Sarah G. Mohamed, Gehan M. Ahamed, Walaa M. Abd El Aziz, Amr M. Al-Said, Abeer Elwishy

Sarah G. Mohamed, Gehan M. Ahamed, Walaa M. Abd El Aziz, Amr M. Al-Said, Abeer Elwishy – Biofeedback Electromyography Training Versus Botulinum Toxin A on Synkinesis and Facial Asymmetry in Bell’s Palsy. Fizjoterapia Polska 2019; 19(3); 118-125

Abstract
Objective. To compare the effect of biofeedback electromyography training versus botulinum toxin A versus selected program of exercise on Synkinesis and facial asymmetry in Bell’s palsy. Methods. 45 patients with moderate facial synkinesis were divided randomly into three groups. All participants were evaluated using Sunnybrook facial grading system (FGS) and House Brackmann scale. The first group consisted of fifteen patients were received EMG biofeedback training for facial muscles. Second group consisted of fifteen patients were received a single dose of BTX-A injection for the management of synkinesis. And third group consisted of fifteen patients were received selected program of exercise for facial synkinesis.
Results. There was a significant increase of FGS measurement was in all the three groups between pre and post measurements but first group showed the more evidence of improvement. There was significant decrease HBS measurement of was in all the three groups between pre and post measurements while there was no significant difference between the three groups according to HBS measurement.
Conclusion. EMG biofeedback training therapy is as effective as the botulinum toxin A injection in reducing synkinesis and recovery of facial symmetry in Bell’s palsy. Our results may support interrelation between biofeedback training and improvement of voluntary movement of facial muscle and synkinasis. And also may support interrelation between BTX-A injection and facial symmetry.

Key words:
Bell’s palsy, EMG Biofeedback, Botulinum toxin, Synkinesis

Pobierz/Download/下載/Cкачиваете

Pobierz bezpłatnie artykuł w j. angielskim