Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy.
Khan, Amir J ; Szczepura, Ala ; Bark, Chris ; Neville, Catriona ; Thomson, David ; Martin, Helen ; Nduka, Charles ;
Khan, Amir J
Szczepura, Ala
Bark, Chris
Neville, Catriona
Thomson, David
Martin, Helen
Nduka, Charles
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2022-07-05
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Abstract
Seven new randomised controlled trials, nine observational studies, and three quasi-experimental or pilot studies were identified (nāā=āā854 participants). 75% utilised validated measures to record changes in facial function and/or patient-rated outcomes. High-quality trials (4/7) all reported positive impacts; as did observational studies rated as high/moderate quality (3/9). The benefit of therapy at different time points post-onset and for cases of varying clinical severity is discussed. Differences in study design prevented data pooling to strengthen estimates of therapy effects. Six new review articles identified were all rated critically low quality.
Citation
Clin Rehabil . 2022 Nov;36(11):1424-1449
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Article