Sunday, April 26, 2015

Shoulder Mobility Rehabilitation Exercise


This exercise is good for Shoulder movement rehabilitation and rounded shoulder, Head-forwarded posture, neck and upper back pain.

Thursday, April 2, 2015

Facial Palsy from Korean Medicine Clinical Practice Guide.

(1) Acupuncture

● It is better to perform acupuncture treatment for facial palsy than to not do so (Grade A).
● Acupuncture treatment(independent or combined with steroids) for facial palsy patients is effective compared to independent treatment with steroids; therefore, acupuncture treatment with steroids is recommended for facial palsy patients (Grade A).
● It is recommended to start acupuncture treatment on facial palsy patients in the acute phase and stationary phase(within 1-3 weeks)(Grade A).
● It is recommended to induce qi(得氣) in case of acupuncture treatment for facial palsy patients (Grade A).
● In the acupuncture treatment of facial palsy patients, it is recommended to use Jichang(ST4), Hyeopgeo(ST6), Yangbaek(GB14), Yepung(TE17), and Hagwan(ST7) on the affected side and Hapgok(LI4) on the unaffected side as the basic acupuncture points (Grade A).

● In the acupuncture treatment of facial palsy patients, the use of Sugu(GV26), Sabaek(ST2), Gwallyo(SI18), Georyo(ST3), Yeolgyeol(LU7), Hwaryo(LI19), Cheonghoe(GB2), etc. should be considered in addition to the basic acupuncture points (Grade B).

(2) Electroacupuncture

● The use of electroacupuncture treatment rather than general acupuncture treatment alone should be considered
for facial palsy(Grade B).
● In the case of electroacupuncture treatment for facial palsy patients, applying aninterrupted wave instead of a loose and dense wave should be considered (Grade C).

(3) Thread-embedding

● Combining thread-embedding therapy for facial palsy treatment should be considered (Grade C).
● If more than one month has passed after the onset of facial palsy without any clear signs of recovery with general treatment, thread-embedding therapy may be considered(Grade C). The longer the treatment period and the greater the intervention time, the more effective is the treatment.

(4) Other acupuncture

● For facial palsy, combining scalp acupuncture (needle retention for 15 min after rotating needle more than 200 times for 1-3 minutes on two-fifth of the lower part of the unaffected sensational field) may be considered instead of performing common acupuncture treatment alone (Grade C).
● For facial palsy in the acute phase within 7 days of disease onset, based on the clinical experience of the guideline development group,combining Dong-si acupuncture treatment(Samjoong(三重), Sahwaoi(四花外), Cheuksamri(側三里), and Cheukhasamri(側下三里) of the unaffected side) for over two weeks is recommended instead of general acupuncture treatment(Grade GPP).
● For acute phase facial palsy within 7 days of disease onset, based on the clinical experience of the guideline development group,combining Jung-an acupuncture therapy during the recovery pe riod or sequelae is recommended, although the effectiveness of combining Jung-an acupuncture therapy with general acupuncture treatment has not been proved compared to general acupuncture treatment alone (Grade GPP).
● For facial palsy, based on the clinical experience of the guideline development group, combining Pyung-Hyung acupuncture therapy(Myeontan, Pyeontan(偏癱), Myeongmok(明目), Biyeom(鼻炎), Witong(胃痛), and Dootong point(頭痛穴) is recommended instead of performing common acupuncture treatment alone (Grade GPP).

(5) Herbal medicine
● For facial palsy, applying herbal medicine treatments such as Gyeonjeongsan(牽正散), Yigigeopoongsan(理氣祛風散), Cheongyangtang(淸陽湯), Jingyoseungmatang(秦艽升麻湯), Bulhwangeumdan(不換金丹),Cheongdamsungitang(淸痰順氣湯), Seogakseungmatang(犀角升麻湯), Cheonsungo(天仙膏), etc. should be considered (Grade B). The treatment can be differentiated according to the individual condition and characteristics of the patient.

(6) Pharmacopuncture

● For facial palsy, combining bee venom pharmacopuncture should be considered instead of acupuncture alone (Grade B). Points for bee venom pharmacopuncture include Yangbaek(GB14), Gwallyo(SI18), Jichang(ST4), Hyeopgeo(ST6), and Yepung(TE17).
● For facial palsy, combining Hominis placenta pharmacopuncture for more than four weeks is recommended instead of acupuncture treatment alone (Grade A).
● To reduce the intensity and persistence of pain in facial palsy patients, for postauricular pain, applying Hominis placenta pharmacopuncture, Scolopendra pharmacopuncture, or Soyeom pharmacopuncture on the affected Yepung(TE17) should be considered (Grade B). However, the effectiveness of these treatments in improving the symptoms of facial palsy remains unknown.

(7) Moxibustion

● For facial palsy, moxibustion therapy could be applied to the Cheonghoe(GB2), Hyeopgeo(ST6), and Jichang(ST4) (Grade C).
● For facial palsy, moxibustion therapy(indirect moxibustion) could be applied to the Jichang(ST4) and Yangbaek(GB14) in combination with treatment using Korean and western medicine(Grade C).

(8) Cupping
 ● Flash cupping could be applied as a cupping therapy to the affected side of the face in facial palsy patients (Grade C).

(9) Physical treatment

● SSP treatment can be combined with general treatment using Korean medicine(acupuncture and moxibustion,herbal medicine, etc.) for facial palsy patients (Grade B).

(10) Other treatments related to Korean medicine

● To reduce postauricular pain and improve the symptoms of facial palsy, blood-letting therapy could be performed at the Yepung(TE17) and Wangol(GB12) on the affected side(Grade C).
● To improve the symptomsof facial palsy patients, taping therapy in which a tape is attached along the direction of facial muscle and sternocleidomastoid muscle could be applied (Grade C).

From Evidence Based Korean Medicine Clinical Practice Guideline Development Committee for Facial Palsy (Korea Institute of Oriental Medicine,The Korean Acupuncture and Moxibustion Society), Korean Medicine Clinical Practice Guideline for Facial Palsy(KMCPG_Facial Palsy), Daejeon, Korea, 2014.