목적 : 안면 비대칭에 대한 한의학적 치료의 적용가능성에도 불구하고, 아직까지 관련 연구는 보고되지 않고 있다. 이 증례보고에서 저자들은 하악골 측방변위로 인한 안면 비대칭에 대하여 한의학적 치료의 효과와 안전성을 보고하였다. 방법 : 3명의 안면 비대칭 환자가 동작침법, 기능적 뇌척주요법의 음양균형장치, 연부조직이완술로 구성된 한의학적 치료를 12회 받았다. 치료 전후에 환자의 사진이 촬영되었다. 치료 전후의 4개의 주요 기준선의 변화가 평가되었다. 결과: 모든 환자들은 사진상의 호전을 보였다. 하지만 통계적으로 유의한 차이는 없었다. 결론 : 이 증례보고는 안면 비대칭에 대해 한의학적 치료의 효과를 보고하는 첫 번째 보고이다. 추후 이러한 결과를 확인하기 위한 더 잘 설계된, 무작위화, 플라세보 대조 연구가 필요하다.
목적 : 안면 비대칭에 대한 한의학적 치료의 적용가능성에도 불구하고, 아직까지 관련 연구는 보고되지 않고 있다. 이 증례보고에서 저자들은 하악골 측방변위로 인한 안면 비대칭에 대하여 한의학적 치료의 효과와 안전성을 보고하였다. 방법 : 3명의 안면 비대칭 환자가 동작침법, 기능적 뇌척주요법의 음양균형장치, 연부조직이완술로 구성된 한의학적 치료를 12회 받았다. 치료 전후에 환자의 사진이 촬영되었다. 치료 전후의 4개의 주요 기준선의 변화가 평가되었다. 결과: 모든 환자들은 사진상의 호전을 보였다. 하지만 통계적으로 유의한 차이는 없었다. 결론 : 이 증례보고는 안면 비대칭에 대해 한의학적 치료의 효과를 보고하는 첫 번째 보고이다. 추후 이러한 결과를 확인하기 위한 더 잘 설계된, 무작위화, 플라세보 대조 연구가 필요하다.
Objectives : Despite the applicability of Korean Medicine(KM) treatments for facial asymmetry, no relevant study has been reported. In this case report, we report the effect and safety of KM treatments on facial asymmetry by mandibular lateral displacement. Methods : Three patients suffering from fa...
Objectives : Despite the applicability of Korean Medicine(KM) treatments for facial asymmetry, no relevant study has been reported. In this case report, we report the effect and safety of KM treatments on facial asymmetry by mandibular lateral displacement. Methods : Three patients suffering from facial asymmetry received twelve KM treatment sessions composed of Motion Style Treatment(MST), Yinyang Balance Appliance(YBA) of Functional Cerebrospinal Therapy(FCST), and Instrument Assisted Soft Tissue Mobilization(IASTM). The photos of each patient were taken before and after the treatment. And four primary reference lines were assessed before and after the treatment. Results : All subjects were improved after KM treatments on photos. However, no statistical significance was observed. Conclusions : This case report is the first to introduce the effect of KM treatments on facial asymmetry. Further well-designed, randomized, placebo-controlled trials are needed to verify these results.
Objectives : Despite the applicability of Korean Medicine(KM) treatments for facial asymmetry, no relevant study has been reported. In this case report, we report the effect and safety of KM treatments on facial asymmetry by mandibular lateral displacement. Methods : Three patients suffering from facial asymmetry received twelve KM treatment sessions composed of Motion Style Treatment(MST), Yinyang Balance Appliance(YBA) of Functional Cerebrospinal Therapy(FCST), and Instrument Assisted Soft Tissue Mobilization(IASTM). The photos of each patient were taken before and after the treatment. And four primary reference lines were assessed before and after the treatment. Results : All subjects were improved after KM treatments on photos. However, no statistical significance was observed. Conclusions : This case report is the first to introduce the effect of KM treatments on facial asymmetry. Further well-designed, randomized, placebo-controlled trials are needed to verify these results.
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문제 정의
This report was the first to suggest the possibility of KM treatments in correction of facial asymmetry. Given that many patients in Korea visit KM clinic for cosmetics, this study will be the first evidence to support the effect of KM treatments on facial asymmetry. Further well-designed, randomized, placebo-controlled trials are needed to verify these results, and these followings can be considered: the use of quantifiable scales is necessary to assess patient satisfaction and adverse events as well as asymmetric symptoms; standardized KM treatment procedures should be performed; and it is necessary to consider a more objective photographing method considering that the corrective effect of facial asymmetry is mainly evaluated through photographs.
There were no serious adverse events reported. This report was the first to suggest the possibility of KM treatments in correction of facial asymmetry. Given that many patients in Korea visit KM clinic for cosmetics, this study will be the first evidence to support the effect of KM treatments on facial asymmetry.
가설 설정
In this case report, we treated three cases with facial asymmetry using KM treatments composed of MAT, FCST, and IASTM. It is hypothesized that these KM treatments are effective in improving facial asymmetry without severe adverse event.
제안 방법
After allowing the patient to lie down in supine position, two single-use stainless steel 0.20×30 millimeter needles(DongBang acupuncture Inc, Korea) were inserted perpendicularly into unilateral ST7(Hagwan) at a depth of 2 to 3 cm and unilateral EX-HN5(Taiyang) at a depth of 0.5 to 1 cm to stimulate masseter and temporalis, respectively, on the side where the deviation occurred.
All patients received 12 Korean medicine treatment sessions composed of Motion Style Treatment, Yinyang Balance Appliance of Functional Cerebrospinal Therapy, and Instrument Assisted Soft Tissue Mobilization.
All patients received 12 sessions of Korean medicine treatments.
Despite these limitations, in the absence of a study on the effect of KM treatments for facial asymmetry, this case report is the first to introduce the effect of KM treatments. In addition, in order to objectify the degree of improvement of facial symmetry, an attempt was made to calculate the degree of inclination by numerical calculation.
Given that many patients in Korea visit KM clinic for cosmetics, this study will be the first evidence to support the effect of KM treatments on facial asymmetry. Further well-designed, randomized, placebo-controlled trials are needed to verify these results, and these followings can be considered: the use of quantifiable scales is necessary to assess patient satisfaction and adverse events as well as asymmetric symptoms; standardized KM treatment procedures should be performed; and it is necessary to consider a more objective photographing method considering that the corrective effect of facial asymmetry is mainly evaluated through photographs.
Despite these limitations, in the absence of a study on the effect of KM treatments for facial asymmetry, this case report is the first to introduce the effect of KM treatments. In addition, in order to objectify the degree of improvement of facial symmetry, an attempt was made to calculate the degree of inclination by numerical calculation. Although no statistical significance was found in this study, some improvement was observed in all patients.
There is a report that facial asymmetry has been improved using occlusal splint, however, there are no studies reporting the effects of KM treatments on facial asymmetry9). In this case report, we treated three cases with facial asymmetry using KM treatments composed of MAT, FCST, and IASTM. It is hypothesized that these KM treatments are effective in improving facial asymmetry without severe adverse event.
. The patient was constantly wearing YBA, a kind of dental patty, between treatments. We believe that this tool also had the effect of treating the asymmetry by correcting the imbalance of TMJ6).
The patients received twelve treatment sessions of MST and IASTM at intervals of 7 to 10 days, and wore YBA of FCST for about 4 hours every day during the treatment period. The average degree of inclination of eye, mouth and jaw were decreased: 2.
The patients were treated by KM treatments 12 times, once every 7 to 10 days for 106, 91, and 110 days, respectively. In every visit, MST and IASTM were applied and the YBA was adjusted.
Therefore, we performed assessment by photographing, and tried to obtain a quantitative effect by drawing evaluation lines and calculating the angle of inclination.
대상 데이터
Patients were photographed using a DSLR camera EOS5D (Canon, Japan) at before and after treatment12).
There are some limitations in this case report. This study is a case report of a small number of patients. And there is a limit to the lack of objective evaluation indicators other than photographic data.
데이터처리
Mean±standard deviation was calculated, and the statistical significance was tested by Wilcoxon signed rank test.
이론/모형
Graston technique, a type of IASTM, was used to relax the soft tissues and restore motion of TMJ. It was conducted by the same KM doctor using Graston tool no.3(Graston Technique LLC, America). To the patient with supine position, the doctor held the tool with his right hand while pushing the muscle belly his left fingertips, and stimulated the muscle by pushing the tool in the direction perpendicular to the muscle fiber.
성능/효과
In conclusion, from September 2014 to September 2016, three patients with facial asymmetry were treated with KM treatments including MST, IASTM, and YBA of FCST. All subjects were improved after KM treatments on photos.
후속연구
Although no statistical significance was found in this study, some improvement was observed in all patients. It is necessary to study the possibility of KM treatments for facial asymmetry in the future and we hope that this report can be used as basic data.
참고문헌 (12)
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