Study on the Optimal Waveform Patterns of Electroacupuncture Targeted Intervention for Bell's Palsy Based on Surface Electromyography Characteristics
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 100
- 主要终点
- FNGS2.0
研究概览
简要总结
The goal of this clinical study is to find out whether different electronic acupuncture wave forms can effectively treat recovery-stage Bell's palsy in adults and evaluate their safety.
The main questions it aims to answer are:
- Can targeted electronic acupuncture wave forms improve facial nerve function in patients with Bell's palsy?
- What is the optimal electronic acupuncture waveform for different degrees of facial nerve injury?
- What adverse events may occur during electronic acupuncture treatment? Researchers will compare low-frequency continuous wave electronic acupuncture and intermittent wave electronic acupuncture to determine which waveform works better for recovery-stage Bell's palsy.
Participants will:
- Receive either low-frequency continuous wave electronic acupuncture or intermittent wave electronic acupuncture every other day for 4 weeks
- Undergo surface sEMG and ENoG examinations at baseline, Week 2, and Week 4
- Complete facial function assessments and safety evaluations at each clinic visit
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for Bell's Palsy Subjects:
- •Meet the above Bell's palsy diagnostic criteria;
- •Age 18-65 years, either gender;
- •Disease course in recovery phase (21 days ≤ course ≤ 6 months) and not recovered (FNGS 2.0 score >4);
- •Voluntarily participate in this study and sign informed consent.
- •Inclusion Criteria for Healthy Subjects:
- •Do not meet the above Bell's palsy diagnostic criteria;
- •Age 18-65 years, either gender, matched to Bell's palsy subjects within 5 years for age and gender;
- •Normal facial nerve function, FNGS 2.0 score = 4;
- •Voluntarily participate in this study and sign informed consent.
排除标准
- •for Bell's Palsy Subjects:
- •Facial trauma, skin lesions, or other diseases that may cause facial paralysis symptoms;
- •Diagnosed with Ramsay Hunt syndrome (herpes zoster oticus);
- •Bilateral facial paralysis;
- •Previous history of facial paralysis;
- •Facial synkinesis, contracture, or spasm already present;
- •History of facial surgery;
- •Uncontrolled diabetes, hypertension, severe cardiac, hepatic, or renal disease, cognitive impairment, aphasia, or mental disorders;
- •Pacemaker use;
- •Pregnant or lactating patients.
- •Exclusion Criteria for Healthy Subjects:
- •Facial trauma, skin lesions, or other diseases that may affect facial muscle activity;
- •Previous history of facial paralysis;
- •History of facial surgery;
- •Uncontrolled diabetes, hypertension, severe cardiac, hepatic, or renal disease, cognitive impairment, aphasia, or mental disorders;
- •Pacemaker use;
- •Pregnant or lactating patients.
研究组 & 干预措施
Severe injury + Low-frequency continuous wave
干预措施: electroacupuncture waveform (Procedure)
Non-severe injury + Interrupted wave
干预措施: electroacupuncture waveform (Procedure)
Severe injury + Interrupted wave
干预措施: electroacupuncture waveform (Procedure)
Non-severe injury + Low-frequency continuous wave
干预措施: electroacupuncture waveform (Procedure)
结局指标
主要结局
FNGS2.0
时间窗: week4
FNGS 2.0 stands for Facial Nerve Grading System 2.0, with a total score range of 4 to 24; lower scores indicate better facial nerve function (4 = normal), while higher scores indicate more severe facial paralysis (24 = complete facial palsy).
次要结局
- Sunnybrook Facial Grading System,SBGS(week4)
研究者
Jing Sun
Associate Professor
The Third Affiliated hospital of Zhejiang Chinese Medical University
