• Title/Summary/Keyword: Paralysis

Search Result 1,015, Processing Time 0.031 seconds

The humeral suspension technique: a novel operation for deltoid paralysis

  • de Joode, Stijn GCJ;Walbeehm, Ralf;Schotanus, Martijn GM;van Nie, Ferry A;van Rhijn, Lodewijk W;Samijo, Steven K
    • Clinics in Shoulder and Elbow
    • /
    • v.25 no.3
    • /
    • pp.240-243
    • /
    • 2022
  • Isolated deltoid paralysis is a rare pathology that can occur after axillary nerve injury due to shoulder trauma or infection. This condition leads to loss of deltoid function that can cause glenohumeral instability and inferior subluxation, resulting in rotator cuff muscle fatigue and pain. To establish dynamic glenohumeral stability, a novel technique was invented. Humeral suspension is achieved using a double button implant with non-resorbable high strength cords between the acromion and humeral head. This novel technique was used in two patients with isolated deltoid paralysis due to axillary nerve injury. The results indicate that the humeral suspension technique is a method that supports centralizing the humeral head and simultaneously dynamically stabilizes the glenohumeral joint. This approach yielded high patient satisfaction and reduced pain. Glenohumeral alignment was improved and remained intact 5 years postoperative. The humeral suspension technique is a promising surgical method for subluxated glenohumeral joint instability due to isolated deltoid paralysis.

Effects of Meridian Massage on Facial Paralysis, Pain, and Anxiety in Bell's Palsy Patients (경락마사지가 안면신경마비환자의 안면마비회복도, 통증 및 불안에 미치는 효과)

  • Lee, Jeong-Soon;Seo, Nam-Sook;Han, Mi-Sook
    • Journal of East-West Nursing Research
    • /
    • v.15 no.2
    • /
    • pp.110-118
    • /
    • 2009
  • Purpose: This study identifies the effects of meridian massage on relieving facial paralysis, pain, and anxiety in Bell's palsy patients. Methods: A nonequivalent control group pre-test/post-test design was used for the study. The subjects were 51 Bell's palsy patients (experimental group=26, control group=25) of D University's oriental medicine hospital. The experimental group received a meridian massage for 20 min three times a week for two weeks. The data were analyzed with the following methods by using the SPSS/WIN 12.0 program: $x^2$-test, Fisher's exact test, and t-test. Results: The facial paralysis scores of the experimental group were significantly higher than those of the control group. The pain and anxiety scores of the experimental group were significantly lower than those of the control group. Conclusions: The results suggest that meridian massage (applied by nurses) has beneficial effects on facial paralysis, pain, and anxiety in patients suffering from Bell's palsy. Thus, meridian massage is recommended as an alternative nursing intervention program for patients with Bell's palsy.

Narrative Review of the Association between Cervical Region Treatment and Facial Paralysis

  • Young-Jun Kim;Hye-Ri Jo;So-Rim Kim;Dong-Guk Shin;Da-Won Lee;Yeon-Sun Lee
    • Journal of Acupuncture Research
    • /
    • v.40 no.4
    • /
    • pp.319-328
    • /
    • 2023
  • Facial nerve palsy refers to sudden, unilateral lower motor neuron facial paralysis. This study aimed to determine the importance of neck treatment in the treatment of facial paralysis. A literature search was performed on six online databases and other sources until January 15, 2023. A total of 426 papers were retrieved. After excluding duplicated and inconsistent papers, papers not including cervical treatment, and experimental papers on animals, two papers were finally selected. The type of treatment method, therapeutic effects, assessment of the risk of bias in randomized controlled trials, and non-randomized controlled trials and side effects were evaluated. Chiropractic, manual therapy, facial meridian massage, and acupotomy were applied to the face and cervical spine region. The results showed that each treatment had a significant therapeutic effect through evaluation index measurement methods, such as the visual analog scale and Yanagihara's unweighted regional grading system. This study demonstrated the importance of the cervical spine area in the treatment of facial paralysis. However, this study has many limitations. Thus, high-quality randomized controlled comparative studies on the treatment of the cervical spine area only or studies that include cervical spine area treatment as an interventional treatment while performing oriental or comprehensive treatment are needed.

A Review of Clinical Researches for Applying Acupuncture Treatment as Intervention of Peripheral Facial Paralysis in Children (소아 말초성 안면마비의 중재로 침 치료를 응용한 중의학 임상 연구 고찰)

  • Ryu Se Na;Jang Subi;Kim Ki Bong;Cheon Jin Hong
    • The Journal of Pediatrics of Korean Medicine
    • /
    • v.38 no.2
    • /
    • pp.41-52
    • /
    • 2024
  • Objectives The objective of this study was to investigate the impact of applying acupuncture as intervention of peripheral facial paralysis in children. Methods We conducted searches on China National Knowledge Infrastructure and Wanfang Data using the keywords "facial paralysis", "children", and "acupuncture". Results Six randomized controlled trials were included in the analysis. The acupoints most frequently utilized were Hapgok (LI4), Jichang (ST4), Yangbaek (GB14), Sabaek (ST2), Hyeopgeo (ST6), Yeonghyang (LI20), Yepung (TE17), and Taeyang (EX-HN5). The Stomach Meridian (ST) was the most targeted. Acupuncture treatment was found to be as effective as or more effective than Western medicine treatment in certain cases. Conclusions Acupuncture therapy shows promise for treating pediatric peripheral facial paralysis. However, further clinical randomized controlled trials are necessary to validate the efficacy and safety of acupuncture treatment.

A Case of Amyotrophic Lateral Sclerosis with Unilateral Vocal Fold Palsy and Velopharyngeal Insufficiency (일측성 성대마비와 구개인두부전을 초기 증상으로 내원한 Amyotrophic Lateral Sclerosis 1 예)

  • 박경호;김동현;조승호;김형태
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.14 no.1
    • /
    • pp.51-53
    • /
    • 2003
  • Amyotrophic lateral sclerosis Is an unusual pattern of distal muscular atrophy with permanent bulbar sign. Vocal fold paralysis and velopharyngeal insufficiency(VPI) due to soft palate paralysis Is occasionally associated with distal muscular atrophy. Recently we experienced a case of amyotrophic lateral sclerosis whose symptom was initially expressed with hoarseness and VPI. So we report a case with review of literature.

  • PDF

Effect of Moxibustion on Peripheral Facial Paralysis According to Selection Method of Acupoints (말초성(末梢性) 안면신경마비(顔面神經麻痺)의 취혈부위(取穴部位)에 따른 구치료(灸治療) 효과(效果) 비교(比較))

  • Choi, Chul-Hoon;Song, Ho-Sueb
    • Journal of Acupuncture Research
    • /
    • v.25 no.3
    • /
    • pp.87-94
    • /
    • 2008
  • Objectives : This study was to compare the effect of moxibustion therapy on peripheral facial para- lysis according to location of acupoint. Methods : We investigated 41 cases of inpatients with Peripheral Facial Paralysis, and divided them into two groups, One group was treated by moxibustion on local point(ML), and the other was treated by moxibustion on distant point(MD). We evaluated the effect of moxibustion in each group by using Gross Grading System of House-Brackmann(HB score) and Yanagihara's Unweighed Grading System(Y score). Results : 1. In ML and MD, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, ML showed significant decrease on HB score and significant increase on Y score compared with MD. Conclusions : These results suggested that ML should be more useful for improving symptoms related with peripheral facial paralysis than MD.

  • PDF

Management Principle of Unilateral Vocal Fold Paralysis (일측성 성대 마비의 치료 원칙)

  • Han, Ju-Hee;Han, Myung-Woul;Nam, Soon-Yuhl
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.20 no.2
    • /
    • pp.110-117
    • /
    • 2009
  • Vocal fold paralysis continues to be a dominant topic in laryngology. This review article discusses the management principle of patients suffering from unilateral vocal fold paralysis. There are currently some main methods ; voice therapy ; injection laryngoplasty ; laryngeal framework surgery ; reinnervation procedures.

  • PDF

Electroacupuncture Treatment for Idiopathic Trigeminal nerve Paralysis in a Dog (개에서 특발성 삼차신경 마비의 전침 치료)

  • 정성목;양정환;정언승;이충호;김완희;최성천;김순영;박우람;강선미
    • Journal of Veterinary Clinics
    • /
    • v.18 no.1
    • /
    • pp.67-69
    • /
    • 2001
  • A 3 years-old male Tosa dog was referred to Seoul National University Veterinary Medical Teaching Hospital with a history of difficulty in mastication. Clinical signs of dropped jaw, drooling, mild depression and dehydration were observed. According to history taking, physical examination, neurologic examination, complete blood count (CBC), serum chemical profile and radiography, the dog was diagnosed as idiopathic trigeminal nerve paralysis. Electroacupuncture treatment was applied to the dog on local and distal point at an interval of 7 days. Local points were GB-1 (Tong Zi Liao) of gall bladder meridian and ST-7 (Xia Guan) of stomach meridian. Distal points were PC-4 (Xi Men), PC-6 (Nei Guan) of pericardium meridian. Electrical stimulus was performed for 20 minutes at the frequency of 3 Hz, 3 Volts on ST-7. Ten days after the initial electroacupuncture treatment, clinical signs related to trigeminal nerve paralysis were almost disappeared.

  • PDF

Temporary Facial Nerve Paralysis after Post-op Edema -A Case Report - (일시적 안면신경마비 -증례보고-)

  • Lim, Byung-Sup;Hwang, Kyung-Gyun;Shim, Kwang-Sup
    • Journal of The Korean Dental Society of Anesthesiology
    • /
    • v.5 no.2 s.9
    • /
    • pp.112-116
    • /
    • 2005
  • Facial nerve paralysis following delayed complication after trauma was rare and hard to find reason After symptom of facial nerve paralysis was found, careful clinical and neuropathic investigation needed through electromyography and nerve conduction velocity. It is necessery to Hewing that functional degenaration of nerve conduction was irresible or not. It is important to determine if palsy is already present alter trauma or some later time because origin of viral infection or temperature change may possible.

  • PDF

Development of an Active Controlled Ankle-Foot-Orthosis for Paralysis Patients (마비 환자를 위한 능동형 달하지 보조기의 개발)

  • Hwang, Sung-Jae;Kim, Jung-Yoon;Kim, Young-Ho
    • Proceedings of the KIEE Conference
    • /
    • 2006.10c
    • /
    • pp.193-195
    • /
    • 2006
  • In this study, we developed an active controlled ankle-foot orthosis(AAFO) which can control the dorsiflexion/plantarflexion of the ankle joint during gait to prevent foot drop and toe drag for paralysis patients. To prevent dropping foot after heel strike, ankle joint was actively controlled to minimize forefoot collision with the ground. It was also controlled to provide toe clearance and to help push-off during late stance. The 3D gait analysis was performed on two healthy subjects equipped with the developed AAFO to compare with the normal gait and the conventional AFO gait. In the developed AAFO gait, differently from the conventional AFO gait, significant push-off was observed during pre-swing and the maximum flexion moment during pre-swing phase was similar to that of normal gait. A remarkable dorsiflexion also occurred during initial swing. These results indicated that the developed AAFO could have certain clinical benefits to prevent foot drop for paralysis patients, compared to conventional AFOs.

  • PDF