Evaluating The Efficacy of Multimodal Physiotherapy In Patients With Idiopathic Facial Palsy Based On Their Electroneurographic Quotient

Bell’s palsy is the most common form of acute spontaneous peripheral facial paralysis and can present as unilateral weakness or paralysis of the face. Its spontaneous recovery rate is high, and proper management results in a good prognosis without sequelae . The initial degree of facial paralysis has been regarded as one of the most important prognostic factors for recovery . In clinical practice, the degree of initial facial paralysis is determined by the House-Brackmann (H-B) grade or Sunny brook scale of Facial grading. Facial nerve electrodiagnostics is a well-established and important tool for decision making as it can assist in diagnosis, assess the lesion severity, and aid in decision making. Even though there are evidence regarding efficacy of various physiotherapeutic modalities in management of IFP, still electrical stimulation is the primary treatment physiotherapeutic choice in management of Bell’s Palsy, anecdotal evidence suggests potential negative effects of electrical stimulation in increasing aberrant reinnervation and synkinesis. The objective of the present study is to categorise the extent of nerve damage based on electrophysiological studies and thereafter provide physiotherapeutic treatment based on the degree of damage.