• Title/Summary/Keyword: sequelae

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3 Case Reports of Trigger Point Needling and Oriental Medical Treatment to Shoulder Pain Patients in Stroke Sequelae (Trigger Point 자침 및 한방치료로 호전된 중풍후유증 환자의 견비통 치험 3례 보고)

  • Jang, Yong-hwan;Lim, Hae-won;Kim, Jee-young;Kwon, Kang;Kim, Jong-hwa
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.11 no.1
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    • pp.89-98
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    • 2010
  • This study was performed to investigate the effectiveness of trigger point needling and oriental medical treatment to shoulder pain patients in stroke sequelae with three aspects of pain and range of motion, muscle strength. Trigger point needling was applied to 3 patients on supraspinatus, infraspinatus, deltoid, subscapularis muscle. For evaluating treatment, visual analog scale(VAS), passive range of motion(PROM), muscle strength evaluation(MSE) were checked. After treatment, VAS score of 1 cases were decreased. PROM of 1 case was improved and MSE of 2 cases were improved slightly. These results suggest that trigger point needling and oriental medical treatment were effective on shoulder pain patients in stroke sequelae and it is necessary to research more case with shoulder pain in stroke sequelae.

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Effect of Bee Venom Phamacopuncture Complex Therapy on Residual Symptom of Bell's Palsy After the Early Stage (봉약침 복합치료가 초기 회복지연에 따른 말초성안면마비 후유증에 미치는 영향)

  • Choi, Chul-Hoon;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.26 no.4
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    • pp.115-123
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    • 2009
  • Objectives : This study was to investigate the effectiveness of bee venom phamacopuncture complex therapy on the sequelae of peripheral facial palsy. Methods : We observed the effectiveness of bee venom pharmacopuncture complex therapy on three patients who have residual symptoms of Bell's palsy although early stage(0 to 3months) elapsed. H-B grade and Yanagiha's total score was used for evaluating the patient. Results : 1. Deviation of the bee venom therapy on the sequelae of peripheral facial palsy, One patient was improved from 19 to 39, another patient was improved from 25 to 40, the third patient was improved from 15 to 26 on Yanagiha's total score. 2. In the bee venom therapy on the sequelae of peripheral facial palsy, compared with baseline, at final, H-B grade and Yanagiha's total score was increased. Conclusions : Bee venom phamacopuncture can be available for relieving residual symptom of bell's palsy after the early stage.

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A Clinical Study on Liver Disease Sequelae in Soyangin Treated by Sasang Constitutional Treatment (사상체질방으로 간질환 후유증을 호소하는 소양인(少陽人) 치험 1례)

  • Goo, Deok-Mo
    • The Korea Journal of Herbology
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    • v.25 no.4
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    • pp.171-177
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    • 2010
  • Objectives : The purpose of this case study is to report the improvement after Sasang Constitutional treatment to patient who has liver disease sequelae. Methods : This patient was treated by Soyangin's Constitutional Medications according to the result of Sasang Constitutional diagnosis. We checked visual analog scale(VAS) to evaluate the symptoms of liver disease sequelae. Results : The general condition of the patient improved by the end of hospitalization. The visual analog scale(VAS) of general weakness dropped from 10 to 3. Other symptoms also showed improvement. Conclusions : This case study shows Sasang Constitutional treatment has effectiveness on liver disease sequelae.

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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Research Trends on Non-surgical Treatment of Peripheral Facial Paralysis Sequelae (말초성 안면마비 후유증의 비수술적 치료에 관한 국내외 연구 동향)

  • Lee, Sung-Eun;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.4
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    • pp.42-64
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    • 2018
  • Objectives : The purpose of this study was to investigate the non-surgical treatment of peripheral facial paralysis sequelae such as bell's palsy and Ramsay-hunt syndrome during last 10 years. Methods : We searched articles in the RISS, MEDLINE, CAJ from January, 2008 to June, 2018. Articles on the non-surgical treatment of bell's palsy and Ramsay-hunt syndrome sequelae were included. We extracted data about treatments, characteristics of intervention, outcomes from the included studies and classified in to 4 categories such as case studies, RCTs, nRCTs, literature reviews. Results : 132 potentially relevant studies were identified, of which 60 studies met our inclusion criteria. Of 60 included studies, 30 were case reports, 22 were RCTs, 4 were nRCTs, and 4 were reviews. China (81.8%) were the most common by country, bell's palsy(81.7%) by disease, and case reports(50%) by study type were the most common. Symptoms were lagophthalmos, asymmetry, contracture, spasm, dacryorrhea, synkinesis, paresthesia, crocodile tears mostly in the order of frequency, and these symptoms occurred at least one month after the onset of symptoms. The most common method of treatment was acupuncture, which was used in 49 studies. As the evaluation variables, the effective rate was the highest in 25, House-Brakmann grading system in 17, and Sunnybrook facial grading system in 7. In 95% of the studies, after-treatment was reported to be cured, but objectivity is low. Conclusions : This study suggests that Korean medicine such as acupuncture can play a valid role in the non-surgical treatment of peripheral facial paralysis sequelae. In the future, a systematic and well-designed clinical study is needed for treatment of peripheral facial paralysis sequelae.

Pulmonary Functions and Inflammatory Biomarkers in Post-Pulmonary Tuberculosis Sequelae

  • Shanmugasundaram, Kumar;Talwar, Anjana;Madan, Karan;Bade, Geetanjali
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.2
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    • pp.175-184
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    • 2022
  • Background: Post-tuberculosis (TB) sequelae is a commonly encountered clinical entity, especially in high TB burden countries. This may represent chronic anatomic sequelae of previously treated TB, with frequent symptomatic presentation. This pilot study was aimed to investigate the pulmonary functions and systemic inflammatory markers in patients with post-TB sequelae (PTBS) and to compare them with post-TB without sequelae (PTBWS) participants and healthy controls. Methods: A total of 30 participants were enrolled, PTBS (n=10), PTBWS (n=10), and healthy controls (n=10). Pulmonary function tests included spirometry and measurement of airway impedance by impulse oscillometry. Serum levels of matrix metalloproteinase (MMP)-1, transforming growth factor-β, and interferon-γ were estimated. Results: Slow vital capacity (SVC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, and peak expiratory flow were significantly lower in PTBS as compared to controls. SVC and FEV1 were significantly less in PTBS as compared to PTBWS. Total airway impedance (Z5), total airway resistance (R5), central airway resistance (R20), area of reactance (Ax), and resonant frequency (Fres) were significantly higher and respiratory reactance at 5 and 20 Hz (X5, X20) were significantly lower in PTBS as compared to PTBWS. Spirometry parameters correlated with impulse oscillometry parameters in PTBS. Serum MMP-1 level was significantly higher in PTBS as compared to other groups. Conclusion: Significant pulmonary function impairment was observed in PTBS, and raised serum MMP-1 levels compared with PTBWS and healthy controls. Follow-up pulmonary function testing is recommended after treatment of TB for early diagnosis and treatment of PTBS.

Preliminary Study to Develop an Objective Method for Evaluating Facial Palsy Sequelae Using Facial Scanning System (안면계측검사를 통한 안면마비후유증 객관적 평가도구 개발을 위한 기초 연구)

  • Ryu, Soo Hyeong;Lee, Su Yeon;Kim, Hong Guk;Ryoo, Dek Woo;Kim, Sung Jin;Jeong, Seong Mok;Baek, Seung Won;Goo, Bon Hyuk;Kim, Min Jeong;Park, Yeon Cheol;Seo, Byung Kwan;Nam, Sang Soo;Baek, Yong Hyeon
    • Journal of Acupuncture Research
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    • v.33 no.3
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    • pp.89-99
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    • 2016
  • Objectives : This study was performed to develop objective methods for evaluating facial palsy sequelae using a 3D Facial Scanning System. Methods : Fifty-eight patients with facial palsy sequelae were selected. Their medical records were reviewed to collect demographic data, facial palsy sequelae evaluation, Facial Disability Index questionnaire, and test results (3D Facial Scanning System). Five different facial expressions (at rest, eye closure, eyebrow elevation, smiling, and whistling) were photographed. Sunnybrook Scale was associated with distances between predetermined facial points. Results : The average Sunnybrook composite score was $58.88{\pm}17.31$. Secondary movements (mouth to eye synkinesis, contracture of eye, and contracture of mouth) showed significant difference according to the Sunnybrook Scale. In voluntary movements, eyebrow height at eyebrow elevation, length between mouth angle and central line while whistling, and eyelid width at maximum eye opening showed significant difference. Facial palsy Sequelae Index (FSI) was correlated with Sunnybrook sub-scales (resting symmetry, voluntary movement, and synkinesis). Conclusion : These results demonstrate that a 3D Facial Scanning System is useful for evaluating facial palsy sequelae. This method may facilitate objective evaluation for facial palsy sequelae and it could be applied in clinical trials.

Oriental Clinical Study on a Case of the Sequelae of Spinal SAH (매선요법을 가미한 복합한방치료를 시행한 자발성 척수 지주막하 출혈 후유증환자 치험례)

  • Lee, Kyoung-Hee;Lo, Ju-Hwan;Youn, Hyoun-Min;Jang, Kyung-Jeon;Ahn, Chang-Beohm;Kim, Cheol-Hong
    • Journal of Pharmacopuncture
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    • v.11 no.2
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    • pp.131-140
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    • 2008
  • Objective Spinal SAH is an unusual disease that occasionally occurs spinal cord injury. This report intended to estimate the effect that taken by using oriental treatment on the patient with the sequelae of spinal SAH. Methods We have observed this case of patient treated by Dong's acupuncture therapy, pharmacopuncture therapy, Mae-sun therapy and herbal medication, etc. Results The patient showed improvements in pain, power and sensory function. Conclusion Oriental treatments such as Dong's acupuncture therapy, pharmacopuncture therapy, Mae-sun therapy and herbal medication can be effective for the sequelae of spinal SAH.

Clinical study on a case of a patient with sequelae caused by removal of vestibular schwannoma (청신경초종 수술 후유증 환자 증례 1례)

  • Kim, Jae-Woo;Hyun, Jin-Oh;Hyun, Min-Kyung;Sin, Won-Yong;Lim, Seong-Woo;Choi, En-Young
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.551-558
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    • 2004
  • The purpose of this study is to develop an aproach to diagnosis and treatment of sequelae after removal of vestibular schwannoma through Oriental Medicine. An eighty year-old woman with sequelae after removal of vestibular schwannoma was observed and treated. She had difficulty of hearing, facial nerve palsy, dizziness and was generally weak. She was treated with herb medications for these symptoms. Having been treated for 27 days in hospital her symptoms improved. This report provides evidence for application of herbal medicine in treatment of sequelae. However, more cases are required for an in depth study of oriental treatments for this ailment in order to open this method of treatment to general application.

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Facial Chuna Manual Therapy and Acupuncture Treatment for the Sequelae of Peripheral Facial Nerve Palsy: Two Clinical Cases

  • Choi, Ga-Young;Park, Yu-Kyeong;Woo, Sang Ha;Lee, Jung Hee;Lee, Yun Kyu;Lee, Hyun-Jong;Kim, Jae Soo
    • Journal of Acupuncture Research
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    • v.39 no.1
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    • pp.70-75
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    • 2022
  • Two patients with sequelae of peripheral facial nerve palsy were treated with Facial Chuna Manual Therapy (FCMT) and acupuncture over 6 months. The House-Brackmann (HB) scale, facial nerve grading system 2.0 (FNGS), the scale of Peitersen, the scale of Murata, and the Numeric Rating Scale (NRS) were used to assess the effects of treatment. The HB scale, FNGS and NRS scores showed improvement for both patients (Case 1: HB scale 5 to 3, FNGS 4 to 2, NRS 10 to 5; Case 2: HB scale 5 to 3, FNGS 4 to 3, NRS 10 to 2.5) following 6 months of treatment. The scores for the Peitersen and Murata scales showed improvement over 6 months in Case 1 (Peitersen 2 to 1, Murata 10 to 7), but there was no change in Case 2 over the test period (4 months). FCMT and acupuncture may help patients with sequelae of facial palsy.