Comparing the effectiveness of mime therapy and neuromuscular re-education in improving facial symmetry and function in acute Bell's palsy: a pilot randomised clinical trial

2021 ◽  
Vol 28 (3) ◽  
pp. 1-8
Author(s):  
Arnold Fredrick D'Souza ◽  
Sydney Roshan Rebello
Keyword(s):  
Clinical Trial ◽  
Randomised Clinical Trial ◽  
Bell’S Palsy ◽  
Patient Comfort ◽  
Grading System ◽  
Bell's Palsy ◽  
Facial Symmetry ◽  
System P ◽  
And Function ◽  
Facial Clinimetric Evaluation Scale

Background/aims Untreated Bell's palsy may lead to disability and reduced quality of life, while early intervention can improve prognosis. This pilot randomised clinical trial aims to compare the effectiveness of mime therapy and neuromuscular re-education in improving facial symmetry and function in patients with acute Bell's palsy. Methods A total of 20 patients diagnosed with Bell's palsy were included in this study after meeting the inclusion criteria. Patients were randomly divided into two groups of ten. Group A received mime therapy while group B received neuromuscular re-education. Each participant received 12 sessions of the respective treatment over 2 weeks and was assessed for facial symmetry and function using the Sunnybrook Facial Grading System and the Facial Clinimetric Evaluation Scale respectively. Results Although both mime therapy and neuromuscular re-education showed highly significant improvements within each group for both the Sunnybrook Facial Grading System (P=0.005) and Facial Clinimetric Evaluation Scale (P=0.005); they showed no difference between each group for the Sunnybrook Facial Grading System (P=0.212) and Facial Clinimetric Evaluation Scale (P=0.97). Conclusions Mime therapy and neuromuscular re-education are equally effective in the recovery of facial symmetry and function in acute Bell's palsy. Physiotherapists can choose between either technique based on their skills and preference or based on patient comfort and expectation.

Prognostic Factors Associated With Recovery in Children With Bell’s Palsy

2019 ◽  
Vol 34 (14) ◽  
pp. 891-896 ◽  
Author(s):  
Elif Karatoprak ◽  
Sila Yilmaz
Keyword(s):  
Prognostic Factors ◽  
Facial Nerve ◽  
Bell’S Palsy ◽  
Steroid Treatment ◽  
Grading System ◽  
Bell's Palsy ◽  
Early Recovery ◽  
Laboratory Findings ◽  
Distribution Width ◽  
Factors Affecting

Objectives: The aim of the study was to determine the prognosis of children with Bell’s palsy and analyze the prognostic factors affecting early recovery. Methods: The records of children with a diagnosis of Bell’s palsy were retrospectively analyzed. Demographic and clinical features including age, gender, House-Brackmann Facial Nerve Grading System House-Brackmann Grading Scale (HBGS) grade at admission and follow-up, and the dosage and onset of steroid treatment were reviewed. Laboratory findings such as red blood cell distribution width and neutrophil-to-lymphocyte ratio were noted. The patients who were recovered within the first month (early recovery) were compared with the patients who were recovered after first month (late recovery) in terms of demographic, clinical characteristics, laboratory findings and treatment modalities in order to determine the risk factors affecting early recovery. Results: A total of 102 children (65 girls and 37 boys) with a mean age of 10.37 ± 4.2 years were included in the study. The complete recovery was detected in 101 children (%99) with Bell’s palsy. Statistically significant difference was found in terms of dosage and time of onset of steroid treatment ( P = .04, P = .035, respectively) and House-Brackmann Facial Nerve Grading System grade on the 10th day ( P = .001) between the early and late recovery groups. Conclusion: The prognosis of Bell’s palsy in children was very good. The prognostic factors affecting the early recovery were being House-Brackmann Facial Nerve Grading System grade 2 or 3 on the 10th day and receiving steroid treatment in the first 24 hours. Neutrophil-to-lymphocyte ratio and red blood cell distribution width were not found to be predictive factors for early recovery.

Bell's palsy

2021 ◽  
Vol 14 (12) ◽  
pp. 733-741
Author(s):  
Frith Cull ◽  
Holli Coleman
Keyword(s):  
Facial Nerve ◽  
Complete Recovery ◽  
Rapid Onset ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Ocular Complications ◽  
The United Kingdom ◽  
Common Diagnosis ◽  
Nerve Paresis ◽  
And Function

Bell's palsy is the term given to an idiopathic lower motor neurone facial nerve paresis or paralysis. It is of rapid onset, almost always unilateral, and may be associated with facial or retro-auricular pain or otalgia. It is the most common diagnosis associated with facial nerve palsy; a GP will see a case approximately every 2 years in practice in the United Kingdom. Early diagnosis and steroid treatment increase the likelihood of full recovery, whereas ocular complications can be prevented by lubricants and lid taping. Over 70% of patients recover within a year. Options to improve facial appearance and function, in those who do not experience a complete recovery, include surgery.

Yanagihara Facial Nerve Grading System as a Prognostic Tool in Bell’s Palsy

2014 ◽  
Vol 35 (9) ◽  
pp. 1669-1672 ◽  
Author(s):  
Naohito Hato ◽  
Takashi Fujiwara ◽  
Kiyofumi Gyo ◽  
Naoaki Yanagihara
Keyword(s):  
Facial Nerve ◽  
Bell’S Palsy ◽  
Grading System ◽  
Bell's Palsy ◽  
Prognostic Tool

Steroid/Antiviral for the treatment of Bell’s palsy: Double blind randomized clinical trial

2016 ◽  
Vol 34 (6) ◽  
pp. 897-905 ◽  
Author(s):  
Eman Mohamed Khedr ◽  
Reda Badry ◽  
Anwer Mohamed Ali ◽  
Noha Abo El-Fetoh ◽  
Dina Hatem El-Hammady ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Double Blind

scholarly journals MULTIPLE APPROACHES IN MANAGEMENT OF BELL’S PALSY- A CASE STUDY

2018 ◽  
Vol 7 (2) ◽  
pp. 52-54
Author(s):  
Sagar Kumar ◽  
Muhammad Ather Hashmi
Keyword(s):  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Facial Musculature ◽  
Resistance Exercises ◽  
Grading Scale ◽  
Combination Approach ◽  
And Function ◽  
Eye Closure ◽  
Soft Tissue Mobilization

Bell’s palsy is a prevalent type of Facial nerve Palsy, estimated up to 75% of the cases. A 58 year old male patient presented with right sided Bell’s palsy. Thorough examination revealed the weakness of facial musculature and synkinesis associated with drooping and asymmetry. Reportedly, he had difficulty in eye closure, chewing and drinking. Assessment was conducted using Sunny Brook Facial Grading Scale. After assessment a comprehensive strategy combining of different modalities including electrical stimulation with Russian Current, gentle soft tissue mobilization, resistance exercises and taping. Symptomatically, after 3 weeks there was a significant improvement in the facial symmetry, strength and function of facial musculature as well as score of Sunny Brook Facial Grading Scale. Experimentally, this indicates effectiveness of this treatment regime, however; further randomized control trials should be conducted to further investigate efficacy and validity of this combination approach.

Sign in / Sign up

Export Citation Format

Share Document