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Our study aims to determine the efficacy of PNF and Soft tissue mobilization techniques with exercise for Bell's palsy. It ascertains which intervention yields better outcomes and has greater effect on recovery.
It is a randomized controlled trial. This study includes 28 participants allocated into two groups by coin tossing method. Group A receives PNF and Group B receives soft tissue mobilization along with exercise. Both of the groups receive electrical stimulation as baseline treatment. The assessment of participants is done by using facial disability index and House Brackmann scale.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Proprioceptive Neuromuscular Facilitation | Experimental | Repeated stretch and Hold relax method used in this technique. |
|
| Soft Tissue Mobilization along with exercise | Experimental | Effleurage, Kneading and hacking along with facial exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Proprioceptive Neuromuscular Facilitation | Other | PNF technique given for 3-4 days/week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week. |
| Measure | Description | Time Frame |
|---|---|---|
| Facial disability index | in 1996, this scale was invented. This tool is used to evaluate functional and psychological effects of cranial nerve VII dysfunction like Bell's palsy. It consists of two subscales one is Physical Function and second is Social/Wellbeing Function, each with a range 0 to 100 where higher score shows better function and lesser disability. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| House Brackmann scale | This scale was invented in 1985 by DE Brackmann and Dr.John W.House. This scale is used to evaluate the severity of cranial nerve VII. it consists of six grades. Grade 1 indicates Normal and Grade 6 indicates complete paralysis. | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Imran Rafiq, PhD | Elite College of Management sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al Raee Hospital Gujranwala, Salamat Hospital Gujranwala, Chaudhary Hospital Gujranwala | Gujranwala | Punjab Province | 52200 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39548608 | Result | Amjad A, Jamil A, Fatima N, Javaid HB, Zahid H. Effects of Kabat rehabilitation versus mime therapy on facial disability and synkinesis in patients of Bell's palsy. J Pak Med Assoc. 2024 Nov;74(11):1927-1931. doi: 10.47391/JPMA.11247. | |
| 32144972 | Result | Burelo-Peregrino EG, Salas-Magana M, Arias-Vazquez PI, Tovilla-Zarate CA, Bermudez-Ocana DY, Lopez-Narvaez ML, Guzman-Priego CG, Gonzalez-Castro TB, Juarez-Rojop IE. Efficacy of electrotherapy in Bell's palsy treatment: A systematic review. J Back Musculoskelet Rehabil. 2020;33(5):865-874. doi: 10.3233/BMR-171031. |
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| ID | Term |
|---|---|
| D052580 | Muscle Stretching Exercises |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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| Soft Tissue Mobilization along with exercise | Other | Soft tissue mobilization along with facial exercise 3- days/ week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week. |
|
| 35787015 | Result | Khan AJ, Szczepura A, Palmer S, Bark C, Neville C, Thomson D, Martin H, Nduka C. Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clin Rehabil. 2022 Nov;36(11):1424-1449. doi: 10.1177/02692155221110727. Epub 2022 Jul 5. |
| 40607587 | Result | Albishi AM, Altowairqi RT, Alhadlaq SA, Alsulboud SK, Alhusaini AA, Alokaily AO, Alotibi M. Cross-cultural adaptation, reliability, and validation of the Arabic version of the Motor Activity Log (MAL-30) Scale in patients with stroke in Saudi Arabia. Disabil Rehabil. 2025 Dec;47(26):7042-7050. doi: 10.1080/09638288.2025.2526701. Epub 2025 Jul 3. |
| 25857657 | Result | Eviston TJ, Croxson GR, Kennedy PG, Hadlock T, Krishnan AV. Bell's palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry. 2015 Dec;86(12):1356-61. doi: 10.1136/jnnp-2014-309563. Epub 2015 Apr 9. |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |