Wrist Ankle Acupuncture (WAA) and Body Acupuncture Accelerates Neurorehabilitation in Bell's Palsy: A Case Report

  • Rina Nurbani Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia/dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia
  • Dwi Rachma Helianthi Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia/dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia


Bell’s Palsy (BP) is an acute unilateral facial paralysis due to idiopathic inflammation of the peripheral facial nerve. Corticosteroids, antiviral drugs, and physical therapy could be useful to treat BP, however these treatments could not bring complete recovery.  Acupuncture could be an alternative option for BP and to show its effectiveness, we present a case report, a patient with BP treated with acupuncture.  A 48-year-old female patient, a kindergarden teacher, already treated with corticosteroid and antiviral agents as soon as BP was diagnosed.  Six weeks later, patient didn’t recover, with House-Brackmann score stage 3.  Acupuncture was perfomed at local and distance acupoints at ears, body and face. Wrist Ankle Acupuncture (WAA) L1,2; ear acupuncture at zero point; and body points were stimulated by electroacu-puncture. After acupuncture therapy, the House-Brackmann score was grade 2.  Medical options for the sequelae of BP are limited. Acupuncture’s effectivity in Bell palsy patients’ should be shown with more clinical studies.


Keywords: Acupuncture; Wrist Ankle Acupuncture; Bell’s Palsy; Recovery


Arai, YCP, Sakakima, Y, Kawanishi, J, Nishihara, M, Ito, A, Tawada, Y, Maruyama, Y. (2013). Auricular acupuncture at the “Shenmen” and “Point Zero” points induced parasympathetic activation, Evidence-Based Complementary and Alternative Medicine, vol. 2013, article ID. 945063. http://dx.doi.org/10.1155/2013/945063

Baugh, RF, Basura, GJ, Ishii, LE, Schwartz, SR, Drumheller, CM, Burkholder, R, et al. (2013), Clinical Practice Guideline: Bell’s Palsy. Otolaryngol Neck Surg, vol. 149, no. 3S, hh. S1–27. DOI: 10.1177/0194599813505967

Bodénez, C, Bernat, I, Willer, JC, Barré, P, Lamas, G, Tankéré, F. (2010). Facial nerve decompression for idiopathic Bell’s Palsy: report of 13 cases and literature review. J Laryngol Otol, vol. 124, no. 3, hh. 272–8. DOI:10.1017/S0022215109991265

Cayir, Y, Set, T, Akturk, Z. (2013). The effect of acupuncture in a patient with Bell’s Palsy: A case report. The European Journal of Oriental Medicine, vol. 7, no. 4, hh. 46-7.

Cooper, J, Deng, Y, Langland, J. (2017). Enhanced Recovery from Bell’s Palsy with Acupuncture and Chinese Herbal Medicine: A Case Report. Journal of Chinese Medicine, vol. 7, no. 114, hh. 48-52

De Seta, D, Mancini, P, Minni, A, Prosperini, L, De Seta, E, Attanasio, G, et al. (2014). Bell’s Palsy: Symptoms preceding and accompanying the facial paresis. Sci World J, vol. 2014, hh. 1-6,

Eviston, TJ, Croxson, GR, Kennedy, PGE, Hadlock, T, Krishnan, AV. (2015). Bell’s Palsy: Aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry, vol. 86, no. 12, hh. 1356–61, DOI: 10.1136/jnnp-2014-309563

Hohman, MH, Hadlock, TA. (2014). Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. Laryngoscope, vol. 124, hh. E283-93, DOI: 10.1002/lary.24542

İnanç, BB. (2013). Bell Palsy and Acupuncture Treatment. J Clin Anal Med, vol. 4, no. suppl 4, hh. 426-8.

Lao, HH. (1999). Oriental Healthcare Center, 2nd edition, New York.

Li, P, Qiu, T, Qin, C. (2015). Efficacy of acupuncture for BP: A systematic review and meta-analysis of randomized controlled trials. PLoS One, vol. 10, no. 5, hh. 1–14.

Öksüz, CE, Kalaycıoğlu, A, Uzun, Ö, Kalkışım, ŞN, Zihni, NB, Yıldırım, A, et al. (2019). The Efficacy of Acupuncture in the Treatment of BP Sequelae. J Acupunct Meridian Stud, vol. 12, no. 4, hh. 122–30. https://doi.org/10.1016/j.jams.2019.03.001

Ton, G, Lee, LW, Chen, YH, Tu, CH, Lee, YC. (2019). Effects of laser acupuncture in a patient with a 12-year history of facial paralysis: A case report. Complementary Therapies in Medicine, vol. 43, hh. 306–310.

Wang, Y. (2009). Micro-Acupuncture in practice. Churchill livingstone, St. Louis.

WHO. (2009). WHO Standard acupuncture point locations in the western pacific region.WHO, Manila.

Wu, H, et al. (2015). Effect of acupuncture on functional connectivity of anterior cingulate cortex for Bell’s Palsy patients with different clinical duration. Evidence-Based Complementary and Alternative Medicine, vol. 2015, article ID. 646872, hh. 1-7.

Xiaoming, C. (2005). Acupuncture & Moxibustion - A Clinical Desk Reference.

Xinshu, Z. (1991). Wrist and ankle acupuncture therapy. Journal of chinese medicine, vol. 37, hh. 5-14.

Zandian, A, Osiro, S, Hudson, R, Ali, IM, Matusz, P, Tubbs, SR, et al. (2014). The neurologist’s dilemma: A comprehensive clinical review of Bell’s Palsy, with emphasis on current management trends. Med Sci Monit, vol. 20, hh. 83–90. http://www.medscimonit.com/download/index/idArt/889876
How to Cite
NURBANI, Rina; HELIANTHI, Dwi Rachma. Wrist Ankle Acupuncture (WAA) and Body Acupuncture Accelerates Neurorehabilitation in Bell's Palsy: A Case Report. Journal of Agromedicine and Medical Sciences, [S.l.], v. 7, n. 3, p. 136-141, oct. 2021. ISSN 2714-5654. Available at: <https://jurnal.unej.ac.id/index.php/JAMS/article/view/24818>. Date accessed: 17 june 2024. doi: https://doi.org/10.19184/ams.v7i3.24818.
Case Report Article