Comparison of Motor Imagery Technique and Mime Therapy on Facial Expressions in Facial Palsy Patients
Condition: Facial Palsy
MeSH terms: Bell Palsy; Facial Paralysis; Paralysis; Facies
Study type: Interventional

Summary: 
      This project was a Randomized clinical trial conducted to compare the effects of motor
      imagery technique and mime therapy on facial expressions in facial palsy patients so that we
      can have best treatment option for patients of facial palsy. Duration was of 6 months,
      convenient sampling was done, subjects following eligibility criteria from Imran Idrees
      Teaching hospital and Idrees Hospital Sialkot, were randomly allocated in two groups via
      computer generated method, baseline assessment was done, MIT Group received motor imagery
      technique, 45 min session (3 times a week for 3 months) plus the EMS (10-15 min), while the
      MT Group received mime therapy 30-45 min session (3 times a week for 3 months) plus the EMS
      (10-15 min). Outcome measures were collected for both groups at before treatment (T0) and at
      the end of the treatment i-e after 3 months (T1). The outcome measures were severity of
      paresis, facial symmetry and intensity of depression measured by using House-Brackmann Scale,
      Sunnybrook Facial Grading System and Beck Depression Inventory Scale, respectively. Data was
      analyzed by using SPSS version 24.0.
    

Detailed description: 
      Facial palsy is due to the damage in the facial nerve that supplies the muscles of the face.
      Peripheral facial nerve paralysis can have various causes, such as Bell's palsy, which is the
      most common cause. Among secondary cause, tumors and the adverse effects of surgery for tumor
      pathologies such as, acoustic neuroma and facial nerve schwannoma are the most prevalent. The
      prognosis for FNP is complete recovery in roughly 80% of cases with Bell's palsy, whereas 15%
      experiences some type of permanent nerve damage, with the remaining 5% enduring severe
      sequelae. To this end, FNP should be treated in a multidisciplinary setting, in which
      physical therapy, psychological and medical or surgical interventions are integrated. The
      current study has compared the effects of motor imagery technique and mime therapy on facial
      expressions in facial palsy patients. The current study was novel in a way that there is no
      evidence of superiority of any rehabilitative treatment compared with another in the recovery
      of FNP, which was clearly determined by the current study.
    

Intervention name(s): Motor imagery technique along with EMS; Mime Therapy along with EMS
Intervention type(s): Other; Other
Intervention description(s): All the subjects carried out the treatment process for a total of 3 months. During this treatment duration, the sessions were administered 3 times per week for 45 minutes, depending upon the subject's ability to focus and tiredness. The patients were mentioned to play out the emotional facial appearances for non-verbal correspondence i-e pleasure, misery, interest, appall, dread, irritation and shock. Patients were then requestedto envision himself winking, for instance, envisioning himself in a wonderful and natural social setting, at that point the patient cognitively addresses, with his eyes shut, the movement of decaying the recognized central issues, without creating any specific movement.; All the subjects carried out the treatment process for a total of 3 months. During this treatment duration, the sessions were administered 3 times per week for 45 minutes, depending upon the subject's ability to focus and tiredness. Mime treatment incorporates self kneading of face and neck, breathing and relaxation works out, activities to synchronize the two sides and diminish synkinesis and for eye and lip closure per the myofascial way to deal with recovery, letter and word practices and expressive activities.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Facial nerve palsy; Mime therapy; Motor imagery technique