Bell Palsy

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Bell's palsy or idiopathic facial palsy is an acute facial paralysis due to inflammation of the facial nerve. A number of studies published in China have suggested acupuncture is beneficial for facial palsy. OBJECTIVES: The objective of this review was to examine the efficacy of acupuncture in hastening recovery and reducing long-term morbidity from Bell's palsy.

Author(s): 
He, L.
Zhou, D.
Wu, B.
Li, N.
Zhou, M. K.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Bell's palsy or idiopathic facial palsy is an acute facial paralysis due to inflammation of the facial nerve. A number of studies published in China have suggested acupuncture is beneficial for facial palsy. OBJECTIVES: The objective of this review was to examine the efficacy of acupuncture in hastening recovery and reducing long-term morbidity from Bell's palsy.

Author(s): 
He, L.
Zhou, M. K.
Zhou, D.
Wu, B.
Li, N.
Kong, S. Y.
Zhang, D. P.
Li, Q. F.
Yang, J.
Zhang, X.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVES: The objectives of this study were to examine the efficacy of acupuncture in hastening recovery and reducing long-term morbidity from Bell's palsy.

Author(s): 
Zhou, Muke
He, Li
Zhou, Dong
Wu, Bo
Li, Ning
Kong, Shuangyan
Zhang, Dongping
Li, Qifu
Yang, Jie
Zhang, Xia
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Bell's palsy or idiopathic facial palsy is an acute facial paralysis due to inflammation of the facial nerve. A number of studies published in China have suggested acupuncture is beneficial for facial palsy. OBJECTIVES: The objective of this review was to examine the efficacy of acupuncture in hastening recovery and reducing long-term morbidity from Bell's palsy.

Author(s): 
Chen, Ning
Zhou, Muke
He, Li
Zhou, Dong
Li, N.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Bell's palsy (idiopathic facial paralysis) is commonly treated by various physical therapy strategies and devices, but there are many questions about their efficacy. OBJECTIVES: To evaluate physical therapies for Bell's palsy (idiopathic facial palsy).

Author(s): 
Teixeira, Lázaro J.
Valbuza, Juliana S.
Prado, Gilmar F.
Publication Title: 
Alternative Therapies in Health and Medicine

CONTEXT: Facial spasm is one of the common facial diseases, especially in the aged. It is mostly characterized by initially progressive, involuntary, irregular, recurrent, clonic, or tonic movements of muscles innervated by the facial nerve on one side. Acupuncture is a low-risk treatment with purported claims of effectiveness for facial spasm. OBJECTIVE: To assess the efficacy of acupuncture in facial spasm comprehensively.

Author(s): 
Wang, Qiang-ping
Bai, Min
Lei, Ding
Publication Title: 
Laryngo- Rhino- Otologie

A new S2k AWMF guideline for the treatment of idiopathic facial palsy has been published. An accurate differential diagnosis is indispensable as 25-40% of all facial palsy cases are of non-idiopathic origin. It is explicitly recommended to treat patients with idiopathic facial palsy with steroids. Steroids favour a complete recovery, decrease the risk of synkinesis, autonomic sequelae and contractures. Adjuvant antiviral therapy cannot be recommended. On current data there is not sufficient evidence that the combination of steroids with antiviral drugs has a benefit for the patients.

Author(s): 
Heckmann, J. G.
Lang, C.
Glocker, F. X.
Urban, P.
Bischoff, C.
Weder, B.
Reiter, G.
Meier, U.
Guntinas-Lichius, O.
Association of the Scientific Medical Societies in Germany (AWMF)
Publication Title: 
American Journal of Physical Medicine & Rehabilitation

The physical therapy (PT) associated with standard drug treatment (SDT) in Bell palsy has never been investigated. Randomized controlled trials or quasirandomized controlled trials have compared facial PT (except treatments such as acupuncture and osteopathic) combined with SDT against a control group with SDT alone. Participants included those older than 15 yrs with a clinical diagnosis of Bell palsy, and the primary outcome measure was motor function recovery by the House-Brackmann scale.

Author(s): 
Ferreira, Margarida
Marques, Elisa E.
Duarte, José A.
Santos, Paula C.
Publication Title: 
PloS One

Acupuncture has emerged as an alternative therapy for Bell's palsy in both adults and children. However, the use of acupuncture is controversial. We conducted a systematic review and meta-analysis to assess the efficacy of acupuncture for Bell's palsy. We searched PubMed, Embase, and the Cochrane Central Register of Controlled Trials, irrespective of any language restrictions. Randomized controlled trials comparing acupuncture with other therapies for Bell's palsy in adults or children were included.

Author(s): 
Li, Pingping
Qiu, Tangmeng
Qin, Chao
Publication Title: 
Occupational Therapy International

For 7% of people with Bell's palsy, facial impairment is permanent. The case study patient was a 48-year-old female who had no recovery from paralysis 12 weeks after onset. Goals were to restore facial sensory-motor functions, functional abilities and reduce depression. Facial paralysis was assessed by clinical observations, the Facial Disability Index and Beck Depression Index. Complementary interventions of aromatherapy, reflexology and electro-acupuncture were used with common physical agent modalities in an intensive home activity and exercise programme.

Author(s): 
Haltiwanger, Emily
Huber, Theresa
Chang, Joe C.
Gonzalez-Stuart, Armando
Gonzales-Stuart, Armando

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