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To investigate the Effect of Kabat motor control re-education therapy on facial nerve Electro physiological responses and facial muscles function in bell's palsy.
BACKGROUND: facial nerve recovery in children could be improved through facilitation of nerve regeneration which can be enhanced through Kabat motor control re-education therapy.
Thirty children with bell's palsy will participate in this study. The patients will randomly be divided into two equal groups; the control group received the conventional selected program, and the study group received the same exercise training program in addition to Kabat motor control re-education therapy. The program of treatment will be three times per week for six weeks.
The evaluation methods: Facial nerve distal latency, amplitude, and percentage of degenerations via the Neuropack S1 MEB9004 EMG device, the Facial Disability Index, and Sunnybrook facial grading system (SBFGS) all the assessment methods before the program and after finishing the program
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group | Experimental | the study group received the conventional selected program in addition to Kabat motor control re-education |
|
| control group | Experimental | the control group received the conventional selected program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kabat motor control re-education therapy | Other | Kabat motor control re-education therapy that includes specific movements with predefined patterns of facial muscles exercises, which is spiral and diagonal movements involve the facial muscles, which are brought to train in global patterns. The program of treatment for three times per week for six weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Electroneurography | Measuringthe Facial nerve distal latency measured in millisecond (ms).via the Neuropack S1 MEB9004 EMG device | 6 weeks |
| Electroneurography | Measuring the Facial nerve amplitude measured in (mv).via the Neuropack S1 MEB9004 EMG device | 6 weeks |
| Electroneurography | Measuring the Facial nerve percentage of degenerations measured in(%).via the Neuropack S1 MEB9004 EMG device | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Sunnybrook facial grading system (SBFGS) | it is a clinical grading system of facial function in facial palsy. It consists of 13 items-3 resting, 5 voluntary movement and 5 synkinesis items-answered on categorical answering scales. A SB composite score (range 0-100) and resting symmetry (range 0-20), voluntary movement (range 20-100) and synkinesis subscores (0-15) can be calculated. | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lama S Mahmoud | Al Jīzah | Select State | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36856104 | Derived | Hamed SA, Saad El-Din Mahmoud L, Magdy ElMeligie M, Zoheiry IM. Electrophysiological responses to Kabat motor control re-education on Bell's Palsy: A randomized controlled study. J Musculoskelet Neuronal Interact. 2023 Mar 1;23(1):90-97. |
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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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control group which received conventional selected program, and study group received the same exercise training program in addition to Kabat motor control re-education therapy
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|
| conventional selected program | Other | the conventional selected program in the form of electrical stimulation (Faradic current) of affected muscles, facial muscle exercise program in front of the mirror, and home advices. |
|
| D009059 |
| Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D005155 | Facial Nerve Diseases |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |