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The goal of this study is to compare the effect of kabat technique and neural mobilization with facial exercises in improving functional outcomes of patient with bells palsy
Bells palsy is seventh cranial nerve disorder which causes muscle weaknesss on one side of the face .Various approaches are applied to restore facial function but this study aims to distinguish kabat technique and neural mobilization .This study will assess and compare the functional recovery of facial muscles and improvemrnt in facial symmetry .This will help determine which intervention is more effective .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| kabat technique | Active Comparator | kabat rehabilitation technique with baseline treatment |
|
| facial neural mobilization | Experimental | facial nerve mobilization with facial exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| kabat technique | Other | kabat technique include diagonal movements to activate weak muscles through resistance . 3-5 repetetion per muscle for 2-3 sets .session conducted 5 days per week for three weeks each lasting 30 minutes . |
| Measure | Description | Time Frame |
|---|---|---|
| House-Brackman scale | Changes from baseline in the House-Brackman scale will be used to assess the facial nerve dysfuntion. The tool grades facial movement on a scale from grade 1 to 6 where grade 1 indicates normal function and grade 6 indicates complete paralysis | 3rd week |
| Measure | Description | Time Frame |
|---|---|---|
| Facial disability index | changes from baseline Facial disability index scores were assessed to determine functional improvement in facial movement. The FDI consists of two subscales physical function (5 items ) and socal function (5 items). Each item is scored individually and transformed to a scale of 0-100 with higher scores indicating better function. | 3rd week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mahnoor Hassan, MS | Elite College of Management Science | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al raee hospital gujranwala ,Sardar yasin malik hospital, Rahat abdul gaffar medical complex | Gujranwala | Punjab Province | 52250 | Pakistan |
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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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| facial nerve mobilization | Other | neural mobilization involves manual traction and circular movement around ear to enhance nerve mobility and function .5-10 repetetions .Session conduted 5 days per week for 3 weeks lasting 30 minutes facial exercises include raising eyebrows-eye closure-lip raising-smiling-snarling flaring of nose-forehead wrinkling-lipspuckering-pouting. 5-10 repetetions 3 times a day .7 days for 3 weeks |
|
| D009059 |
| Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D005155 | Facial Nerve Diseases |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |