Periferik Fasiyal Paralizili Hastalarının Demografik ve Klinik Özellikleri ile Fizyoterapi Programı Arasındaki İlişki

Öz

Amaç: Periferik fasiyal paralizi (PFP) tanısı alan hastaların Fiziksel Tıp ve Rehabilitasyon (FTR) kliniğine başvurmasındaki faktörler nelerdir? Bu çalışmanın amacı PFP tanısı alan hastaların demografik özelliklerini, başvuru evresini, iyileşme oranlarını ve varsa fizyoterapi programını incelemektir. Yöntemler: Çalışmamız Ocak 2017 ile Ekim 2022 tarihleri arasında PFP nedeniyle kliniğe başvuran hastaların tıbbi kayıtları kullanılarak elde edildi. Bulgular: Çalışmaya toplam 833 PFP hastası dahil edildi. Hastaların 411'i (%49,3) kadın, 422'si erkek olup hastaların yaş ortalaması 43,33 idi. FTR kliniğine PFP tanısıyla 199 (%23,9) hasta başvurdu ve 92 (%11) hastaya fizyoterapi programı uygulandı. Komorbit hastalıklar açısından farklılık vardı ve kadınlarda daha sık görülüyordu (p:0,004); FPP nüksü kadın hastalarda daha sık görüldü (p:0,025). FTR kliniğine başvuru ile sol taraflı FP geçirme arasında anlamlı korelasyon vardı (p:0,012). FTR kliniğine başvuru ile HB evresi arasında pozitif anlamlı korelasyon vardı (p:0,000) Sonuç: Çalışmamız, Kulak Burun Boğaz polikliniğine başvuran PFP tanısı alıp ta FTR kliniğine başvuran hastaların başvuru yüzdesini araştıran ilk çalışmadır. Sol tarafta PFP olan ve HB evresi yüksek olan hastaların FTR kliniğine başvurma olasılığının daha yüksek olduğunu bulduk.

Anahtar Kelimeler

• Periferik Fasiyal paralizi
• Fizyoterapi Programı
• House-Brackman Evresi
• Korelasyon

The Relationship between The Demographic and Clinical Characteristics of Peripheral Facial Paralysis Patients and The Physiotherapy Program

Öz

Objective: What are factors for patients diagnosed with peripheral facial paralysis (PFP) to apply to Physical Medicine and Rehabilitation (PMR) clinic. The aim of this study was to examine the demographic characteristics, stage at presentation, recovery rates and physiotherapy program, if any, of patients diagnosed with PFP). Methods: Our study was obtained using the medical records of patients admitted to clinic for PFP from January 2017 to October 2022. Results: A total of 833 patients with PFP were included in the study. Four hundred eleven (49.3%) were female and 422 were male, and the mean age of the patients was 43.33. One hundred ninety nine (23,9%) patients with a diagnosis of PFP applied to PMR clinic and a physiotherapy program was used to 92 (11%) patients. There was a difference in terms of comorbid diseases and it was more common in women (p:0,004); FP recurrence was more frequent in female patients (p:0,025). There was a significant correlation between admission to the PMR clinic and having left-sided PFP (p:0.012). There was a positive significant correlation between admission to the PMR clinic and HB stage (p:0.000) Conclusions: Ours is the first study which investigated percentage of apply to PMR clinic patients who applied to otolaryngology outpatient clinic diagnesed PFP. We found that patients with PFP on the left side and with high HB stage were more likely to refer to the PMR clinic.

Anahtar Kelimeler

• Peripheral facial paralysis
• Physiotherapy Program
• House-Brackman Stage
• Correlation

Kaynakça

1. 1. Gatidou AM, Kottaras A, Lytras D, et al. Physiotherapy management of Bell’s palsy-A review of evidenced based physiotherapy practice. Int J Adv Res Med. 2021; 3(1): 402-6.
2. 2. Zhang W, Xu L, Luo T, et al. The etiology of Bell’s palsy: a review. Journal of Neurology. 2020; 267(7): 1896-905.
3. 3. Hanci F, Türay S, Bayraktar Z, et al. Childhood facial palsy: etiologic factors and clinical findings, an observational retrospective study. Journal of Child Neurology. 2019; 34(14): 907-12.
4. 4. Bruins TE, van Veen MM, Werker PM, et al. Associations between clinician-graded facial function and patient-reported quality of life in adults with peripheral facial palsy: a systematic review and meta-analysis. JAMA Otolaryngology–Head & Neck Surgery. 2021; 147(8): 717-28.
5. 5. Owusu JA, Stewart CM, Boahene K. Facial nerve paralysis. Medical Clinics. 2018; 102(6): 1135-43.
6. 6. George E, Richie MB, Glastonbury CM. Facial nerve palsy: clinical practice and cognitive errors. The American Journal of Medicine. 2020; 133(9): 1039-44.
7. 7. Karaçay BÇ, Şahbaz T. Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell's Palsy (Idiopathic Facial Paralysis)? Ahi Evran Medical Journal. 2022; 6(3): 326-31.
8. 8. Silva MC, Oliveira MT, Azevedo-Santos IF, et al. Effect of proprioceptive neuromuscular facilitation in the treatment of dysfunctions in facial paralysis: a systematic literature review. Brazilian Journal of Physical Therapy. 2022; 26(6): 100454.

9. 9. Uysal SC, Özden F, Özkeskin M. Current physiotherapy approaches in patients with facial Palsy. The Palgrave Encyclopedia of disability: Springer; 2024. p. 1-11.
10. 10. Khan AJ, Szczepura A, Palmer S, et al. Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clinical rehabilitation. 2022; 36(11): 1424-49.
11. 11. Wamkpah NS, Jeanpierre L, Lieu JE, et al. Physical therapy for iatrogenic facial paralysis: a systematic review. JAMA Otolaryngology–Head & Neck Surgery. 2020; 146(11): 1065-72.
12. 12. Burelo-Peregrino EG, Salas-Magaña M, Arias-Vázquez PI, et al. Efficacy of electrotherapy in Bell’s palsy treatment: A systematic review. Journal of back and musculoskeletal rehabilitation. 2020; 33(5): 865-74.
13. 13. Eviston TJ, Croxson GR, Kennedy PG, et al. Bell's palsy: aetiology, clinical features and multidisciplinary care. Journal of Neurology, Neurosurgery & Psychiatry. 2015; 86(12): 1356-61.
14. 14. Ferreira M, Marques EE, Duarte JA, et al. Physical therapy with drug treatment in Bell palsy: a focused review. American Journal of Physical Medicine & Rehabilitation. 2015; 94(4): 331-40.
15. 15. Kang N-R, Tark M-R, Byun S-M, et al. A Clinical analysis on 250 cases of Inpatients with Facial Paralysis. The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology. 2010; 23(3): 109-21.
16. 16. Garanhani MR, Cardoso JR, Capelli AdMG, et al. Physical therapy in peripheral facial paralysis: retrospective study. Revista Brasileira de Otorrinolaringologia. 2007; 73: 112-5.
17. 17. Rowlands S, Hooper R, Hughes R, et al. The epidemiology and treatment of Bell’s palsy in the UK. European journal of neurology. 2002; 9(1): 63-7.
18. 18. Zimmermann J, Jesse S, Kassubek J, et al. Differential diagnosis of peripheral facial nerve palsy: a retrospective clinical, MRI and CSF-based study. Journal of Neurology. 2019; 266(10): 2488-94.
19. 19. Özdemir D, Özgür A, Çelebi M, et al. Fasiyal Paralizili Hastalarda Başvuru Süresi ile Paralizi Derecesi Arasındaki İlişki. Sakarya Tıp Dergisi. 2019; 9(3): 544-9.
20. 20. Susaman N, Yildirim Yss, Editors. Kliniğimizde Bell Paralizisi Tanısı Alan Hastaların Retrospektif Analizi. Kbb-Forum; 2020.
21. 21. Trotman CA, Faraway J, Hadlock TA. Facial mobility and recovery in patients with unilateral facial paralysis. Orthodontics & Craniofacial Research. 2020; 23(1): 82-91.
22. 22. Psillas G, Dimas GG, Sarafidou A, et al. Evaluation of effects of diabetes mellitus, hypercholesterolemia and hypertension on Bell’s palsy. Journal of Clinical Medicine. 2021; 10(11): 2357.
23. 23. Valença MM, Valença LPA, Lima MCM. Idiopathic facial paralysis (Bell´ s palsy): a study of 180 patients. Arquivos de Neuro-Psiquiatria. 2001; 59: 733-9.
24. 24. Eliçora SŞ, Erdem D. Does type 2 diabetes mellitus affect the healing of Bell's palsy in adults? Canadian Journal of Diabetes. 2018; 42(4): 433-6.
25. 25. Ichihashi M, Nagai H, Matsunaga K. Sunlight is an important causative factor of recurrent herpes simplex. Cutis. 2004; 74(5 Suppl): 14-8.
26. 26. Cirpaciu D, Goanta C, Cirpaciu M. Recurrences of Bell's palsy. Journal of Medicine and Life. 2014; 7(Spec Iss 3): 68.
27. 27. Chweya CM, Anzalone CL, Driscoll CL, et al. For whom the Bell's toll: recurrent facial nerve paralysis, a retrospective study and systematic review of the literature. Otology & Neurotology. 2019; 40(4): 517-28.
28. 28. Cappeli AJ, Nunes HRdC, Gameiro MdOO, et al. Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis. Fisioterapia e Pesquisa. 2020; 27: 180-7.
29. 29. Karp E, Waselchuk E, Landis C, et al. Facial rehabilitation as noninvasive treatment for chronic facial nerve paralysis. Otology & Neurotology. 2019; 40(2): 241-5.
30. 30. Martineau S, Martel-Sauvageau V, Piette É, et al. A Pilot Study on the Mirror Effect PLUS Protocol: A Standardized and Adapted Facial Rehabilitation for Acute Bell's Palsy. Canadian Journal of Speech-Language Pathology & Audiology. 2020; 44(2).
31. 31. Nakano H, Fujiwara T, Tsujimoto Y, et al. Physical therapy for peripheral facial palsy: A systematic review and meta-analysis. Auris Nasus Larynx. 2024; 51(1): 154-60.