KMID : 1145020210380030192
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Journal of Acupuncture Research 2021 Volume.38 No. 3 p.192 ~ p.199
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Comparative Review of the Correlation Between Electroneurography, Electromyography, Hematology Tests, or the Heart Rate Variability Test, with an Improvement in the Severity of Bell¡¯s Palsy Symptoms
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Hwang Ji-Min
Kim Jun-Yeon Kim Ha-Na Park Kyeong-Ju Jo Min-Gi Jang Jun-Yeong Nam Sang-Soo Goo Bon-Hyuk Kim Jung-Hyun Ko Min-Jung Chae Sang-Yeup Park Young-Jae
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Abstract
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Background: In this retrospective study, we aimed to determine which diagnostic tests were associated with an improvement in Bell¡¯s palsy symptoms.
Methods: There were 30 patients who visited Kyung Hee University Korean Medicine Hospital from April 1, 2017 to February 29, 2020, and who received East-West collaboration treatment for Bell¡¯s palsy. The tests included electroneurography (ENoG), electromyography (EMG), hematology, and heart rate variability (HRV) results which were used to determine if any test correlated with improvement of Bell¡¯s palsy symptoms.
Results: The initial severity of symptoms did not correlate with the tests performed, with the exception of mean corpuscular hemoglobin concentration (p = 0.013). For both ENoG for oculi degeneration and mean EMG tests, the rate of nerve degeneration showed a significant negative correlation with the improvement of Bell¡¯s palsy symptoms. Amongst the HRV test indicators, the square root of the mean of the sum of the squares of differences between the adjacent normal R-R wave interval, the standard deviation of intervals, total power, very low frequency, and high frequency of the wave was negatively correlated with improvement of Bell¡¯s palsy symptoms. Similarly, glycosylated hemoglobin Type A1c (HbA1c) and erythrocyte sedimentation rate (ESR) showed a negative correlation with improvement of symptoms of Bell¡¯s palsy. With the exception of HbA1c and ESR, the remaining hematology test results showed no significant difference when comparing before and after treatment.
Conclusion: ENoG, EMG, HRV test, HbA1c, and ESR negatively correlated with improvements in Bell¡¯s palsy symptoms and may determine the prognosis of Bell¡¯s palsy.
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KEYWORD
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autonomic nervous system, Bell¡¯s palsy, electromyography, hematology
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