This blog is to share the latest research and development of acupuncture and raise the awareness of alternative treatments for your conditions, and is for information only.

Monday, 1 August 2016

Acupuncture significantly improved ophthalmoplegia caused by oculomotor nerve palsy

The oculomotor nerve paralysis usually causes ophthalmoplegia, leading to the impairment of eye movements or the response of pupils to light. Acupuncture treatment with patients suffering from oculomotor nerve palsy-induced ophthalmoplegia markedly improved the condition, according to a report recently published in journal of Evidence-Based Complimentary and Alternative Medicine.

The oculomotor nerve innervates the eyelid and four external ocular muscles including the medial rectus, superior rectus, inferior rectus and inferior oblique and others. People with oculomotor nerve palsy have double vision when looking a certain direction, the eyelid drop and widened pupil. The oculomotor nerve palsy is caused by either the pressure on the nerve or inadequate blood flow to the nerve, such as diabetes, hypertension and other disorders that affect blood supply to the oculomotor nerve. The common approach involves treatment to the causes and symptom therapy; either is in many cases not satisfactory.  

Recently, Dr. JQ Bi and colleagues in China conducted a pilot randomized controlled clinical study to assess the effect of acupuncture on the oculomotor palsy. A total of 40 patients with oculomotor palsy were randomly divided into acupuncture and control group (n=20 each group). Acupuncture stimulation was applied on acupoints ST1, EX-HN4, EX-HN5 and bilateral LI4 for 20 min each time, three times a week for four weeks. For sham control group, the same acupoints were applied but without the insertion of needles into the skin. The treatment outcome is measured by monitoring the cervical range of motion (CROM), the palpebral fissure size, response rate, at the baseline and the end of treatment.

It was reported, at the end of the study that acupuncture treatment significantly improved the conditions judged by the outcome measurements, e.g. CROM, the palpebral fissure size, response rate, compared with control group. No adverse effect was reported. The study suggested that acupuncture could be a feasible treatment for oculomotor palsy.

Reference
JQ Bi et al., Acupuncture for the Treatment of Oculomotor Paralysis: A Pilot Randomised Controlled Trial. Evidence-Based Complementary and Alternative Medicine, Volume 2016, Article ID 3961450,6 pages.     http://www.hindawi.com/journals/ecam/2016/3961450/

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