Effects of Mime Therapy With and Without Neural Mobilization on Facial Symmetry, Synkinesis and Functional Abilities in Patients With Bell's Palsy.
Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
To determine the Effects of Mime Therapy with and without Neural Mobilization on Facial symmetry, Synkinesis and Functional abilities in Patients with Bell's Palsy. It has been proven that Mime therapy is effective on activating muscles through articulation exercises, facial expression exercises, breathing exercises and facial massages which can alleviate synkinesis, enhance facial symmetry and promote facial functional abilities. On the other hand, facial neural mobilization has recently reported as a safe and effective adjunctive therapy for patients with Bell's palsy due to the facilitation of nerve gliding in the canal impacts by reducing nerve adherence dispersion of noxious inflammatory agents and increasing neural blood supply. So, by incorporating the Neural mobilization with Mime therapy, therapist may enhance overall facial symmetry, reduce the strain on the facial muscles and alleviate synkinesis. So, it may prove to be an upgraded treatment option for clinicians.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 20
Maximum Age: 40
Healthy Volunteers: f
View:
• Idiopathic bell's palsy. Age between 20 to 40 years. Both genders Sub-acute Bell's palsy lasting 3-6 months. Unilateral loss of facial weakness Intact taste sensation. House Brackman grade 4 and 5 (moderate to severe Bell's palsy)
Locations
Other Locations
Pakistan
DHQ, Kasur (Baba Bulleh Shah Hospital, District Kasur).
RECRUITING
Kasur
Contact Information
Primary
wajiha shahid
wajishahid89@gmail.com
03214885079
Backup
Mishal Nadeem
dr.mishalnadeem307@gmail.com
03044277412
Time Frame
Start Date:2024-03-25
Estimated Completion Date:2024-12-15
Participants
Target number of participants:32
Treatments
Experimental: Mime Therapy with Neural Mobilization
This group will receive mime therapy and neural mobilization session with resting intervals.~1. Self- facial massages for 10 minutes.~2. Breathing and relaxation exercises .~3. Exercises to enhance coordination between both sides of the face and to reduce synkinesis.~4. Exercises to assist with eye and lip closure.~5. Articulation Exercises.~6. Facial expression exercises~Facial Nerve Mobilization The circular movement and horizontal traction will be applied 25 times in three sets with a 5-second rest period in between a single manipulation and a 30- second rest period in between the sets.~All the participates in the experimental group will receive 15 treatment sessions. Each session will held for 60 minutes per day, 5 days per week, for total duration of 3 weeks.
Placebo_comparator: Mime Therapy with placebo Mobilization
Control group will receive mime therapy session with short resting intervals.~1. Self- facial massages for 10 minutes.~2. Breathing and relaxation exercises.~3. Exercises to enhance coordination between both sides of the face and to reduce synkinesis.~4. Exercises to assist with eye and lip closure.~5. Articulation Exercises.~6. Facial expression exercises.~Placebo Neural Mobilization Technique:~Placebo Mobilization followed all the procedures of real facial mobilization without applying horizontal and circular auricular traction. The purpose of this placebo facial nerve mobilization is not to deprived the control group from therapy.~All the participates in the control group will receive 15 treatment sessions. Each session will held for 60 minutes per day, 5 days per week, for total duration of 3 weeks.