Effectiveness of novel facial stretching with structured exercise versus conventional exercise for Bell's palsy: a single-blinded randomized clinical trial.

Autor: Santiago S; Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India., Joshua AM; Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India. abraham.joshua@manipal.edu., Nayak A; Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India., Misri Z; Department of Neurology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India., Pai S; Department of Neurology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India., Pai R; Department of Neurology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India., Mithra P; Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India., Prabhakar AJ; Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India., Palaniswamy V; Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Jun 10; Vol. 14 (1), pp. 13266. Date of Electronic Publication: 2024 Jun 10.
DOI: 10.1038/s41598-024-64046-z
Abstrakt: 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.
(© 2024. The Author(s).)
Databáze: MEDLINE
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