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Effects of Muscle Energy Technique of Upper Trapezius and Sternocleidomastoid Muscles on Bell's Palsy

  • Park, Jong-Hyeon (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University) ;
  • Lee, Yoon-Joo (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University) ;
  • Ryu, Hye-Min (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University) ;
  • Lee, Seung-Jeong (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University) ;
  • Park, Eun-Jin (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University) ;
  • Song, Choon-Ho (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University) ;
  • Kim, Cheol-Hong (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University) ;
  • Yoon, Hyun-Min (Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui University)
  • Received : 2017.06.27
  • Accepted : 2017.08.22
  • Published : 2017.11.30

Abstract

Background: The purpose of this study was to investigate the efficacy of muscle energy techniques (MET) of upper trapezius and sternocleidomastoid muscles on Bell's palsy. Methods: In this retrospective study, we screened the medical records of patients with Bell's palsy who had received inpatient and outpatient treatment at the Department of Acupuncture & Moxibustion, Korean Medicine Hospital Dong-Eui University between November 28, 2016 and April 30, 2017. A total of 34 out of 93 Bell's palsy patients met the inclusion criteria. The 34 patients were divided into two groups: Group A patients had undergone Korean-Western combination treatment and MET of upper trapezius and sternocleidomastoid muscles; Group B patients had undergone Korean-Western combination treatment only. MET of upper trapezius and sternocleidomastoid muscles had been performed three times a week during the inpatient period, and two to three times a week during the outpatient period. Yanagihara scores had been assessed at the first visit, and 1, 2, 3, and 4 weeks after the first visit. Results: Group A Yanagihara scores were significantly improved during each interval from the first visit to 4 weeks later. Group B Yanagihara scores were also significantly improved except during the first week. During every period, the improvements observed in Yanagihara score were significantly higher in Group A than in Group B. Conclusion: These results suggest that MET of upper trapezius and sternocleidomastoid muscles may be effective treatment for Bell's palsy.

Keywords

References

  1. Netter FH. The CIBA Collection of Medical Illustrations: Nervous System, Anatomy and Physiology. Seoul (Korea): Jeongdam;2000. 92p, 102p.
  2. Korean Neurological Association. Neurology, 2nd ed. Seoul (Korea): Beommun Education;2012. 32p, 724p. [In Korean]
  3. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture Medicine. Seoul(Korea): Hanmi Medical;2016. p.638-640. [In Korean]
  4. Baek MK. The Newest Otolaryngology. Seoul(Korea):Ilchokak;1997. p.121-127. [In Korean]
  5. Yang HJ, Joo HA, Baek SC, Park JS, Hong SH. A clinical report on 35 inpatients with facial paralysis-effects of early Oriental medicine treatment on House-Brackmann grade in Bell's palsy. J Korean Med Ophthalmol Otolaryngol Dermatol 2011;24:108-118. [In Korean]
  6. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otolaryngology Head and Neck Surgery I. Seoul(Korea):Ilchokak;2010. 962p. [In Korean]
  7. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna Manual Medicine, 2nd ed. Seoul (Korea):Author;2014. p.274-275, 278p. [In Korean]
  8. Chaitow L. Muscle Energy Techniques, 2nd ed. Seoul(Korea): Daehakseorim;2005. p.1-12, 160p. [In Korean]
  9. House JW. Facial nerve grading system. Laryngoscope 1983;93:1056-1069.
  10. Netter FH. The CIBA Collection of Medical Illustrations: Nervous System, Neurologic and Neuromuscular Disorders. Seoul(Korea):Korea Medical Book;2008. p.51-2, 305p. [In Korean]
  11. Koo GH. Facial nerve palsy. Korean J Pain 1996;9:14-25. [In Korean]
  12. An BJ, Song HS. Effect of electroacupuncture on patients with peripheral facial paralysis. The Acupuncture 2005;22:121-129. [In Korean]
  13. Lee CW, Kim HG, Heo SW, Jung KK, Ahn CB, Song CH, et al. The clinical study about Honilirls placenta herbal acupuncture on Bell's palsy. J Pharmacopuncture 2005;8:87-97. [In Korean] https://doi.org/10.3831/KPI.2005.8.3.087
  14. Kang EK, Kim JH, Seo HS. The clinical investigation studies in peripheral facial paralysis using needle-embedding therapy. J Korean Med Ophthalmol Otolaryngol Dermatol 2009;22:118-127. [In Korean]
  15. Lee ES, Jeong JY, Seo DG, Shin SY, Seo JC, Seo YJ, et al. Clinical research of cervical acupotomy effects with acupuncture on facial & trigeminal nerve branch on peripheral facial paralysis and postauricular pain. The Acupuncture 2014;31:143-154. [In Korean] https://doi.org/10.13045/acupunct.2014061
  16. Park JH, Lee CH, Lee YH, Kwon GS, Yoon HM, Jeun DS, et al. The clinical research of the effectiveness of “Danmuji Anchu Traction technique” on acute peripheral facial paralysis. J Korea Chuna Man Med Spine Nerves 2011;6:43-52. [In Korean]
  17. Jeong JY, Lee ES, Seo DG, Shin SY, Kim SY, Kwon HK, et al. The clinical research of cervical chuna treatment's effects on Bell's palsy. The Acupuncture 2014;31:45-55. [In Korean]
  18. Chaitow L. Muscle Energy Techniques, 3rd ed. Seoul(Korea): Koonja;2008. 136p, p.183-184. [In Korean]
  19. Kweon JJ, Lim HH, Song YK. Analysis of osteopathic manipulation and study on relationship with chuna manual therapy for meridian sinew system. J Oriental Rehab Med 2011;21:171-188. [In Korean]
  20. Hong SY, Lim HH. The study on clinical application of osteopathy to Oriental medicine. J Korea Chuna Man Med Spine Nerves 2002;3:85-96. [In Korean]
  21. Han SW, Cheun JK, Lee JK, Park WK, Kim JG. Hemodynamic changes and clinical symptoms resulting from stellate ganglion block. Korean J Anesthesiol 2000;38:1009-1016. [In Korean] https://doi.org/10.4097/kjae.2000.38.6.1009
  22. Chan K. Nerve block for pain management. J Korean Acad Fam Med 2000;21:883-891. [In Korean]
  23. Jeong HW. Introduction to Muscology. Seoul, Korea: Donga-Art, 2007:11-62. [In Korean]
  24. Murakawa K, Ishimoto E, Noma K, Ishida K, Nishijima M, Izumi R. Circulatory effect of stellate ganglion block in idiopathic facial palsy. Masui 1994;43:356-60.
  25. Lim DJ, Hwang GH, Hwang JS, Cho HS, Kim KH, Kim KS. Study of the relation of autonomic nerve system and peripheral facial palsy by the heart rate variability. The Acupuncture 2005;22:51-60. [In Korean]
  26. Kim EJ, Kim JS, Yu SH, Rho HS, Kim DH, Kim HG, et al. Influence of the neck acupressure massage and the neck cream including Korean herbal extract on the neck wrinkles and facial blood circulation. J Korea Institute Oriental Med Inform 2009;15:85-91. [In Korean]
  27. Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual, Volume 1. Upper Half of Body, 2nd ed. Seoul (Korea): Yeongmun;2003. p.278-288, p.308-318. [In Korean]
  28. Shin HJ, Kwon YW, Cho SM, Kim CH, Park JU. Eagle's syndrome presenting unilateral facial nerve palsy: case report. J Korean Assoc Maxillofac Plast Reconstr Surg 2010;32:467-472. [In Korean]
  29. Janfaza P, Nadol JB, Galla RJ, Fabian RL, Montgomery WW. Surgical Anatomy of the Head and Neck. Seoul (Korea): Beommunsa;2004. 43p., 558p. [In Korean]
  30. Lee WT, Park KA. Medical Neuroanatomy. Seoul (Korea):Medical Book;2008. p51-52, 305p. ISBN: 978-89-7043-637-1 [93510]. [In Korean]
  31. Yang HM, Hu KS, Kim HJ. Anatomical and functional consideration of the trigemino-facial nervous communication and facial expression muscles. Korean J Phys Anthropol 2013;26:1-12. [In Korean] https://doi.org/10.11637/kjpa.2013.26.1.1
  32. Lee JM, Sim Y, Park KS. Anatomy of large intestine meridian muscle in human. Korean J Acupunct 2002;19:15-24. [In Korean]
  33. Park KS. Anatomical study on the arm greater yang small intestine meridian muscle in human. J Pharmacopunct 2004;7:57-64. [In Korean] https://doi.org/10.3831/KPI.2004.7.2.057
  34. Park KS. Anatomical observation on the triple energizer meridian muscle in human. Korean J Acupunct 2007;24:65-77. [In Korean]