Efficacy of Telerehabilitation Based Exercises in Patients With Bell's Palsy

Study Overview
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Brief Summary
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The study will be carried out with volunteer patients who are diagnosed with Bell's Palsy and comply with the study criteria.The aim of the study is to compare the home PNF exercise program with video-based telerehabilitation and the conventional training program in terms of outcome measures in patients with Bell's Palsy lesions.

Detailed Description
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With the telerehabilitation program, it is aimed that patients can easily adapt to home exercise programs and be followed up remotely. In this way, the most effective treatment of the disease will provide the patient with both motor function gain and psychosocial gain. This study was planned to examine the effectiveness of telerehabilitation in patients with Bell's Palsy.

Official Title
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The Efficacy of Telerehabilitation Based Self Proprioceptive Neuromuscular Facilitation Exercises on Clinical and Psychosocial Parameters in Bell's Palsy Patients

Conditions
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Bell Palsy

Intervention / Treatment
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* Other: Telerehabilitation
* Other: Conventional Education Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female patients aged 18 - 65 years Being diagnosed with Bell's Palsy by a specialist physician Having a lower motor neuron lesion Non-traumatic cases Not having any other neurological deficits Having signed the consent form Exclusion Criteria: Situations that will prevent assessments or communication with the individual Bilateral involvement Having an operation for facial palsy Having an upper motor neuron lesion Neurological problems that would preclude evaluation and/or treatment.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomised Controlled Trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Telerehabilitation (TR)<br>Self PNF exercises determined for facial muscles (M. Frontalis, M. Orbicularis Oculi, M. Orbicularis Oris, M. Risorius etc.) will be applied. | Other: Telerehabilitation<br>* The telerehabilitation platform is used to deliver the home exercise program.<br>|
| Active Comparator: Conventional Education Program (CEP)<br>Education will be given to cases with Bell's Palsy. Some exercises will be suggested in front of the mirror. Patients will be advised to gently massage upwards with their fingertips after applying a warm towel with a towel on the facial muscles. | Other: Conventional Education Program<br>* The patient is given education about the points to be considered for the disease and the exercises to be applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| FDI | The Facial Disability Index is a questionnaire that provides information about the impact of facial paralysis and the physical and social well-being impairment it causes. FDI is scored from 0 to 100. Higher scores indicate better function. | Change from Baseline FDI at 4 weeks | 
| FaCE | It consists of 15 items with responses on a 5-point Likert scale in 6 sub-categories: facial movements, social function, facial comfort, tear control, eye comfort, and mouth function. FaCE is scored from 0 to 100. Higher scores indicate better function. | Change from Baseline FaCE at 4 weeks | 
| SF-12 | SF 12 is a self-evaluation scale. It consists of seven items. SF-12 is scored from 0 to 100. Higher scores indicate better quality of life. | Change from Baseline SF-12 at 4 weeks | 
| HADS | The scale includes anxiety and depression subscales. The purpose of the scale is not to diagnose, but to determine the risk group by scanning anxiety and depression in a short time in patients with physical illness. HADS is scored from 0 to 21. Higher scores indicate higher depression and anxiety. | Change from Baseline HADS at 4 weeks | 
| H-B | The scale evaluates the four facial regions separately and also assesses the presence of synkinesis. H-B is scored from 4 to 24. Higher scores indicate worse clinical status. | Change from Baseline H-B at 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| TSUQ | With this survey, the satisfaction levels and usability of individuals using the telemedicine service are evaluated. TSUQ is scored from 21 to 105. Higher scores indicate higher satisfaction and usability. | Change from Baseline TSUQ at 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bells Pasly, Telerehabilitation, Peripheral Facial Paralysis, Proprioceptive Neuromuscular Facilitation