• 제목/요약/키워드: Palsy

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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
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    • 제19권5호
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    • pp.73-91
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    • 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.

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말초성 안면신경마비의 예후인자로서 Electroneuronography(ENoG)의 유용성에 대한 연구 (A Study on the Validation of Electroneuronography as Predicting Factors for Peripheral Facial Palsy Prognosis)

  • 서은비;주현아;임진영;황충연
    • 한방안이비인후피부과학회지
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    • 제24권3호
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    • pp.55-64
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    • 2011
  • Objectives : This study was performed in order to investigate the effectiveness of electroneuronography as predicting factors for peripheral facial palsy prognosis. Methods : Data were gathered with 32 Bell's palsy patients. The grade of Bell's palsy were measured 2 times; first medical exam and 4 weeks after treatment, with Lucille Daniels's Muscle test. We converted the grade system use on five rating scale. The significance of treatment verified with paired t-test used on first medical exam and 4 weeks after treatment score and predicting factors of electroneuronography verified with simple regression test. Results : The improvement score were statistically significant different before and after treatment(p<.001). Mean axonal loss according to electroneuronography showed a statistically significant correlation in predicting peripheral facial palsy (P<0.01). Conclusion : Axonal loss as determined by electroneuronography has statistical significance as predicting factors for peripheral facial palsy prognosis.

뇌성마비(Cerebral palsy) 소아의 재활치료와 재활과 침치료의 병행치료를 비교한 체계적 문헌 고찰 (The Effect of Acupuncture combined with Conventional Rehabilitation Treatment for Cerebral palsy: A Systematic review of Randomized Controlled Trials(RCTs))

  • 장석주;성은학;김장현;민상연
    • 대한한방소아과학회지
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    • 제34권3호
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    • pp.81-96
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    • 2020
  • Objectives This study aims to evaluate the effect of acupuncture combined with rehabilitation treatment for cerebral palsy in children. Methods 7 electro-database (PubMed, CENTRAL, CNKI, DBpia, KISS, OASIS, KJTK) were searched for using the keywords "cerebral palsy AND acupuncture" which study is designed in randomized controlled trials (RCTs). Results 10 out of 303 studies were included in analysis after screened. Acupuncture combined with rehabilitation treatment had a significant effect on motor function. Only 1 study reported minor adverse effects. Conclusions All of the studies have shown acupuncture combined with conventional rehabilitation treatment was effective in cerebral palsy. Additional well-designed studies are needed to justify the effectiveness of acupuncture in cerebral palsy.

동안신경마비 사시환자 1례 증례보고 (A Clinical Case Report of Oculomotor Nerve Palsy)

  • 엄유식;심성용;남혜정;김경준
    • 한방안이비인후피부과학회지
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    • 제17권3호
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    • pp.126-130
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    • 2004
  • Oculomotor nerve palsy presents itself with sudden onset unilateral ptosis and inability to turn the eye upward, downward, or inward, which causes visual disturbances. Strabismus caused oculomotor nerve palsy refers to muscle imbalance that results in improper alignment of the visual axes of the two eyes It may be divided into paralytic and non paralytic strabismus. paralytic strabismus is primarily a neurologic problem. Characteristic clinical disturbances result from lesions of the third, fourth, and sixth cranial nerves. Lesions of the third nerve result in a paralysis of lateral or outward movement and a crossing of the visual axes. Objective: This study was designed to evaluate the effects of oriental medicine therapy on a peripheral oculomotor nerve palsy. Methods & Result: The clinical data was analyzed on a patient with oculomotor nerve palsy whose main symptoms were right side ptosis and inability to turn the eye inward. The patient was treated by the electroacupucture(4Hz frequency, intensity was adjusted so that localized muscle contractions could be seen). As the result, symptoms are improved remarkably. Conclusion: The patient showed right eye ptosis and unilateral deviation of the right eye ball in neutral position. After acupuncture treatment and electroacupuncture treatment, the ptosis and deviation of the patient's right eye was recovered six weeks after the onset. The study suggests that oriental medicine therapy is significantly effective on the treatment of peripheral oculomotor nerve palsy.

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외상성 동안신경마비 치험 1례 (A Case Report of Traumatic Oculomotor Nerve Palsy Treated with Acupuncture and Herbal Medicine.)

  • 김희정;이길영;김윤범
    • 한방안이비인후피부과학회지
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    • 제17권3호
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    • pp.167-173
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    • 2004
  • Strabismus is a misalignment of the eyes. It is divided into paralytic strabismus and non-paralytic strabismus. There are so many causes in paralytic strabismus, and the oculomotor nerve palsy is one of them. Many studies reported the etiology and clinical features of oculomotor nerve palsy. Common causes of oculomotor nerve palsy are idiopathic, vascula.; disease, aneurysm, head trauma, neoplasm and miscellaneous. Recently the proportion of traumatic cause has been increased, but the treatment is difficult as it used to be. In this case report, one case of traumatic oculomotor nerve palsy with zygomatic arch Fx and clavicle Fx were treated by herbal medicine and acupuncture. After Treatment, symptoms- ptosis, deviation of Lt. eye to downward & outward in primary position, diplopia, limited adduction & elevation & depression, dilated pupil without pupil reflex- were improved. There are so many hypothesises but no definite guide lines are established about the oriental medical treatment of oculomotor nerve palsy, so we expect the establishment of definite guide lines by further clinical studies.

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Bell's Palsy와 Ramsay Hunt Syndrome 환자군의 치료 기간에 따른 호전도의 비교 연구 (A Comparative Study on Improvement of Bell's Palsy and Ramsay Hunt Syndrome According to Treatment Duration)

  • 김희철;김정호;김영일
    • Journal of Acupuncture Research
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    • 제25권4호
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    • pp.31-39
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    • 2008
  • Objectives : The aim of this study is comparing the improvement of Bell's palsy and Ramsay hunt syndrome according to treatment duration. Methods : The 11cases diagnosed as Ramsay hunt syndrome and 30cases of Bell's palsy who visited Cheong-ju Oriental Medical hospital from February 2006 to June 2008 were evaluated. We used Yanagihara's unweighted Grading System to confirm the improvement. Results : In the analysis of cause, except the "none", the most common cause was "Overwork" in both two group. After 5-day treatment the score was getting worse but after 10-day treatment score was improved in both group. The improvement of Bell's palsy group was better than that of Ramsay hunt syndrome group after 5-day and 10-day treatment, but there was no significance. Conclusions : In comparison of Yanagihara's unweighted grading score checked before treatment, after 5-day, 10-day and 15-day treatment between Bell's palsy and Ramsay hunt sundrome, there was no statistical significant difference.

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영상처리를 이용한 안면신경마비 평가시스템 개발 (Development of Facial Nerve Palsy Grading System with Image Processing)

  • 장민;신상훈
    • 대한한의진단학회지
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    • 제17권3호
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    • pp.233-240
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    • 2013
  • Objectives The objective and universal grading system for the facial nerve palsy is needed to the objectification of treatment in Oriental medicine. In this study, the facial nerve palsy grading was developed with combination of image processing technique and Nottingham scale. Methods The developed system is composed of measurement part, image processing part, facial nerve palsy evaluation part, and display part. With the video data recorded by webcam at measurement part, the positions of marker were measured at image processing part. In evaluation part, Nottingham scales were calculated in four different facial expressions with measured marker position. The video of facial movement, time history of marker position, and Nottingham scale were displayed in display part. Results & Conclusion The developed system was applied to a normal subject and a abnormal subject with facial nerve palsy. The left-right difference of Nottingham scores was large in the abnormal compared with the normal. In normal case, the change of the length between supraorbital point and infraorbital point was larger than that of the length between lateral canthus and angle of mouth. The abnormal case showed an opposite result. The developed system showed the possibilities of the objective and universal grading system for the facial nerve palsy.

환측 동기침법을 이용한 경추 추간판 탈출증 환자의 급성 압박성 요골신경마비 치험 1례 (A clinical study of the affected part acupuncture moving treatment on the acute radial nerve palsy patient who has Cervical Herniation)

  • 정훈;조남훈;박지용;박현민;배상은;홍남중
    • 대한한의정보학회지
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    • 제17권2호
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    • pp.73-81
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    • 2011
  • Objectives : The purpose of this study is to evaluate the affected part acupuncture moving treatment for acute radial nerve palsy patient who has Cervical Herniation. Methods : We examined 1 patient with Radial nerve palsy who admitted Jaseng Hospital of Oriental Medicine. The patient was treated by the affected part acupuncture moving treatment including herbal mixture. Results : In this study, in the end of affected part acupuncture moving treatment, patient's condition has improved. Muscle strength was also increased. Conclusions : The affected part acupuncture moving treatment for acute radial nerve palsy was effective in restore of functional activities, but this treatment needs more study.

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특발성 동안신경마비의 자하거 약침 치료 3례 (Case Report of Three Cases of Idiopathic Oculomotor Nerve Palsy Treated with Hominis Placenta Pharmacopuncture)

  • 정기훈;김민석;황희상;전재천;박재연;이태호;이은용;노정두
    • 대한약침학회지
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    • 제12권1호
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    • pp.91-97
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    • 2009
  • Objective : Oculomotor nerve palsy is a disorder which causes eyeball movement trouble, diplopia, dizziness and eyelid ptosis. It is caused by aneurysm, mass, trauma, infection and so on. But sometimes we can't establish the cause. We observed 3 cases of idiopathic oculomotor nerve palsy patient treated with hominis placenta pharmacopuncture. Method & Result : We treated three idiopathic oculomotor nerve palsy patients with hominis placenta pharmacopuncture and electroacupuncture. As the result, symptoms of three patients were improved remarkably. Conclusion : In this cases, the hominis placenta pharmacopuncture is effective on idiopathic oculomotor nerve palsy. We need further study about idiopathic oculomotor nerve palsy and hominis placenta pharmacopuncture.

4번째 동측으로 발생한 벨마비의 치험 1례 (A Case Report of 4th Ipsilateral Recurrent Bell's Palsy)

  • 김남옥;채상진;손성세
    • 한방안이비인후피부과학회지
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    • 제14권2호
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    • pp.198-206
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    • 2001
  • Recurrent Bell's palsy is a very rare case and have been reported that shows the incidence to be approximately 10 per cent in the Bell's palsy patents. It is generally accepted that facial paralysis caused by compression of the facial nerve by tumor develops slowly and has an unremitting course, however, reported cases have described the rare association of recurrent facial paralysis and intracranial tumor, and the same recovery rate. Usual symptoms of Bell's palsy include subacute facial palsy, hyperacusis on the affected side, postauricular pain on the affected side, altered sensation of taste, and partial trigeminal distribution hypesthesias. Complete resolution of symptoms is usually seen in 2-3months in $75-85\%$ of cases, with $25-35\%$ showing varying degrees of residual effects. We report a case of 4th ipsilateral recurrent Bell's palsy in a 14-year-old women, which was occurred in every winters. We treated her with acupuncture, moxibustion, herbal medication, carbon and silver spike point, and used House-Brackmnn grading system(HBGS) and the Fisch Detailed Evaluation of Facial Symmetry(DEFS) to assess the degree of paralysis in each part of face.

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