关键词: Bell’s palsy Disability Facial exercises Facial symmetry Rehabilitation Therapy

Mesh : Humans Bell Palsy / therapy physiopathology rehabilitation Male Female Adult Exercise Therapy / methods Muscle Stretching Exercises Treatment Outcome Middle Aged Single-Blind Method Face Facial Muscles / physiopathology Young Adult

来  源:   DOI:10.1038/s41598-024-64046-z   PDF(Pubmed)

Abstract:
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.
摘要:
该研究的目的是评估与常规运动相比,涉及未受影响侧的面部拉伸以及受影响侧的结构化运动对面部对称性和面部功能的新颖技术的影响。在Mangalore的急性贝尔麻痹患者中完成了一项基于医院的平行组随机试验,印度。参与者被随机分配接受面部拉伸和结构化锻炼计划(实验组)或常规锻炼方案(常规组)。主要结果是面部对称和自愿运动;由Sunnybrook面部分级系统(SFGS)评估。两种方案均给予3周,与基线,第十天,第20天评估。在接受筛查的31名参与者中,24人符合条件,12名参与者分别被分配到实验组和常规组。变化评分显示实验组参与者的SFGS评分有更大的改善(p=0.002)。与常规锻炼方案相比,面部伸展和结构化锻炼计划在增强急性贝尔氏麻痹的面部对称性和功能方面表现出可喜的效果。
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