Effect of Neural Mobilization on Facial Function In Patient with Bells Palsy:An Experimental Study

Patient will be screened as per the inclusion and exclusion criteria. Aim, objectives & treatment procedure will be explained to the participants and written consent will be taken.

Then patient will be randomly allocated into two groups Group A (Experimental Group) & Group B (Control Group) by chit method. Patient will be examined as per data collection sheet. both groups will be receiving treatment for 5 days /week for 3 weeks

GROUP A - Neural mobilization for facial nerve along with conventional therapy (14 patient)  The therapist used one hand to perform facial nerve mobilization, while the other hand was used to stabilize the patient’s head by placing the palm on the unaffected side of the face. The hand placement on the affected side is such that the therapist’s index finger circle behind the auricle of the ear and the thumb is gently placed at the opening of the external auditory meatus. The circular movement and horizontal traction were applied 25 times in three sets with a 5-second rest period in between a single manipulation and a 30- second rest period in between the set.

GROUP B –conventional therapy EMS (Electrical Muscle stimulation) interrupted Galvanic current for facial muscles 45 contraction for two set. Faradic current to facial nerve trunk 10 contraction 2 set Facial exercise 3 times /day in front of mirror each exercise for 10 times Patient will be assessed with house brackmann scale and sunnybrook as outcome at the baseline, at the end of 2 nd second week & end of 3rd week. • Patient will be assessed with house brackmann scale and sunny brook scale as outcome to pre- test and post test result.