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Background: Bell's palsy is an idiopathic lower motor neurone palsy of the facial nerve. It is the most common cause of rapid-onset unilateral facial weakness. It often manifests rapidly. Aim of the Study: This study aimed to evaluate the effect of Dexamethasone iontophoresis on acute Bell's palsy. Subject and Methods: Thirty patients from both sexes, diagnosed as acute Bell's palsy were included in this study recruited from Neurology Outpatient Clinic of Faculty of Physical Therapy, Cairo University from July 2014 to October 2015. They were assigned into two equal groups a control group (A) and study group (B). GA received oral systemic steroids and aplacebo effect of iontophoresisWhile GB received the same oral drugs and Dexamethasone Iontophoresis. The patients were assessed with Electrical Response Grading as objective method for assessment and the Yanagihara Grading Scale (YGS) as clinical method for evaluation pre and post the iontophoresis. Results: Post physiotherapeutic evaluation revealed significant difference between group A and group B regarding (ERG) and (YGS) 0.001. Conclusion: Dexamethasone iontophorsis is effective in treatment of acute Bell's palsy.

Purpose. To investigate the effect of pilates training on cognitive functions in patients with stroke. Materials and Methods. Forty Right stroke patients (Left hemiparesis) of both genders with age ranged from 50-65 years old were recruited randomly and divided into two equal groups; Study group (I) received pilates training therapy and selected physical therapy program for 6 weeks, Control group (II) received the same selected physical therapy program only for 6 weeks. Pre-and post-treatment assessment using RehaCom System, Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) were done for all patients. Results. Cognitive disorders (Attention, Memory, Reaction behavior and logical reasoning) were signi icantly improved in study group (pilates training therapy) more than control group (selected physical therapy program). cognitive disorders were improved in both groups with the best improvement results of group (I) more than group (II). Conclusion. Pilates Training program considered an effective physical therapy method for improving cognitive disorders in patients with stroke. Keywords stroke, pilates training, cognitive disorders Streszczenie Cel. Zbadanie wpływu treningu pilates na funkcje poznawcze u pacjentów po udarze mózgu. Materiał i metody. Czterdziestu pacjentów po udarze mózgu po prawej stronie (niedowład połowiczy lewostronny) obu płci w wieku od 50 do 65 lat zrekrutowano losowo i podzielono na dwie równe grupy; Grupa badana (I) wykonywała trening pilates i wybrany program izjoterapeutyczny przez 6 tygodni, grupa kontrolna (II) realizowała ten sam wybrany program izjoterapeutyczny przez 6 tygodni. U wszystkich pacjentów przeprowadzono ocenę przed i po leczeniu za pomocą systemu RehaCom, Montreal Cognitive Assessment (ocena funkcji poznawczych MoCA) i Mini-Mental State Examination (badanie stanu umysłowego MMSE). Wyniki. Zaburzenia poznawcze (uwaga, pamięc, reakcje i logiczne rozumowanie) uległy znacznej poprawie w grupie badanej (trening pilates) bardziej niż w grupie kontrolnej (wybrany program izjoterapeutyczny). Zaburzenia poznawcze uległy poprawie w obu grupach z najlepszymi wynikami poprawy w grupie (I) wyzṡzymi niż w grupie (II). Wniosek. Program treningowy pilates uwazȧ się za skuteczną metodę izjoterapeutyczną poprawiającą zaburzenia poznawcze u pacjentów po udarze mózgu. Słowa kluczowe udar, trening pilates, zaburzenia poznawcze

Background: Facial paralysis is an extremely frightening situation and gives extreme stress to patients because obvious disfiguring face may cause significant functional, aesthetic, and psychological disturbances. Aim of Study: To investigate the role of non affected side relaxation on function outcome in patient with Bell's Palsy (BP). Patients and Methods: Thirty patients with unilateral BP were assigned into two equal groups (Group A & Group B): Group (A) received conventional physical therapy program (laser therapy, faradic stimulation, therapeutic facial massage and facial exercise) on the affected side only while Group (B) received a designed relaxation program (Transcutaneous Electrical Nerve Stimulation (TENS), therapeutic facial massage, intraoral massage and ice massage) on the non affected side plus conventional physical therapy program on the affected side. Sunnybrook Facial Grading System (SFGS) and Electroneuronography (ENoG) were used to assess the severity of facial nerve degeneration. Assessment using both SFGS and EnoG was done pre-treatment, post one month of treatment and post two month of treatment. Results: The study has revealed that the function outcome has improved significantly in each group with no significant difference between both groups. Conclusion: It can be concluded that a designed relaxation program of the non-affected side has no significant effect on the function outcome in patient with Bell's palsy.