Effects of Kabat rehabilitation versus mime therapy on facial disability and synkinesis in patients of Bell's palsy.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2024-11-01 DOI:10.47391/JPMA.11247

Ayesha Amjad, Ayesha Jamil, Nida Fatima, Hira Bano Javaid, Hafsa Zahid

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引用次数: 0

Abstract

Objective: To compare the effects of Kabat rehabilitation and Mime therapy on facial disability and synkinesis in patients with Bell's palsy.

Methods: The single-blind, randomised clinical trial was conducted at the Physiotherapy Department of the University of Lahore Teaching Hospital, Lahore, Pakistan, from May to October 2023, and comprised adults of either gender aged 25-50 years having sub-acute or chronic unilateral Bell's palsy of non-congenital origin. The patients were randomised into Kabat rehabilitation group A and mime therapy group B. Conventional physical therapy was given to both groups additionally. Facial disability was assessed using the Facial Disability Index scale, and synkinesis was observed using the House-Brackmann Facial Nerve Grading Scale. Data was analysed using SPSS 25.

Results: Of the 72 patients, 41(56.9%) were females and 31(43.1%) were males. The overall mean age was 37.77±6.98 years, mean body mass index was 25.71±5.71kg/m2 and 41(56.9%) patients had left-sided palsy. Facial disability and synkinesis were significantly different in both groups post-intervention (p<0.001), while intergroup differences were significant in the 3rd and 6th weeks (p<0.001).

Conclusions: Kabat rehabilitation led to more significant improvements in synkinesis and facial disability compared to mime therapy.

Clinical trial number: Clinical trials.gov registration id: NCT06029855.

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卡巴特康复疗法与哑剧疗法对贝尔麻痹患者面部残疾和同步运动的影响。

目的：比较卡巴特康复疗法和默剧疗法对贝尔麻痹患者面部残疾和同步运动的影响：比较卡巴特康复疗法和默剧疗法对贝尔麻痹患者面部残疾和同步运动的影响：该单盲随机临床试验于 2023 年 5 月至 10 月在巴基斯坦拉合尔的拉合尔大学教学医院理疗科进行，对象为 25-50 岁患有亚急性或慢性单侧非先天性贝尔氏麻痹的成年男女患者。患者被随机分为卡巴特康复治疗 A 组和默剧治疗 B 组。面部残疾采用面部残疾指数量表进行评估，同步运动采用 House-Brackmann 面部神经分级量表进行观察。数据使用 SPSS 25 进行分析：72 名患者中，女性 41 人（56.9%），男性 31 人（43.1%）。总平均年龄为（37.77±6.98）岁，平均体重指数为（25.71±5.71）kg/m2，41 例（56.9%）患者为左侧瘫痪。干预后，两组患者的面部残疾和同步运动均有显著差异（P结论：与哑剧疗法相比，卡巴特康复疗法对同步运动和面部残疾的改善更为显著：临床试验编号：Clinical trials.gov registration id：临床试验编号：Clinical trials.gov registration id：NCT06029855。

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.