Clinical trial NCT06028191: Combined Effects of Low Level Laser Therapy and Kabat Technique in Patients With Bell's Palsy
Official title: Combined Effects of Low Level Laser Therapy and Kabat Technique in Patients With Bell's Palsy
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Bell Palsy
Keywords: Bell's Palsy
Facial Disability Index
Kabat Technique
Low Level Laser Therapy
Sunnybrook facial grading system
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-09-08
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The objective of this current study is to determine the combined effects of Low-Level Laser Therapy (LLLT) and the Kabat technique on quality of life, synkinetic movements and functional outcome in patients of Bell's palsy

Detailed description: Bell's palsy is an acute condition which occurs by the damage of 7th cranial nerve along its course at the level which is distal to Pons. Basically it is an idiopathic facial condition.

The yearly incidence of Bell's palsy is 15 to 30 per 100,000 people, which affect both sexes equally. This study aims to see combined effects of Low Level Laser Therapy and Kabat technique in the treatment of Bell's palsy.

Synkinesis, which is described as an involuntary movement in one part of the face produced during voluntary movement in another region of the face, is a problematic Bell's palsy sequel. The mechanism behind the formation of synkinesis is unknown. According to the predominant idea, damaged axons regenerate abnormally, innervating facial muscles that weren't originally innervated. The yearly incidence of Bell's palsy is 15 to 30 per 100,000 people, which affect both sexes equally.

Kabat Technique is neurorehabilitation technique that uses diagonal and spiral patterns for movement in conjunction with stretch and resistance and other PNF techniques to reinforce neuromuscular recruitment. It mainly concerns the stimulation of these muscles: Orbicularis occuli, ztgomaticus, Levator labii, nasalis, buccinator, frontalis, corrugator.

For all BP patients, including those who are unable to take corticosteroids due to diabetes or hypertension, laser therapy offers a non-invasive, painless means of treatment. However, just a few researches have examined the effectiveness of low- dose laser therapy in BP patients.

Low Level Laser Therapy has the potential to promote nerve regeneration, reduce inflammation, and accelerate tissue healing in the affected facial nerve. On the other hand, the Kabat technique focuses on restoring neuromuscular control and improving muscle function. By combining Low Level Laser Therapy and the Kabat technique, a synergistic effect may be achieved, maximizing the potential benefits of both interventions. Therefore, this study aims to determine the specific parameters and protocols for the combined use of Low Level Laser Therapy and the Kabat technique in Bell's palsy

Eligibility criteria: Inclusion Criteria:

* Age 18-40
* Both genders will be included
* Unilateral Facial paralysis/paresis
* Patients presented within onset of 12 days - 3 weeks (sub-acute Bell's Palsy)

Exclusion Criteria:

* Previous surgery of facial reconstruction
* Traumatic Brain Injury
* Any other neurological deficit
* Congenital Deformities
* Recurrent Bell's palsy will be excluded

Primary outcomes:
measure: Sunnybrook Facial Grading system
timeFrame: 6 weeks
Secondary outcomes:
measure: Facial disability index
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Faisalābad
country: Pakistan
facility: Allied Hospital
state: Punjab
city: Faisalābad
country: Pakistan
facility: Physiofit
state: Punjab
Study officials:
affiliation: Riphah International University
name: Fatima Tariq, Mphil
role: PRINCIPAL_INVESTIGATOR
References: