Back to Search
Start Over
Physical therapy with drug treatment in bell palsy: a focused review
- Source :
- Repositório Científico de Acesso Aberto de Portugal, Repositório Científico de Acesso Aberto de Portugal (RCAAP), instacron:RCAAP
- Publication Year :
- 2015
- Publisher :
- Wolters Kluwer Health, Inc, 2015.
-
Abstract
- The physical therapy (PT) associated with standard drug treatment (SDT) in Bell palsy has never been investigated. Randomized controlled trials or quasirandomized controlled trials have compared facial PT (except treatments such as acupuncture and osteopathic) combined with SDT against a control group with SDT alone. Participants included those older than 15 yrs with a clinical diagnosis of Bell palsy, and the primary outcome measure was motor function recovery by the House-Brackmann scale. The methodologic quality of each study was also independently assessed by two reviewers using the PEDro scale. Four studies met the inclusion criteria. Three trials indicate that PT in association with SDT supports higher motor function recovery than SDT alone between 15 days and 1 yr of follow-up. On the other hand, one trial showed that electrical stimulation added to conventional PT with SDT did not influence treatment outcomes. The present review suggests that the current practice of Bell palsy treatment by PT associated with SDT seems to have a positive effect on grade and time recovery compared with SDT alone. However, there is very little quality evidence from randomized controlled trials, and such evidence is insufficient to decide whether combined treatment is beneficial in the management of Bell palsy.
- Subjects :
- medicine.medical_specialty
Treatment outcome
MEDLINE
Facial Muscles
Electric Stimulation Therapy
Physical Therapy, Sports Therapy and Rehabilitation
law.invention
Drug treatment
Physical medicine and rehabilitation
Randomized controlled trial
law
Bell Palsy
Acupuncture
Humans
Medicine
Combined Modality Therapy
Physical Therapy Modalities
business.industry
Rehabilitation
Reproducibility of Results
Treatment Outcome
Clinical diagnosis
Physical therapy
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Repositório Científico de Acesso Aberto de Portugal, Repositório Científico de Acesso Aberto de Portugal (RCAAP), instacron:RCAAP
- Accession number :
- edsair.doi.dedup.....e4da2542a4b55c9329f2594e77094891