Kabat Rehabilitation Versus Mime Therapy on Facial Disability and Synkinesis in Patients of Bell's Palsy

Bell Palsy Clinical Trial

Official title:

Effects Of Kabat Rehabilitation Versus Mime Therapy On Facial Disability And Synkinesis In Patients Of Bell's Palsy

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06029855
• Other study ID #: REC-UOL-406-05-2023
• Status: Recruiting
• Phase: N/A
• Start date: May 1, 2023
• Est. completion date: October 15, 2023

Study information

• Verified date: September 2023
• Source: University of Lahore
• Contact: Ayesha Amjad, MS
• Phone: +923054645864
• Email: ayeshaamjad056[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Bell's palsy, also called idiopathic facial paralysis, is a common cause of unilateral facial paralysis. It is one of the most common neurological disorders of the cranial nerves.

Description:

Bell's palsy is an alarming condition of rapid onset, which paralyzes half of the facial muscles. Kabat rehabilitation is a manual resistance technique that promotes a basic pattern of movement through facilitation, inhibition, and resistance of a group of muscles. It increases the functioning and power of facial muscles while Mime therapy results in immediate improvement of function and integrity of facial muscles. It also mitigates synkinesis in Bell's palsy. Both techniques are easy to apply. They are clinically important techniques that are easily understood by patients.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 85
• Est. completion date: October 15, 2023
• Est. primary completion date: September 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 50 Years

Eligibility

Inclusion Criteria:

1. Age group 25-50 years.

2. Both male and female.

3. Unilateral bell's paralysis.

4. Not congenital in origin.

5. Sub-acute and chronic cases.

Exclusion Criteria:

1. Other neurological deficits include epilepsy and Alzheimer's disease.

2. Traumatic onset.

3. Surgical reconstruction (nerve or muscle reconstruction).

4. Mental and psychological disorders i.e., schizophrenia, bipolar disorders.

5. Skin diseases (eczema, urticarial) as electrical stimulation may affect the results.

6. Any contraindications for massage like sunburn, bruising, or cuts.

Related Conditions & MeSH terms

• Bell Palsy
• Facial Paralysis
• Paralysis
• Synkinesis

Intervention

Other:
• Kabat Therapy
The participants of group A will receive Kabat Rehabilitation with routine physical therapy. The protocol will be given to the participants for three sessions/week for six weeks. Each session will be of 30 minutes.
• Mime Therapy
The participants of group B will receive Mime Therapy in addition to routine physical therapy. The protocol will be given to the participants once a week for six weeks, while physical therapy will be given on alternate days. Each session will be of 30 minutes.

Locations

Country	Name	City	State
Pakistan	The University of Lahore	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
University of Lahore

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Synkinesis	Synkinesis will be accessed through the "House-Brackmann Scale". It is classified as a universal scale. This scale analyses the symmetry, synkinesis, stiffness, and global mobility of the face. It is divided into six categories (normal, mild dysfunction, moderate dysfunction, moderately severe dysfunction, severe dysfunction, and total paralysis) and is a 0-6-point scale with 6 representing total paralysis.	It will be assessed at baseline, at the third week and at six week.
Primary	Level of Facial Disability	The level of Facial disability will be measured through the "Facial Disability Index Scale". This scale has ten items that evaluate the patient's physical and social aspects (mastication, deglutition, communication, labial mobility, emotional alterations, and social integration). It uses a hundred-point scale with a higher score indicating less impairment. 24 Minimum score for physical functioning: 0, Maximum score for physical functioning: 25, Minimum score for social and well-being: 5, Maximum score for social and well-being.	Change in functional status will be measured at the baseline, at 3rd week and at 6th week.