Mardiana W, Viventius Y, Nareswari I, Djaali W. Combination of Manual Acupuncture, Penetrating Needling, and Electroacupuncture to Treat Bell's Palsy.
Med Acupunct 2023;
35:346-350. [PMID:
38162550 PMCID:
PMC10753939 DOI:
10.1089/acu.2023.0033]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024] Open
Abstract
Background
Bell's palsy is an acute idiopathic paralysis of lower motor neurons on only 1 side of the face without any identifiable etiology. The condition affects a patient's physical, social, and psychologic health. It is important for the patient to recover quickly and minimize the risk of long-term sequelae. Therefore, researchers recommend a combination of several therapeutic modalities to shorten the disease's course and improve curative effects.
Case
A 34-year-old woman had with right facial weakness. She was diagnosed with House-Brackmann grade III Bell's palsy and received medical therapy. She was also given manual acupuncture at GB-20, BL-2, ST-36, LI-4, TE-5 bilateral, and GV-20. Penetrating needling was given at GB-14 toward Ex-HN-3, ST-7 toward SI-18, SI-18 toward LI-20, ST-6 toward ST-4, and ST-5 toward ST-4 on the affected area, with a 30-minute needle retention. Electroacupuncture (EA) was delivered at ST-7-SI-18, ST-6-ST-5, GB-14-Ex-HN-5, and ST-4-CV-24, with a dense-disperse wave, at a frequency of 10/50 Hz for 20 minutes. She had treatment sessions twice per week, for a total of12 sessions.
Results
From her 7th to 12th visit, this patient had reached House-Brackmann grade I. No adverse effects occurred.
Conclusions
In this patient, a combination of acupuncture penetrating needling technique and EA played a role to shorten her recovery time and minimize the risk of sequelae of Bell's palsy. The treatment combination used in this case report can be considered in other clinical cases.
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