Effects of electrical stimulation in early Bells palsy on facial disability index scores

Alakram, P.; Puckree, T.

doi:10.4102/sajp.v67i2.44

Cited by 8 publications

(14 citation statements)

References 8 publications

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“… 53 , 54 , 56 , 58 The remaining nine studies were rated as low methodological quality. Two were randomised trials, 57 , 66 one was a quasi-experimental study, 48 and two were small pilot studies. 49 , 50 In terms of methodological flaws all, except one study, 60 were at risk of bias for failing to blind participants when outcomes were based on patient-reported measures.…”

Section: Resultsmentioning

confidence: 99%

Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy

et al. 2022

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Objective To conduct a systematic review of the effectiveness of facial exercise therapy for facial palsy patients, updating an earlier broader Cochrane review; and to provide evidence to inform the development of telerehabilitation for these patients. Data Sources MEDLINE, EMBASE, CINAHL, Cochrane Library, PEDro and AMED for relevant studies published between 01 January 2011 and 30 September 2020. Methods Predetermined inclusion/exclusion criteria were utilised to shortlist abstracts. Two reviewers independently appraised articles, systematically extracted data and assessed the quality of individual studies and reviews (using GRADE and AMSTAR-2, respectively). Thematic analysis used for evidence synthesis; no quantitative meta-analysis conducted. The review was registered with PROSPERO (CRD42017073067). Results Seven new randomised controlled trials, nine observational studies, and three quasi-experimental or pilot studies were identified ( n = 854 participants). 75% utilised validated measures to record changes in facial function and/or patient-rated outcomes. High-quality trials (4/7) all reported positive impacts; as did observational studies rated as high/moderate quality (3/9). The benefit of therapy at different time points post-onset and for cases of varying clinical severity is discussed. Differences in study design prevented data pooling to strengthen estimates of therapy effects. Six new review articles identified were all rated critically low quality. Conclusion The findings of this targeted review reinforce those of the earlier more general Cochrane review. New research studies strengthen previous conclusions about the benefits of facial exercise therapy early in recovery and add to evidence of the value in chronic cases. Further standardisation of study design/outcome measures and evaluation of cost-effectiveness are recommended.

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Section: Resultsmentioning

confidence: 99%

Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy

et al. 2022

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“…with high degree of denervation. Moreover, Alakram and Puckree preformed an electrostimulation study concluding that stimulation was not effective to improve functional recovery after Bell's palsy ( 58 ). We believe, in contrast, that this was likely due to the short duration pulses (10 μs) they used when attempting to stimulate denervated muscles ( 60 ).…”

Section: Effects Of Facial Nerve and Muscle Stimulation Starting In T...mentioning

confidence: 99%

Selective Electrical Surface Stimulation to Support Functional Recovery in the Early Phase After Unilateral Acute Facial Nerve or Vocal Fold Paralysis

et al. 2022

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This article addresses the potential clinical value of surface electrical stimulation in the acute phase of denervation after the onset of facial nerve or recurrent laryngeal nerve paralysis. These two nerve lesions are the most frequent head and neck nerve lesions. In this review, we will work out several similarities concerning the pathophysiology features and the clinical scenario between both nerve lesions, which allow to develop some general rules for surface electrical stimulation applicable for both nerve lesions. The focus is on electrical stimulation in the phase between denervation and reinnervation of the target muscles. The aim of electrostimulation in this phase of denervation is to bridge the time until reinnervation is complete and to maintain facial or laryngeal function. In this phase, electrostimulation has to stimulate directly the denervated muscles, i.e. muscle stimulation and not nerve stimulation. There is preliminary data that early electrostimulation might also improve the functional outcome. Because there are still caveats against the use of electrostimulation, the neurophysiology of denervated facial and laryngeal muscles in comparison to innervated muscles is explained in detail. This is necessary to understand why the negative results published in several studies that used stimulation parameters are not suitable for denervated muscle fibers. Juxtaposed are studies using parameters adapted for the stimulation of denervated facial or laryngeal muscles. These studies used standardized outcome measure and show that an effective and tolerable electrostimulation of facial and laryngeal muscles without side effects in the early phase after onset of the lesions is feasible, does not hinder nerve regeneration and might even be able to improve the functional outcome. This has now to be proven in larger controlled trials. In our view, surface electrical stimulation has an unexploited potential to enrich the early therapy concepts for patients with unilateral facial or vocal fold paralysis.

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“…Perubahan yang terjadi pada lapisan dermis kulit akan mengakibatkan penurunan produksi sebum dan keringat yang mengakibatkan penguapan air meningkat, pengurangan jumlah dan ukuran serat kolagen dan elastin (Yi & Chiang, 2017). Hal ini berdampak terhadap kekenyalan dan elastisitas kulit menjadi turun (Alakram & Puckree, 2011). Kelembaban adalah indikator kadar air dalam kulit yang merupakan hasil keseimbangan antara cairan yang masuk dan keluar (Alexander et al, 2012).…”

Section: Pendahuluanunclassified

Pengaruh Ionthoporesis dengan Serum C terhadap Kelembaban dan Elastisitas Kulit Wajah pada Wanita

Widiarti¹,

Kurniawati²

2022

jfrwhs

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Latar Belakang: Kulit merupakan organ terbesar dalam tubuh manusia yang memberikan perlindungan. Proses menua pada kulit secara intrinsik dapat dipercepat akibat berbagai faktor ekstrinsik yang didominasi oleh paparan sinar matahari. Tujuan: Tujuan penelitian ini adalah untuk mengetahui Pengaruh Ionthoporesis dengan Serum C terhadap Kelembaban dan Elastisitas Kulit Wajah pada Wanita. Metode: Desain yang digunakan dalam penelitian ini adalah Quasi experimental dengan rancangan one group pretest – posttest with control design. Hasil: Uji Independent Samples Test kelembaban Kelompok I dan II menghasilkan nilai p 0.000 yang berarti ada perbedaan secara bermakna. Uji Independent Samples Test elastisitas Kelompok I dan II menghasilkan nilai p 0.017 yang berarti ada perbedaan secara bermakna. Kesimpulan: Kesimpulannya pemberian serum C dengan metode ionthophoresis lebih dapat meningkatkan kelembaban dan elastisitas kulit wajah dibandingkan dengan pemberian serum C dengan dioles.

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Effects of electrical stimulation in early Bells palsy on facial disability index scores

Cited by 8 publications

References 8 publications

Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy

Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy

Selective Electrical Surface Stimulation to Support Functional Recovery in the Early Phase After Unilateral Acute Facial Nerve or Vocal Fold Paralysis

Pengaruh Ionthoporesis dengan Serum C terhadap Kelembaban dan Elastisitas Kulit Wajah pada Wanita

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