Background: Ramsay Hunt Syndrome (RHS) is a scarce diagnosis involving unilateral facial paralysis resulting from the reactivation of Varicella-Zoster Virus (VZV) infection in the past, which causes pain, asymmetrical facial expressions, and difficulty in speaking, eating and drinking. The most effective treatment is still debatable, and limited research is available. Rehabilitation program is considered as the core treatment that gives functional improvement. The aim of this case study is to present clinical findings in RHS and the rehabilitation program to maximize facial expression recovery.Case Description: A 59-year-old man came to rehabilitation medicine outpatient clinic two weeks after diagnosed as RHS, with complaints of fever; severe pain and rashes on the left side of the face; and ear discomfort on the same side. Physical examination revealed peripheral facial nerve palsy on the left side with drooping of the left eyelid, left end of the mouth, and difficulty in oral communication. Electroneuromyography (ENMG) examination showed axonal facial nerve paralysis on the left side. The patient was referred to the physiatrist and got rehabilitation program with neuromuscular electrical stimulation (NMES), facial massage and biofeedback exercise for facial muscle 3 times a week for 4 weeks.Discussion: After 4 weeks rehabilitation program, the patient showed improvement as House-Brackmann grades improved from a grade IV to a grade II; improvements in communication, facial symmetry at both rest and motion; significant improvement in experiencing pain. Conclusions: This study suggested that rehabilitation program with NMES, facial massage and biofeedback exercise are safe, efficacious and provide good outcomes in the treatment of Ramsay Hunt Syndrome.

Background: Severe acute respiratory syndrome (SARS CoV2) and coronavirus disease 2019 causes vary from mild to severe clinical manifestation. Complications from COVID-19 can show several manifestations such as pulmonary, cardiovascular, neuromuscular, and renal systems, which could lead to multi-organ failure. Lung fibrosis and recurrent pneumonia are some of some sequelae of survivors, and some need readmission to hospital, although the PCR swab test remains negative. Post-acute COVID-19 is a syndrome characterized by persistent clinical symptoms beyond four weeks from the onset of acute symptoms. Case: In this writing, a 57-year-old male presented with chief complaints of shortness of breath and cough 2 days after being discharged from the hospital because of a COVID-19 infection. His PCR swab test result remains negative when readmission. The patient was on non-invasive ventilation, medical therapy and physical therapies such as breathing exercises and chest physiotherapy. The physical therapy was done twice daily. On the seventh day of exercise, the shortness of breath was improved, and NIV was tapered down. The patient was discharged after 27 days of hospitalization. Conclusion: This case shows the benefit of breathing exercises and chest physiotherapy for the Post-acute COVID-19 patient. This helps improve respiratory muscle strength and chest expansion in order to improve oxygen perfusion.

Low Birth Weight (LBW) or Very Low Birth Weight (VLBW) infants often have feeding difficulty issues that impact feeding abilities, leading to complications such as difficulty gaining weight and prolonged length of stay (LOS) in the hospital. Early feeding therapy interventions have good outcomes for LBW or VLBW preterm in accelerating feeding goals, gaining weight, and reducing LOS. This article reported two cases of VLBW patients who were referred from the Pediatric Department to the Physical Medicine and Rehabilitation Department because of feeding difficulties that led to prolonged LOS, in order to achieve better outcomes in spontaneous oral feeding. The feeding therapy intervention was given to the infants every day by the speech therapist. Feeding therapy intervention shows promising results in provoking the proper sucking reflex in VLBW preterm infants, which helps them to achieve better oral feeding ability that accelerates weight gain and reduces LOS in the hospital.