Treating Bell’s Palsy With Osteopathic Manipulative Medicine: A Case Report (original) (raw)

Effective Approach In Treatment Of Idiopathic Facial Palsy (Bell's Palsy)

International Journal of Health, Physical Education and Computer Science in Sports Volume No.27, 2017

Face Plays an important role in expressing human emotions, A frown donates disapproval and a smile indicates someone is pleased. These Facial expressions are maintained by facial muscles, which are controlled by 7th cranial Nerve known as facial Nerve/Nerve of Expression. These facial expressions are badly affected if the nerve at any level of its course is traumatized or compressed around its passage can lead to temporary partial weakness of facial muscles to permanent complete paralysis of muscles. This review article will focus on the brief explanation of Bell's palsy and its treatment approach in Medina Munawwarah Comprehensive Physical Rehabilitation Centre.

Impact of Physical Therapy on a Patient with Bell’s Palsy: A Case Report

Journal of Pharmaceutical Research International, 2021

Affecting the seventh cranial nerve, known as Bell's palsy and its neuropathy. It is a disfiguring disorder with significant impact on patient’s physical mental and social health. It is normally caused by inflammation caused by traumatic, infectious, inflammatory or compressive conditions, and cranial nerve edema may lead to compression and eventual ischemia. In comparison with the central cause peripheral cause leads to more serious form of Bell’s palsy. The symptoms usually include reduced production of tears, altered taste, facial pain, otalgia and aural pressure. the recovery is usually complete while in some cases incomplete recovery is seen. For treating Bell’s palsy a multidisciplinary approach is required to completely return back to normal. A case of female patient whose age 43 year old came to the right hemifacial palsy department has been identified. There was a affected movement of right side eyebrows and affected right forehead movement during clinical evaluation, ...

Multiple approaches in management of Bell's palsy

Case Study

Bell's palsy is a prevalent type of Facial nerve Palsy, estimated up to 75% of the cases. A 58 year old male patient presented with right sided Bell's palsy. Thorough examination revealed the weakness of facial musculature and synkinesis associated with drooping and asymmetry. Reportedly, he had difficulty in eye closure, chewing and drinking. Assessment was conducted using Sunny Brook Facial Grading Scale. After assessment a comprehensive strategy combining of different modalities including electrical stimulation with Russian Current, gentle soft tissue mobilization, resistance exercises and taping. Symptomatically, after 3 weeks there was a significant improvement in the facial symmetry, strength and function of facial musculature as well as score of Sunny Brook Facial Grading Scale. Experimentally, this indicates effectiveness of this treatment regime, however; further randomized control trials should be conducted to further investigate efficacy and validity of this combination approach.

Understanding Bell's palsy –a review

Bell's palsy is a unilateral, lower motor neuron weakness of the facial nerve. Facial dysfunction has a dramatic effect on a patient's appearance, psychological wellbeing and quality of life. Bell's palsy has been described in patients of all ages, and is more common in adults than in children.The causes of the paralysis still remain unknown. Establishing the correct diagnosis is imperative and choosing the correct treatment options can optimize the likelihood of recovery. Hence this review deals with etiology, signs and symptoms, diagnosis and treatment management for Bell's palsy.

Bell’s palsy: Our experience and review of 30 cases

Otorhinolaryngology-Head and Neck Surgery, 2019

Bell's palsy [BP], named after Sir Charles Bells, is defined as acute onset peripheral facial nerve paralysis that is idiopathic, comprising of about 70% of the usual facial palsy cases. Many controversies exist about the exact diagnostic protocol and treatment options for Bell's palsy, but most commonly followed treatment options are corticosteroids with or without acyclovir, acupuncture, physiotherapy. In our study we are presenting clinicopathological 30 cases of BP with details regarding age of presentation, site of palsy, onset, and grade of paresis, treatment and sequelae. The purpose is to look over clinical characteristics of Bell's palsy to help provide information regarding the disease in our hospital setting and correlation with other similar studies in literature.

Rehabilitation of a Patient with Bell’s Palsy

Journal of Evolution of Medical and Dental Sciences

Facial nerve palsy is the disease of cranial nerve. From the total number of cases, 60 to 75 % of Bell's palsy cases are idiopathic form of facial palsy. Facial nerve palsy results in weakness of facial muscles, atrophy, asymmetry of face and also disturbs the quality of life. Bell’s palsy occurs in every class of population affecting people of all the age groups but the most common age group affected is 15 - 50 years with equal sex prediliction accounting 11 - 40 cases per 100,000. If facial palsy is not treated properly then it may result in variety of complications like motor synkinesis, dysarthria, contractures of facial muscles, and crocodile tear. Currently facial paralysis treatment consists of combination of pharmacological therapy, facial neuromuscular re-entrainment physiotherapy or surgical intervention by static and dynamic facial reanimation techniques. Physiotherapy treatment is effective for treating facial paralysis with minimal complications and can be individua...

A retrospective study on management of bell\'s palsy in a tertiary care hospital

Panacea Journal of Medical Sciences

Bell's palsy is the most common facial nerve disorder. The clinical symptoms of Bell's palsy include facial muscle paralysis, difficulty in eating, drinking and talking. Bell's palsy management is still controversial. Many patients recover spontaneously; some require medicines like corticosteroids, antiviral drugs and other managements.To study the effectiveness of Bell's palsy management that has been followed in our institution.This analysis had carried out from June 2016 to June 2019at SRM Medical College Hospital and Research Institute, Chennai. Total of 30 patients with Bell's palsy who had admitted in the Department of Otorhinolaryngology had enrolled in this study. All the patients underwent thorough clinical examination and laboratory investigation, and the results were statistically analyzed and discussed.Out of 30 patients, 16(53%) patients were males, and 14(47%) patients were females. 53.3% of patients had onset of symptoms after 48 hours. There was a...

Chronic Bell's Palsy Literature Review and Case Report

Hrvatski časopis zdravstvenih znanosti

Bell’s palsy, or idiopathic peripheral facial nerve palsy is a neurologic condition characterized by unilateral weakness of facial muscles. The evidence-based guidelines mostly consider the acute treatment of Bell’s palsy. However, chronic cases of Bell’s palsy are not supported by strong evidence regarding treatment options, except for a weak recommendation to utilize physical therapy. This case report has presented an application of a combination of physical therapy modalities (Mirror Book Therapy, High Inten-sity Laser Therapy, and Acupuncture) within 10 weeks, to treat a patient with long-term sequelae. This combination of therapies has resulted in a significant improvement in the level of recovery measured by facial grading scales. However, further research is necessary to provide stronger evidence regarding the benefits of this treatment option.

Evidence based management of Bell's palsy

British Journal of Oral and Maxillofacial Surgery, 2014

Bell's palsy (idiopathic facial paralysis) is caused by the acute onset of lower motor neurone weakness of the facial nerve with no detectable cause. With a lifetime risk of 1 in 60 and an annual incidence of 11-40/100,000 population, the condition resolves completely in around 71% of untreated cases. In the remainder facial nerve function will be impaired in the long term. We summarise current published articles regarding early management strategies to maximise recovery of facial nerve function and minimise long-term sequelae in the condition.