Different stimulation intensities of acupuncture at Hegu (LI 4) for central facial nerve paralysis after ischemic stroke:a randomized controlled trial
Bibliographic record
Abstract
Objective To observe the clinical efficacy of acupuncture at Hegu(LI 4)on central facial nerve paralysis after ischemic stroke,and explore dose-effect relationship among different stimulation intensities of acupuncture at Hegu(LI 4)as well as its optimal treatment plan.Methods According to different acupuncture stimulation intensities which were based on treatment time and needle insertion direction,fifty patients were randomly divided into a Hegu 1group,a Hegu 2group,a Hegu 3group,a Hegu 4group and a control group,ten cases in each one.Different stimulation intensities of acupuncture at Hegu(LI 4)combined with facial paralysis acupoints,including Yingxiang(LI 20),Dicang(ST 4),Jiache(ST 6)and Quanliao(SI 18),were applied in Hegu 1to4groups;meanwhile acupuncture at stroke acupoints,including Neiguan(PC 6),Shuigou(GV 26)and Sanyinjiao(SP 6),and medication treatment were adopted.Except acupuncture at Hegu(LI 4),the treatment of the control group was identical as Hegu groups.The treatment duration lasted for 14days.The House-Brackmann facial never grading systems(H-B),Toronto facial grading system(TFGS),degrees of facial never paralysis(DFNP),facial disability index(FDI)and clinical efficacy were compared among groups.Results(1)Compared before the treatment,H-B,TFGS,DFNP and physical function score in FDI were all improved significantly in the Hegu 1to4groups(all P0.05),but social function score in FDI was not obviously improved(all P0.05);all the scores in the control group were not evidently changed(all P0.05).(2)Compared with the control group,differences of H-B before and after treatment in the Hegu 1to 4groups,differences of TFGS in the Hegu 2group and differences of DFNP in the Hegu 1and Hegu 2group were significantly improved(all P0.05).The differences of any scale among Hegu 1to 4groups were not significant(all P0.05),in which the most evident change was found in Hegu 2group.(3)The total effective rate was 90.0%(9/10),100.0%(10/10),90.0%(9/10)and80.0%(8/10)in Hegu 1to 4groups,which were significantly higher than 60.0%(6/10)in the control group(all P0.05).Conclusion Acupuncture at Hegu(LI 4)has affirmative clinical efficacy on central facial nerve paralysis after ischemic stroke,in which oblique insertion along the opposite direction of meridian for 5sof twirling manipulation has the best clinical effect.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.004 | 0.003 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".