Exploring the potential central regulatory mechanisms of acupuncture for acute-stage Bell's palsy: an fMRI-based investigation.

Objective: This study utilized resting-state functional magnetic resonance imaging (fMRI) to examine changes in brain functional activity following acupuncture treatment for acute Bell's palsy (BP) and to investigate the potential central regulatory mechanisms involved. Methods: A total of 55 patients with acute Bell's facial paralysis (within 1-7 days of onset) were enrolled in the patient group, while 48 individuals without the condition were included as the healthy control group. The patient group received acupuncture therapy at EX-HN16 ( Results: Following treatment, the patient group showed significant improvements in H-B, Sunnybrook, and FDI scores compared to pretreatment levels ( Conclusion: Acupuncture demonstrates a clear therapeutic effect on acute BP and contribute to clinical symptom improvement. Marked differences in brain functional activity were observed between patients and healthy individuals. The therapeutic effect of acupuncture may be linked to its ability to facilitate functional reorganization in brain regions associated with sensation, movement, and emotion. Clinical trial registration: https://www.chictr.org.cn/searchproj.html? title=&officialname=&subjectid=&regstatus=&regno=ChiCTR2200065223& secondaryid=&applier=&studyleader=&createyear=&sponsor=&secsponsor= &sourceofspends=&studyailment=&studyailmentcode=&studytype=&study stage=&studydesign=&recruitmentstatus=&gender=&agreetosign=&measure= &country=&province=&city=&institution=&institutionlevel=&intercode=& ethicalcommitteesanction=&whetherpublic=&minstudyexecutetime=&maxstudy executetime=&btngo=btn, identifier ChiCTR2200065223.