Electro Physiological Responses to Kabat Motor Control Re-education on Bell's Palsy: A Randomized Controlled Study

Study Overview
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Brief Summary
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To investigate the Effect of Kabat motor control re-education therapy on facial nerve Electro physiological responses and facial muscles function in bell's palsy. BACKGROUND: facial nerve recovery in children could be improved through facilitation of nerve regeneration which can be enhanced through Kabat motor control re-education therapy.

Detailed Description
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Thirty children with bell's palsy will participate in this study. The patients will randomly be divided into two equal groups; the control group received the conventional selected program, and the study group received the same exercise training program in addition to Kabat motor control re-education therapy. The program of treatment will be three times per week for six weeks. The evaluation methods: Facial nerve distal latency, amplitude, and percentage of degenerations via the Neuropack S1 MEB9004 EMG device, the Facial Disability Index, and Sunnybrook facial grading system (SBFGS) all the assessment methods before the program and after finishing the program

Official Title
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Electro Physiological Responses to Kabat Motor Control Re-education on Bell's Palsy: A Randomized Controlled Study

Conditions
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Facial Nerve Palsy, Bell's Palsy

Intervention / Treatment
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* Other: Kabat motor control re-education therapy
* Other: conventional selected program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Thirty child diagnosed as acquired bell's palsy with unilateral peripheral facial paralysis Both gender Their age ranged from 12:16 years old. Exclusion Criteria: difficulty to communicate or to understand program instructions Oral dentures, Skin infection and metal implants on face Sensory loss over the face, Recurrent facial paralysis any other disorders or neurological deficits, a history of surgical intervention for the ear and facial nerve palsy pain of any other origin non co-operative patients

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 16 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: control group which received conventional selected program, and study group received the same exercise training program in addition to Kabat motor control re-education therapy
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: study group<br>the study group received the conventional selected program in addition to Kabat motor control re-education | Other: Kabat motor control re-education therapy<br>* Kabat motor control re-education therapy that includes specific movements with predefined patterns of facial muscles exercises, which is spiral and diagonal movements involve the facial muscles, which are brought to train in global patterns. The program of treatment for three times per week for six weeks.<br>Other: conventional selected program<br>* the conventional selected program in the form of electrical stimulation (Faradic current) of affected muscles, facial muscle exercise program in front of the mirror, and home advices.<br>|
| Experimental: control group<br>the control group received the conventional selected program | Other: conventional selected program<br>* the conventional selected program in the form of electrical stimulation (Faradic current) of affected muscles, facial muscle exercise program in front of the mirror, and home advices.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Electroneurography | Measuringthe Facial nerve distal latency measured in millisecond (ms).via the Neuropack S1 MEB9004 EMG device | 6 weeks | 
| Electroneurography | Measuring the Facial nerve amplitude measured in (mv).via the Neuropack S1 MEB9004 EMG device | 6 weeks | 
| Electroneurography | Measuring the Facial nerve percentage of degenerations measured in(%).via the Neuropack S1 MEB9004 EMG device | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sunnybrook facial grading system (SBFGS) | it is a clinical grading system of facial function in facial palsy. It consists of 13 items-3 resting, 5 voluntary movement and 5 synkinesis items-answered on categorical answering scales. A SB composite score (range 0-100) and resting symmetry (range 0-20), voluntary movement (range 20-100) and synkinesis subscores (0-15) can be calculated. | 6 weeks |