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Author (up) Tong, F. M.; Chow, S. K.; Chan, P. Y.; Wong, A. K.; Wan, S. S.; Ng, R. K.; Chan, G.; Chan, W. S.; Ng, A.; Law, C. K. url  openurl
  Title A prospective randomised controlled study on efficacies of acupuncture and steroid in treatment of idiopathic peripheral facial paralysis Type of Study RCT
  Year 2009 Publication Acupuncture in medicine : journal of the British Medical Acupuncture Society Abbreviated Journal Acupunct Med  
  Volume 27 Issue 4 Pages 169-173  
  Keywords AcuTrials; RCT; Cranial Nerve Diseases; Bell Palsy; Facial Paralysis; Acu Versus > 1 Control; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Usual Care Control, Pharmaceutical; Usual Care Control, Educational  
  Abstract OBJECTIVE: A randomised controlled trial was undertaken to evaluate the efficacy of acupuncture in comparison with steroid in treatment of idiopathic peripheral facial paralysis (Bell's palsy). METHODS: A total of 119 patients attending Ear, Nose and Throat Clinic of Pamela Youde Nethersole Eastern Hospital from February 2003 to December 2005 were randomly allocated to groups of acupuncture, steroid and control (conventional expectant treatment). There were 53 in the steroid group, 28 in the acupuncture group and 38 in the control group. Patients were assessed weekly by blinded assessors, using the House-Brackmann facial nerve grading system. RESULTS: The efficacy of treatment in three groups was compared, in terms of degree of recovery and speed of recovery. Intention-to-treat analyses were performed. Results were analysed with SPSS software. Distribution of initial grade on presentation was analysed with the Pearson chi-square test and showed uneven distribution in the three groups in the intention-to-treat analysis. The overall improvement (grade 3 or better) was 86.9% in the steroid group, 96.4% in the acupuncture group and 89.5% in the control group respectively. However, the difference in degree of recovery and speed of recovery in the three groups was not statistically significant. CONCLUSION: The efficacies of acupuncture, steroid and conventional expectant treatment (natural course of recovery) in idiopathic peripheral facial palsy (Bell's palsy) in the study were the same with respect to the degree of recovery and speed of recovery.  
  Address Department of ENT, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, PR China; tongfm@yahoo.com.  
  Publisher
  Language Number of Treatments 18  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 119  
  Time in Treatment 6 Weeks Condition Bell Palsy
  Disease Category Cranial Nerve Diseases OCSI Score  
  Notes Approved no  
  Call Number Serial 1169  
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