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

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

Acute Bell's palsy;Acupuncture;Prednisolone;House-Brackmann grade

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