김성훈한의원 소개 진료프로그램 상담예약 언론보도&저서
 
ܹ
 

(1) 1984 ô(1984 international assessment scale)

󿡼 ǰ ִ ȸŰ ü踦 Ͽ ο ū ô(new gross scale) ü踦 Ͽ
. Ϲ ȸ鸶 assessment ġ縦 ϰ ڰ ˻
, ظ ϴ .
ΰ (two optional assessments) Բ Ѵ.

ȯ ڽſ ְ
ȯڰ ڽ ȸ(facial handicap) ɷ(funtional ability) % ǥϰ ϴ
̸ ġ Ŀ ȯ ϴµ ȴ.

) ȯڽ 60% ߴٸ ̰ ô III شѴٰ ִ.

˻ڿ ӻ Ϲ ħ
򰡹 򰡿 õ ҵ ˻ڰ Ͽ ϴ ̴.

˻翡 ԵǾ Ȱ

Ǫ(frowning)
(eye closure)
౸ ϰ ϱ(flaring nostrils)
̼(smiling)
Ķұ(whistling)
Լ б(pouting of lips)

(2) Wisconsin ȸ鸶 ӻô

Wisconsinп 1984 ȸ鸶ȸ äõ ô Ű Wisconsin ô
Ͽ
- ʹ ϰ ð Ҹȴ.

(3) , ڹ ,

(volitional movement) ǥ õ Ʒ< ǥ > ־ ִ.

Muscles
Volitional movement

FRO
COR, PRO
OCS, OCI
OCS, OCI
OCS, OCI
DIN
RIS, ZYJ, ZYN, LAO, LLS
RIS, ZYJ, ZYN, LAO, LLS
LLS, LAO
LLS, LAO
RIS
OOS, OOI
OOS, OOI
OOS, OOI
OOS, OOI
OOI, DAO, DLI
DAO, DLI
DAO, DLI
MEN
PLA

Raise your eyebrows
Bring eyebrows down and together
Gently close eyes
Squint your lower eyelids up
Close your eyes tightly
Flare nostrils
Smile evenly with your lips together
A big wide smile with your lips apart
Raise your upper lip while wrinkling your nose
Raise your L or R upper lip while wrinkling your nose (start with non-involved side)
Move the corner of your mouth back towards your ear (start with non-involved side)
Pucker your lips
Press your lips together
Pull your lips back and in over your teeth
Push your lips out as far as they will go
Roll your lower lip out and down
Turn the corners of your mouth downward
Pull your lower lip down to expose lower teeth
Tighten your chin
Tighten your neck

 

ڹ (spontaneous movement)̳ ȸ ϻ ȭ ϴ Ǵ ڹ
ִ Ư ø Ͽ ִ.
- ȸ鸶 ġ Ϲ ̳ ݱ ؾ Ѵ.

(4) , ڹ ׸ 嵵

(5)  Ȥ 2 ȿ
 :  ǽ Ǿ Ÿ Ҽ, ̴. (dyscoordination) ̴.

򰡵
0 - (normal)
1 - (trace)
2 - (mild)
3 - ߵ(moderate)
4 - (severe)

2 ȿ : ȸ(tics), (spasm) ִ.

(6) % : F, F', S
嵵 õ : F
嵵 õ ڹ : F'
 ȿ : S

Bell's palsy ˻
 

1. Ͽ ϳϳ CheckѴ.
Ļ ϼ?
񴩼 ־?
.
Ծȿ ϱ?
.
ġ ϱ?
Ӹ ?
?
ٶ ø?

2. Ӹ, , , Ϸ ˻簡 ȴ. Ǵ ˻ Ʒ .

˻ : Űջ ûŰ ̿ ġ Ǵ ̼ û ջŰ ʴ
ϴ δ.
˻ : Ű Ǵ ϴ ̴.
˻ : 귮 ϴ ε, ǥ() ʵ ϴµ ʼ
.
Կ : CT(ȭԿ) Ǵ MRI(ڱ) , , Ǵ ȸŰ ٸ ̻
ִ ش.
˻ : Ű 󸶳 ջǾ ˱ ȸŰ ڱϴ ̴. ˻ ϴ
ΰ ݺ ִ.