Comparison of Treatment Effects between Electro-Acupuncture and in Situ Acupuncture in Patients with Intractable Hunt Syndrome
10.3937/kampomed.57.781
- VernacularTitle:難治性のＨｕｎｔ症候群における鍼通電治療と置鍼治療の効果比較
- Author:
Keizo EBIKO
;
Saori TANBA
;
Makoto KIKKAWA
;
Naoko KIKUCHI
;
Yasuko ARAI
;
Hiroshi SATO
- Publication Type:Journal Article
- Keywords:
peripheral facial paralysis;
Hunt's syndrome;
low-frequency stimulation;
electro-acupuncture therapy;
in situ acupuncture therapy
- From:Kampo Medicine
2006;57(6):781-786
- CountryJapan
- Language:Japanese
-
Abstract:
We retrospectively compared the treatment effects of electro-acupuncture against in situ acupuncture, in 15 Hunt's Syndrome patients who underwent acupuncture therapy in our institution between August 1996, and June 2004, and who had fulfilled 3 electroneurography (ENoG) criteria with a value of 0% within 90 days after onset, had a paralysis score of <20, and could be followed up for 6 months after onset. Electroacupuncture therapy was performed on the paralysis side of the faces of 8 patients (the electro-acupuncture group), while in situ acupuncture therapy was performed on the remaining 7 (the in situ acupuncture group). No significant differences were observed in the background factors between the two groups. Treatment results were evaluated using the 40-point paralysis score described by Yanagihara, as well as a sequela score, which was a modified method of the sequela assessment developed by Nishimoto and Murata et al. Changes in paralysis scores from first acupuncture therapy, out to 6 months post-onset were compared using repeated ANOVA measures, and Mann-Whitney U tests respectively. Recovery of paralysis scores did not significantly differ between the two groups (p=0.0507), although slightly better recovery was observed in the electroacupuncture group, as compared with the in situ acupuncture group. Additionally, sequelae scores did not significantly differ between the two groups (p=0.51). In recent years, many have been of the opinion that lowfrequency stimulation is contraindicated. In this study, however, the incidence of sequelae did not differ significantly between the electro-acupuncture therapy and the in situ acupuncture therapy groups, although slightly better paralysis recovery was observed in the former.
