scholarly journals Clinical Review of Pharmacopuncture Therapy Based on the Progression of Bell’s Palsy

2021 ◽  
Vol 38 (3) ◽  
pp. 236-241
Author(s):  
You Jung Lee ◽  
Yeon Ah Choi ◽  
Ryu Soo Min ◽  
Seung Min Lee ◽  
Eun Yong Lee ◽  
...  
Keyword(s):  
Clinical Review ◽  
Treatment Effect ◽  
Bell’S Palsy ◽  
The Other ◽  
Bell's Palsy ◽  
Korean Medicine ◽  
The Face ◽  
Group A ◽  
Bamboo Salt

There were 26 Bell’s palsy cases at the Jecheon Hospital of Korean medicine, Semyung University from February 1, 2019, to February 28, 2021 reviewed. One group (A group) was treated with Bamboo salt pharmacopuncture and cervi cornu parvum pharmacopuncture (CC) pharmacopuncture in the paralyzed side of the face, and the other (B group) group was treated with Soyum pharmacopuncture, and hominis placenta (HP) pharmacopuncture. Amid a paucity of studies that have used bamboo salt and CC pharmacopuncture to treat Bell’s palsy, this study aimed to demonstrate possibility of treatment effect on Bell’s palsy. In addition, this study was to see if the effect of determine a change in pharmacopuncture was changed according to the progress of Bell’s palsy symptoms was effective. Bell’s palsy was improved in each group. Altough there were no significant differences in improvement between two groups, Bamboo salt pharmacopuncture and CC pharmacopuncture could be expected to be effective on the paralyzed face. Furthermore, it is effective to switch pharmacopuncture according to the progress of Bell’s palsy.

scholarly journals COMPLETE MANAGEMENT OF ARDITA (BELL’S PALSY) AS PER AYURVEDA CHIKITSA SUTRA – A CASE REPORT

2021 ◽  
Vol 09 (3) ◽  
pp. 650-656
Author(s):  
Ram Lakhan Meena ◽  
Santoshkumar Bhatted ◽  
Nilam Meena
Keyword(s):  
Case Report ◽  
Adverse Effects ◽  
Facial Nerve ◽  
Present Report ◽  
Complete Recovery ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Contemporary Science ◽  
The Face ◽  
Grading Scale

Bell’s palsy, also known as acute idiopathic lower motor neuron facial paralysis, is characterized by sud-den onset paralysis or weakness of the muscles to one side of the face controlled by the facial nerve. In contemporary science, administration of steroids is the treatment of choice for complete facial palsy. Cer-tain Panchakarma procedures and internal Ayurvedic medicines have been proved to be beneficial in the management of Ardita vata. The present report deals with a case of 62-year-old male patient diagnosed as Ardita vata was treated with various Panchakarma procedures like Nasya, Shirobasti, Kukkutanda Swedana, Dashmoola Ksheer Dhoom, Gandoosh and oral Ayurveda medicines. Criteria of assessment was based on the scoring of House-Brackmann Facial Nerve Grading scale. After completion of Ayurveda treatment, the patient Shown almost complete recovery without any adverse effects. This case is an evi-dence to demonstrate the effectiveness of Ayurveda treatment in case of Ardita vata (Bell’s palsy).

scholarly journals ROLE OF AYURVEDA IN THE MANAGEMENT OF ARDITA (BELL’S PALSY) – A CASE REPORT

2021 ◽  
Vol 9 (8) ◽  
pp. 1898-1903
Author(s):  
Seema Bahatkar ◽  
Rajiv Tarpe ◽  
Kinjal H. Daiyya
Keyword(s):  
Signs And Symptoms ◽  
Bell’S Palsy ◽  
Point Of View ◽  
Bell's Palsy ◽  
Oral Medications ◽  
Angle Deviation ◽  
The Face ◽  
Ayurvedic Treatment ◽  
Modern Perspective

Ardita is considered as one amongst the vata nanatmaj vyadhis described in Ayurvedic classics. Ardita is a condition caused due to the unusual functioning of vata dosha which results in loss of functioning of one half of the face. It can be correlated with Bell's Palsy from modern perspective. This disease proves to be disturbing from a functional and cosmetic point of view. A 27year old male patient came to OPD with a chief complaint of difficulty in closing right eye, angle deviation of the mouth towards left, difficulty while eating, unable to whistle as well as puffing of cheeks, drooling of saliva, etc. from 20 days. History and examination lead to the diagnosis of Bell's Palsy. Consid- ering the signs and symptoms, the patient was treated as per the ayurvedic line of treatment for Ardita. The patient was admitted and ayurvedic treatment (Panchakarma + Oral medications) i.e. Nasya, Pindasweda, Kukkutanda sweda, Akshitarpan was given for 21days. The patient had great relief with marked improvement in the above said symptoms. Thus, Ayurveda is fruitful in treating patients with Ardita. Keywords: Ardita, Nasya, Pindasweda, Kukkutanda sweda, Akshitarpan

scholarly journals Clinical Study of Bell's Palsy at Tertiary Care: Our Experience

2019 ◽  
Vol 02 (01) ◽  
pp. 16-20
Author(s):  
M. B. Bharathi ◽  
Thanzeem Unisa ◽  
Swathi Chandresh ◽  
Venkatesh C. R. ◽  
Harsha S.
Keyword(s):  
Facial Nerve ◽  
Tertiary Care ◽  
Bell’S Palsy ◽  
Cross Sectional Study ◽  
Bell's Palsy ◽  
Cross Sectional ◽  
Tertiary Referral Center ◽  
Number Of Patients ◽  
The Face ◽  
History Of

Abstract Introduction Bell's palsy (BP) is the common cause of facial palsy. This study aims to report and analyze the age, sex distribution, symptomatology, site of lesion, and prognosis in 101 patients with (BP). Materials and Methods This is a cross-sectional study conducted at tertiary referral center, JSS Hospital, Mysuru. All patients consenting to participate in this study, of all ages, of either sex, both outpatients and inpatients with a diagnosis of BP during this study period were included. Results Of the 101 patients analyzed, maximum cases (25.7%) were in third decade of age; 55.4% were males, and both right and left sides of the face were equally involved. Maximum number of patients (50.5%) had a history of postaural pain at presentation Topodiagnostic tests showed majority of BP cases involving geniculate or suprageniculate regions (67.3%) in our study. 20.8% had lesion above the nerve to stapedius, and 11.9% had lesion below the nerve to stapedius. Electrodiagnostic test—electroneuromyography (ENMG)—was abnormal in 57 (67.1%) individuals at day 4. 50.4% of patients had a House-Brackmann (HB) facial nerve grade IV at presentation. 90% of the BP group in our study recovered normal to near-normal facial nerve function by the end of 28 days’ time. Conclusion Each case of BP should be evaluated with thorough clinical examination, topodiagnostic tests, and electrodiagnostic tests. Appropriate management will help in almost full recovery of disease.

Cutaneous Sensibility Changes in Bell’s Palsy Patients

2017 ◽  
Vol 156 (5) ◽  
pp. 828-833
Author(s):  
Carlos Andrés Cárdenas Palacio ◽  
Francisco Alejandro Múnera Galarza
Keyword(s):  
Facial Paralysis ◽  
Medical Center ◽  
Tertiary Care ◽  
Sensory Information ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Tertiary Care Medical Center ◽  
Pressure Threshold ◽  
The Face ◽  
Prospective Longitudinal

Objective Bell’s palsy is a cranial nerve VII dysfunction that renders the patient unable to control facial muscles from the affected side. Nevertheless, some patients have reported cutaneous changes in the paretic area. Therefore, cutaneous sensibility changes might be possible additional symptoms within the clinical presentation of this disorder. Accordingly, the aim of this research was to investigate the relationship between cutaneous sensibility and facial paralysis severity in these patients. Study Design Prospective longitudinal cohort study. Settings Tertiary care medical center. Subjects and Methods Twelve acute-onset Bell’s palsy patients were enrolled from March to September 2009. In addition, 12 sex- and age-matched healthy volunteers were tested. Cutaneous sensibility was evaluated with pressure threshold and 2-point discrimination at 6 areas of the face. Facial paralysis severity was evaluated with the House-Brackmann scale. Results Statistically significant correlations based on the Spearman’s test were found between facial paralysis severity and cutaneous sensitivity on forehead, eyelid, cheek, nose, and lip ( P < .05). Additionally, significant differences based on the Student’s t test were observed between both sides of the face in 2-point discrimination on eyelid, cheek, and lip ( P < .05) in Bell’s palsy patients but not in healthy subjects. Conclusion Such results suggest a possible relationship between the loss of motor control of the face and changes in facial sensory information processing. Such findings are worth further research about the neurophysiologic changes associated with the cutaneous sensibility disturbances of these patients.

scholarly journals Role of Neuromuscular Electrical Stimulation in Bell’s Palsy: A Case Study of Three Patients

2021 ◽  
Vol 6 (4) ◽  
pp. 235-241
Author(s):  
Nasrin Bharti
Keyword(s):  
Electrical Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Complete Recovery ◽  
Daily Basis ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Early Management ◽  
The Face ◽  
Conventional Physiotherapy

Bell's palsy is an idiopathic, unilateral facial paralysis, caused by a malfunction anywhere along the facial nerve's peripheral portion, from the pons distally. Bell's palsy is treated by removing the cause of nerve injury, strengthening the face muscles, and restoring facial function. Physical therapy in the form of neuromuscular electrical stimulation (NMES), massage and facial exercises is used as adjuvant to hasten recovery. The aim of this study is to access of role of neuromuscular electrical stimulation (NMES) treatment in Bell’s palsy patients. A detailed neurological assessment of three patients was done with emphasis on facial muscles and severity of paralysis was graded according to House Brackmann scale (HBS). Conventional physiotherapy was given in the form of electrical stimulation, facial massage, exercises and functional re-education on a daily basis. Patients were assessed at weekly and 1months after the treatment. They experienced complete recovery within 1month follow-up, no recurrence was observed and all patients have normal facial movement. Physiotherapy in the form of NMES and facial exercises has a effective role in the early management of Bell’s palsy. Keywords: Bell’s palsy; neuromuscular electrical stimulation; House Brackmann scale; physiotherapy.

scholarly journals COMPARISON OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION AND NEUROMUSCULAR RE-EDUCATION WITH CONVENTIONAL TREATMENT AND HOME BASED EXERCISE PLAN ALONG WITH FACIAL NERVE STIMULATION FOR REDUCING FACIAL DISABILITY IN PATIENTS WITH BELL’S PALSY

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Hanisha Goyal ◽  
Shyamal Koley
Keyword(s):  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Post Intervention ◽  
Galvanic Stimulation ◽  
Home Based ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Group A ◽  
Facial Nerve Stimulation ◽  
Group B ◽  
Intervention Condition

The purpose of the present study was to compare the proprioceptive neuromuscular facilitation and neuromuscular re-education with conventional treatment and home based exercise plan along with facial nerve stimulation for reducing facial disability in patients with Bell’s Palsy. In the present study, purposively selected 20 patients (both male and female) with Bell’s palsy with age group 20-70 years were considered. Further, the patients were allocated equally into two treatment groups. In Group-A, patients were treated with Proprioceptive Neuromuscular Facilitation (PNF) and Neuromuscular Re-Education (NRE) along with interrupted galvanic stimulation, facial massage and home based exercises. In Group-B, patients received the treatment of interrupted galvanic stimulation and manual facial massage along with home based facial exercises program in front of mirror. The outcome measures included Facial Disability Index-Physical Function (FDI-PF), Facial Disability Index-Social Function (FDI-SF), Synkinesis Assessment Questionnaire (SAQ) and Sunnybrook Facial Grading Scale (SFGS). In results. it was found that in pre-intervention condition, no significant differences were noted in FDI-PF, FDI-SF, SAQ and SFGS between these two groups. However, significant differences (p<0.001) were observed in FDI-PF, FDI-SF and SFGS in post intervention condition between the patients treated in Group-A and Group-B. Statistically significant increase (p<0.001) was found in FDI-PF and SFGS and significant decrease (p<0.013-0.001) was found in FDI-SF and SAQ between pre- and post-intervention in Group-A. Statistically significant decrease (p<0.003-0.001) was found in FDI-PF, FDI-SF, SAQ and SFGS between pre- and post-intervention in patients treated in Group-B. From the findings of the study it could be concluded the treatment protocol comprised of PNF and NRE along with interrupted galvanic stimulation, facial massage and home based exercises was more effective than only interrupted galvanic stimulation, facial massage and home based exercises in improving facial symmetry and reducing facial disability in patients with Bell’s palsy. Keywords: Proprioceptive neuromuscular technique, Neuromuscular re-education technique, Interrupted galvanic stimulation, Facial massage, Home based exercises, Bell’s palsy, Facial disability, Synkinesis.

scholarly journals A REVIEW STUDY ON THE MODE OF ACTION OF KSHEERA DHOMA IN THE MANAGEMENT OF ARDITA (BELL’S PALSY)

2021 ◽  
Vol 09 (1) ◽  
pp. 179-182
Author(s):  
Supriya Guddad ◽  
Shanakarling Maidaragi
Keyword(s):  
Facial Nerve ◽  
Medical Condition ◽  
Motor Impairment ◽  
Facial Asymmetry ◽  
Bell’S Palsy ◽  
Modern Medicine ◽  
Bell's Palsy ◽  
Tactile Sensibility ◽  
The Face ◽  
Review Study

Arditais a medical condition causing the Vakratha[deviation] of Mukha ardha and leads to facial asymmetry and malfunction. It occurs due to aggravated Vatadosha. It has been included in Vataja Nanatmaja Vyadhi. It can be correlated to facial palsy in modern which carries similar complaints to Ardita of deviation of half of the face with sensory & motor impairment on the affected side. Acharya Sushruta and Charaka mentioned Nadi sweda in the Ardita chikitsa sootra. The modified form of Nadisweda itself is Ksheera Dhooma. As there is a weakness of Facial nerve in Bell’s palsy and the same moist heat is indicated in Bell's palsy by modern medicine. This effect is ensured by Swedana and it has the capacity to stimulate the nerve centres and increases the tactile sensibility. It is seen that Ksheeradhooma is having good efficacy on Ardita. Keywords: Ardita, Ksheera dhooma, bell’s Palsy

A Single Case study to evaluate the efficacy of Ksheerbala Taila Nasya in the management of Ardita w.s.r. to Bell’s Palsy

2020 ◽  
Vol 8 (03) ◽  
Author(s):  
Bharat Govardhan Ubale Ubale
Keyword(s):  
Cranial Nerve ◽  
Single Case ◽  
Modern Science ◽  
Bell’S Palsy ◽  
Sensory Function ◽  
Single Case Study ◽  
Bell's Palsy ◽  
The Face ◽  
Ayurvedic Treatment

Ardita is a disease-causing Vakrata (deviation) of Mukha Ardha (half of the face). In Modern science, it can be compared to Bell ’s palsy caused by the involvement of the 7th cranial nerve. It is characterized by the deviation of half of the face & associated with the sudden impairment of motor and sensory function of the affected side of the face. In modern science administration of steroids is the treatment of choice for Bell’s palsy. A 22 yr. an old male patient diagnosed as Ardit Vata treated with Ayurvedic shaman Aushadh along with Ksheerbala taila Nasya,Shirodhara, Abhangya & Nadi Sweda. This Ayurvedic treatment gives a significant improvement in this case. No conventional drugs used during treatment. This is evidence to demonstrate the effectiveness of Ayurveda treatment in the case of Ardita Vata.  

Topodiagnosis of Lesions in Bell's Palsy

1988 ◽  
Vol 97 (6_suppl3) ◽  
pp. 14-17 ◽  
Author(s):  
Naoaki Yanagihara ◽  
Shinji Kitani ◽  
Kiyofumi Gyo
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Bell’S Palsy ◽  
Acute Stage ◽  
The Other ◽  
Bell's Palsy ◽  
Subacute Stage ◽  
Stapedial Reflex ◽  
Combined Measurements

Combined measurements of reflexive lacrimation, stapedial reflex, and electrically induced taste give an indication of the site and extent of infratemporal lesions of the facial nerve. Using refined test batteries, we established the presence of intratemporal lesions in Bell's palsy in 80 patients with facial paralysis. In the acute stage of Bell's palsy, suprastapedial lesions predominated and the occurrence of a suprageniculate lesion was not rare. In the subacute stage, the lesions proximal to the stapedial nerve tended to subside and infrastapedial lesions increased. In 60% of 53 patients with denervation verified by electrodiagnostic examinations, the suprastapedial lesion was responsible for degeneration of the nerve. In the other 40%, degeneration involved the infrastapedial segment.

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