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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Bell Palsy

Intervention / Treatment
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* Other: Kabat Therapy
* Other: Mime Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age group 25-50 years. Both male and female. Unilateral bell's paralysis. Not congenital in origin. Sub-acute and chronic cases. Exclusion Criteria: Other neurological deficits include epilepsy and Alzheimer's disease. Traumatic onset. Surgical reconstruction (nerve or muscle reconstruction). Mental and psychological disorders i.e., schizophrenia, bipolar disorders. Skin diseases (eczema, urticarial) as electrical stimulation may affect the results. Any contraindications for massage like sunburn, bruising, or cuts.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 50 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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Kabat Therapy<br>Kabat exercises primarily assist functional response in defective muscles through the general structure of muscles experiencing resistance. After 6th week, resting and voluntary symmetries were recorded. | Other: Kabat Therapy<br>* 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.<br>|
| Experimental: Mime Therapy<br>Mime therapy utilizes emotional input to access better movement patterns. It is beneficial as it improves circulation and maintains muscle properties. | Other: Mime Therapy<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 
| 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. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bell Palsy, Kabat Rehabilitation, Mime Therapy