Bell's Palsy Clinical Trial
Official title:
Prednisone Acetate and Acupuncture for the Treatment of Facial Neuritis: a Multiple Center, Comparative Effectiveness Research in China
The aim of this study is to compare the effects of prednisolone and staging acupuncture in the recovery of the affected facial nerve, and to verify that whether in combination with staging acupuncture is more effective than prednisolone alone for Bell's palsy in a large number of patients.
Patients will be recruited between Sep, 2010, and Dec, 2014. Baseline assessments before the
start of treatment include neurological examination, grading of facial function, measurement
of ipsilateral pain, documentation of concurrent medication.
These patients are assigned to receive one of the following treatment groups, i.e. 1)the
hormone group: oral hormone drugs, do not accept acupuncture treatment; 2)acupuncture group:
using acupuncture therapy, do not accept oral hormone therapy; 3)hormone-acupuncture
combined treatment group: receive oral hormone and acupuncture therapy at the same time;
4)other treatment group: other treatment in addition to the above 3 groups of treatment
abroad. The secondary factor grouping (subgroup): According to the different time of
treatment after the onset of disease, the acupuncture group and the hormone- acupuncture
combined treatment group can be divided into Type Ⅰ subgroup (patients receive acupuncture
within 10 days of the onset of disease) and Type II subgroups (patients receive acupuncture
after 10 days of the onset of disease). The primary outcome is the time to complete recovery
of facial function, assessed by Sunnybrook system and House-Brackmann scale. The secondary
outcomes include the incidence of ipsilateral pain in the early stage of palsy (and the
duration of this pain), the proportion of patients with severe pain, the occurrence of
synkinesis, facial spasm or contracture, and the severity of residual facial symptoms during
the study period.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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