Physical therapy for Bell´s palsy (idiopathic facial paralysis)

Teixeira, Lázaro Juliano; Soares, Bernardo; Vieira, Vanessa Pedrosa; Prado, Gilmar Fernandes do

doi:10.1002/14651858.cd006283.pub2

Cited by 34 publications

(19 citation statements)

References 40 publications

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“…There was limited evidence that improvement began earlier in the exercise group. [14] Another systematic review examined the effects of facial exercises associated either with mirror or electromyogram biofeedback with respect to complications of delayed recovery in Bell's palsy and concluded that because of the small number of randomized controlled trials, it was not possible to analyze if the exercises, were effective. [15] However, that the possibility that facial exercise reduces time to recover and sequelae needs confirming with good quality randomised controlled trials.…”

Section: Diagnostic Workupmentioning

confidence: 99%

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Bell′s palsy: Treatment guidelines

Murthy¹,

Saxena²

2011

Ann Indian Acad Neurol

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Section: Diagnostic Workupmentioning

confidence: 99%

“…[15] However, that the possibility that facial exercise reduces time to recover and sequelae needs confirming with good quality randomised controlled trials. [14]…”

Section: Diagnostic Workupmentioning

confidence: 99%

Bell′s palsy: Treatment guidelines

Murthy¹,

Saxena²

2011

Ann Indian Acad Neurol

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“…Systematic controlled studies on the role of physical therapy and also on the role of electrostimulation therapy are lacking [29,30]. It is imaginable that physical therapy could help to reduce the degree of muscle atrophy in the first time after nerve suture to bridge the time before the regrowing axons have reached the mimic musculature.…”

Section: Adjuvant Measuresmentioning

confidence: 99%

Modern concepts in facial nerve reconstruction

2010

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BackgroundReconstructive surgery of the facial nerve is not daily routine for most head and neck surgeons. The published experience on strategies to ensure optimal functional results for the patients are based on small case series with a large variety of surgical techniques. On this background it is worthwhile to develop a standardized approach for diagnosis and treatment of patients asking for facial rehabilitation.ConclusionA standardized approach is feasible: Patients with chronic facial palsy first need an exact classification of the palsy's aetiology. A step-by-step clinical examination, if necessary MRI imaging and electromyographic examination allow a classification of the palsy's aetiology as well as the determination of the severity of the palsy and the functional deficits. Considering the patient's desire, age and life expectancy, an individual surgical concept is applicable using three main approaches: a) early extratemporal reconstruction, b) early reconstruction of proximal lesions if extratemporal reconstruction is not possible, c) late reconstruction or in cases of congenital palsy. Twelve to 24 months after the last step of surgical reconstruction a standardized evaluation of the therapeutic results is recommended to evaluate the necessity for adjuvant surgical procedures or other adjuvant procedures, e.g. botulinum toxin application. Up to now controlled trials on the value of physiotherapy and other adjuvant measures are missing to give recommendation for optimal application of adjuvant therapies.

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“…Este constitui uma alternativa recomendável na reabilitação da Paralisia Facial Periférica. Teixeira et al (2008) analisou em sua pesquisa a ação da fisioterapia no tratamento da paralisia facial periférica. A pesquisa identificou 45 artigos potencialmente relevantes, e este estudo serviu para avaliar a eficácia de terapias físicas sobre o resultado da paralisia de Bell.…”

Section: Tratamento Fonoaudiológico E Fisioterápicounclassified