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Article: Effect of acupuncture in a patient with 7-year-history of Bell's palsy

TitleEffect of acupuncture in a patient with 7-year-history of Bell's palsy
Authors
Issue Date2008
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acm
Citation
Journal Of Alternative And Complementary Medicine, 2008, v. 14 n. 7, p. 847-853 How to Cite?
AbstractObjectives: To demonstrate the effect of acupuncture in a child with chronic Bell's palsy of 7 years duration. Subject: A 15-year-old girl had Bell's palsy for 7 years and did not respond to steroid treatment in the acute phase. On examination, her eyes were asymmetric, with the right eye smaller. Muscle contracture was noted around the right nasalis. She had synkinesis (i.e., when she blinked, there was involuntary twitching of her mouth at the right side). She showed marked facial distortion when puffing out cheeks, smiling, and raising her eyebrows. The tip of her tongue was swollen with red spikes. House-Brackmann facial nerve grading system (HBS) before treatment was grade 4. Treatment: Patient was given 25 acupuncture treatment sessions in 2 months. Local acupuncture points used were: LI20, ST2, ST3, ST4, ST6, ST7, SI18, BL2, TE17, TE23, GB14, GV26, CV24, EX-HN5, and EX-HN16; distant points used were: LI11, ST36, ST40, SP6, SP10, HT8, SI3, BL67, PC8, TE5, and LR3. About 10 points were selected from the above set in each session with needles inserted to elicit the de qi response. The patient was asked to report any change in muscle strength or any differences noted after each acupuncture session. Photographs and videos were taken for blind assessors to comment on. Result: The patient rated an overall improvement of 60-70%. Self-perceived muscle strength when smiling and puffing out cheeks increased from 20% of normal strength to 65%, and the strength when raising eyebrows increased from 10% to 70%. Synkinesis was attenuated. Photographs and videos showed improvement in facial asymmetry. HBS changed to grade 3 after treatment. Conclusions: Our study showed that acupuncture can be effective in improving functional and cosmetic outcome even for chronic Bell's palsy. © 2008 Mary Ann Liebert, Inc. 2008.
Persistent Identifierhttp://hdl.handle.net/10722/170404
ISSN
2015 Impact Factor: 1.395
2015 SCImago Journal Rankings: 0.475
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, CLen_US
dc.contributor.authorWong, VCNen_US
dc.date.accessioned2012-10-30T06:08:05Z-
dc.date.available2012-10-30T06:08:05Z-
dc.date.issued2008en_US
dc.identifier.citationJournal Of Alternative And Complementary Medicine, 2008, v. 14 n. 7, p. 847-853en_US
dc.identifier.issn1075-5535en_US
dc.identifier.urihttp://hdl.handle.net/10722/170404-
dc.description.abstractObjectives: To demonstrate the effect of acupuncture in a child with chronic Bell's palsy of 7 years duration. Subject: A 15-year-old girl had Bell's palsy for 7 years and did not respond to steroid treatment in the acute phase. On examination, her eyes were asymmetric, with the right eye smaller. Muscle contracture was noted around the right nasalis. She had synkinesis (i.e., when she blinked, there was involuntary twitching of her mouth at the right side). She showed marked facial distortion when puffing out cheeks, smiling, and raising her eyebrows. The tip of her tongue was swollen with red spikes. House-Brackmann facial nerve grading system (HBS) before treatment was grade 4. Treatment: Patient was given 25 acupuncture treatment sessions in 2 months. Local acupuncture points used were: LI20, ST2, ST3, ST4, ST6, ST7, SI18, BL2, TE17, TE23, GB14, GV26, CV24, EX-HN5, and EX-HN16; distant points used were: LI11, ST36, ST40, SP6, SP10, HT8, SI3, BL67, PC8, TE5, and LR3. About 10 points were selected from the above set in each session with needles inserted to elicit the de qi response. The patient was asked to report any change in muscle strength or any differences noted after each acupuncture session. Photographs and videos were taken for blind assessors to comment on. Result: The patient rated an overall improvement of 60-70%. Self-perceived muscle strength when smiling and puffing out cheeks increased from 20% of normal strength to 65%, and the strength when raising eyebrows increased from 10% to 70%. Synkinesis was attenuated. Photographs and videos showed improvement in facial asymmetry. HBS changed to grade 3 after treatment. Conclusions: Our study showed that acupuncture can be effective in improving functional and cosmetic outcome even for chronic Bell's palsy. © 2008 Mary Ann Liebert, Inc. 2008.en_US
dc.languageengen_US
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acmen_US
dc.relation.ispartofJournal of Alternative and Complementary Medicineen_US
dc.subject.meshActivities Of Daily Livingen_US
dc.subject.meshAcupuncture Therapy - Methodsen_US
dc.subject.meshAdolescenten_US
dc.subject.meshBell Palsy - Therapyen_US
dc.subject.meshFacial Expressionen_US
dc.subject.meshFaciesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMuscle Strengthen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleEffect of acupuncture in a patient with 7-year-history of Bell's palsyen_US
dc.typeArticleen_US
dc.identifier.emailWong, VCN:vcnwong@hku.hken_US
dc.identifier.authorityWong, VCN=rp00334en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1089/acm.2007.0780en_US
dc.identifier.pmid18721078-
dc.identifier.scopuseid_2-s2.0-52649165148en_US
dc.identifier.hkuros151596-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-52649165148&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume14en_US
dc.identifier.issue7en_US
dc.identifier.spage847en_US
dc.identifier.epage853en_US
dc.identifier.isiWOS:000260283500010-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridWong, CL=25028892000en_US
dc.identifier.scopusauthoridWong, VCN=7202525632en_US

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