Clinical efficacy and safety of thread-embedding acupuncture for treatment of the sequelae of Bell's palsy

Goo, Bonhyuk; Jeong, Seong-Mok; Kim, Jong-Uk; Park, Yeon-Cheol; Seo, Byung-Kwan; Baek, Yong-Hyeon; Yook, Tae-Han; Nam, Sang-Soo

doi:10.1097/md.0000000000014508

Cited by 13 publications

(9 citation statements)

References 34 publications

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“…Another study examined clinical efficacy of thread-embedding acupuncture in fifty-six patients with Bell's palsy sequelae. The authors concluded that threadembedding acupuncture was effective and safe in treatment of Bell'as palsy sequelae 15 . One study examined functional magnetic resonance images to investigate the effect of acupuncture on the functional connectivity of the brain in 28 patients with Bell's palsy and 20 healthy controls.…”

Section: Discussionmentioning

confidence: 98%

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Clinical and morphometric examination of acupuncture effect in Bell’s palsy sequelae

Öksüz

Kalaycıoğlu²,

Yıldırım³

et al. 2019

Cukurova Medical Journal

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The aim of present study was to evaluate clinical and morphometric differences and to determine the improvement in facial movements in pre-and postacupuncture treatments of patients with Bell's palsy sequelae. Materials and Methods: A total of 40 patients with Bell's palsy sequeale (20 acupuncture group-20 control group) were included in this study. The acupuncture group consisted of Bell's palsy sequelae and scheduled for acupuncture theraphy (12 sessions). The control group consisted of Bell's palsy sequelae, being kept on the waiting list. The deatiled medical histories were obtained from all patients. Morphometric measurements were performed based on determined anatomical points on both affected and unaffected sides of the faces in resting and smiling positions. At the end of the study clinical evaluations and morphometric measurements were repeated and results were analyzed statistically. Results: The significant difference was observed in the headache symptoms of the acupuncture group patients in terms of clinical evaluations. In acupuncture group, there was statistically significant difference in pre-and posttreatment values of the affected side in the resting and smiling positions. There were significant changes in clinical symptoms and facial movements in the affected side of the face in the acupuncture group patients. Conclusion: Acupuncture therapy may be considered to have a significant therapeutic effect on changes in facial movements especially in clinical and morphometric aspects of Bell's palsy sequelae.

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Section: Discussionmentioning

confidence: 98%

“…However, approximately 30% may experience sequelae such as paresis, contracture, facial spasm or synkinesis 12,13,14 . Symptoms of Bell's palsy sequelae are commonly described as synkinesis, contractures, spasm and crocodile tears syndrome, and are rarely described as tears, taste and hearing disorders 15 .…”

Section: Discussionmentioning

confidence: 99%

Clinical and morphometric examination of acupuncture effect in Bell’s palsy sequelae

Öksüz

Kalaycıoğlu²,

Yıldırım³

et al. 2019

Cukurova Medical Journal

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“…Previous studies have shown that the embedded thread, which is gradually absorbed into the body, causes a long-term therapeutic effect through mechanical and chemical stimulation at the treatment site. 26 In this trial, a STEA needle without the thread will be set as the control intervention, with reference to previous studies 22,27,28 to confirm only the effect of the embedded thread, excluding the stimulation effect of needle insertion. Additionally, to confirm the long-term maintenance effect, 8 weeks of follow-up assessment will be conducted after the end of treatment sessions.…”

Section: Discussionmentioning

confidence: 99%

Thread-Embedding Acupuncture for the Treatment of Shoulder Instability: Protocol for a Randomized, Controlled, Patient-Assessor Blinded Pilot Study

Goo¹,

baek²

2021

JPR

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This study aims to determine the feasibility of thread-embedding acupuncture (TEA) for the treatment of shoulder instability. Patients and Methods: This is a patient-assessor blinded, randomized, sham-controlled trial with two parallel arms. A total of 40 patients with shoulder instability aged between 13 and 43 years will be recruited and screened using set inclusion and exclusion criteria. After screening, they will be randomly allocated to the TEA or sham TEA group. Patients in both groups will then receive TEA or sham TEA treatment on six acupoints once a week for 8 weeks, which will be followed by additional follow-up assessments at 4 and 8 weeks after the end of treatment. Changes in shoulder pain and disability will be assessed as the primary outcome, whereas 100-mm pain visual analogue scale, shoulder range of motion, rotator cuff quality of life index, EuroQol 5-dimension 5-levels, treatment satisfaction, economic evaluation, and safety will all be measured as secondary outcomes of the study. Outcome assessment will be conducted at baseline and at 4, 8, and 16 weeks after screening. Conclusion:The results from this trial will help to design further clinical trials on the efficacy, safety, and cost-effectiveness of performing TEA for shoulder instability.

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“…Due to a lack of similar previous studies to act as references, there were many limitations with regard to development of a suitable study protocol. [5] Therefore, to establish robust evidence for the efficacy of TEA to treat FNP, it is necessary to conduct a large-scale, high-quality clinical trial.…”

Section: Introductionmentioning

confidence: 99%

Clinical use of thread embedding acupuncture for facial nerve palsy: A web-based survey

et al. 2022

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Although thread embedding acupuncture (TEA) is widely used for facial nerve palsy (FNP) in Korea, it lacks clinical evidence. Therefore, a large-scale and long-term clinical trial is needed. It is necessary to standardize and optimize TEA treatment for clinical study. Hence, we collected information about how TEA in the facial region is performed in clinical practice using a web-based survey. A questionnaire was developed consisting of 22 essential items and 30 optional items including demographic characteristics, purpose of TEA, adverse events (AE), direct medical cost, required time, and current state of TEA treatment on FNP. The questionnaire was sent via e-mail to 23,910 traditional Korean medicine doctors (TKMD). A total of 427 respondents answered the questionnaire. The most common response for the purpose for TEA was cosmetic, followed by musculoskeletal disease and nervous system disease. The most common AE that resolved without medical treatment was bruising (90.4%). The most common AE that required medical treatment was dimple (30.5). Many respondents commonly used TEA for the sequelae of FNP (71.8%). The most frequent sequelae of FNP for which TEA was used as contracture around the mouth (75.3%). The most preferred treatment method was insertion of 6–10 monofilament threads using a 29-gauge needle at intervals of 2.2 ± 1.59 weeks in the sequelae period. The results of this survey can be used to standardize and optimize the procedure of TEA for FNP for further clinical research.

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Clinical efficacy and safety of thread-embedding acupuncture for treatment of the sequelae of Bell's palsy

Cited by 13 publications

References 34 publications

Clinical and morphometric examination of acupuncture effect in Bell’s palsy sequelae

Clinical and morphometric examination of acupuncture effect in Bell’s palsy sequelae

Thread-Embedding Acupuncture for the Treatment of Shoulder Instability: Protocol for a Randomized, Controlled, Patient-Assessor Blinded Pilot Study

Clinical use of thread embedding acupuncture for facial nerve palsy: A web-based survey

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