[논문]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

doi:10.13045/jar.2021.00269

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

Journal of acupuncture research, v.39 no.1, 2022년, pp.70 - 75

Choi, Ga-Young (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Park, Yu-Kyeong (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Woo, Sang Ha (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Lee, Jung Hee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Lee, Yun Kyu (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Lee, Hyun-Jong (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Kim, Jae Soo (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)

Abstract ▼ AI-Helper

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.

주제어

표/그림 (8)

그림 Fig. 1. The change in scores for the HB scale, FNGS, the scale of Peitersen, and the scale of Murata in Case 1. FNGS, facial nerve grading system 2.0; HB, House-Brackmann.
그림 Fig. 2. The change in NRS scores in Cases 1 and 2. FCMT, facial Chuna manual therapy; NRS, Numeric Rating Scale.
표 Table 1. The Change in Scores for the HB Scale, FNGS, the Scale of Peitersen, and the Scale of Murata in Case 1.
그림 Fig. 3. The change in scores for the HB scale, FNGS, the scale of Peitersen, and the scale of Murata in Case 2. FNGS, facial nerve grading system 2.0; HB, House-Brackmann.
그림 Fig. 4. FCMT in the case of synkinesis. The image shows (A) synkinesis when the eyes move, (B) synkinesis when the lip moves, (C) resistance, synkinetic movement not occuring in A, and (D) resistance, synkinetic movement not occuring in B. The black arrows indicating the directions of agonist muscle when the patient moves their facial muscles. The red arrows indicate the directions of the synkinetic movement. The diagonal pattern arrows mean resisting in the insertion region. FCMT, facial chuna manual therapy.
표 Table 2. The Change in Scores for the HB Scale, FNGS, the Scale of Peitersen, and the Scale of Murata in Case 2.
그림 Fig. 5. FCMT in contracture. (A) The image shows contracture where the black arrows indicates the direction of agonist muscle when the patient rests and moves their face. (B) The dot pattern arrows indicates origin-insertion extension where the practitioner pulled toward the insertion region to increase the length of the shrinking muscle. (C) The diagonal pattern arrows indicate resistance in the insertion region. (D) The blue arrows indicates pinching the muscle to prevent excessive contraction in stretching. FCMT, facial chuna manual therapy.
그림 Fig. 6. FCMT in the crocodile tears syndrome. The image shows the black arrows indicating the direction of loosening the occipital fascia for (A) Crocodile tears syndrome (shedding tears when eat meal), and (B) nerve pathway expansion. FCMT, facial chuna manual therapy.

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