Comparative Effects of Mime Therapy and Action Observation Therapy on Facial Symmetry and Quality of Life in Bell's Palsy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 62
- Locations
- 1
- Primary Endpoint
- Sunny Brook Facial Grading System
Study Overview
Brief Summary
The aim of this study is to determine comparative effects of mime therapy and action observation therapy on facial symmetry and quality of life in Bell's palsy. Bell's palsy is characterized as an abrupt paralysis of the peripheral facial nerve, typically without a known cause. Mime Therapy is a performing technique that helps patients regain the ability to use their face muscles. Action observation therapy is novel rehabilitation approach exploiting this mirror mechanism.
Detailed Description
This randomized clinical trial will be conducted at Sir Ganga Ram Hospital in 7 months. 62 participants with Bell's palsy will be included as per sample size calculation through convenience sampling technique. Participants which meet inclusion criteria will be randomly allocated using online randomization tool into two groups. Group A will receive Mime therapy for 30 minutes with short resting interval and Group B will receive action observation therapy for 30 minutes. Each group will receive treatment session of 5 days per week for 6 weeks.
Facial symmetry will be measured using the 13-item Sunny Brook facial Grading System, Facial disability index will be used to assess the quality of life and The House-Brackmann Facial Nerve Grading System will be used to characterize the degree of facial paralysis. The data will be analyzed using SPSS version 24 for Windows software.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
The study would be single blinded as assessor of the study would be kept blind of the treatment groups to which patient will be allocated.
Eligibility Criteria
- Ages
- 20 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Bell's Palsy with acute onset of 1-3 weeks.
- •Unilateral loss of facial weakness.
- •Patients with intact taste sensation.
- •Bell's Palsy of House Brackmann grade 3 and
- •Idiopathic Bell's Palsy.
Exclusion Criteria
- •History of facial palsy recurrence.
- •Stroke associated Bells palsy.
- •History of pregnancy
- •Subjects with any disability, fracture, or tumor.
- •History of facial surgery.
- •Subject having skin allergy on face.
Arms & Interventions
GROUP A ( MIME THERAPY)
Group A will receive mime therapy of 30 minutes with short resting intervals. Treatment will be given 5 times per week for 6 weeks. Mime therapy consist of:
- Self massage of 10 minutes,
- Breathing and relaxation exercises of 5 minutes,
- Articulation of 5 minutes and
- Facial expression exercises of 10 minutes.
Intervention: MIME THERAPY (Other)
GROUP B (ACTION OBSERVATION THERAPY)
Group B will receive action observation therapy of 30 minutes with short resting interval. The treatment will be given 5 times per week for 6 weeks.
During the presentation of a video clip, patients sit relaxed in front of the computer screen while observing it.
After observing a motor act for 3 min (observation phase) patients are required to imitate what they observed for 2 min (execution phase).
Intervention: ACTION OBSERVATION THERAPY (Other)
Outcomes
Primary Outcomes
Sunny Brook Facial Grading System
Time Frame: 6th week
The system includes three components: resting symmetry, the symmetry of voluntary movements, and synkinesis. A composite facial symmetry score is calculated as \[4 × symmetry of voluntary movement - 5 × resting asymmetry + 1 × synkinesis\] with 100 representing normal facial symmetry.
Facial Disability Index
Time Frame: 6th week
it is used to assess the quality of life in patients with bell's palsy. It also helps to measure the difficulties of the face in activities of daily living. It represents the relationship between impairments, disability, and psychosocial status and also focuses on the disability of individuals with disorders of the facial motor system. The individual subscales are scored out of a total of 100 where the highest score is the best result.
Secondary Outcomes
No secondary outcomes reported