Acupuncture for Bell’s palsy: A systematic review and meta-analysis

Kim, Jong-In; Lee, Myeong Soo; Choi, Tae‐Young; Lee, Hyangsook; Kwon, Hyojung

doi:10.1007/s11655-011-0861-5

Cited by 32 publications

(27 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…And this is not a case-control study. A great deal of clinic study and experimental researches published in China have suggested that acupuncture is the most beneficial form of treatment for BP; however, the quality of the included trials was not up to the mark and therefore, it was not possible to draw any conclusion about the efficacy of acupuncture [18,19]. So we ignored the result of the traditional Chinese medicine for BP in this study.…”

Section: Discussionmentioning

confidence: 99%

Bell's Palsy: Clinical Analysis of 372 Cases and Review of Related Literature

et al. 2017

View full text Add to dashboard Cite

Objective: To analyze some clinical and epidemiologic aspects of Bell's palsy (BP) and to develop relevant correlations between existing data in literature and those obtained in this research. Methods: From January 2012 to December 2014, 372 consecutive patients diagnosed with BP were studied retrospectively. We reviewed the patients' data including gender, age, occupation, clinical manifestations, comorbid disease, and the rate of recurrence. Result: The highest incidence was identified in those between 39 and 50 years of age. BP was more frequent in warm seasons (spring and summer) with its incidence reaching a peak value in September. The seasonal incidence of BP was significantly higher in summer (p < 0.05). In addition, diabetes mellitus was the most common accompanying comorbid condition. Conclusion: The peak age when BP showed up was in the fourth decade of life and 55.1% of patients belonged to the male gender. BP has been observed to have the highest incidence during warm seasons (spring and summer). Diabetes mellitus was the most common comorbid condition accompanying BP. In addition, a recurrence was more likely to occur in the first 1.5 years after its first incidence.

show abstract

Section: Discussionmentioning

confidence: 99%

Bell's Palsy: Clinical Analysis of 372 Cases and Review of Related Literature

et al. 2017

View full text Add to dashboard Cite

show abstract

“…125 A meta-analysis of 6 trials also showed an 11% higher recovery rate on various scales of facial function with acupuncture plus medical therapy compared with medical therapy alone. 125 However, the GDG concurs with Chen et al, noting that due to poor randomization, insufficient blinding methods, and high risk of bias, the number and quality of trials are inadequate to draw firm conclusions despite the efforts of Chen et al to combine studies for a meta-analysis. Moreover, the GDG notes that in accordance with the work of Vickers et al, 126 most of the RCTs may reflect a selective publishing bias that clouds the generalizability of the results.…”

Section: Supporting Textmentioning

confidence: 99%

Clinical Practice Guideline: Bell's Palsy

Baugh

Basura

Ishii

et al. 2013

Otolaryngol.--head neck surg.

389

114

View full text Add to dashboard Cite

Objective Bell’s palsy, named after the Scottish anatomist, Sir Charles Bell, is the most common acute mono-neuropathy, or disorder affecting a single nerve, and is the most common diagnosis associated with facial nerve weakness/paralysis. Bell’s palsy is a rapid unilateral facial nerve paresis (weakness) or paralysis (complete loss of movement) of unknown cause. The condition leads to the partial or complete inability to voluntarily move facial muscles on the affected side of the face. Although typically self-limited, the facial paresis/paralysis that occurs in Bell’s palsy may cause significant temporary oral incompetence and an inability to close the eyelid, leading to potential eye injury. Additional long-term poor outcomes do occur and can be devastating to the patient. Treatments are generally designed to improve facial function and facilitate recovery. There are myriad treatment options for Bell’s palsy, and some controversy exists regarding the effectiveness of several of these options, and there are consequent variations in care. In addition, numerous diagnostic tests available are used in the evaluation of patients with Bell’s palsy. Many of these tests are of questionable benefit in Bell’s palsy. Furthermore, while patients with Bell’s palsy enter the health care system with facial paresis/paralysis as a primary complaint, not all patients with facial paresis/paralysis have Bell’s palsy. It is a concern that patients with alternative underlying etiologies may be misdiagnosed or have unnecessary delay in diagnosis. All of these quality concerns provide an important opportunity for improvement in the diagnosis and management of patients with Bell’s palsy. Purpose The primary purpose of this guideline is to improve the accuracy of diagnosis for Bell’s palsy, to improve the quality of care and outcomes for patients with Bell’s palsy, and to decrease harmful variations in the evaluation and management of Bell’s palsy. This guideline addresses these needs by encouraging accurate and efficient diagnosis and treatment and, when applicable, facilitating patient follow-up to address the management of long-term sequelae or evaluation of new or worsening symptoms not indicative of Bell’s palsy. The guideline is intended for all clinicians in any setting who are likely to diagnose and manage patients with Bell’s palsy. The target population is inclusive of both adults and children presenting with Bell’s palsy. Action Statements The development group made a strong recommendation that (a) clinicians should assess the patient using history and physical examination to exclude identifiable causes of facial paresis or paralysis in patients presenting with acute-onset unilateral facial paresis or paralysis, (b) clinicians should prescribe oral steroids within 72 hours of symptom onset for Bell’s palsy patients 16 years and older, (c) clinicians should not prescribe oral antiviral therapy alone for patients with new-onset Bell’s palsy, and (d) clinicians should implement eye protection for Bell’s palsy patients with impaired eye closure. The panel made recommendations that (a) clinicians should not obtain routine laboratory testing in patients with new-onset Bell’s palsy, (b) clinicians should not routinely perform diagnostic imaging for patients with new-onset Bell’s palsy, (c) clinicians should not perform electrodiagnostic testing in Bell’s palsy patients with incomplete facial paralysis, and (d) clinicians should reassess or refer to a facial nerve specialist those Bell’s palsy patients with (1) new or worsening neurologic findings at any point, (2) ocular symptoms developing at any point, or (3) incomplete facial recovery 3 months after initial symptom onset. The development group provided the following options: (a) clinicians may offer oral antiviral therapy in addition to oral steroids within 72 hours of symptom onset for patients with Bell’s palsy, and (b) clinicians may offer electrodiagnostic testing to Bell’s palsy patients with complete facial paralysis. The development group offered the following no recommendations: (a) no recommendation can be made regarding surgical decompression for patients with Bell’s palsy, (b) no recommendation can be made regarding the effect of acupuncture in patients with Bell’s palsy, and (c) no recommendation can be made regarding the effect of physical therapy in patients with Bell’s palsy.

show abstract

“…The different interpretations of the evidence probably reflect cultural and political differences as well as scientific ones (Bovey, 2010). Evidence is limited for Bell's palsy, conclusions cannot be drawn (Kim et al, 2011).…”

Section: Strokementioning

confidence: 99%

Exploring practice characteristics and research priorities of practitioners of traditional acupuncture in China and the EU—A survey

Robinson

Lorenc

Ding

et al. 2012

Journal of Ethnopharmacology

View full text Add to dashboard Cite

The survey identified differences in practice and training between acupuncturists in China and the EU and between EU member states. These differences may inform prioritisation of health conditions for future trials. Innovative research methods are recommended to incorporate the complexity and plurality of acupuncture practice and theory. Creation of collaborative networks is crucial in overcoming these differences to facilitate international, multi-centre clinical trials.

show abstract

Acupuncture for Bell’s palsy: A systematic review and meta-analysis

Abstract: The evidence supporting the effectiveness of acupuncture for treating Bell's palsy is limited. The number and quality of trials are too low to form firm conclusions. Further rigorous RCTs are warranted but need to overcome the many limitations of the current evidence.

Cited by 32 publications

References 19 publications

Bell's Palsy: Clinical Analysis of 372 Cases and Review of Related Literature

Bell's Palsy: Clinical Analysis of 372 Cases and Review of Related Literature

Clinical Practice Guideline: Bell's Palsy

Exploring practice characteristics and research priorities of practitioners of traditional acupuncture in China and the EU—A survey

Contact Info

Product

Resources

About