Tag: Bell’s palsy

An interdisciplinary concept for the treatment of Bell’s palsy – a case report

Konrad Kijak, Łukasz Kopacz, Grzegorz Cieślar, Zbigniew Śliwiński, Piotr Skomro, Małgorzata Kowacka, Paweł Berczyński, Danuta Lietz-Kijak


Konrad Kijak, Łukasz Kopacz, Grzegorz Cieślar, Zbigniew Śliwiński, Piotr Skomro, Małgorzata Kowacka, Paweł Berczyński, Danuta Lietz-Kijak – An interdisciplinary concept for the treatment of Bell’s palsy – a case report. Fizjoterapia Polska 2023; 23(2); 62-69

DOI: https://doi.org/10.56984/8ZG0DF923

Abstract

Background. Bell’s palsy is a spontaneous paralysis of the facial nerve (i.e. cranial nerve VII). It presents with muscle weakness leading to facial asymmetry, with a drooping corner of the mouth, loss of the ability to whistle, blink, close the eyelid, purse lips or grin. The forehead on the affected side becomes smooth and the patient is not able to frown or raise eyebrows.

Objective. The aim of the study was to evaluate the effect of combined electrophysical and physiotherapeutic methods on accelerating recovery from facial nerve palsy.

Material and Methods. The authors describe two cases of Bell’s palsy, treated with simulta-neous application of electrophysical agents, in the form of an extremely low-frequency elec-tromagnetic field (ELF-EMF) and high-energy LED light, and physiotherapy modalities, i.e. proprioceptive neuromuscular facilitation (PNF) and kinesiotaping (KT).

Results. After four weeks of electrophysical and physiotherapeutic treatments, a fully satis-factory and stable therapeutic effect was achieved.

Conclusions. The interdisciplinary therapy using ELF-EMF + LED combined with PNF and KT treatments proved to be effective in accelerating recovery from facial nerve palsy. Further studies are needed to establish appropriate protocols.

Key words: Bell’s palsy, electrophysical agents, physiotherapy, LED light therapy with extremely low frequency electromagnetic field (ELF-MF), proprioceptive neuromuscular facilitation (PNF), kinesiotaping (KT)
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Biofeedback Electromyography Training Versus Botulinum Toxin A on Synkinesis and Facial Asymmetry in Bell’s Palsy

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

 

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