various CCRT mechanisms. Although the exact cause of Bell's palsy has not been identified and the effectiveness of drug treatment was questionable in this case, unlikely causative factors should be excluded through various tests and appropriate and timely measures must be adopted.

Study of the Relation of Autonomic Nerve System and Peripheral Facial Palsy by the Heart Rate Variability (HRV(Heart Rate Variability)를 통한 말초성 안면신경마비와 자율신경실조의 상관성 연구)

  • Hwang, Gee-Hwae;Hwang, Jong-Soon;Cho, Hyun-Seok;Kim, Kyung-Ho;Kim, Kap-Sung;Lim, Dae-Jung
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.51-60
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    • 2005
  • Objectives : This study was designed to evaluate the effect of inbalance of autonomic nerve system on peripheral facial palsy patients in comparison of Heart Rate Variability results of healthy control group with that of peripheral facial palsy group. Methods : The peripheral facial palsy patiens who visited the Dongguk university Bundang oriental medicine hospital from April to June in 2005 were tested Heart Rate Variability items which are Mean Heart Rate(MHRT), Standard Deviation of all the Normal RR intervals (SDNN), Root Mean Square of Successive Differences Between The Normal Heart Beats(RMSSD), Total Power(TP), Low Frequency, High Frequency, ratio between the Low Frequency and High Frequency power(LF/HF ratio). The Heart Rate Variability test results of peripheral facial palsy group were compared with the HRV test results of healthy control group who didn't have nervous disease, musculoskeletal disease, heart problem and pain for the past 6 months. Results : 1. MHRT was not significantly different between peripheral facial palsy group and healthy control group(P=0.18). 2. SDNN was not significantly different between peripheral facial palsy group and healthy control group(P=0.41). 3. RMSSD was not significantly different between peripheral facial palsy group and healthy control group(P=0.93). 4. TP was not significantly different between peripheral facial palsy group and healthy control group(P=094). 5. LF and HF were not significantly different between peripheral facial palsy group and healthy control group((P=0.34, 0.30). 6. LF/HF ratio was significantly different between peripheral facial palsy group and healthy control group(P=0.04). Conclusion : LF/HF ratio is generally used as autonomic nerve system evaluation and there was significantly statistical difference between peripheral facial palsy group and healthy control group.

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Prosodic Properties in the Speech of Adults with Cerebral Palsy (뇌성마비 성인 발화의 운율특성)

  • Lee, Sook-Hyang;Ko, Hyun-Ju;Kim, Soo-Jin
    • MALSORI
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    • no.64
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    • pp.39-51
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    • 2007
  • The purpose of this study is to investigate prosodic characteristics in the speech of adults with cerebral palsy through a comparison with the speech of normal speakers. Ten speakers with cerebral palsy (6 males, 4 females) and 6 normal speakers (3 males, 3 females) served as subjects. The results revealed that, compared to normal speakers, speakers with cerebral palsy showed a slower speech rate, a larger number of intonational phrases(IPs) and pauses, a larger number of accentual phrases(APs) per IP, a longer duration of pauses, and more gradual slopes of [L +H] in APs. However, the two groups showed similar tone patterns in their APs. The results also showed mild to moderate correlations between speech intelligibility and the prosodic properties which showed significant differences between the two groups, suggesting that they could be important prosodic factors to predict speech intelligibility in the speech of adults with cerebral palsy.

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Pituitary Apoplexy Presenting as Isolated Oculomotor Nerve Palsy

  • Yang, Moon-Seok;Cho, Won-Ho;Cha, Seung-Heon
    • Journal of Korean Neurosurgical Society
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    • v.41 no.4
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    • pp.246-247
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    • 2007
  • The most common cause of isolated oculomotor nerve palsy is ischemia of the peripheral nerve caused by a disease, such as diabetes mellitus. Another common cause of isolated oculomotor nerve palsy is compression by an intracranial aneurysm, usually an posterior communicating artery aneurysm. However, it is extremely rare in the pituitary tumor. We report an unusual case of pituitary adenoma presenting with isolated oculomotor nerve palsy in the setting of pituitary apoplexy. We suggest that pituitary apoplexy should be included in the differential diagnosis of a patient with isolated oculomotor nerve palsy and early surgery should be considered for preservation of oculomotor nerve function.

A Clinical Study to Observe Nasolabial Angle on Facial Palsy Sequelae by Disproportional Muscles of Expression (Nasolabial Angle 관찰을 통한 구완와사 후유증의 표정근 불균형에 대한 임상적 고찰)

  • Youn, In-Hwan;Kim, Nam-Kwen
    • The Journal of Korean Medicine
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    • v.29 no.3
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    • pp.131-143
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    • 2008
  • Objectives: Electroacupuncture has the effect of recovering paralytic nerves and muscles. To treat disproportional muscles of expression with electroacupuncture, it is essential that we know the correct point of paralytic muscle. Methods: We investigated 20 cases of patients with facial palsy sequelae. We measured nasolabial angles, checked grade of muscle palsy, and tested ENoG. Results: This study showed significant correlation between nasolabial angles with these muscle groups (zygomatic group I, zygomatic group II, orbicularis oris muscle). Conclusions: Disproportional facesare fixed by muscles of expression observed in facial palsy sequelae. We can treat muscular paralysis of these muscle groups with electroacupuncture for more complete recovery.

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A Convergence Study on the Development of the Desk for Children with Cebral Palsy (뇌 병변 장애아동을 위한 책상 개발의 융복합 연구)

  • Cho, Sook-Kyung;Park, Jong-Im
    • Journal of the Korea Furniture Society
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    • v.26 no.4
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    • pp.435-444
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    • 2015
  • The purpose of this study were to design and develop the user centered desk which considered children with cebral palsy in Korea. The developing process of the desk were performed the convergence study of the University Department of the Social Welfare and the Living Furniture Design. First of all, the 2 students and their professor of the Department of Social Welfare analyzed the literature, observed the children with cebral palsy and the needs survey of the service providers of a Welfare Center for children with cebral palsy. All of the information gathered were provided for the Department of the living Furniture Design. Second, the 2 students and their professor of the Department the Living Furniture Design proceeded the design concept, mocked up the desk for the children with cebral palsy. This was the user centered desk which considered of the features of children with cebral palsy body. Based on the results, the convergence study implications were discussed.

Comparison of the Onset Times of Antigravity Flexor Muscle Activity During Head Lift in Supine Position between Children with Cerebral Palsy and Healthy Children (누운자세에서 머리들기 시 정상아동과 뇌성마비아동 간의 항굴근 수축 개시 시간 비교)

  • Hwang Seon-Gwan;Hwang Byong-Yong
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.488-497
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    • 2003
  • The purpose of this study was to compare the muscle onset time of sternocleidomastoid (SCM) and rectus abdominalis (RA) muscle activity during head lift in supine position between cerebral palsy and healthy children. Ten cerebral palsy children and 10 age, sex-matched healthy children were recruited for this study. Muscle activity of the SCM and RA were collected by surface electromyography (MP100SWS). Results demonstrated that the muscle onset time order was not significantly different between cerebral palsy children and healthy children. However, the DMHT and ST between SCM and RA during head lift in supine position were significantly shorter in healthy children than in cerebral palsy children. Further studies are needed to clarify the mechanism of differences in muscle activation patterns during head lift in supine position in cerebral palsy children compared with healthy children.

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