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PI Relocation
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Partial or complete facial paralysis is the weakness of muscles of facial expression. Facial paralysis causes physical, social and emotional problems. Functional electrical stimulation (FES) for facial paralysis is a technique in which muscles are electrically stimulated, causing them to contract This study is designed to help patients with facial nerve weakness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acute Facial Nerve Injury with Intact Facial Nerve | Experimental | 40 sessions of FES (in a 14 week period) Assessments will be taken during the beginning, middle, and end of each study arm. |
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| Facial Nerve Grafting After Surgical Excision | Experimental | 40 sessions of FES (in a 14 week period) Assessments will be taken during the beginning, middle, and end of each study arm. |
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| Standard of Care Group | No Intervention | No FES Assessments will be taken at the same intervals as the interventions group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Application of FES to the Face | Other | Functional electrical stimulation (FES) for facial paralysis is a technique in which muscles are electrically stimulated. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Lagophthalmos Over 14 weeks | Change in ability to close eyelids, measured in mm | Measured at week 0, 7 and 14 |
| Change in Elevation of Corner of Mouth Over 14 weeks | Change in ability to raise corner of mouth, measured in mm | Measured at week 0, 7 and 14 |
| Change House-Brackmann Scale Measurement Over 14 weeks | The House-Brackmann facial nerve grading scale is a measure of facial nerve impairment. The scale ranges from values 1 to 6, with larger values indicating greater facial nerve impairment. | Measured at week 0, 7 and 14 |
| FaCE Questionnaire | Patient-based instrument to measure both facial impairment and disability. This will be used to identify patient's perceived change in facial impairment for the duration of the study period. | Administered at week 0, 7 and 14 |
| Change in Facial Movements Over 14 weeks | A video will be taken of the patient undergoing standard facial movements | Measured at week 0, 7 and 14 |
| Study Interview | A structured interview questionnaire administered by a study team member to identify any changes to the therapy that may be needed before further studies are conducted | Administered at week 0, 7 and 14 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Douglas Chepeha, MD | University Health Network, Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Health Network | Toronto | Ontario | M5G 2C4 | Canada |
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| ID | Term |
|---|---|
| D020330 | Bell Palsy |
| ID | Term |
|---|---|
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
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| D009059 |
| Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D005155 | Facial Nerve Diseases |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |