Effects of Mime Therapy With Sensory Exercises on Facial Symmetry, Strength, Functional Abilities, and the Recovery Rate in Bell's Palsy Patients

Mishra, Siddharth S; Sayed, Mahvish

doi:10.32598/fdj.4.35

Volume 4, Issue 1 (Continuously Updated 2021) Func Disabil J 2021, 4(1): 0-0 | Back to browse issues page

‎ 10.32598/fdj.4.35

Mendeley

Zotero

RefWorks

Mishra S S, Sayed M. Effects of Mime Therapy With Sensory Exercises on Facial Symmetry, Strength, Functional Abilities, and the Recovery Rate in Bell's Palsy Patients. Func Disabil J 2021; 4 (1) : 35
URL: http://fdj.iums.ac.ir/article-1-160-en.html

Effects of Mime Therapy With Sensory Exercises on Facial Symmetry, Strength, Functional Abilities, and the Recovery Rate in Bell's Palsy Patients

Siddharth S Mishra ^*

¹, Mahvish Sayed²

1- MGM College of Physiotherapy, Navi Mumbai, Affiliated to Maharashtra University of Health Sciences MUHS Nasik, Maharashtra, India. , siddharth24789@gmail.com
2- MGM College of Physiotherapy, Navi Mumbai, Affiliated to Maharashtra University of Health Sciences MUHS Nasik, Maharashtra, India.

Abstract: (2300 Views)

Background and Objectives: Bell palsy is the sudden lower motor neuron paralysis of the facial nerve, characterized by acute unilateral peripheral facial muscle weakness. Physiotherapy has been proven to be beneficial in the rehabilitation of patients with Bell palsy and is important to prevent permanent contractures of the paralyzed facial muscles. A physiotherapy technique includes electrical stimulation and mime therapy to help in restoring lost muscle functions. Also, sensory exercises include varied normality solutions administered. This study aimed to find the effects of mime therapy with sensory exercises on facial symmetry and functional abilities among Bell palsy patients.
Methods: A total number of 30 participants were recruited for an interventional study and conveniently assigned into three groups (n=10), where group A received electrical stimulation with facial exercises, group B received electrical stimulation with mime therapy, and group C received a combination of electrical stimulation, mime therapy, and sensory exercises. Each group received 18 sessions; each session was for 60 minutes per day, six days per week, for three weeks. Then, all the participants were assessed using the Sunnybrook facial grading system and the facial disability index.
Results: Intragroup analysis showed a significant difference within all three groups (P<0.05). Besides, the intergroup comparison showed maximum recovery in group C followed by groups B and A.
Conclusion: A combination of mime therapy and electrical stimulation along with sensory exercises provides the most beneficial intervention to improve facial function and reduce facial synkinesis in Bell palsy individuals. Hence, sensory exercises are recommended as an adjunct to electrical stimulation and mime therapy for the line of treatment for individuals with Bell palsy.

Article number: 35

Keywords: Bell's palsy, Electrical stimulation, Sensory exercises, Mime therapy

Full-Text [PDF 992 kb] (1546 Downloads) | | Full-Text (HTML) (1603 Views)

Type of Study: Research | Subject: Physiotherapy
Received: 2021/04/17 | Accepted: 2021/06/3 | Published: 2021/09/1

References

1. Chaursia's .B D. Human Anatomy Regional And Applied Dissection (clinical volume 3)Sixth Edition. New Delhi.CBS Publishers and Distributors Pvt Ltd. 2013.

2. Yanagihara N. Incidence of Bell's palsy. Ann OtolRhinolLaryngol Suppl. 1998;137:3-4.

3. De Diego JI, Prim MP, Madero R, et.al. Seasonal Patterns of idiopathic facial paralysis: a 16-year study. Otolaryngol Head Neck Surg. 1999 Feb;120(2):269-71. [DOI:10.1016/S0194-5998(99)70418-3]

4. Khedr EM, Fawi G, et.al. Prevalance of Bell's palsy in Qena Governorate, Egypt. Neurological research.2016;38(8):663-68. [DOI:10.1080/01616412.2016.1190121] [PMID]

5. Adour KK, Byl FM, Hilsinger RL Jr, Kahn ZM, Sheldon MI. The true nature of Bell's palsy: Analysis of 1,000 consecutive patients. Laryngoscope 1978;88:787-801. [DOI:10.1002/lary.1978.88.5.787] [PMID]

6. Ahmed A. When is facial paralysis Bell palsy? Current diagnosis and treatment. Cleve Clin J Med. 2005;72(5):398-401. [DOI:10.3949/ccjm.72.5.398] [PMID]

7. Linder TE, Abdelkafy W, Cavero-Vanek S. The management of peripheral facial nerve palsy: "paresis" versus "paralysis" and sources of ambiguity in study designs. OtolNeurotol. 2010 Feb;31(2):319-27. [DOI:10.1097/MAO.0b013e3181cabd90] [PMID]

8. Tiemstra JD, Khatkhate N. Bell's palsy: diagnosis and management. Am Fam Physician. 2007 Oct;76(7):997-1002.

9. Tuncay F, Borman P, et al. Role of electrical stimulation added to conventional therapy in patients with idiopathic facial (Bell) palsy. Am J Phys Med Rehabil. 2015 Mar;94(3):222-8. [DOI:10.1097/PHM.0000000000000171] [PMID]

10. Rosie Q, Cramp F. The efficacy of electrotherapy for Bell's palsy: a systemic review. Physical Therapy Reviews. 2003;8(3):151-64. [DOI:10.1179/108331903225002470]

11. Li P, Qiu T, Qin C. Efficacy of acupuncture for Bell's Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS One. 2015 May;10(5):e0121880. [DOI:10.1371/journal.pone.0121880] [PMID] [PMCID]

12. Beurskens CHG, Devriese PP, Heiningen I, et al. The use of Mime therapy as a rehabilitation method for patients with facial nerve paresis. Int J TherRehabil. 2004 May;11(5):206-10. [DOI:10.12968/ijtr.2004.11.5.13340]

13. Beurskens CH, Heymans PG. Mime therapy improves facial symmetry in people with long term facial nerve paresis: A randomised controlled trial. Aust J Physiother. 2006;52(3):177-83. [DOI:10.1016/S0004-9514(06)70026-5]

14. Mistry G, Sheth M, Vyas N. Comparison of the effect of mime therapy versus convetional therapy on the sunnybrook facial grading system in patients with acute bell's palsy. Int J of Med Res Health Sci. 2014;3(1):133-136. [DOI:10.5958/j.2319-5886.3.1.026]

15. Beurskens CH, Heymans PG. Positive effects of mime therapy on sequels of facial paralysis: stiffness, lip mobility, and social and physical aspects of facial disability. OtolNeurotol. 2003 Jul ;24(4):677-81. [DOI:10.1097/00129492-200307000-00024] [PMID]

16. Guyton A. Structure and function of the nervous system. Philadelphia. WB Saunders.1972.

17. Rood M. Neurophysiological reactions as a basis for physical therapy. PhysTher Rev. 1954;34:444. [DOI:10.1093/ptj/34.9.444] [PMID]

18. Rood M. The use of sensory receptors to activate, facilitate and inhibit motor response, automatic and somatic, in developmental sequence. In Sattely C, editor: Approaches to the treatment of patients with neuromuscular dysfunction, Dubuque, lowa, 1962, Wm C Brown Book.

19. Kashima H, Hamada Y, Hayashi N. How tastes are linked with facial expressions. Chem Senses. 2014 Mar;39(3):243-8. [DOI:10.1093/chemse/bjt074] [PMID]

20. Hu WL, Ross B, Nedzelski J. Reliability of the Sunnybrook Facial Grading System by novice users. J Otolaryngol. 2001 Aug;30(4):208-11. [DOI:10.2310/7070.2001.20148] [PMID]

21. Kanerva M, Poussa T, Pitkaranta A. Sunnybrook and House-Brackmann Facial Grading System: Intra-rater repeatability and inter-rater agreement. Otolaryngol Head Neck Surg. 2006 Dec;135(6):865-71. [DOI:10.1016/j.otohns.2006.05.748] [PMID]

22. Neely JG, Cherian NG, Dickerson CB, et.al. Sunnybrook facial grading system: reliability and criteria for grading. Laryngoscope. 2010 May;120(5):1038-245. [DOI:10.1002/lary.20868] [PMID]

23. Vanswearingen JM, Brach JS. The Facial Disability Index: reliability and validity of a disability assessment instrument for disorders of the facial neuromuscular system. PhysTher. 1996 Dec;76(12):1288-89. [DOI:10.1093/ptj/76.12.1288] [PMID]

24. Robertson V, Ward A, Low J, et.al. Electrotherapy Explained Principles and Practice Fourth Edition. New Delhi. Elsevier, a division of Reed Elsevier India Private Limited.2012.

25. Mosforth J, Taverner D. Physiotherapy for Bell's Palsy. Br Med J. 1958 Sep;2:675-77. [DOI:10.1136/bmj.2.5097.675] [PMID] [PMCID]

26. Alakram P, Puckree T. Effects of electrical stimulation on House-Brackmann scores in early Bell's Palsy. Physiother Theory Pract. 2010 Apr 22;26(30):160-6. [DOI:10.3109/09593980902886339] [PMID]

27. Ahmad SJ and Rather AH. A prospective study of physical therapy in facial nerve paralysis experience at a multispeciality hospital of Kashmir. 2012;15(2):145-48. [DOI:10.33883/jms.v15i2.151]

28. Shafshak TS. The treatment of facial palsy from the point of view of physcial and rehabilitation medicine. Eura Medicophys.2006 Mar;42(1):41-7.

29. Farragher D, Kidd GL, Tallis R. Eutrophic electrical stimulation for Bell's palsy. Clinical Rehabilitation. 1987 Nov;1(4):265-71. [DOI:10.1177/026921558700100402]

30. Quinn R, Cramp F. The efficacy of electrotherapy for Bell's palsy: a systematic review. Physical therapy reviews. 2003 Sep 1;8(3):151-64. [DOI:10.1179/108331903225002470]

31. Targan RS, Alon GA, Kay SL. Effect of long-term electrical stimulation on motor recovery and improvement of clinical residuals in patients with unresolved facial nerve palsy. Otolaryngology-Head and Neck Surgery. 2000 Feb;122(2):246-52. [DOI:10.1016/S0194-5998(00)70248-8]

32. Bulstrode NW, Harrison DH. The phenomenon of the late recovered Bell's palsy: treatment options to improve facial symmetry. Plastic and reconstructive surgery. 2005 May 1;115(6):1466-71. [DOI:10.1097/01.PRS.0000160265.18780.1C] [PMID]

33. Parveen kumar, S. and Anne, T., 2018. Efficacy of Mime Therapy and Conventional Therapy Versus Conventional Therapy in Improving the Facial Functions of Bell's Palsy Patients. International Journal of Scientific Research and Reviews, 7(1)(2279-0543), pp.427-441.

34. Pourmomeny AA, Asadi S. Management of synkinesis and asymmetry in facial nerve palsy: a review article. Iranian journal of otorhinolaryngology. 2014 Oct;26(77):251.

35. Devriese PP. Rehabilitation of facial expression ("mime therapy"). InThe Facial Nerve 1994 (pp. 42-43). Springer, Berlin, Heidelberg. [DOI:10.1007/978-3-642-85090-5_10] [PMID]

36. Steiner JE, Glaser D. Taste-induced facial expressions in apes and humans. Human Evolution. 1995 Apr 1;10(2):97-105 [DOI:10.1007/BF02437533]

37. Nakayama K, Goto S, Kuraoka K, Nakamura K. Decrease in nasal temperature of rhesus monkeys (Macaca mulatta) in negative emotional state. Physiology & behavior. 2005 Apr 13;84(5):783-90. [DOI:10.1016/j.physbeh.2005.03.009] [PMID]

Designed & Developed by : Yektaweb