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)
Pobierz/Download/下載/Cкачиваете   免費下載(僅限英文版)

生物反馈肌电图培训与肉毒杆菌毒素A对颜面神经瘫痪中的联带运动和面部不对称激

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

摘要
目的:比较生物反馈肌电图训练与肉毒杆菌毒素A与选定运动方案对颜面神经瘫痪中联带运动和面部不对称的影响。方法:将45名中度面部联带运动患者随机分为三组,所有参与者均使用 Sunnybrook 面部分级系统(FGS)和House Brackmann分级量表评估。第一组的15名患者接受面部肌肉的EMG生物反馈训练,第二组的15名患者接受针对联带运动的单次计量BTX-A注射处理,第三组的15名患者则接受选定的面部综合症运动项目。
结果。测量前后三组的FGS测量值均有显著增加,然而第一组的改善更加明确。测量前后三组的HBS测量值均显著降低,然而三组间的HBS测量无显著差异。
结论。EMG生物反馈训练治疗在降低联带运动和颜面神经麻痹的脸部对称性恢复上与肉毒杆菌毒素A注射一样有效。我们的结果可支持生物反馈训练和改善面部肌肉自主运动和联带运动间的相互关系,并可支持BTX-A注射和面部对称之间的相互关系。

关键词:
颜面神经瘫痪、肌电图生物反馈、肉毒杆菌毒素、联带运动。

 

Pobierz/Download/下載/Cкачиваете 免費下載(僅限英文版)