Clinical Practice Guideline of Acupuncture for Bell’s Palsy

Wu, Xi; Li, Ying; Zhu, Yichao; Zheng, Hui; Chen, Qin; Li, Xuezhi; Luo, Lixia; Zeng, Fang; Huang, Weixin; Zhao, Ling; Wu, Xiaodong; Zhao, Hong; Zi, Ming-jie; Guo, Xu; Zhou, Siyuan; Tan, Huijuan; Liang, Fanrong

doi:10.15806/j.issn.2311-8571.2015.0016

Cited by 8 publications

(5 citation statements)

References 8 publications

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“…Before starting chuna/tuina treatment, the entire face of the patient was steamed to relax the facial muscles, ligaments and tendons. The following acupoints were then pressed using the thumbs and other fingers [19] CCMT uses cervical traction, suboccipital muscle fascia relaxation, and cervical subluxation correction. It has a positive effect on improving the blood flow in the vertebral arteries and stimulating the dura of the brain, and restore the facial nerves which are wrapped by extended dura meter [20][21][22].…”

Section: Resultsmentioning

confidence: 99%

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A Facial Chuna Manual Therapy for Peripheral Facial Nerve Palsy

Park¹,

Lee²,

Lee³

et al. 2019

J Acupunct Res

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The purpose of this study was to investigate useful manual therapy techniques for peripheral facial nerve palsy and to propose guidelines to be applied for current manual therapy techniques. Several databases were searched to find manual therapies for facial palsy. These therapies included cervical, and temporomandibular joint chuna manual therapy, proprioceptive neuromuscular facilitation, neuromuscular re-education, facial exercise, and mime therapy. Both cervical, and temporomandibular joint chuna manual therapy release nerve compression, helping blood circulation and nerve conduction. Proprioceptive neuromuscular facilitation uses irradiation, bilateral activation, and eccentric facilitation to improve muscle power and symmetry. Neuromuscular re-education, as a retraining tool for facial movement patterns, enhances neuromuscular feedback. Facial exercise helps the patient continuously move and massage facial muscle themselves. Mime therapy aims to develop a conscious connection between the use of certain muscles and facial expressions. The use of facial chuna manual therapy for peripheral facial nerve palsy can stimulate the proprioceptive neuromuscular receptors in the face. Peripheral facial nerve palsy has 4 phases; progress phase, plateau phase, recovery phase, and sequelae phase. Each phase needs different treatments which include relaxation, assistance, resistance, origin-insertion extension, and nerve pathway expansion.

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Section: Resultsmentioning

confidence: 99%

“…The practitioner gently massages the face according to the branch of the facial nerve to make the facial muscle more pliable and soft [36]. The meridian that flows in the face is also helpful in activating facial muscles and nerves [19,37] (Fig. 2).…”

Section: Discussionmentioning

confidence: 99%

A Facial Chuna Manual Therapy for Peripheral Facial Nerve Palsy

Park¹,

Lee²,

Lee³

et al. 2019

J Acupunct Res

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“…The target intervention of this study was acupuncture in the acute phase of Bell's palsy, defined as within 7 days of onset [19,21]. This approach is supported by two clinical practice guidelines for acupuncture treatment of Bell's palsy developed in China and Korea [24,25]. The patients who received acupuncture treatment during the acute phase were identified as those who had acupuncture prescription codes within 7 days of their first diagnosis, and they were allocated as the early acupuncture group.…”

Section: Definition Of Interventionmentioning

confidence: 99%

“…In the case of a "G510" diagnosis code and steroid prescription that occurred after a window period of >90 days after the first diagnosis, it was identified as a recurrence of Bell's palsy [2]. This is because it is recommended to prescribe steroids for a short period of 10-14 days during the acute phase of Bell's palsy [8,12,24]. If a "G510" diagnostic code and a steroid prescription occur simultaneously, it can be considered a recurrence.…”

Section: Definition Of Outcomementioning

confidence: 99%

The Impact of Early Acupuncture on Bell’s Palsy Recurrence: Real-World Evidence from Korea

Choi,

Lee,

Yang

et al. 2023

Healthcare

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Evidence-based treatment for Bell’s palsy includes the administration of steroids within 3 days of symptom onset. Additionally, a few studies have suggested the importance of combining early acupuncture treatment in the acute phase of Bell’s palsy with steroids. This study aimed to observe the impact of early acupuncture for Bell’s palsy using real-world health insurance data in Korea. This retrospective study extracted data from 45,986 adult patients with Bell’s palsy who received steroids between 2015 and 2017 with a follow-up period of at least 3 years until 2020 from the Korea National Health Insurance database. They were divided into the early acupuncture group (n = 28,267) and the comparison group (n = 17,719) based on the presence of an acupuncture treatment code within 7 days of diagnosis. The impact of early acupuncture on the likelihood of Bell’s palsy recurrence was evaluated using multivariate logistic regression. The patients in the early acupuncture group had a lower likelihood of recurrence (odds ratio: 0.81, 95% confidence interval: 0.69–0.95). This study observed a beneficial impact of early acupuncture on Bell’s palsy using real-world health insurance data in Korea. Further research is required to confirm these findings.

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“…Acupuncture has been widely used in the treatment of Bell’s palsy and has achieved satisfactory results to date ( 7 ). Several clinical and laboratory studies have found that acupuncture can effectively promote the recovery of facial nerve injury, effectively shorten the course of the disease, and reduce various complications ( 8 , 9 ). Especially in Asian countries, such as Korea, Japan, and China, there are a large number of patients who have been managed by acupuncture therapy as the initial treatment.…”

Section: Introductionmentioning

confidence: 99%

Effects of acupuncture for Bell’s palsy patients in the acute phase and its impact on facial nerve edema: a study protocol for a randomized, controlled trial

Wang,

Zhang,

Zhang

et al. 2024

Front. Neurol.

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BackgroundBell’s palsy is an acute peripheral facial neuropathy, which is one of the most common causes of facial palsy of lower motor neurons. Facial nerve swelling is commonly observed in Bell’s palsy. Acupuncture therapy has been widely used in the treatment of Bell’s palsy. However, whether acupuncture can be effectively used in the acute stage is still controversial. There are no clinical trials conducted previously to evaluate the effect of acupuncture on facial nerve edema in Bell’s palsy patients. The study aims to evaluate the potential efficacy of different acupuncture modalities on Bell’s palsy patients in the acute phase, its effect on facial nerve edema, and to preliminarily explore its possible mechanism.Methods and analysisIn this randomized, controlled trial, 165 Bell’s palsy patients with unilateral onset within 3 days will be recruited and randomly assigned to either the electroacupuncture group (n = 33), the acupuncture group (n = 33), the sham acupuncture group (n = 33), the blank control group (n = 33), or the acupuncture control group (n = 33) in a 1:1:1:1:1 ratio. The participants will receive 4 weeks of treatment and 8 weeks of follow-up. The five groups of participants will receive the following treatments: A: Electroacupuncture + Medication (prednisone acetate tablets, mecobalamin tablets, and vitamin B1 tablets); B: Acupuncture + Medication; C: Sham Acupuncture + Medication; D: Medication only; and E: Acupuncture only. The primary outcome will be the effectiveness rate of different acupuncture modalities in improving facial nerve function after the intervention period. The secondary outcomes will be the recovery speed, the diameter of the facial nerve, the echo intensity and thickness of facial muscles, blood flow parameters of the facial artery, the serum inflammatory level, safety evaluation, and adverse events. Preliminary exploration of its mechanism of action occurs through inflammation and immune response. The difference between groups will be assessed using repeated measure analysis of covariance (ANCOVA) and trend chi-square.DiscussionThe trial will evaluate the efficacy and facial nerve edema of acupuncture for Bell’s palsy patients in the acute phase and preliminarily explore its possible mechanism. The results thus may provide evidence for clinical application.Clinical trial registrationhttps://www.chictr.org.cn/bin/project/edit?pid=133211, identifier ChiCTR2100050815.

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Clinical Practice Guideline of Acupuncture for Bell’s Palsy

Cited by 8 publications

References 8 publications

A Facial Chuna Manual Therapy for Peripheral Facial Nerve Palsy

A Facial Chuna Manual Therapy for Peripheral Facial Nerve Palsy

The Impact of Early Acupuncture on Bell’s Palsy Recurrence: Real-World Evidence from Korea

Effects of acupuncture for Bell’s palsy patients in the acute phase and its impact on facial nerve edema: a study protocol for a randomized, controlled trial

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