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The objective of this study is to evaluate the effectiveness of mime therapy and conventional therapy for improving facial functional mobility and coordination.
This will be a Randomized Controlled Trial (RCT). Sample will be taken using Non-Probability Convenient Sampling. Sample size of 34 participants that will be randomly allocated into two groups using a coin toss method. Group A (intervention group) will receive mime therapy along with conventional therapy, while Group B (control group) will receive only conventional therapy were given 45 minutes per day for 3-4 sessions in a week for 3 weeks. Outcomes will be measured by using the Sunnybrook Facial Grading System for checking facial symmetry and the House-Brackmann Facial Grading System for measuring severity of paresis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Group A is the experimental group having 17 participants randomly chosen by using coin toss method according to inclusion and exclusion criteria. Baseline Treatment include DL2 electric stimulation at 20-50Hz for 90 repetitions and Infrared lamp placed 30-45cm away from the body for 10-15 minutes. Mime Therapy along with Conventional Therapy. |
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| Group B | Active Comparator | Group B is the active comparator group having 17 participants randomly chosen by using coin toss method according to inclusion and exclusion criteria. Baseline Treatment include DL2 electric stimulation at 20-50Hz for 90 repetitions and Infrared lamp placed 30-45cm away from the body for 10-15 minutes. Conventional Therapy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mime therapy with Conventional therapy | Other | Experimental group was given mime therapy along with conventional therapy. Mirror therapy, Raising eyebrows as if surprised, Widening eyes in shock, blinking rapidly, Extreme smiling, Eye closure with dramatic expressions, exaggeration nose wrinkling. pouting and mouth opening, expression transitions. Total sessions given are 4-5 per week in 3 weeks consist of 45 mins. Number of repetitions are 5-10 with the hold of 5 second x 2 sets. |
| Measure | Description | Time Frame |
|---|---|---|
| Facial Disability Index | it includes physical well being scale which consist of 5 questions with a 0-5 scoring and social functional scale which consist of 5 questions with a 1-6 scoring. | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| House Brackmann Facial Grading Scale | It classifies facial nerve function into six grades, ranging from Grade 1(normal function) to Grade 6 (complete paralysis). It is widely used for assessing facial nerve recovery. | 4 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rimza Safdar, DPT | Elite College of Management sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al Raee Hospital | Gujranwala | Punjab Province | 52250 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16942452 | Background | Beurskens CH, Heymans PG. Mime therapy improves facial symmetry in people with long-term facial nerve paresis: a randomised controlled trial. Aust J Physiother. 2006;52(3):177-83. doi: 10.1016/s0004-9514(06)70026-5. |
| Label | URL |
|---|---|
| In 2025, Islam Hussain and M Samir conducted a systemic review and meta analysis in which He concluded the effectiveness of mime therapy in improving clinical and functional outcomes. | View source |
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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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| Conventional therapy | Other | Raising and lowering eyebrows, Wrinkling nose, smiling, frowning, massage. Total sessions given are 4-5 per week in 3 weeks consist of 45 mins. Number of repetitions are 5-10 with the hold of 5 second x 2 sets. |
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| D009059 |
| Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D005155 | Facial Nerve Diseases |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |