Effectiveness of novel facial stretching with structured exercise versus conventional exercise for Bell's palsy: a single-blinded randomized clinical trial.
Bell’s palsy
Disability
Facial exercises
Facial symmetry
Rehabilitation
Therapy
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
10 06 2024
10 06 2024
Historique:
received:
31
05
2023
accepted:
04
06
2024
medline:
11
6
2024
pubmed:
11
6
2024
entrez:
10
6
2024
Statut:
epublish
Résumé
The purpose of the study was to assess the effects of a novel technique involving facial stretching of the unaffected side along with a structured exercise for the affected side on facial symmetry and facial functions as compared to conventional exercise. A hospital-based parallel-group randomized trial was completed among patients with acute Bell's palsy in Mangalore, India. Participants were randomized to receive facial stretching and a structured exercise program (experimental group) or the conventional exercise regimen (conventional group). Primary outcomes were facial symmetry and voluntary movement; assessed by the Sunnybrook Facial Grading System (SFGS). Both regimens were given for 3 weeks, with baseline, 10th day, and 20th day assessments. Out of 31 participants screened, 24 were eligible and 12 participants each were assigned to experimental and conventional groups. Change scores revealed greater improvement in the SFGS score (p = 0.002) for the experimental group participants. Facial stretching and structured exercise program exhibited promising results in enhancing facial symmetry and function in acute Bell's palsy when compared to conventional exercise regimen.
Identifiants
pubmed: 38858464
doi: 10.1038/s41598-024-64046-z
pii: 10.1038/s41598-024-64046-z
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
13266Informations de copyright
© 2024. The Author(s).
Références
Reich, S. G. Bell’s palsy. Continuum (Minneap Minn). (2, Selected Topics in Outpatient Neurology) pp. 447–466 (2017).
Zhang, W. et al. The etiology of Bell’s palsy: A review. J. Neurol. 267(7), 1896–1905 (2020).
doi: 10.1007/s00415-019-09282-4
pubmed: 30923934
McCaul, J. A. et al. Evidence based management of Bell’s palsy. Br. J. Oral. Maxillofac. Surg. 52(5), 387–391 (2014).
doi: 10.1016/j.bjoms.2014.03.001
pubmed: 24685475
Somasundara, D. & Sullivan, F. Management of Bell’s palsy. Aust. Prescr. 40(3), 94–97 (2017).
doi: 10.18773/austprescr.2017.030
pubmed: 28798513
pmcid: 5478391
Dalla Toffola, E. et al. Choosing the best rehabilitation treatment for Bell’s palsy. Eur. J. Phys. Rehabil. Med. 48(4), 635–642 (2012).
pubmed: 22522431
Alakram, P. & Puckree, T. Effects of electrical stimulation on House-Brackmann scores in early Bell’s palsy. Physiother. Theory Pract. 26(3), 160–166 (2010).
doi: 10.3109/09593980902886339
pubmed: 20331372
Gagyor, I., Madhok, V. B., Daly, F. & Sullivan, F. Antiviral treatment for Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst. Rev. 9(9), CD001869. https://doi.org/10.1002/14651858.CD001869.pub9 (2019).
doi: 10.1002/14651858.CD001869.pub9
pubmed: 31486071
Bayoumy, A. B. & de Ru, J. A. Cochrane systematic review antiviral treatment for Bell’s palsy: An opposing opinion!. SN Compr. Clin. Med. 2, 928–932. https://doi.org/10.1007/s42399-020-00339-4 (2020).
doi: 10.1007/s42399-020-00339-4
Pourmomeny, A. A. & Asadi, S. Management of synkinesis and asymmetry in facial nerve palsy: A review article. Iran J. Otorhinolaryngol. 26(77), 251 (2014).
pubmed: 25320703
pmcid: 4196449
Baugh, R. F. et al. Clinical practice guideline: Bell’s palsy. Otolaryngol. Head Neck Surg. 149(3_suppl), S1-27 (2013).
pubmed: 24189771
Khan, A. J. et al. Physical therapy for facial nerve paralysis (Bell’s palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clin. Rehabil. 36(11), 1424–1449 (2022).
doi: 10.1177/02692155221110727
pubmed: 35787015
pmcid: 9510940
Teixeira, L. J., Valbuza, J. S. & Prado, G. F. Physical therapy for Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst. Rev. 12, CD006283. https://doi.org/10.1002/14651858.CD006283.pub3 (2011).
doi: 10.1002/14651858.CD006283.pub3
Cederwall, E., Olsén, M. F., Hanner, P. & Fogdestam, I. Evaluation of a physiotherapeutic treatment intervention in “Bell’s” facial palsy. Physiother. Theory Pract. 22(1), 43–52 (2006).
doi: 10.1080/09593980500422529
pubmed: 16573245
Gatidou, A. M. et al. Physiotherapy management of Bell’s palsy- A review of evidenced based physiotherapy practice. Int. J. Adv. Res. Med. 3(1), 402–406 (2021).
doi: 10.22271/27069567.2021.v3.i1g.171
Lieber, R. L. & Fridén, J. Functional and clinical significance of skeletal muscle architecture. Muscle Nerve. 23(11), 1647–1666 (2000).
doi: 10.1002/1097-4598(200011)23:11<1647::AID-MUS1>3.0.CO;2-M
pubmed: 11054744
Kannus, P. et al. The effects of training. immobilization and remobilization on musculoskeletal tissue-l. Training and immobilization. Scand. J. Med. Sci. Sports. 2, 100–108 (1992).
doi: 10.1111/j.1600-0838.1992.tb00330.x
Chleboun, G. Muscle structure and function. In Joint structure and function: A comprehensive analysis 5th edn (eds Levangie, P. K. & Norkin, C. C.) 108–137 (FA Davis, 2011).
Williams, P. E., Catanese, T., Lucey, E. G. & Goldspink, G. The importance of stretch and contractile activity in the prevention of connective tissue accumulation in muscle. J. Anat. 158, 109–114 (1988).
pubmed: 3225214
pmcid: 1261981
Williams, P. E. Use of intermittent stretch in the prevention of serial sarcomere loss in immobilised muscle. Ann. Rheum Dis. 49(5), 316–317 (1990).
doi: 10.1136/ard.49.5.316
pubmed: 2344211
pmcid: 1004076
Coulson, S. E., O’dwyer, N. J., Adams, R. D. & Croxson, G. R. Expression of emotion and quality of life after facial nerve paralysis. Otol. Neurotol. 25(6), 1014–1019 (2004).
doi: 10.1097/00129492-200411000-00026
pubmed: 15547436
Tharani, G., Rajalaxmi, V., Yuvarani, G. & Kamatchi, K. Comparison of PNF versus conventional exercises for facial symmetry and facial function in Bell’s palsy. Int. J. Curr. Adv. Res. 7(1), 9347–9350 (2018).
Vakharia, K. & Vakharia, K. Bell’s palsy. Facial Plast. Surg. Clin. N. Am. 24(1), 1–10 (2016).
doi: 10.1016/j.fsc.2015.08.001
Page, P., Frank, C. C. & Lardner, R. Assessment and treatment of muscle imbalance: The Janda approach.
de Almeida, J. R. et al. Canadian Society of Otolaryngology—Head and Neck Surgery and Canadian Neurological Sciences Federation Management of Bell palsy: Clinical practice guideline. CMAJ. 186(12), 917–922 (2014).
pubmed: 24934895
pmcid: 4150706
Guerreschi, P. & Labbé, D. Sequelae of facial palsy: A comprehensive treatment. Plast. Reconstr. Surg. 144(4), 682e–692e (2019).
doi: 10.1097/PRS.0000000000006079
pubmed: 31568317
Shokri, T., Azizzadeh, B. & Ducic, Y. Modern management of facial nerve disorders. Semin. Plast. Surg. 34(4), 277–285 (2020).
doi: 10.1055/s-0040-1721824
pubmed: 33380914
pmcid: 7759435
Kimber, R., Rodger, A., Higgins, R. & Christofi, G. A combined approach of facial neuromuscular rehabilitation and surgical reconstruction in the remediation of facial palsy: A multidisciplinary team approach. Facial Plast. Surg. https://doi.org/10.1055/s-0044-1779044 (2021).
doi: 10.1055/s-0044-1779044
Cronin, G. W. & Steenerson, R. L. The effectiveness of neuromuscular facial retraining combined with electromyography in facial paralysis rehabilitation. Otolaryngol. Head Neck Surg. 128(4), 534–538 (2003).
doi: 10.1016/S0194-59980300005-6
pubmed: 12707657
Unell, A. et al. Influence of visual feedback persistence on visuo-motor skill improvement. Sci. Rep. 11(1), 17347 (2021).
doi: 10.1038/s41598-021-96876-6
pubmed: 34462516
pmcid: 8405669
Adams, J. A., Gopher, D. & Lintern, G. The effects of visual and proprioceptive feedback on motor learning. Proc. Hum. Factors Soc. Ann. Meet. 19(2), 162–165 (1975).
doi: 10.1177/154193127501900204
Pereira, L. M. et al. Facial exercise therapy for facial palsy: Systematic review and meta-analysis. Clin. Rehabil. 25(7), 649–658 (2011).
doi: 10.1177/0269215510395634
pubmed: 21382865
Ferreira, M., Marques, E. E., Duarte, J. A. & Santos, P. C. Physical therapy with drug treatment in Bell palsy: A focused review. Am. J. Phys. Med. Rehabil. 94(4), 331–340 (2015).
doi: 10.1097/PHM.0000000000000255
pubmed: 25785922