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Korean-Western Integrative Medicine for Bell's Palsy: A Review of Randomized Controlled Trials

  • Oh, Da Yoon;Lee, Soo Jin;Park, Jae Eun;Lee, Min Cheol;Jeon, Myung Kyu;Park, Cheol Woo;Choi, Hyo Jung;Hong, Noo Ri;Kim, Woo Young
    • Journal of Acupuncture Research
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    • v.37 no.4
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    • pp.233-240
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    • 2020
  • This review aimed to compare the effectiveness of Korean medicine (KM) with Korean-Western integrative medicine (KWIM) at treating Bell's palsy. A literature search of several databases for relevant randomized controlled trials was performed. Six studies that compared KM with KWIM to treat Bell's palsy were included in this review. Acupuncture and steroids were the most commonly used treatments in KWIM. A comparison of the effectiveness of KW with KWIM did not produce consistent results. Both KM and KWIM were useful intreating Bell's palsy. KWIM was more effective than KM when the Western medicine was a steroid and was given in the early stages of treatment. However, these findings are limited due to the low quality and number of included studies. KM and KWIM are both effective in Bell's palsy, and KWIM is more effective than KM. However, more high-quality randomized controlled trials are required.

A Case Study of Postauricular Pain of 6 Bell's Palsy Patients Using Calculus Bovis.Fel Ursi.Moschus Pharmacopuncture (우황(牛黃).웅담(熊膽).사향(麝香) 약침을 이용한 Bell's palsy 환자의 이후통(耳後痛) 치험 6례)

  • Yun, Kyung-Jin;Choi, You-Jin;Yeo, In-Ho;Kim, Jung-Hyun;Lee, Cham-Kyul;Roh, Jeong-Du;Lee, Eun-Yong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.2
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    • pp.139-149
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    • 2012
  • Objectives : The aim of this study was to report Bell's palsy patients with postauricular pain treated by Calculus Bovis Fel Ursi Moschus(BUM) Pharmacopuncture. Methods : The 6 patients were treated by the Korean medica treatment including herbal medication, dry needle acupuncture and physical therapy. We performed BUM Pharmacopuncture in Yepung for the treatment of postauricular pain once or twice. We have evaluated the effect of BUM Pharmacopuncture by Visual Analog Scale(VAS). Results : After BUM Pharmacopuncture for the treatment of postauricular pain, VAS were decreased in all cases. Conclusions : It was suggested that BUM Pharmacopuncture might have effect on control of auricular pain in Bell's palsy. Further, systemic studies will be needed to evaluate obvious effect of BUM pharmacopuncture on postauricular pain of Bell's palsy.

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The Effects of Admission Care on Bell's Palsy-Case Control Study (환자 대조군 연구를 통한 입원치료가 구안와사에 미치는 영향)

  • Son, In-Seok;Seo, Jung-Chul;Cho, Tae-Sung;Kwon, Hae-Yon;Youn, Hyoun-Min;Jang, Kyung-Jeon;Song, Choon-Ho;Ahn, Chang-Beohm
    • Journal of Acupuncture Research
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    • v.19 no.2
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    • pp.201-210
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    • 2002
  • Objective : The aim of this study was to assess the effects of admission care on Bell's palsy by case control study. Method : 27 patients who diagnosed as Bell's palsy were shared 13 inpatients group treated by early admission care, and 14 outpatients group. They were equally treated with acupuncture, herb medicine and western medicine. The groups were evaluated by Yanagihara,s unweighted grading system at pre-treatment, after 5 days, after 10 days and after 15 days. Results : The Yanagihara,s scores of 2 groups showed stastically significant improvement in comparison with pre-treatment. In improvement index after treatment, the Yanagihara,s scores of 2 groups increased but were not stastically significant the difference. Conclusion : These results provided that the admission care may not be a valuable treatment for Bell's palsy. Further study is needed to evaluate the effect of early admission care on Bell's palsy.

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Utilization of Averaging Process of Blink Reflex to Improve Diagnosis of Facial Nerve Palsy

  • Yoo, Jong-Kyun;Cho, Jeong-Hee;Kim, Dea-Sik
    • Biomedical Science Letters
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    • v.18 no.4
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    • pp.391-398
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    • 2012
  • The conventional blink reflex has limited clinical application since it displays a wide range of change in the responses. Thus, we studied the blink reflex using the averaging process which is engaged in evoked potential studies in order to measure various responses such as latency, amplitude, and duration, which have been difficult to measure due to their wide ranges of changes. Among the Bell's palsy patient group, 13 patients who had the symptoms of incomplete palsy were examined to assess the results of the blink reflex through the averaging process. The subjects were 54 people in a normal group (108 eyes) and 18 patients (36 eyes) with Bell's palsy. For the study method, the conventional blink reflex and the blink reflex using the averaging process were measured for the people in the normal group, while in the Bell's palsy group, only the blink reflex using the averaging process was analyzed. In the case of the normal group, the blink reflex using the averaging process could measure all of the latency, amplitude, and duration. It was also observed that the latency, amplitude, and duration of R1, ipsilateral R2, and contralateral R2 significantly differed on the affected side of the Bell's palsy patients, compared to the unaffected side. The blink reflex using the averaging process should be more effective than the conventional method since the former can evaluate the latency, amplitude, and duration for Bell's palsy, while the latter can only assess latency.

Preliminary CFD Results of a Dual Bell Nozzle based on the KSLV-II (한국형발사체를 기반으로 한 듀얼 벨 노즐의 전산수치해석 기초 결과)

  • Kim, Jeonghoon;Choi, Junsub;Huh, Hwanil
    • Journal of the Korean Society of Propulsion Engineers
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    • v.20 no.6
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    • pp.18-28
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    • 2016
  • Numerical analysis was conducted as a preliminary study for evaluating the dual bell nozzle. For future parametric studies, a dual bell nozzle was designed, and thereafter inlet condition, turbulence model, and the number of optimum grids were determined. Dual bell nozzle was designed based on the KSLV-II first stage nozzle. Inlet condition was determined to frozen flow model of non-reacting eight species by comparing with the design values. SST $k-{\omega}$ model turned out to be suitable as turbulence model. About 150 thousand of the grids were selected after grid sensitivity tests. Based on the results determined in this study, we plan to investigate performance gain of the KSLV-II by adopting a proposed dual bell nozzle.

Nondestructive Analysis on the bell of Boshin-gak (보신각종(普信閣鐘)의 비파괴조사(非破壞調査))

  • Kwon, Hyuknam;Yu, Heisun
    • Conservation Science in Museum
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    • v.6
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    • pp.3-10
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    • 2005
  • In the course of preparing for the transfer of the Boshin-gak Bell, which was designated as Treasure No. 2, due to the transfer of the National Museum of Korea, the current internal cracks and defects in the founding of the bell were examined in order to verify its solidity through γ-ray penetration via 60Co. The bell's compositions were also examined with x-ray fluorescence spectroscopy. The result showed that the bell had 65.2% cracks when viewed from the horizontal direction and 62.5% cracks when viewed from the vertical direction. The cracks had approximately 5cm depth. In addition, the result of examining the composition of the bell revealed that it was made of 89~92% copper and 7.5~10.5% tin as well as traces of impurities including 0.1~0.3% lead and not more than 0.1% iron, manganese, etc.

Effect of Acupressure Massage on Temperatures of Acupoints, Severity of Facial Paralysis, Subjective Symptoms, and Depression in Bell's Palsy Patients

  • Lee, Jeongsoon;Chung, Younghae
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.140-149
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    • 2015
  • Purpose: Bell's palsy is a nerve paralysis disease that causes functional impairments and affects psychological and aesthetical parts. This study aimed to examine whether acupressure massage had positive effects on facial paralysis, subjective symptoms, and depression in Bell's palsy patients. Methods: This study was conducted by a nonequivalent control group pretest-posttest design. Participants were 60 patients with Bell's palsy. 30 patients were assigned to the experimental group and the remaining 30 patients were assigned to the control group. The period of the study was from October 1, 2008 to July 30, 2009. Acupressure massage was offered to the experimental group for 20 minutes per day for two weeks (a total of six times). A SPSS/Win 12.0 program was used for data analysis. Results: A difference in Digital Infrared Thermographic Imaging (DITI) between affected and unaffected sides was less in the experimental group having acupressure massage than in the control group and the score of the recovery of facial paralysis was also increased in the experimental group. The Facial Nerve Grade Systems by Brackmann score that is a more objective index showed a significant difference between two groups (F=26.81, p<.001). Subjective symptom and depression scores were more decreased in the acupressure massage group than in the control group. Conclusion: Based on the results, it is considered that acupressure massage can be applied to Bell's palsy patients as an alternative therapy. It can be used as an evidence-based East-West nursing intervention to improve patients' physical and mental functions.

The Evaluation of Improvement of Bell's Palsy by Yanagihara's System (Yanagihara's System을 이용한 구안와사의 호전도 평가)

  • Kwon, Hae-Yon;Cho, Tae-Sung;Son, In-Suk;Youn, Hyoun-Min;Seo, Jung-Chul;Jang, Kyung-Jeon;Song, Choon-Ho;Ahn, Chang-Beohm
    • Journal of Acupuncture Research
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    • v.19 no.1
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    • pp.118-126
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    • 2002
  • Objective : The aim of this study was to assess the improvement of Bell's Palsy by Yanagihara's System. Methods : Early admission care, western medicine, acupuncture and electrical stimulation was applied to the 22 patients who dignosisd as Bell's palsy. The effects of these treatment was evaluated by Yanagihara's unweighted grading system. Results : After 25 day treatment the mean values of the Yanagihara's score($26.90{\pm}9.53$) showed stastically significant improvement in comparison with pre-treatment($8.68{\pm}5.13$). Conclusion : These results provided that the early admission care, western medicine, acupuncture and electrical stimulation is a valuable treatment for Bell's palsy. Further case control study is need to confirm the effect of above treatment on Bell's palsy.

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Design of a Variable Resonator for the Sacred Bell of the Great King Seongdeok (성덕대왕신종을 위한 가변형 명동의 설계)

  • Kim, Seock-Hyun;Jeong, Won-Tae;Kang, Yun-June
    • The Journal of the Acoustical Society of Korea
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    • v.31 no.5
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    • pp.288-297
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    • 2012
  • This study proposes a design model of the variable type resonator which corrects the temperature variance according to the season, in order to maximize the resonance effect in the Sacred bell of the Great King Seongdeok. In the bell, the 1st natural frequency (64 Hz) and the 2nd natural frequency (168 Hz) are the most important partial tones. Resonance conditions of the two components are determined for the internal acoustic cavity system, which consists of bell body cavity, gap and the resonator. Acoustic frequency response characteristics of the internal cavity are determined by the boundary element analysis using SYSNOISE. As an external factor, temperature variance according to the season largely influences the resonance condition and the length of the resonator should be controlled to maximize the resonance effect. As a measure, this study proposes a design model of the variable type resonator for the Sacred Bell of the Great King Seongdeok, which can control the length at the belfry according to the season.

A Study on Emotional Characteristics with the CoreSeven-Emotions Inventory (CSEI), Based on the Seven Emotions (七情) in Bell's Palsy Patients (말초성 안면신경마비 환자의 핵심칠정척도를 활용한 정서적 특성 연구)

  • Son, Sung-Eun;Kang, Hyung-Won;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.2
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    • pp.83-94
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    • 2017
  • Objectives: The purpose of this study was to conduct a characteristic study on Bell's palsy patients using the Core Seven Emotion Inventory (CSEI) followed by correlation analysis with BAI and BDI. Methods: This study was conducted by analyzing medical records of 30 patients that had visited ${\bigcirc}{\bigcirc}$ University Oriental hospital and completed the Core Seven Emotions Inventory (CSEI), BAI and BDI. A total of 30 patients diagnosed with Bell's palsy were analyzed using SPSS (Statistical Package for the Social Science, IBM, United States of America, Version 22.0). Descriptive statistics, Independent t-test, One-way repeated measure, ANOVA and Pearson Correlation analysis were used for data analysis. Results: 1. Kyeong (驚), Bi (悲) and Gong (恐) emotions were relatively higher than U (憂), Hui (喜). 2. According to sex, female patients exhibited higher Kyeong (驚) and Gong (恐) emotions than male patients. 3. According to age, patients older than 60 exhibited higher Hui (喜) emotion than patients younger than 59. 4. According to the correlation between prognosis and age in patients older than 60 revealed negative correlation in Kyeong (驚) and Gong (恐) emotions. Conclusions: Using the Core Assessment Instrument based on Chiljeong for Bell's palsy patients is effective relative to diagnostic and clinical aspects of Bell's palsy.