Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial
Background: Neural mobilisation technique is effective in spinal nerve rehabilitation. However, no study has reported the effect of facial nerve mobilisation in acute Bell’s palsy. Objectives: The objective of our study was to evaluate the effect of facial neural mobilisation over conventional thera...
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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World Scientific Publishing
2023-12-01
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| Ráidu: | Hong Kong Physiotherapy Journal |
| Fáttát: | |
| Liŋkkat: | https://www.worldscientific.com/doi/10.1142/S1013702523500063 |
| _version_ | 1827877828305092608 |
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| author | Raed Alharbi Faizan Zaffar Kashoo Mehrunnisha Ahmed Mazen Alqahtani Saleh Aloyuni Msaad Alzhrani Ahmad Dhahawi Alanazi Mohammad Sidiq Bander Hamud Alharbi Gopal Nambi |
| author_facet | Raed Alharbi Faizan Zaffar Kashoo Mehrunnisha Ahmed Mazen Alqahtani Saleh Aloyuni Msaad Alzhrani Ahmad Dhahawi Alanazi Mohammad Sidiq Bander Hamud Alharbi Gopal Nambi |
| author_sort | Raed Alharbi |
| collection | DOAJ |
| description | Background: Neural mobilisation technique is effective in spinal nerve rehabilitation. However, no study has reported the effect of facial nerve mobilisation in acute Bell’s palsy. Objectives: The objective of our study was to evaluate the effect of facial neural mobilisation over conventional therapy in improving facial symmetry in patients with acute Bell’s palsy. Methods: A randomised controlled trial was conducted in the physical therapy department for 62 patients with acute Bell’s palsy. The intervention included 10 days of drug therapy including 3 weeks of conventional therapy to the experimental and the control group. However, the experimental group received additional nerve mobilisation technique aimed at mobilising the facial nerve at the origin of external auditory meatus. All participants were assessed at baseline and after three weeks using the Sunnybrook facial grading system (SBS) and Kinovea Movement Analysis Software (KMAS). Results: For primary outcome, analysis of covariance with baseline data as covariate showed a significant difference between groups for the post-test mean scores of SBS after 3 weeks (between-group difference, 9.2 [95% CI, 5.1–13.3], [Formula: see text]. Importantly, the effect size calculated by partial [Formula: see text] for neural mobilisation was 0.258 (small effect size). For secondary outcomes, independent sample t-test showed a significant difference between groups for the scores on KMAS after 3 weeks for zygomatic muscle (between-group difference, [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text]), frontalis muscle [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text], and orbicularis oris muscle [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text]. Conclusion: Facial neural mobilisation is likely to be an effective adjunctive intervention in addition to conventional therapy in improving facial symmetry in acute Bell’s palsy. |
| first_indexed | 2024-03-12T17:42:57Z |
| format | Article |
| id | doaj.art-b89a58087fe741978057fd7095484a18 |
| institution | Directory Open Access Journal |
| issn | 1013-7025 1876-441X |
| language | English |
| last_indexed | 2024-03-12T17:42:57Z |
| publishDate | 2023-12-01 |
| publisher | World Scientific Publishing |
| record_format | Article |
| series | Hong Kong Physiotherapy Journal |
| spelling | doaj.art-b89a58087fe741978057fd7095484a182023-08-04T02:59:49ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70251876-441X2023-12-0143029310310.1142/S1013702523500063Effect of neural mobilisation in Bell’s palsy: A randomised controlled trialRaed Alharbi0Faizan Zaffar Kashoo1Mehrunnisha Ahmed2Mazen Alqahtani3Saleh Aloyuni4Msaad Alzhrani5Ahmad Dhahawi Alanazi6Mohammad Sidiq7Bander Hamud Alharbi8Gopal Nambi9Department of Public Health, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi ArabiaDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi ArabiaDepartment of Nursing, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi ArabiaDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi ArabiaDepartment of Public Health, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi ArabiaDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi ArabiaDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi ArabiaDepartment of Physiotherapy, Medical and Allied Health Sciences, Galgotias University, Greater Noida, Uttar Pradesh, 203201, IndiaDirector of Medical Records Department, King Khalid Hospital Majmaah, Saudi ArabiaDepartment of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al kharj, Saudi ArabiaBackground: Neural mobilisation technique is effective in spinal nerve rehabilitation. However, no study has reported the effect of facial nerve mobilisation in acute Bell’s palsy. Objectives: The objective of our study was to evaluate the effect of facial neural mobilisation over conventional therapy in improving facial symmetry in patients with acute Bell’s palsy. Methods: A randomised controlled trial was conducted in the physical therapy department for 62 patients with acute Bell’s palsy. The intervention included 10 days of drug therapy including 3 weeks of conventional therapy to the experimental and the control group. However, the experimental group received additional nerve mobilisation technique aimed at mobilising the facial nerve at the origin of external auditory meatus. All participants were assessed at baseline and after three weeks using the Sunnybrook facial grading system (SBS) and Kinovea Movement Analysis Software (KMAS). Results: For primary outcome, analysis of covariance with baseline data as covariate showed a significant difference between groups for the post-test mean scores of SBS after 3 weeks (between-group difference, 9.2 [95% CI, 5.1–13.3], [Formula: see text]. Importantly, the effect size calculated by partial [Formula: see text] for neural mobilisation was 0.258 (small effect size). For secondary outcomes, independent sample t-test showed a significant difference between groups for the scores on KMAS after 3 weeks for zygomatic muscle (between-group difference, [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text]), frontalis muscle [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text], and orbicularis oris muscle [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text]. Conclusion: Facial neural mobilisation is likely to be an effective adjunctive intervention in addition to conventional therapy in improving facial symmetry in acute Bell’s palsy.https://www.worldscientific.com/doi/10.1142/S1013702523500063Bell’s palsymobilisationcomplementary therapyphysical therapy modality |
| spellingShingle | Raed Alharbi Faizan Zaffar Kashoo Mehrunnisha Ahmed Mazen Alqahtani Saleh Aloyuni Msaad Alzhrani Ahmad Dhahawi Alanazi Mohammad Sidiq Bander Hamud Alharbi Gopal Nambi Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial Hong Kong Physiotherapy Journal Bell’s palsy mobilisation complementary therapy physical therapy modality |
| title | Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial |
| title_full | Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial |
| title_fullStr | Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial |
| title_full_unstemmed | Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial |
| title_short | Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial |
| title_sort | effect of neural mobilisation in bell s palsy a randomised controlled trial |
| topic | Bell’s palsy mobilisation complementary therapy physical therapy modality |
| url | https://www.worldscientific.com/doi/10.1142/S1013702523500063 |
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