Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지

Comparison of Efficacy between Acupuncture Treatment and Collaborative Treatment with Prednisolone on Acute Bell's Palsy

급성 Bell's Palsy의 침 치료와 Prednisolone을 병행한 협진 치료의 효과 비교

  • Yi, Joo-Il (Department of Internal Medicine of Korean Medicine, Jain Medi Hospital) ;
  • Kim, Hae-Jin (Department of Western Internal Medicine, Jain Medi Hospital) ;
  • Ryu, Eun-Kyung (Department of Oriental Rehabilitation Medicine, Jain Medi Hospital)
  • 이주일 (자인메디병원 한방내과) ;
  • 김혜진 (자인메디병원 내과) ;
  • 류은경 (자인메디병원 한방재활의학과)
  • Published : 2013.07.31
⟨ Previous Next ⟩

Abstract

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<0.05). 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>0.05). 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.

Keywords

References

  1. Hato N, Murakami S, Gyo K. Steroid and antiviral treatment for Bell's palsy. Lancet. 2008;371(9627):1818-20. https://doi.org/10.1016/S0140-6736(08)60776-X
  2. Lee HY, Byun JY, Park MS, Yeo SG. Steroid-antiviral treatment improves the recovery rate in patients with severe Bell's palsy. Am J Med. 2013;126(4):336-41. https://doi.org/10.1016/j.amjmed.2012.08.020
  3. Gronseth GS, Paduga R. Evidence-based guideline update: steroids and antivirals for Bell palsy: report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2012;79(22):2209-13. https://doi.org/10.1212/WNL.0b013e318275978c
  4. Scully C. 37 - Bell palsy. In: Scully C, ed. Oral and maxillofacial medicine. 3rd ed. London:Churchill Livingstone. 2013:244-8.
  5. 오영선, 이병렬. 한양방협진을 통한 안면신경마비환자 82례에 대한 임상적 관찰. 대전대학교 한의학연구소 논문집. 1996;5(1):317-28.
  6. 강미정, 김기현, 황현서. 구면괘사에 대한 한의 및 한 서의협진 치료의 임상 관찰. 대한침구학회지. 2000;17(1):55-66.
  7. 김지훈, 송재준, 홍승욱. 말초성 안면신경마비의 한양방 협진치료에 관한 임상적 연구. 한방안이비인후피부과학회지. 2009;22(1):148-56.
  8. 김동현, 정달림, 조창건, 홍승욱. 한양방 협진치료가 안면 마비환자의 삶의 질 변화에 미친 영향. 한방안이비인후피부과학회지. 2010;23(2):174-85.
  9. 김남옥, 채상진, 손성세. 특발성 말초성 안면신경마비(Bell's Palsy)에 대한 한방치료와 양방병용치료의 비교 고찰. 대한침구학회지. 2001;18(5):99-108.
  10. 박인범, 김상우, 이채우, 김홍기, 허성웅, 윤현민, 장경전, 안창범. 말초성 안면신경마비에 대한 한방 치료 및 한,양방 협진 치료의 임상적 고찰. 대한침구학회지. 2004;21(5):191-203.
  11. 조기호, 정우상, 홍진우, 황재웅, 나병조, 박성욱, 문상관, 박정미, 고창남, 김영석, 배형섭. 급성기 말초성 안면신경 마비에 대한 한방치료와 한양방 병용치료의 효과비교. 대한한의학회지. 2008;29(1):146-55.
  12. 권나현, 신예지, 김찬영, 고필성, 이원일, 조병진, 우현수, 백용현, 박동석. 특발성 안면신경 마비(Bell's Palsy)의 한방치료와 한양방 협진치료의 효과에 대한 임상적 비교 연구. 대한침구학회지. 2008;25(3):19-28.
  13. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985;93(2):146-7. https://doi.org/10.1177/019459988509300202
  14. Reitzen SD, Babb JS, Lalwani AK. Significance and reliability of the House-Brackmann grading system for regional facial nerve function. Otolaryngol Head Neck Surg. 2009;140(2):154-8. https://doi.org/10.1016/j.otohns.2008.11.021
  15. O'Reilly BF, Soraghan JJ, McGrenary S, He S. Objective method of assessing and presenting the House-Brackmann and regional grades of facial palsy by production of a facogram. Otol Neurotol. 2010;31(3):486-91. https://doi.org/10.1097/MAO.0b013e3181c993dc
  16. Henstrom DK, Skilbeck CJ, Weinberg J, Knox C, Cheney ML, Hadlock TA. Good correlation between original and modified House Brackmann facial grading systems. Laryngoscope. 2011;121(1):47-50. https://doi.org/10.1002/lary.21163
  17. Numthavaj P, Thakkinstian A, Dejthevaporn C, Attia J. Corticosteroid and antiviral therapy for Bell's palsy: a network meta-analysis. BMC Neurol. 2011;11:1. https://doi.org/10.1186/1471-2377-11-1
  18. Sullivan FM, Swan IRC, Donnan PT, Morrison JM, Smith BH, McKinstry B, Davenport RJ, Vale LD, Clarkson JE, Hammersley V, Hayavi S, McAteer A, Stewart K, Daly F. Early treatment with prednisolone or acyclovir in Bell's palsy. N Engl J Med. 2007;357(16):1598-607. https://doi.org/10.1056/NEJMoa072006
  19. 김창환, 김용석. 마비질환클리닉. 서울:정담출판사. 1996:233.
  20. 이도생. 신편침구치료학. 북경:인민위생출판사. 1996:155-6.
  21. 최용태 외. 침구학. 서울:집문당. 1998:1214.
  22. Vargish L, Schumann SA. For Bell's palsy, start steroids early; no need for an antiviral. J Fam Pract. 2008;57(1):22-5.
  23. Meyers S. Acute facial paralysis. In: Bope ET, Kellerman RD, eds. Conn's current therapy 2013. 1st ed. Philadelphia: Elsevier Saunders. 2012:596.
  24. Engström M, Berg T, Stjernquist-Desatnik A, Axelsson S, Pitkäranta A, Hultcrantz M, Kanerva M, Hanner P, Jonsson L. Prednisolone and valaciclovir in Bell's palsy: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet Neurol. 2008;7(11):993-1000. https://doi.org/10.1016/S1474-4422(08)70221-7
  25. Sullivan FM, Swan IRC, Donnan PT, Morrison JM, Smith BH, McKinstry B, Davenport RJ, Vale LD, Clarkson JE, Hernández R, Stewart K, Hammersley V, Hayavi S, McAteer A, Gray D, Daly F. A randomised controlled trial of the use of aciclovir and/or prednisolone for the early treatment of Bell's palsy: the BELLS study. Health Technol Assess. 2009;13(47):iii-iv, ix-xi, 1-130.
  26. Axelsson S, Berg T, Jonsson L, Engstrom M, Kanerva M, Stjernquist-Desatnik A. Bell's palsy - the effect of prednisolone and/or valaciclovir versus placebo in relation to baseline severity in a randomised controlled trial. Clin Otolaryngol. 2012;37(4):283-90. https://doi.org/10.1111/j.1749-4486.2012.02526.x
  27. Bell's palsy - Treatment. NHS Choices [serial online] 2012 Aug [cited 2013 Mar 22];[1 screen]. Available from: URL: http://www.nhs.uk/Conditions/Bells-palsy/Pages/Treatment.aspx.
  28. Quant EC, Jeste SS, Muni RH, Cape AV, Bhussar MK, Peleg AY. The benefits of steroids versus steroids plus antivirals for treatment of Bell's palsy: a meta-analysis. BMJ. 2009;339:1-7.
  29. Charn TC, Subramaniam S, Yuen HW. Bell's palsy in Singapore: a view from the patient's perspective. Singapore Med J 2013;54(2):82-5.
  30. Huang B, Xu S, Xiong J, Huang G, Zhang M, Wang W. Psychological factors are closely associated with the Bell's palsy: a case-control study. J Huazhong Univ Sci Technol Med Sci. 2012;32(2):272-9. https://doi.org/10.1007/s11596-012-0048-0
  31. Chen N, Zhou M, He L, Zhou D, Li N. Acupuncture for Bell's palsy. Cochrane Database Syst Rev. 2010;(8):CD002914.
  32. Kim JI, Lee MS, Choi TY, Lee H, Kwon HJ. Acupuncture for Bell's palsy: a systematic review and metaanalysis. Chin J Integr Med. 2012;18(1):48-55. https://doi.org/10.1007/s11655-011-0861-5
  33. Xia F, Han J, Liu X, Wang J, Jiang Z, Wang K, Wu S, Zhao G. Prednisolone and acupuncture in Bell's palsy: study protocol for a randomized, controlled trial. Trials. 2011;12:1-5. https://doi.org/10.1186/1745-6215-12-1
  34. 손인석, 서정철, 조태성, 권혜연, 윤현민, 장경전, 송춘호, 안창범. 환자대조군 연구를 통한 입원치료가 구안와사에 미치는 영향. 대한침구학회지. 2002;19(2):201-10.
  35. 김미보, 김자혜, 신상호, 윤화정, 고우신. 안면신경기능의 평가 방법에 대한 고찰. 한방안이비인후피부과학회지. 2007;20(3):147-60.
  36. Berg T, Jonsson L, Engström M. Agreement between the Sunnybrook, House-Brackmann, and Yanagihara facial nerve grading systems in Bell's palsy. Otol Neurotol. 2004;25(6):1020-6. https://doi.org/10.1097/00129492-200411000-00027
  37. Marsk E, Bylund N, Jonsson L, Hammarstedt L, Engstrom M, Hadziosmanovic N, Berg T, Hultcrantz M. Prediction of nonrecovery in Bell's palsy using Sunnybrook grading. Laryngoscope. 2012;122(4):901-6. https://doi.org/10.1002/lary.23210