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Biofeedback Electromyography Training versus Botulinum Toxin A on Synkinesis and Facial Asymmetry in Bell's Palsy

Not Applicable
Conditions
Nervous System Diseases
Registration Number
PACTR201811856336735
Lead Sponsor
Cairo university
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
45
Inclusion Criteria

•All patients have Bell's palsy for at least 4-6 months together with a form of synkinesis (ocular or oral).
•All patients have long-term rehabilitation poor prognosisand gradual improvement.
•All patients will have moderate degree of facial synkinesis and asymmetry according to Synkinesis Assessment Questionnaire
•All patients will be assessed by the Sunnybrook Facial Grading System and House-Brackmann scale to detect degree of synkinesis pre and post treatment
•All patients will clinically and medically stable when attending and during the study.
•Age will range from 30-60.

Exclusion Criteria

•Upper motor neuron facial nerve palsy.
•History of seizures or fainting.
•keratitis, or other ocular diseases
•anticoagulant therapy,
•Pregnancy, breast-feeding.
• Active infection in the area to be treated, neuromuscular junction disorders, or known hypersensitivity to any BoNT-A constituent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The Sunnybrook Facial Grading System
Secondary Outcome Measures
NameTimeMethod
The House Brackmann scale <br>
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