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

Not Applicable

Completed

• Conditions: Bell Palsy
• Interventions: Other: Mime Therapy; Other: Kabat Therapy

• Registration Number: NCT06029855
• Lead Sponsor: University of Lahore

Brief Summary

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

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.

Study Timeline

• Study Start: 2023-05-01
• Study First Submitted: 2023-09-01
• Study First Submitted QC: 2023-09-01
• Study First Posted: 2023-09-08
• Primary Completion: 2023-09-30
• Study Completion: 2023-10-15
• Status Verified: 2025-01
• Last Update Submitted: 2025-03-27
• Last Update Posted: 2025-03-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 85

Inclusion Criteria

1. Age group 25-50 years.
2. Both male and female.
3. Unilateral bell's paralysis.
4. Not congenital in origin.
5. Sub-acute and chronic cases.

Exclusion Criteria

1. Other neurological deficits include epilepsy and Alzheimer's disease.
2. Traumatic onset.
3. Surgical reconstruction (nerve or muscle reconstruction).
4. Mental and psychological disorders i.e., schizophrenia, bipolar disorders.
5. Skin diseases (eczema, urticarial) as electrical stimulation may affect the results.
6. Any contraindications for massage like sunburn, bruising, or cuts.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mime Therapy	Mime Therapy	Mime therapy utilizes emotional input to access better movement patterns. It is beneficial as it improves circulation and maintains muscle properties.
Kabat Therapy	Kabat Therapy	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.

Primary Outcome Measures

Name	Time	Method
Level of Facial Disability	Change in functional status will be measured at the baseline, at 3rd week and at 6th week.	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 Synkinesis	It will be assessed at baseline, at the third week and at six week.	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.

Trial Locations

Locations (1)

The University of Lahore; 🇵🇰 Lahore, Punjab, Pakistan