Eclectic rehabilitation for bell’s palsy: A case report
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Bell’s Palsy is one of the most common mononeuropathies or disorders affecting a single nerve and is associated with facial nerve weakness and paralysis. Though self-limiting the disorder may leave its long-lasting residual manifestations in the form of abnormal facial symmetry, inability to close the eyes, and other poor outcomes leading to disability and impairment in societal functioning among patients. Treatment strategies include pharmacological, surgical, and therapeutic options and to limit the long-term devastating effects therapeutic options play a vital role. Physiotherapeutic techniques have been widely used among patients with Bell’s Palsy but not all techniques are performed in combination. One is compared with the other and also for short durations. We planned this study to see the outcome of combined techniques available in Physiotherapy on a patient with long-term follow-up. This is a case of 38 years old male patient diagnosed with right-sided bell palsy who received 7 weeks of rehabilitation in the form of electrotherapy, facial exercises, facial PNF, massage, and education on eye care. The implementation of 7 weeks of physiotherapeutic rehabilitation led to improved facial functions and a reduction in the level of disability in the patient.
Abstract
Bell’s Palsy is one of the most common mononeuropathies or disorders affecting a single nerve and is associated with facial nerve weakness and paralysis. Though self-limiting the disorder may leave its long-lasting residual manifestations in the form of abnormal facial symmetry, inability to close the eyes, and other poor outcomes leading to disability and impairment in societal functioning among patients. Treatment strategies include pharmacological, surgical, and therapeutic options and to limit the long-term devastating effects therapeutic options play a vital role. Physiotherapeutic techniques have been widely used among patients with Bell’s Palsy but not all techniques are performed in combination. One is compared with the other and also for short durations. We planned this study to see the outcome of combined techniques available in Physiotherapy on a patient with long-term follow-up. This is a case of 38 years old male patient diagnosed with right-sided bell palsy who received 7 weeks of rehabilitation in the form of electrotherapy, facial exercises, facial PNF, massage, and education on eye care. The implementation of 7 weeks of physiotherapeutic rehabilitation led to improved facial functions and a reduction in the level of disability in the patient.
참고문헌 (16)
- Axelsson S, "Prednisolone in Bell's palsy related to treatment start and age", Otology & Neurotology, 32(1), pp.141~146 (2011)
- Brach JS, "Physical therapy for facial paralysis : a tailored treatment approach", Physical therapy, 79(4), pp.397~404 (1999)
- Coulson SE, "Physiotherapy rehabilitation of the smile after long-term facial nerve palsy using video self-modeling and implementation intentions", Otolaryngology-Head and Neck Surgery, 134(1), pp.48~55 (2006)
- Dalla Toffola E, "Choosing the best rehabilitation treatment for Bell’s palsy", Eur J Phys Rehabil Med, 48(4), pp.635~642 (2012)
- Finsterer J, "Management of peripheral facial nerve palsy", European Archives of Oto-Rhino-Laryngology, 265(7), pp.743~752 (2008)
- Gatidou AM, "Physiotherapy management of Bell’s palsy-A review of evidenced based physiotherapy practice", Int J Adv Res Med, 3(1), pp.402~406 (2021)
- Javaherian M, "Efficacy of low-level laser therapy on management of Bell’s palsy : a systematic review", Lasers in Medical Science, 35(6), pp.1245~1252 (2020)
- Katusic SK, "Incidence, clinical features, and prognosis in Bell's palsy, Rochester, Minnesota, 1968–1982", Annals of Neurology : Official Journal of the American Neurological Association and the Child Neurology Society, 20(5), pp.622~627 (1986)
- Madhok VB, "Corticosteroids for Bell's palsy (idiopathic facial paralysis)", Cochrane Database of Systematic Reviews, (7) (2016)
- Murthy JM, "Bell's palsy: Treatment guidelines", Annals of Indian academy of neurology, 14(Suppl1), pp.S70~ (2011)
- Nicastri M, "Efficacy of early physical therapy in severe Bell’s palsy : a randomized controlled trial", Neurorehabilitation and neural repair, 27(6), pp.542~551 (2013)
- Numthavaj P, "Corticosteroid and antiviral therapy for Bell's palsy : a network meta-analysis", BMC neurology, 11(1), pp.1~0 (2011)
- Ordahan B, "Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial(Bell’s)palsy", Lasers in Medical Science, 32(4), pp.931~936 (2017)
- Ramos-Jimenez A, "Effectiveness of Electro-stimulation as a Treatment for Bell’s Palsy: An Update Review", ~
- Teixeira LJ, "Physical therapy for Bell's palsy (idiopathic facial paralysis)", Cochrane Database of Systematic Reviews, (12) (2011)
- Zandian A, "The neurologist’s dilemma : a comprehensive clinical review of Bell’s palsy, with emphasis on current management trends", Medical science monitor : international medical journal of experimental and clinical research, 20, pp.83~ (2014)