Table 2. Analysis of the Randomized Controlled Trials

First author (Year) Country Materials Methods Results Conclusions
Diagnosis Sample size (T/C) Period T C Period (Frequency) Evaluation T C
Guo F (2010)49) China Bell’s palsy 40 (20/20) >2m Atx, HM Atx 1c: 6t/w,Total 3c ① Endothelial pigment level② H-B③ Effective rate ① 0.49±0.01 (p<0.05)② improved (p<0.05)③ 90% (p<0.05) ① 0.27±0.00② improved (p<0.05)③ 60% (p<0.05) Effective, Safe
Hong Y (2011)50) China Bell’s palsy 82 (52/30) >3m Atx, HM Atx Atx: 2t/w,HM: bid,Total 6m H-B (effective rate) 98.07% (p<0.01) 86.67% Effective,Safe
Huang Z (2011)51) China Bell’s palsy 78 (40/38) Mean 4.2m Atx(gold),Moxa Atx(steel), Moxa Qd,1c: 10t,Total 2c H-B (effective rate) 95.0% (p<0.05) 86.8% Effective
Jia H (2012)53) China Bell’s palsy 316 (158/158) >6m Atx,Moxa,Puncture bleeding,Acupoint injection,HM Atx Qd,(inj: qod, HM: bid)1c: 10d,Total 4c Self-evaluation tool① Markedly effective② Effective③ Ineffective ① 69 cases② 74 cases③ 15 cases ① 27 cases② 75 cases③ 56 cases Effective
Between T, C: p<0.05Between ①(T, C): p<0.01
Liu L (2012)54) China Bell’s palsy 60 (30/30) >3m Atx(wrist),Infrared,Face exercise Atx,Infrared 1c: 10d,Total 3c Effective rate 96.67% (p<0.01) 73.33% Effective
Wang X (2012)52) China Bell’s palsy 60 (30/30) >6m Needle-embedding therapy Atx 1t/7~15d,1c: 4tTotal c is not stated. Effective rate 80.0% 77.78% Needle-embedding therapy can replace Atx.
Between T, C: p>0.05
Wu G (2013)55) China Bell’s palsy 80 (40/40) >2m Atx (penetration) Atx Qd,1c: 2w,Total 2c Effective rate 92.5% 72.5% Effective
Between T, C: p<0.05
Ding P (2013)56) China Peripheral facial paralysis 138 (74/64) >90d Electro-Atx Atx Qod,1c: 10t,Total c is not stated. Effective rate 95.9% 73.4% Effective
Between T, C: p<0.01
Dong YH (2014)59) China Peripheral facial paralysis 80 (40/40) >3m Atx,Cut therapy Atx Atx: Qod,total 12w.Cut: 1t/3~5d, generally no more than 4t. Effective rate 100% 92.5% Effective
Between T, C: p<0.01
Li W (2014)57) China Peripheral facial paralysis 92 (46/46) Mean 8.6y Atx(scalp) Atx Qd,1c: 12d,Total 2c ① Time (a) Facial recovery time (b) Total treatment time② Effective rate③ Relapse rate ① (d) (a)11.74±1.81 (b)13.85±2.02② 91.3%③ 4.3%  (a)8.94±1.36 11.22±1.75② 71.7%③ 28.3% Effective
Between T, C: p<0.05
Li H (2014)58) China Peripheral facial paralysis 60 (30/30) >3m Atx (Suihui Xuezu) Atx Qd,1c: 6d,Total 3c H-B (a)Curative rate (b)Total efficacy (a) 42.3%(b) 100% (a) 34.8%(b) 91.6%
Guo C (2015)62) China Bell’s palsy 60 (30/30) 3m~1y Needle embedding therapy, Moxa Atx 2m H-B (effective rate) 86.7% 76.7%
Pourmomeny AA (2015)61) Iran Bell’s palsy 34 (17/17) >6m BTX-A,EMG bf NS,EMG bf 4m ① SFGS② Picture③ Video ① 55.17→74.17 (p<0.01) ① 66.31→81.37 (p<0.01)
Between T, C: p>0.05
Kwon HG (2015)60) South Korea Bell’s palsy 39 (26/13) >6m Atx None 8w ① FDI (a)Social (b)Physical② H-B③ SFGS④ Lip mobility (a)Length (b)Snout⑤ Stiffness  (a) +21.69 (b) +26.16② -0.62③ +24.54 (a) +1.00 (b) +2.36⑤ -1.58  (a) -1.85 (b)+4.62② -0.38③ +9.77 (a) -0.25 (b) -0.80⑤ 0
Li C (2015)64) China Peripheral facial paralysis 80 (40/40) >2m Warm needling combined with flash cupping treatment Atx 3t/w,Total 4w ① SFGS② H-B (effective rate) ①52.825±2.413→81.200±1.438② 90% ①50.575±3.044→70.475±2.055② 70%
Between T, C: p<0.05
Sun L (2015)63) China Peripheral facial paralysis 100 (50/50) >3m Electro-Atx IF pulse 2t/w,Total 20t ① SFGS (a) Resting (b) Movement② Effective rate  (a)2.56±0.48→1.28±0.66 (p<0.05) (b)2.60±0.64→1.79±0.62 (p<0.05)② 58.13% (p<0.05)  (a)18.42±2.30→12.30±3.17 (p<0.05) (b)19.22±3.20→14.46±3.85 (p<0.05)② 39.29%
Song Z (2016)66) China Bell’s palsy 60 (30/30) >3m Atx (push and pull) Atx Qd,1c: 5t,Total 4c ① H-B② Ten scoring method③ Effective rate ① p<0.017② 15.86±2.82→9.60±2.19 (p<0.01)③ 96.6% ① p<0.048② 17.00±3.35→11.86±2.96③ 90.0%
Between T, C③: p<0.033
Cao J (2016)65) China Peripheral facial paralysis 70 (35/35) 3m Atx, HM Atx 1c: 6t,Total 3c H-B(a) Curative rate(b) Efficiency rate (a) 40.0%(b) 97.7% (a) 15.6%(b) 78.1% Effective
Between T, C: p<0.05
Li X (2017)68) China Ramsay-hunt syndrome 60 (20/20/20) >3m Plum blossom needle, Atx Plum blossom needle 1c: 20t(Atx: 10t)Total 2c ① H-B② SFGS③ Clinical efficacy ① 4.72±0.30→2.28±0.65 (p<0.05)② 53.56±2.12→97.12±2.58 (p<0.05)③ 95.0% (p<0.05) ① 4.61±0.36→3.26±0.45 (p<0.05)② 53.87±5.26→74.52±3.23 (p<0.05)③ 70.0% Effective
Atx ① 4.53±0.44→2.96±0.75 (p<0.05)② 53.56±2.13→82.36±3.43 (p<0.05)③ 85.0%
Chen Y (2017)67) China Peripheral facial paralysis 43 (22/21) Not stated Electro-Atx, HM, Moxa Electro-Atx, HM Qd,1c: 15t,Total 2~12c Cure rate 72.73% 42.86% Effective
p<0.05
Zhang J (2018)70) China Bell’s palsy 70 (35/35) >3m Atx,Acupoint injection Atx Qd,1c: 12t,Total 2c ① Ten scoring method② Clinical efficacy ① 14.60±3.46→6.20±3.46② 82.86% ① 14.63±3.54→8.60±4.44② 68.57% Effective
P<0.05
Zeng W (2018)69) China Peripheral facial paralysis 87 (43/44) Not stated Atx, HM Atx Atx: not stated,HM: tid,1c: 6d,Total 3c Effective rate 88.64% 69.77% Effective
T: Treatment group, C: Control group, Sx: Symptom, NS: Normal saline, BF: Biofeedback