Araştırma Makalesi
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Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell's Palsy (Idiopathic Facial Paralysis)?

Yıl 2022, , 326 - 331, 25.12.2022
https://doi.org/10.46332/aemj.1111088

Öz

Purpose: The aim of the study is to evaluate the effect of the changing number of physical therapy sessions on the functionality level of the patients with Bell Palsy.

Materials and Methods: In this retrospective study, the data of patients who were diagnosed with Bell's Palsy (BP) and applied a physical therapy program consisting of electrotherapy, infrared and mimic exercises were examined. The data of 21 patients who were rehabilitated with the diagnosis of BP and received 15 sessions of treatment and 21 patients who received 30 sessions of treatment were analyzed. Age, gender and comorbidities of the patients were recorded. The functionality of the patients was evaluated with Facial Disability Index (FDI), House Brackmann System (HBS) and Sunny Brook Grading System (SBGS) before and after treatment.

Results: In all intragroup clinical and functionality evaluations of the patients, significant improvement was observed in both groups, both after 15 sessions and after 30 sessions (p<0.001). No statistical difference was found in the comparisons between the groups.

Conclusion: The results of this study show that 15 sessions of physical therapy provide significant functional improvement in patients undergoing physical therapy with BP, and that extending the number of physical therapy sessions to 30 sessions does not have an additional effect on functionality.

Proje Numarası

yok

Kaynakça

  • 1. Peitersen E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl. 2002(549):4-30.
  • 2. Kafle DR, Thakur SK. Evaluation of prognostic factors in patients with Bell's palsy. Brain Behav. 2021;11(11):e2385.
  • 3. Cappeli AJ, Nunes HRdC, Gameiro MdOO, Bazan R, Luvizutto GJ. Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis. Fisioter. Pesqui. 2020;27(2):180-187.
  • 4. Yoo MC, Soh Y, Chon J, et al. Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy. JAMA Otolaryngol Head Neck Surg. 2020;146(3):256-263.
  • 5. Agostini F, Mangone M, Santilli V, et al. Idiopathic facial palsy: umbrella review of systematic reviews and meta-analyses. J Biol Regul Homeost Agents. 2020;34(4):1245-1255.
  • 6. Tuncay F, Borman P, Taser B, Ünlü I, Samim E. Role of Electrical Stimulation Added to Conventional Therapy in Patients with Idio-pathic Facial (Bell) Palsy. Am J Phys Med Rehabil. 2015;94(3):222-228.
  • 7. Jébéjian R. Treatment of peripheral facial paralysis with ultrasound. Ann Otolaryngol Chir Cervicofac. 1984;101(6):471-479.
  • 8. Ordahan B, Karahan Ay. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell’s) palsy. J Lasers Med Sci. 2017;32(4):931-936.
  • 9. Di Stadio A, Gambacorta V, Ralli M, et al. Facial taping as biofeedback to improve the outcomes of physical rehab in Bell’s palsy: preliminary results of a randomized case–control study. Eur. Arch. Oto-Rhino-Laryngol. 2021;278(5):1693-1698.
  • 10. Zhang R, Wu T, Wang R, Wang D, Liu Q. Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy: A systematic review and meta-analysis of RCTs. Medicine. 2019;98(19): e15566.
  • 11. Teixeira LJ, Valbuza JS, Prado GF. Physical therapy for Bell's palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2011(12):Cd006283.
  • 12. Watson GJ, Glover S, Allen S, Irving RM. Outcome of facial physiotherapy in patients with prolonged idiopathic facial palsy. J Laryngol Otol. 2015;129(4): 348-352.
  • 13. Kandakurti PK, Shanmugam S, Basha SA, et al. The effectiveness of low-level laser therapy combi-ned with facial expression exercises in patients with moderate-to-severe Bell's palsy: A study protocol for a randomised controlled trial. Int J Surg Protoc. 2020;24:39-44.
  • 14. IBM Corp Ibm S. statistics for windows, version 25.0. Armonk, NY: IBM Corp. 2017.
  • 15. Baricich A, Cabrio C, Paggio R, Cisari C, Aluffi P. Peripheral facial nerve palsy: how effective is rehabilitation? Otol Neurotol. 2012;33(7):1118-1126.
  • 16. Pereira LM, Obara K, Dias JM, Menacho MO, Lavado EL, Cardoso JR. Facial exercise the-rapy for facial palsy: systematic review and meta-analysis. Clin Rehabil. 2011;25(7):649-658.

Bell Palsi (İdiyopatik Fasiyal Paralizi) Rehabilitasyonunda Fizik Tedavi Seans Süresi Fonksiyonellik Üzerine Etkili Mi?

Yıl 2022, , 326 - 331, 25.12.2022
https://doi.org/10.46332/aemj.1111088

Öz

Amaç: Bell Palsili hastalarda değişen fizik tedavi seans sayısının fonksiyonellik düzeyine etkisinin değerlendirilmesi amaclanmıştır.

Araçlar ve Yöntem: Bu retrospektif çalışmada Bell Palsi (BP) tanısı ile elektroterapi, infraruj ve mimik egzersizlerinden oluşan fizik tedavi programı uygulanan hastaların verileri incelendi. BP tanısı ile rehabilite edilen ve 15 seans tedavi gören 21 hasta ile 30 seans tedavi gören 21 hastanın verileri analiz edildi. Hastaların yaş, cinsiyet ve komorbiditeleri kaydedildi. Hastaların fonksiyonellikleri Yüz felci engellilik indeksi Facial Disability Index, House Brackmann Evrelemesi ve Sunny Brook Evrelemesi ile tedavi öncesi ve sonrası değerlendirildi.

Bulgular: Hastaların tüm grup içi klinik ve işlevsellik değerlendirmelerinde hem 15 seans sonrasında hem de 30 seans sonrasında her iki grupta da anlamlı düzelme gözlendi (p<0.001). Gruplar arasındaki karşılaştırmalarda istatistiksel olarak fark bulunmadı

Sonuç: Çalışmanın sonuçları BP tansıyla fizik tedavi gören hastalarda 15 seans fizik tedavinin belirgin fonksiyonel iyileşme sağladığını ve fizik tedavi seans sayısını 30 seansa çıkarmanın fonksiyonellik üzerine ek bir etkisi olmadığını göstermektedir.

Destekleyen Kurum

yok

Proje Numarası

yok

Kaynakça

  • 1. Peitersen E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl. 2002(549):4-30.
  • 2. Kafle DR, Thakur SK. Evaluation of prognostic factors in patients with Bell's palsy. Brain Behav. 2021;11(11):e2385.
  • 3. Cappeli AJ, Nunes HRdC, Gameiro MdOO, Bazan R, Luvizutto GJ. Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis. Fisioter. Pesqui. 2020;27(2):180-187.
  • 4. Yoo MC, Soh Y, Chon J, et al. Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy. JAMA Otolaryngol Head Neck Surg. 2020;146(3):256-263.
  • 5. Agostini F, Mangone M, Santilli V, et al. Idiopathic facial palsy: umbrella review of systematic reviews and meta-analyses. J Biol Regul Homeost Agents. 2020;34(4):1245-1255.
  • 6. Tuncay F, Borman P, Taser B, Ünlü I, Samim E. Role of Electrical Stimulation Added to Conventional Therapy in Patients with Idio-pathic Facial (Bell) Palsy. Am J Phys Med Rehabil. 2015;94(3):222-228.
  • 7. Jébéjian R. Treatment of peripheral facial paralysis with ultrasound. Ann Otolaryngol Chir Cervicofac. 1984;101(6):471-479.
  • 8. Ordahan B, Karahan Ay. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell’s) palsy. J Lasers Med Sci. 2017;32(4):931-936.
  • 9. Di Stadio A, Gambacorta V, Ralli M, et al. Facial taping as biofeedback to improve the outcomes of physical rehab in Bell’s palsy: preliminary results of a randomized case–control study. Eur. Arch. Oto-Rhino-Laryngol. 2021;278(5):1693-1698.
  • 10. Zhang R, Wu T, Wang R, Wang D, Liu Q. Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy: A systematic review and meta-analysis of RCTs. Medicine. 2019;98(19): e15566.
  • 11. Teixeira LJ, Valbuza JS, Prado GF. Physical therapy for Bell's palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2011(12):Cd006283.
  • 12. Watson GJ, Glover S, Allen S, Irving RM. Outcome of facial physiotherapy in patients with prolonged idiopathic facial palsy. J Laryngol Otol. 2015;129(4): 348-352.
  • 13. Kandakurti PK, Shanmugam S, Basha SA, et al. The effectiveness of low-level laser therapy combi-ned with facial expression exercises in patients with moderate-to-severe Bell's palsy: A study protocol for a randomised controlled trial. Int J Surg Protoc. 2020;24:39-44.
  • 14. IBM Corp Ibm S. statistics for windows, version 25.0. Armonk, NY: IBM Corp. 2017.
  • 15. Baricich A, Cabrio C, Paggio R, Cisari C, Aluffi P. Peripheral facial nerve palsy: how effective is rehabilitation? Otol Neurotol. 2012;33(7):1118-1126.
  • 16. Pereira LM, Obara K, Dias JM, Menacho MO, Lavado EL, Cardoso JR. Facial exercise the-rapy for facial palsy: systematic review and meta-analysis. Clin Rehabil. 2011;25(7):649-658.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Bilimsel Araştırma Makaleleri
Yazarlar

Başak Çiğdem Karaçay 0000-0001-6422-5450

Tuğba Şahbaz 0000-0002-5974-8991

Proje Numarası yok
Yayımlanma Tarihi 25 Aralık 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Çiğdem Karaçay, B., & Şahbaz, T. (2022). Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?. Ahi Evran Medical Journal, 6(3), 326-331. https://doi.org/10.46332/aemj.1111088
AMA Çiğdem Karaçay B, Şahbaz T. Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?. Ahi Evran Med J. Aralık 2022;6(3):326-331. doi:10.46332/aemj.1111088
Chicago Çiğdem Karaçay, Başak, ve Tuğba Şahbaz. “Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?”. Ahi Evran Medical Journal 6, sy. 3 (Aralık 2022): 326-31. https://doi.org/10.46332/aemj.1111088.
EndNote Çiğdem Karaçay B, Şahbaz T (01 Aralık 2022) Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?. Ahi Evran Medical Journal 6 3 326–331.
IEEE B. Çiğdem Karaçay ve T. Şahbaz, “Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?”, Ahi Evran Med J, c. 6, sy. 3, ss. 326–331, 2022, doi: 10.46332/aemj.1111088.
ISNAD Çiğdem Karaçay, Başak - Şahbaz, Tuğba. “Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?”. Ahi Evran Medical Journal 6/3 (Aralık 2022), 326-331. https://doi.org/10.46332/aemj.1111088.
JAMA Çiğdem Karaçay B, Şahbaz T. Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?. Ahi Evran Med J. 2022;6:326–331.
MLA Çiğdem Karaçay, Başak ve Tuğba Şahbaz. “Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?”. Ahi Evran Medical Journal, c. 6, sy. 3, 2022, ss. 326-31, doi:10.46332/aemj.1111088.
Vancouver Çiğdem Karaçay B, Şahbaz T. Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell’s Palsy (Idiopathic Facial Paralysis)?. Ahi Evran Med J. 2022;6(3):326-31.

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