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Comparative Effects of Electrical Stimulation on Nerve Trunk and Nerve Roots in Bell's Palsy Patients


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1 Amity Institute of Physiotherapy, Amity University, Noida, India
     

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Background and Objectives: There is no standard course of treatment or cure for Bell's Palsy in the current literature , moreover the effectiveness of intervention for the facial paralysis following Bell's Palsy is debatable . Conservative treatments include acupuncture, exercises, and electrical-stimulation. However, the research is inconsistent in demonstrating the effectiveness of these interventions. The conflicting results suggest a need for a randomized controlled trial that would rigorously test the electrical stimulation protocol in patients with Bell's palsy.

Methods: 10 patients within the age range of 20 to 40 years both male and female diagnosed with Bell's palsy were recruited from the hospitals of Delhi and NCR and were divided into two groups i.e.; group A who received electrical stimulation on nerve trunk and group B who received electrical stimulation on facial muscles.

Results: The comparison between group A and group B shows that group B has shown significant changes ( p value

Conclusion: Electrical stimulation improves the facial paralysis caused by Bell's palsy.


Keywords

Bell's Palsy, Facial Paralysis, Electrical Stimulation
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  • National Institute of Neurological Disorders and Stroke. “Bell’s Palsy”. www.ninds.nih.gov/ disorders/bells/bells.htm July 2, 2008. Accessed March 26, 2009.

  • Finsterer J. “Management of peripheral facial nerve palsy.” Eur Arch Otorhinolaryngol 2008 July; 265(7):743-752.

  • S. Mark Overholt, MD. Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery. Baylor College of Medicine. “Bell’s Palsy” www.bcm.edu/oto/grand/72095.html July 20.1995. Accessed March 26, 2009.

  • Kumar A, Mafee MF, Mason T. Value of imaging in disorders of the facial nerve. Top Magn Reson Imaging. Feb 2000;11(1):38-51.

  • Chen C, Malhotra R, Muecke J, Davis G, Selva D. “Aberrant facial nerve regeneration (AFR): an under-recognized cause of ptosis”. Eye 2004;18: 159-162.

  • House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. Apr 1985;93(2):146-7

  • Peitersen E. “Bell’s Palsy: the spontaneous course of 2500 peripheral facial nerve palsies of different etiologies”. Acta Otolaryngol Suppl 2002; 549: 4- 30.

  • Munevver C, Hulki F, Cetin V. “Development of synkinesis after facial nerveparalysis” European Neurology 2000; 43: 147-151.

  • Clayton’s electrotherapy theory and practice, eight edition by Forster and Palastanga, chapter- 2 electrical stimulation of nerve and muscle.

  • Peitersen E. “Bell’s Palsy: the spontaneous course of 2500 peripheral facial nervepalsies of different etiologies”. Acta Otolaryngol Suppl 2002; 549: 4-30.

  • Munevver C, Hulki F, Cetin V. “Development of synkinesis after facial nerveparalysis” European Neurology 2000; 43: 147-15

  • Ljostad U, Okstad S, Topstad T, et al. Acute peripheral facial palsy in adults. J Neurol. 2005;252:672–676.

  • 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.

  • Farragher D, Kidd GL, Tallis R. Eutrophic electrical stimulation for Bell’s Palsy. Clin Rehabil. 1987;1(4):265–271.

  • Ljostad U, Okstad S, Topstad T, et al. Acute peripheral facial palsy in adults. J Neurol. 2005;252:672–676.

  • 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.

  • Sánchez-Chapul L, Reyes-Cadena S, Andrade- Cabrera JL, Carrillo-Soto IA, León-Hernández SR, Paniagua-Pérez R, Olivera-Díaz H, Baños- Mendoza T, Flores-Mondragón G, Hernández- Campos NA. Bell’s palsy. A prospective, longitudinal, descriptive, and observational analysis of prognosis factors for recovery in Mexican patients. Rev Invest Clin. 2011 Jul- Aug;63(4):361-9.

  • Teixeira LJ, Valbuza JS, Prado GF. Physical therapy for Bell’s palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2011 Dec 7;(12):CD006283.

  • Sabag-Ruiz E, Osuna-Bernal J, Brito-Zurita OR, Gómez-Alcalá AV, Ornelas-Aguirre JM. Transcutaneous electrical nervous stimulation in the prognosis of Bell’s palsy . Rev Med Inst Mex Seguro Soc. 2009 Jul-Aug;47(4):413-20.

  • Alakram P, Puckree T. Effects of electrical stimulation on House-Brackmann scores in early Bell’s palsy. Physiother Theory Pract. 2010 Apr 22;26(3):160-6.

  • Hyvärinen A, Tarkka IM, Mervaala E, Pääkkönen A, Valtonen H, Nuutinen J.Cutaneous electrical stimulation treatment in unresolved facial nerve paralysis: an exploratory study. Am J Phys Med Rehabil. 2008 Dec;87(12):992-7.

  • Teixeira LJ, Soares BG, Vieira VP, Prado GF. Physical therapy for Bell s palsy (idiopathic facial paralysis).Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006283.

  • Shafshak TS. The treatment of facial palsy from the point of view of physical and rehabilitation medicine. Eura Medicophys. 2006 Mar;42(1): 41-47.

  • Nowak DA, Linder S, Topka H. Diagnostic relevance of transcranial magnetic and electric stimulation of the facial nerve in the management of facial palsy.Clin Neurophysiol. 2005 Sep;116(9): 2051-2057.


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  • Comparative Effects of Electrical Stimulation on Nerve Trunk and Nerve Roots in Bell's Palsy Patients

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Authors

Pooja Sharma
Amity Institute of Physiotherapy, Amity University, Noida, India
Aparna Sarkar
Amity Institute of Physiotherapy, Amity University, Noida, India
Smriti Rajan
Amity Institute of Physiotherapy, Amity University, Noida, India

Abstract


Background and Objectives: There is no standard course of treatment or cure for Bell's Palsy in the current literature , moreover the effectiveness of intervention for the facial paralysis following Bell's Palsy is debatable . Conservative treatments include acupuncture, exercises, and electrical-stimulation. However, the research is inconsistent in demonstrating the effectiveness of these interventions. The conflicting results suggest a need for a randomized controlled trial that would rigorously test the electrical stimulation protocol in patients with Bell's palsy.

Methods: 10 patients within the age range of 20 to 40 years both male and female diagnosed with Bell's palsy were recruited from the hospitals of Delhi and NCR and were divided into two groups i.e.; group A who received electrical stimulation on nerve trunk and group B who received electrical stimulation on facial muscles.

Results: The comparison between group A and group B shows that group B has shown significant changes ( p value

Conclusion: Electrical stimulation improves the facial paralysis caused by Bell's palsy.


Keywords


Bell's Palsy, Facial Paralysis, Electrical Stimulation

References