KMID : 0895820130230030125
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Journal of Oriental Rehabilitation Medicine 2013 Volume.23 No. 3 p.125 ~ p.132
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Comparison of Efficacy between Acupuncture Treatment and Collaborative Treatment with Prednisolone on Acute Bell's Palsy
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Yi Joo-Il
Kim Hae-JIn Ryu Eun-Kyung
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Abstract
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Objectives : The purpose of this study was to compare the effects of acupuncture treatment with those of collaborative treatment regarding acute Bell`s palsy.
Methods : Twenty-six patients who received outpatient treatment between March 2012 and February 2013 were divided into 2 groups. The East-West treatment group (EW group, n=12) received prednisolone and then acupuncture afterwards. The Eastern treatment group (E group, n=14) received just acupuncture. Acupuncture was administered 3 to 4 times a week, and both groups were educated to practice facial muscle exercises at home. Evaluations were made before treatment, after 1 week, 2 weeks, and 3 weeks using the House-Brackmann facial nerve grading system.
Results : Compared to before treatment, the House-Brackmann grades of both EW and E groups after 1, 2 and 3 weeks of treatment significantly decreased (p£¼0.05). Regarding group comparison, the House-Brackmann grade of the EW group was significantly lower than the E group at 1 week (p=0.043), but there was no significant difference at 2 and 3 weeks. Regarding improvement of House-Brackmann grades, there was no significant difference between the two groups at 1, 2 and 3 weeks (p£¾0.05).
Conclusions :Compared to just acupuncture treatment, collaborative treatment with prednisolone significantly improved the House-Brackmann grade after 1 week, but there was no difference as time passed. Because early intervention determines the prognosis of Bell`s palsy, collaborative treatment at the early stage will be clinically helpful to patients.
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KEYWORD
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Acute Bell`s palsy, Acupuncture, Prednisolone, House-Brackmann grade
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