• 제목/요약/키워드: Yanagihara's Score

검색결과 58건 처리시간 0.026초

외상성 구안와사 환자 2례에 대한 임상적 고찰 (Clinical Study of Two Patients with Deveation of the Eye and Mouth Caused by Trauma)

  • 이재민;김은미;송형근;고승경;김성래;김정호;김영일;이현;홍권의
    • Journal of Acupuncture Research
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    • 제23권4호
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    • pp.81-89
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    • 2006
  • Objectives : This study is designed in order to evaluate oriental medical treatment of deveation of the eye and mouth caused trauma. Methods : The authors observed patient by Yanagihara's unweighted grading system for operated acupuncture treatment, herbal medicine treatment and physiotherapy. Conclusion : 1. Deveation of the eye and mouth is caused by trauma ; intra cranial trauma, intra temporal bone trauma, extra, temporal bone trauma, etc. Cardinal symptom is palsy of Facial muscle, slobbering, articulation disorder, epiphora, ear pain, hyperacusis, laterality hypogeusia. 2. Deveation of the eye and mouth patient by Lt. temporal bone Fx. is seen evaluate of Yanagihara's total score ; from S to 35. 3. Deveation of the eye and mouth patient by facial nerve inhury is seen evaluate of Yanagihara's total score ; from 10 to 30. 4. Traumatic Deveation of the eye and mouth patient evaluate by oriental medical treatmend ; acupuncture treatment, herbal medicine treatment and physiotherapy. This is based on sil(賞) of stomach channel of foot yangming & larhe intestine channel of hand Yangming.

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Effects of Muscle Energy Technique of Upper Trapezius and Sternocleidomastoid Muscles on Bell's Palsy

  • Park, Jong-Hyeon;Lee, Yoon-Joo;Ryu, Hye-Min;Lee, Seung-Jeong;Park, Eun-Jin;Song, Choon-Ho;Kim, Cheol-Hong;Yoon, Hyun-Min
    • Journal of Acupuncture Research
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    • 제34권4호
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    • pp.190-196
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    • 2017
  • Background: The purpose of this study was to investigate the efficacy of muscle energy techniques (MET) of upper trapezius and sternocleidomastoid muscles on Bell's palsy. Methods: In this retrospective study, we screened the medical records of patients with Bell's palsy who had received inpatient and outpatient treatment at the Department of Acupuncture & Moxibustion, Korean Medicine Hospital Dong-Eui University between November 28, 2016 and April 30, 2017. A total of 34 out of 93 Bell's palsy patients met the inclusion criteria. The 34 patients were divided into two groups: Group A patients had undergone Korean-Western combination treatment and MET of upper trapezius and sternocleidomastoid muscles; Group B patients had undergone Korean-Western combination treatment only. MET of upper trapezius and sternocleidomastoid muscles had been performed three times a week during the inpatient period, and two to three times a week during the outpatient period. Yanagihara scores had been assessed at the first visit, and 1, 2, 3, and 4 weeks after the first visit. Results: Group A Yanagihara scores were significantly improved during each interval from the first visit to 4 weeks later. Group B Yanagihara scores were also significantly improved except during the first week. During every period, the improvements observed in Yanagihara score were significantly higher in Group A than in Group B. Conclusion: These results suggest that MET of upper trapezius and sternocleidomastoid muscles may be effective treatment for Bell's palsy.

Effect of Facial Chuna Manual Therapy Combined with Korean Medicine Treatmeant for Bell's Palsy

  • Choi, Yeon Ah;Ryu, Soo Min;Lee, Seung Min;Heo, You Jin;Lee, Eun young;Lee, Cham Kyul;Jo, Na Young;Roh, Jeong-Du
    • Journal of Acupuncture Research
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    • 제39권3호
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    • pp.222-228
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    • 2022
  • The effect of combined Korean medicine treatment including facial chuna manual therapy was retrospectively investigated in patients with Bell's palsy. There were 16 patients (14 males) who received 2 months outpatient treatment following > 14 days of hospitalization. The Yanagihara score and House-Brackmann grade were used to measure the severity of symptoms and recovery. The patients (mean age 58.5 ± 24.74 years) were categorized based on their medical history of hypertension (n = 10), diabetes millitus (n = 10), or oral intake of steroids early in the diagnosis of Bell's palsy (n = 10). There was no difference between patients who had or did not have a previous history of diabetes mellitus or oral steroid. Both the Yanagihara-score and House-Brackmann grade improved significantly in the total patient sample after treatment (p < 0.001). Combined Korean medicine including facial chuna manual therapy may have a beneficial effect on patient symptoms and recovery.

Effects of Thread Embedding Therapy on Complete Facial Palsy

  • Jo, Na Young;Roh, Jeong Du
    • Journal of Acupuncture Research
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    • 제32권4호
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    • pp.69-76
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    • 2015
  • Objectives : The aim of this study was to observe the effect of Embedding therapy on complete facial palsy after primary treatment. Methods : 11 patients with complete facial palsy were treated with Embedding therapy. It was performed once a day, every two weeks. 15~20 Embedding threads were used in each Embedding therapy treatment. The total number of Embedding therapy treatments was 4 or 8. Frontalis muscles (including the Yangbaek ($GB_{14}$)), Orbicularis oculi muscle, Levator labii superioris muscle, Zygomatic major muscle, Zygomatic minor muscle (including the Georyo ($ST_3$) and Jichang ($ST_4$)), Masseter muscle, Buccinator muscle (including the Hyeopgeo ($ST_6$)) and Orbicularis Oris muscle were selected. Yanagihara's score and House-Brackmann scale were compared for before and after treatment to evaluate the effect of Embedding therapy. Results : Yanagihara's score increased significantly (p=0.003). House-Brackmann Scale decreased significantly (p=0.005). Three patients were extremely satisfied, six patients were satisfied, and two patients responded neutrally in regards to Embedding therapy. Conclusions : Embedding therapy can be effective in improving symptoms of complete facial palsy.

청신경 종양 수술 이후 발생한 안면마비 환자에게 매선요법을 이용한 치험1례 (Clinical Study of 1 Case of Facial Paralysis after Acoustic Neuroma Surgery using Needle-Embedding Therapy)

  • 정순대;이혜진;박혜진;김윤식;유호룡;조현경;설인찬
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.976-979
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    • 2012
  • The purpose of this study was to examine the effect of needle-embedding therapy to facial paralysis patient after acoustic neuroma surgery. The patient was treated by basic oriental medicine treatment. We evaluated the effect of Needle-Embedding Therapy by using Yanagihara's unweighted grading system and subjective satisfaction score. The final Yanagihara's score was higher than before the treatment. The patient was satisfied after Needle-Embedding Therapy. Needle-Embedding Therapy was effective against facial paralysis after acoustic neuroma surgery. Further studies will be required to identify the beneficial effect of Needle-Embedding Therapy in facial paralysis after acoustic neuroma surgery.

Y-system으로 관찰한 Bell's palsy에 미치는 수기요법의 영향에 관한 임상적 연구 (The Clinical study of Su-Gi therapy's Effects on Bell's palsy by observing of Y-system)

  • 이재흥;안훈모;홍승철;이은미
    • 대한의료기공학회지
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    • 제15권1호
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    • pp.109-136
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    • 2015
  • Objects : The purpose of this study is to investigate the effect of Su-Gi therapy for Bell's palsy by using Y-system(Yanagihara's unweighted grading system). Methods : We investigated 25 patients with Bell's palsy who had visited in the M, H Korean medicine hospital in Gyeonggi Province from December 27th, 2010 to April 8th, 2015. The Su-Gi therapy was done by 1 times daily. And each patients had been treated more than 25 days. We evaluated the change of them by using Y-system. Results : 1. We investigated 25 patients with Bell's palsy. 80% of the patients were females(20 patients), 20% of the patients were male(5 patients). The average age of patients was 47±15.15. The average period of Adm. treatment was 64% of the patients(16 patients) have left facial palsy, 36% of the patients(9 patients) have right facial palsy. 2. The mean Y-system score before treatment was 17.80±6.2, and the mean score after 25th days treatment was 33.68±4.0. Changes in the mean Y-system Score for each case according to the treatment days was increased significantly. 3. The mean Y-system score after 4th days treatment had increased by an 1.24±2.7 as compared to before treatment, the score after 10th days treatment was 8.7±4.7, the score after 14th days treatment was 11.84±5.8, the score after 20th days treatment is 14.72±6.7, and the score after 25th days treatment was 15.88±6.9. Every score was significantly increased. Conclusions: 1. Su-Gi therapy can be defined that is mainly using the hands to touch or movement of the human body skin, meridians and acupuncture points, muscles, joints and so on. And that is the treatment to communicate and harmonize to the meridians and acupuncture points, and to prevent of diseases, and to keep health. 2. All names of An-Gyo, An-Ma, Jum-Hyul, Chu-Na, massage, and so on should be referred to as Su-Gi therapy. And that individual names are to be classified and separated as the type or method of Su-Gi therapy. 3. The results of the treatment of Hwidam's Su-Gi therapy for Bell's palsy by using Y-system were significant.

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) (Effect of Moxibustion on Peripheral Facial Paralysis According to Selection Method of Acupoints)

  • 최철훈;송호섭
    • Journal of Acupuncture Research
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    • 제25권3호
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    • pp.87-94
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    • 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.

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말초성 안면신경마비에 대한 괄법(括法) 복합치료 효과 (Effect of Scratching Method Complex Therapy on the Patients with Peripheral Facial Paralysis)

  • 오명진;송호섭
    • Journal of Acupuncture Research
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    • 제28권5호
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    • pp.1-7
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    • 2011
  • Objectives : This study was done for reporting the effect of scratching method on patients with peripheral facial palsy. Methods : We investigated 34 cases of patients with peripheral facial paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with scratching method therapy, and did the other group by complex oriental medical treatment without scratching method therapy. gross grading system of House-Brackmann(HB score) and Yanagihara's unweighed grading system(Y score) at baseline and final were used for evaluating the effect of the treatment. Results : 1. In scratching method group and non-scratching method group, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, scratching method group showed significant decrease on HB score and significant increase on Y score compared with non-scratching method group. Conclusions : scratching method showed significant improvement in peripheral facial palsy.

임신중 발생한 구안와사 환자 2례에 대한 임상보고 (2 Cases Report of the Bell's Palsy Occurred during Pregnancy)

  • 신선미;임현정;이정은;유동열
    • 대한한방부인과학회지
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    • 제21권4호
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    • pp.258-268
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    • 2008
  • Purpose: The purpose of this study is to report the effect of oriental treatment to Bell's palsy occurred during pregnancy. Methods: We treated 28 year old woman and 31 year old woman who had the Bell's palsy occurred during pregnancy. 2 patients were treated with oriental treatment such as herb medicine and acupuncture therapy. The effects of these treatment was evaluated by Yanagihara's unweighted grading system. Results: As a result, symptoms were remarkably alleviated and Yanagihara score was improved. Conclusion: According to this result, we concluded the oriental treatment could improve pregnant Bell's palsy patient. After this paper, further study and clinical approach based on oriental treatment will be needed about pregnant Bell's palsy patient.

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Bell's Palsy에 대한 침치료와 침치료 및 정안침요법 병행치료의 비교연구 (Comparative Clinical Study of Jung-an Acupuncture and General Acupuncture on Bell's Palsy Patients)

  • 김성환;김재수;이봉효;임성철;정태영;이경민
    • Journal of Acupuncture Research
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    • 제27권1호
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    • pp.43-49
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    • 2010
  • Objectives : This study was designed to evaluate the effect of Jung-an acupuncture on Bell's palsy(peripheral facial paralysis) patients. Methods : We investigated 24 cases of patients with peripheral facial paralysis. The patients were divided into two groups. Both Group A, B were treated with general acupuncture and Group A was added to treatment with Jung-an acupuncture. We evaluated the treatment effect of each group three times by using Yanagihara's unweighted grading system. Results : As a result of evaluation by using Yanagihara score, they were not significant scores between two groups after treatment. Conclusions : Jung-an acupuncture and general Acupuncture has significant effect on acute(before 4 weeeks at onset) Bell's palsy. But there is no statistical significance in Jung-an acupuncture on acute phase(within 4 weeks of onset).