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International Journal of
Yoga, Physiotherapy and Physical Education
ARCHIVES
VOL. 8, ISSUE 2 (2023)
Efficacy of immediate physical therapy in bell's palsy-Case report
Authors
Pintu Kumar, Shyam Ganvir, Mukesh Goyal, Dr. Manoj Narain Shukla
Abstract
Facial palsy is condition in which there is lesion of the facial nerve and the resultant paralysis in the muscles that it supplies. So there will be following features on the side of lesion: Loss of facial expression. Drooping of the face- Low eyelid, eyebrow and corner of mouth sag. Closing the eye is difficult. Eating is difficult because food collects in the side of the cheek and fluid seeps out of the corner of mouth. Speaking, whistling and drinking are impaired. Non-verbal communication is lost as the patient cannot register the pleasure, laughter, surprise, interest and worry. The patient tends to sit with the hand over the side of face. Facial nerve (cranial nerve VII) paralysis can be disfiguring disorder with profound physical and social impact upon the patient a common diagnosis related to facial nerve paralysis in Bell’s palsy. Symptom may include paresis, hyperacusis, and decrease production of tear, altered taste, otalgia, aural pressure and facial pain. The etiology of Bell’s palsy is unknown it may be congenital, infection, trauma or any toxic exposure. Although recovery is expected without intervention in most cases, incomplete recovery is not infrequent. The patient with facial paralysis cannot convey the normal social signals of interpersonal communication This case report describes a physiotherapy treatment based on interrupted direct current, taping& exercises for right facial nerve paralysis. The patient was a 23-year-old female with complete right-facial paralysis with a diagnosis of Bell's palsy. Signs and symptoms were assessed using a standardized measure of facial disability (Facial Disability Index-FDI). Physiotherapy rehabilitation involved interrupted direct current, taping & muscle-re-education exercises aimed at restoring normal movement within the affected right facial musculature. In 26 physiotherapy sessions over 2 months, the patient had improved self-reported facial disability (initial FDI score; Physical subscale = 33/100 and Social/Well-being subscale = 53/100. The final FDI score; Physical subscale = 72/100 and Social/Well-being subscale = 83/100) and significantly reduced functional impairments. These case report describe a physiotherapy treatment based in the form of electrical current and taping used on facial muscle In some cases, physiotherapy may provide extreme benefit in reducing the physical and social impairments commonly observed in patients suffering from Bell's palsy. Self-reported outcome measures, such as the FDI, provide an easy method to assess whether patients suffering from various diagnoses are responding to physiotherapy. There are many unresolved view on efficacy wide range of therapeutic modality approach in treatment of Bell’s palsy. The purpose of this case study was to review systematically randomized controlled trials, study relating to the efficacy of electrotherapeutic modalities & taping in management of acute Bell’s palsy. Facial nerve is responsible for voluntary facial movements & can be tested by asking a patient to perform movements such as wrinkling the brow, showing teeth, frowning, closing the eyes tightly, pursing the lips and puffing out the cheeks & noticing asymmetry patients with complete right-facial paralysis with a diagnosis of Bell's palsy.
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Pages:19-22
How to cite this article:
Pintu Kumar, Shyam Ganvir, Mukesh Goyal, Dr. Manoj Narain Shukla "Efficacy of immediate physical therapy in bell's palsy-Case report". International Journal of Yoga, Physiotherapy and Physical Education, Vol 8, Issue 2, 2023, Pages 19-22
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