Objective: This study aims to discuss the therapeutic clinical efficacy of acupuncture in the treatment of pseudobulbar palsy.
Methods: A total of 180 patients with pseudobulbar palsy were randomized into an experimental group (n = 90), which received acupuncture plus conventional therapy, and a control group (n = 90), which received conventional therapy alone for 4 weeks. Changes in traditional Chinese medicine (TCM) evidence scores, swallowing function, articulation function, quality of life, and therapeutic efficacy were assessed before and after therapy in both groups.
Results: The experimental group showed significantly greater improvements in TCM syndrome scores, swallowing function [pudding drinking test, standardized swallowing assessment (SSA)], articulation function (Frenchay), and quality of life (Swallowing Quality of Life Questionnaire, SWAL-QOL) compared with the control group (all P < 0.05).
Conclusion: Acupuncture demonstrates significant clinical efficacy in the treatment of pseudobulbar palsy, improving patients’ swallowing and articulation functions and enhancing their quality of life.
BingH.ManpingS. (2021). Observation on the efficacy of Tongdu Tiaoshen acupuncture combined with nape acupuncture in the treatment of pseudobulbar palsy. Shanghai Journal of Acupuncture, 40(11), 1299–1304. https://doi.org/10.13460/j.issn.1005-0957.2021.11.1299
2.
HuangH.ShiH.RenX.HeY.ZhangL.LiY. (2022). “Tong Guan Li Qiao” acupuncture therapy on post-stroke dysphagia. Chinese Medicine and Natural Products, 2(04), e174–e178. https://doi.org/10.1055/s-0042-1759766
3.
HuangY.MaW.ShenW. (2020). Efficacy evaluation of acupuncture plus rehabilitation training for post-stroke deglutition disorders of Qi-deficiency blood stasis pattern. Journal of Acupuncture and Tuina Science, 18(5), 367–373. https://doi.org/10.1007/s11726-020-1203-y
4.
HuiyiZ.XuanL.XueqingW.YangS.ZhiqiangZ. (2022). Clinical observation of acupuncture combined with low-frequency repetitive transcranial magnetic stimulation in the treatment of dysphagia due to cerebral infarction and pseudobulbar palsy. Chinese Medicine Herald, 28(1), 103–105, 117.
5.
JiaT. (2020). Research on and comparison of the stimulating peripheral activity to relieve conditions and acupuncture. Proceedings of the 2020 4th International Conference on Computational Biology and Bioinformatics (pp. 35–41).
6.
JiangZ. F.JiaH. B.YueG. Q.ZhangZ. Z.WuX. J.LiY. L. (2022). Acupoint selection rules of acupuncture for pseudobulbar palsy dysphagia. Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 42(4), 465–470.
7.
JinH. P.LiX. L.YeQ. J.ZhangZ. Y.XuC.ChenT. (2020). Effect of electrical stimulation with bilateral scalp acupuncture on time parameters in video fluoroscopic swallowing study and cortical excitability in patients with dysphagia after cortical stroke. Zhen ci yan jiu=Acupuncture Research, 45(6), 473–479.
8.
JingL. (2023). Analysis and research on acupuncture treatment of post-stroke pseudobulbar palsy based on data mining. Inner Mongolia Traditional Chinese Medicine, 42(6), 141–143.
9.
LiL.XuF.YangS.KuangP.DingH.HuangM.GuoC.YuanZ.XiaoX.WangZ.ZhangP. (2023). Tongue acupuncture for the treatment of post-stroke dysphagia: A meta-analysis of randomized controlled trials. Frontiers in Neuroscience, 17, 1124064. https://doi.org/10.3389/fnins.2023.1124064
10.
LiminM.JuZ.AiguoX.WangY.WuH. (2021). Research on acupoint selection rules for acupuncture treatment of post-stroke pseudobulbar palsy based on data mining. Journal of Guangzhou University of Traditional Chinese Medicine, 38(8), 1626–1632.
11.
LuL.ZhangY.TangX.LiJ.LiY.ZhangZ.LiuT.WangX. (2022). Evidence on acupuncture therapies is underused in clinical practice and health policy. BMJ, 376, e067475. https://doi.org/10.1136/bmj-2021-067475
12.
LuY.ChenY.HuangD.XieZ.GaoZ.LiuH.ZhangL. (2021). Efficacy of acupuncture for dysphagia after stroke: A systematic review and meta-analysis. Annals of Palliative Medicine, 10(3), 3410–3422. https://doi.org/10.21037/apm-21-499
13.
LyuZ.ZhaoX.GuoY.ChenZ.-l.WangS.-j.GongY.-n. (2021). Exploration of stratified evidence scoring method of acupuncture clinical practice guidelines. Chinese Journal of Integrative Medicine, 27, 141–147. https://doi.org/10.1007/s11655-019-3170-z
14.
MengC.XuemeiS.LiL.PingL. (2021). Analysis of the incidence and influencing factors of dysphagia after acute ischemic stroke. Journal of Nursing, 36(2), 24–27.
15.
MiyagawaS.YaguchiH.KuniedaK.NakagawaK.SuzukiH. (2024). Speech-swallow dissociation of velopharyngeal incompetence with pseudobulbar palsy: Evaluation by high-resolution manometry. Dysphagia, 1090–1099. https://doi.org/10.1007/s00455-024-10687-1
16.
PengS.ChangW.TianY.YangY.LiS.NiJ.ZhuW. (2022). Herbal medicine and acupuncture relieved progressive bulbar palsy for more than 3 years: A case report. Medicine, 101(45), e31446. https://doi.org/10.1097/MD.0000000000031446
17.
QiuX.GaoY.ZhangZ.ChengS.ZhangS. (2021). Fire acupuncture versus conventional acupuncture to treat spasticity after stroke: A systematic review and meta-analysis. PLoS One, 16(4), e0249313.
18.
QuJ. (2020). Acupuncture mechanism, applications, and future development. Chinese Medicine and Culture, 3(1), 33–38. https://doi.org/10.4103/CMAC.CMAC_1_20
19.
RanZ.WeixinC.LiliD.XueY.JunL.XiaoyuZ. (2021). Meta-analysis of risk factors for dysphagia in patients with ischemic stroke. Chinese Journal of Stroke, 16(12), 1235–1241.
20.
RonghuaJ.YifanZ.YingpingJ. (2021). Effects of swallowing and speech diagnosis and treatment instrument combined with scalp acupuncture on swallowing and language functions in patients with pseudobulbar palsy after cerebral infarction. Neurological Injury and Functional Reconstruction, 16(2), 106–108.
21.
ShuX.FengS.ShenL.JiangR.ZhangH. (2021). Research progress of traditional Chinese medicine in treating dysphagia after stroke. Journal of Clinical and Nursing Research, 5(6), 142–146. https://doi.org/10.26689/jcnr.v5i6.2713
22.
TangY.LiangR.GaoW.ZhangS.LiangB.ZhuL. (2022). A meta-analysis of the effect of nape acupuncture combined with rehabilitation training in the treatment of dysphagia after stroke. Medicine, 101(46), e31906. https://doi.org/10.1097/MD.0000000000031906
23.
WangP.MaX.HuangJ.LiJ.MaL.XuD.YanP. (2022). Effect of acupuncture treatment on dysphagia caused by pseudobulbar paralysis after stroke: A systematic review and meta-analysis. Annals of Palliative Medicine, 11(7), 2257–2264. https://doi.org/10.21037/apm-21-3551
24.
WeiL.Jun-YingW.Chun-LeiL.HuangZ.LiS. (2020). Therapeutic effect of acupuncture at cervical acupoints on dysphagia after severe traumatic brain injury. International Journal of Clinical Acupuncture, 29(4).
25.
WeiW.QinT.YafenW.LangZ.LiaoM. (2022). Clinical observation of electro-acupuncture combined with early rehabilitation training to treat hypertensive cerebral hemorrhage in basal ganglia. Acupuncture & Electro-Therapeutics Research, 47(3), 291–301. https://doi.org/10.3727/036012921X16304136917582
26.
XuS.GuoS.SunM.CuiC.XuK.HeX.CuiY.GaoZ.WuZ.XueJ.MaY.SunJ.ZhangR.CaiG.CaiG. (2023). A multicentre randomized controlled clinical study of Cross Electro-Nape-Acupuncture (CENA) for the treatment of pseudobulbar palsy in patients with tracheotomy intubation for severe cerebral haemorrhage. Evidence-Based Complementary and Alternative Medicine, 2023(1).
27.
YanM.FanJ.LiY.LiuX.YuZ.ZhuangL. (2022). Electro-acupuncture on Vascular Parkinsonism with multiple sleep disorders: A case report. Frontiers in Neurology, 13, 1057095. https://doi.org/10.3389/fneur.2022.1057095
28.
YangJ.DangY.PangY. (2024). Acupuncture plus tongue pressure resistance feedback training for post-stroke deglutition disorders: A randomized controlled trial. Journal of Acupuncture and Tuina Science, 22(2), 121–126. https://doi.org/10.1007/s11726-024-1427-3
29.
YangX.ShiL.RanD.LiM.QinC.AnZ. (2022). The treatment of post-stroke dysarthria with a combination of different acupuncture types and language rehabilitation training: A systematic review and network meta-analysis. Annals of Translational Medicine, 10(23), 1281–1281. https://doi.org/10.21037/atm-22-5583
30.
YangX.ShiL.RanD.LiuZ.GuoY. (2022). Comparison of tongue acupuncture and traditional acupuncture in the treatment of poststroke dysarthria: A meta-analysis and tongue acupuncture system classification evaluation. Evidence-Based Complementary and Alternative Medicine, 2022(1), 4897863.
31.
YongY. P.TanH. C. (2023). A review on acupuncture treatment for post-stroke aphasia. INTI Journal, 2023(37), 1–9.
32.
YuanY.QianX. L.YanW. M.WuD. J.LiJ. F.ChenW. (2020). Fire needling on dysphagia due to pseudobulbar palsy after stroke: A randomized controlled trial. Zhongguo Zhen jiu=Chinese Acupuncture & Moxibustion, 40(4), 347–351.
33.
ZefeiJ.HongbinJ.GuangqingY.FeiZ.HuiW. (2022). Research on acupoint selection rules for acupuncture treatment of dysphagia in pseudobulbar palsy. Chinese Acupuncture, 42(4), 465–470.
