Background. Falling is a major problem for people with Parkinson’s disease (PD), as they are twice as likely to fall compared to other neurological conditions. The consequences of these falls are significant and often result in injuries that contribute to poor quality of life, and care giver stress. Aim. To compare the efficacy of visual feedback versus sensory integration training on risk of falling in idiopathic Parkinson’s disease patients. Materials and Methods. Thirty patients (13 females and 17 males) with idiopathic PD, aged from 60 to 75 years participated in this study. They were randomly assigned to two equal groups. Group (A) received visual feedback training on the Biodex Balance System and group (B) received sensory integration training. Twelve training sessions were given, three times per week, for four weeks. Assessment of overall stability index (fall risk index) and sway index using the modified Clinical Test of Sensory Integration of Balance (m-CTSIB) was done pre-and post-treatment. Results. Both groups (A and B) showed significant decrease in the overall stability index post treatment (p < 0.05). In addition, there was significant difference between both groups in the overall stability index post-treatment (p < 0.05), being lower in group A compared to B. Finally, a significant decrease in sway index was also reported post treatment in both groups (p < 0.05), being significantly lower in group A compared to group B (p < 0.05). Conclusion. Visual feedback training yields improvement in decreasing risk of falling in PD patients compared to sensory integration training.

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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.