Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy

Zhang, Rongchao; Wu, Tao; Wang, Ruihui; Wang, Dong; Liu, Qi

doi:10.1097/md.0000000000015566

Cited by 44 publications

(29 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 5 7 In addition, a recent meta-analysis on acupuncture reported insufficient evidence to support the efficacy and safety of acupuncture due to the poor quality and the heterogeneity of relevant research. 30 31 …”

Section: Resultsmentioning

confidence: 99%

Acute Peripheral Facial Palsy: Recent Guidelines and a Systematic Review of the Literature

Kim

Lee

2020

J Korean Med Sci

View full text Add to dashboard Cite

Background This study reviews recent literature on facial palsy guidelines and provides systematic reviews on related topics of interest. Methods An electronic database search was performed to identify recent guidelines dealing with facial nerve palsy, systematic reviews and recent meta-analysis published between 2011 and 2019 (inclusive). The literature search used the search terms “Bell's palsy,” “Ramsay-Hunt syndrome,” “Facial palsy,” “Facial paralysis,” “Facial paresis,” “Guideline,” “Meta-analysis,” “Systematic review,” and “Randomized controlled trial.” Only studies written in English were used. Results The characteristics of treatment trends for facial palsy have been reviewed over the past decade. The most prominent change noted may be the shift from the conventional House-Brackmann facial nerve grading system to the Sunnybrook and eFACE systems. In addition, the results of serial meta-analyses indicate increasing agreement with the use of surgical decompression of the facial nerve. Beyond steroids or combined steroid-antiviral treatment, various novel drugs and treatments have been tried. For long-standing facial paralysis and postparetic synkinesis sequelae after facial palsy, facial reanimation has been highlighted and the necessity of new paradigms have been raised. Conclusion For peripheral facial paralysis, various changes have been made, not only in the facial nerve grading systems, but also in medical treatments, from surgical procedures to rehabilitation, during the last decade.

show abstract

Section: Resultsmentioning

confidence: 99%

Acute Peripheral Facial Palsy: Recent Guidelines and a Systematic Review of the Literature

Kim

Lee

2020

J Korean Med Sci

View full text Add to dashboard Cite

show abstract

“…Acupuncture treatment combined with FP rehabilitation training serve as a routine method of FP treatment in the acupuncture department, but the mechanism of acupuncture treatment has not been fully cleared, and the lack of objective dynamic index evaluation has led to the inability to demonstrate the acupuncture effect in real-time and efficacy in FP clinical research. [ 19 , 20 ] LASCA uses the backward dynamic speckle contrast value generated by the movement of red blood cells in blood vessels to obtain blood flow velocity information, it has the technical characteristics of visualization, nondestructive, real-time, and high precision, and it is also a good indicator for monitoring the superficial microcirculation of the skin. Thus, this project is to conduct related research on the acupuncture mechanism of FP to assist in the diagnosis and treatment of FP based on LASCA.…”

Section: Discussionmentioning

confidence: 99%

The research for the function evaluation of facial nerve and the mechanisms of rehabilitation training

Han

Gou

et al. 2021

Medicine

View full text Add to dashboard Cite

Background: Peripheral facial paralysis (PFP) is a common peripheral neural disease. Acupuncture treatment combined with PFP rehabilitation exercises is a routine method of PFP treatment. This article is to provide a new visual and objective evaluation method for exploring the mechanism and efficacy of acupuncture treatment on PFP, and develop an interactive augmented facial nerve function rehabilitation training system with multiple training models. Methods: This prospective and observational trial will recruit 200 eligible participants for the following study. In the trial, the laser speckle contrast analysis (LASCA) technology will be applied to monitor the microcirculation of facial blood flow during acupuncture, and real-time monitoring algorithms, data sampling, and digital imaging methods will be conducted by machine learning and image segmentation. Then, a database of patient facial expressions will be built, the correlation between surface blood flow perfusion volume and facial structure symmetry will be analyzed, combined with scale assessment and electrophysiological detection. In addition, we will also explore the objectivity and effectiveness of LASCA in the evaluation of facial paralysis (FP), and the changes in blood flow microcirculation before and after acupuncture treatment will be analyzed. Results: The standard image of the facial target area with facial nerve injury will be manually segmented by the convolutional neural network method. The blood flow images of the eyelid, cheek, and mandible of the patients’ affected and healthy side will be compared and evaluated. Laser speckle blood flow symmetry Pr and its changes in FP condition evolution and prognosis outcome will be measured, and relevant characteristic signals values will be extracted. Finally, COX regression analysis method is conducted to establish a higher accuracy prediction model of FP with cross-validation based on laser speckle blood flow imaging technology. Conclusions: We use modern interdisciplinary high-tech technologies to explore the mechanism of acupuncture rehabilitation training in PFP. And we will provide evidence for the feasibility of using the LASCA technique as a typing diagnosis of FP in the acupuncture rehabilitation treatment of PFP. Registration number: ChiCTR1800019463

show abstract

“…Acupuncture has been a primary medical intervention for PFP after acute stage in China [31][32][33]. It is a common treatment method for patients with FEMA after PFP.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Thread Embedding Acupuncture for Facial Expression Muscles Atrophy After Peripheral Facial Paralysis: Study Protocol for a Randomized Controlled Trial

Xuan

Jin

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Facial expression muscles atrophy is one kind of sequelae after peripheral facial paralysis. It causes critical problems in facial appearance of patient as well as social and psychological problems. This study aims to evaluate the efficacy and safety of Thread-embedding acupuncture (TEA) for the management of facial expression muscles atrophy after peripheral facial paralysis. Methods This is a patient-assessor blinded, randomized, sham-controlled trial. A total of 56 eligible patients will be randomly allocated to a TEA group (n = 28) or a sham TEA (STEA) group (n = 28). Both groups will receive TEA or STEA treatment at 2 predefined points once a week for 8 weeks. Additionally, both groups will receive the same acupuncture treatment twice a week for 8 weeks as a concurrent treatment. Changes in facial expression muscle thickness ratio of the affected/healthy side measured by B-mode ultrasonography will be assessed at baseline and at 10 weeks after screening as the primary outcome. Furthermore, the House-Brackmann Grade and lip mobility score will be measured and analyzed as secondary outcomes. Secondary outcomes will be assessed at baseline and at 4, 8, 10 and 12 weeks after screening. Discussion The study will compare TEA with sham TEA to explore the feasibility for TEA in improving symptoms caused by facial expression muscles atrophy after peripheral facial paralysis. Trial registration: Chinese Clinical Trial Registry, ChiCTR1900027170. Registered on 3 November 2019, http://www.chictr.org.cn/edit.aspx?pid=45173&htm=4

show abstract

Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy

Abstract: Supplemental Digital Content is available in the text

Cited by 44 publications

References 26 publications

Acute Peripheral Facial Palsy: Recent Guidelines and a Systematic Review of the Literature

Acute Peripheral Facial Palsy: Recent Guidelines and a Systematic Review of the Literature

The research for the function evaluation of facial nerve and the mechanisms of rehabilitation training

Efficacy and Safety of Thread Embedding Acupuncture for Facial Expression Muscles Atrophy After Peripheral Facial Paralysis: Study Protocol for a Randomized Controlled Trial

Contact Info

Product

Resources

About