Parálisis facial. 18/09/ FASE FLACCIDA Crioterapia Masajes tonificantes Electroestimulación Reeducación neuromuscular – ejercicios. Bell’s palsy, physiotherapy, facial paralysis, parálisis facial and electro estimulación. Idiopathic peripheral facial paralysis or Bell’s palsy is the most frequent. Physical therapy for Bell´s palsy (idiopathic facial paralysis) (Protocol for a en la literatura consultada, diferencia de la electroestimulación con respecto compromiso del labio superior por parálisis facial periférica: reporte de caso clínico.
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Home Publications Conferences Register Contact. Guidelines Upcoming Special Issues. Review Article Open Access. Effectiveness of Electro-stimulation as a Treatment for Bell’s Palsy: J Nov Physiother 5: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Keywords Rehabilitation; Physiotherapy; Peripheral facial paralysis. In Mexico, according to the Ministry of Health there werecases for the year [ 2 ]. This illness occurs without specific causes in individuals regardless of age and in both sexes; however, its incidence is higher around 40 years of age or over 65 years of age [ 23 ]. Treatments for this pathology are pharmacologic and physiotherapeutic, from which just the pharmacological forms of treatment have systematically shown better results when compared with controls or other treatments [ 4 ].
Facual contrast, the physiotherapeutic treatments like electro-stimulation ESdespite of their actual common use are still controversial [ 5 ], and in many cases not recommended or show no positive results [ 167 ]. In addition, there are a few random and controlled studies that test the efficacy or not of ES [ 489 ]. Those uncontrolled reports, aside from their lack of scientific strictness show low or no therapeutic capacity at all; [ 10 – 12 ] one of them even shows the worsening of facial functioning when electrotherapy is applied [ 13 ].
For a better understanding by the reader, it deals with general information about the pathology and the common electroestimlacion of electrotherapy used. This illness carries no life-threatening risk eleftroestimulacion the patient, however it does considerably affect their self-esteem [ 15 ].
As mentioned, the causes for this illness are unknown but it is associated to hypercholesterolemia, hypertension, diabetes, infections, poisoning, genetic syndromes, neoplasias and musculoskeletal and neurological lesions [ 14 ].
Effectiveness of Electro-stimulation as a Treatment for Bell’s Palsy: An Update Review
Regarding its treatment, it is recommended that it begins within the first 72 h of the appearance of symptoms [ 2 ]; however, due to its negative effects on the self-esteem it is very common for patients not to attend appointments or to delay treatment, making this illness a chronic one and harder to treat [ 715 ].
Progression of this condition is within a week with a peak between 3 and 7 days; in contrast, recovery may take from a few weeks up to several years if denervation occurs and complete recovery may never be achieved[ 21114 ]. Therapeutic categories Persons with acute Bell’s palsy usually recover completely without any treatment [ 716 ].
Electrotherapy involves the passing of electric current that could be galvanic continuous or faradic pulsating of 0. In the case of denervated muscles 5 to 10 unidirectional and rectangular pulses per day with 30 to ms pulse duration, and 4 or more seconds between pulses are used [ 17 ].
There is also a combined therapy with acupuncture, called electro-acupuncture, frequently used by Chinese physicians and physiotherapists [ 19 ]. Manuscripts repeated as exclusion criteria.
We searched the following databases: With these criteria we found 54 reports, and after reading them only five met all the above inclusion and exclusion criteria Table 1. In recent studies on the use of electro-stimulation besides being insufficient, only one report, where electrotherapy was used alone, showed positive results when compared to the control not-treated group [ 9 ]. These authors applied the procedure during 21 days after reconstructive surgery of the temporal muscle, showing that patients subjected to ES had better facial symmetry both static and dynamic, than the control groups.
From the same study, due to the total segmentation of the facial nerve and its possible reconstruction, ES was applied to prevent muscular atrophy and to preserve completely the metabolic and contractile functioning, while waiting for neuronal regeneration [ 9 ]. Most of the studies where ES was used to treat denervated muscles were performed on animals or in muscles bigger than facial muscles, such as the quadriceps, gastrocnemius and soleus; in addition, electrosetimulacion is a lack of electroestmiulacion regarding the current type, duration and frequency of the stimuli that may favor better results or avoid greater damage [ 1820 ].
Even so it is stated that if electrotherapy is used paralisiz denervated muscles, its application must begin as soon as facial reconstruction is done [ 18 ]. In two other studies where massage therapy, ES and feedback exercises FE in front of a mirror were applied to individuals with different neuronal damage, greater benefit was found when ES and FE were used compared to massage therapy; 10 or no difference when ES plus FE vs FE alone were compared [ 11 ] moreover, 29 subjects with neuropraxia from this last study completely recovered in one year without any treatment, i.
Feedback exercise and its benefits over the other treatments might be due to its selective recruitment on motor units observed during these exercises, and thus producing better control of facial movements. The main concerns in the Alakram and Puckree [ 8 ] study are: Moreover, when there is a control group the differences could be significant [ 9 ]. In contrast, Manikandan [ 23 ] reported that FE vs.
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This might occur because FE is an efficient technique to treat facial paralysis [ 24 ]. As a consequence of this possibility, it is not known whether stimulation of muscles before the contact of nerves to the facial region, such as faciwl stylohyoid, the digastric or the auricular muscles, may generate a positive therapeutic response or to cause other patalisis following the stimulation of different nerves. It is probable that ES if applied together, i. Key Messages What is already known on this topic: What this study adds: Am Fam Physician Otolaryngol Head Neck Surg Phys Ther Rev 8: Sandeep SM, Jayprakash VN Effect of electrical stimulation on facial grading system in subjects with early facial palsy.
Diels HJ Facial paralysis: Facial Plast Surg Physiother Theory Pract Narin S, Barutu Elecroestimulacion Treatment of prolonged facial paralysis with temporalis myoplasty and electrical stimulation. J Neurol Sci Turkish Eur J Phys Rehabil Med Peitersen E Facual palsy: Cochrane Database Syst Rev Finsterer J Management of peripheral facial nerve palsy.
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Eur Arch Otorhinolaryngol Doshi D and Saab M Bell’s palsy in children: Hong Kong j emerg med Morral-Fernandez A Electro diagnostico y electro pralisis de masculos denervados. Eberstein A, Eberstein S Electrical stimulation of denervated muscle: Med Sci Sports Exerc Am J Chin Med J Neurol Phys Ther Oravitan M, Avram C The effectiveness of electromyographic biofeedback as part of a meniscal repair rehabilitation programme.
J Sports Sci Med Manikandan N Effect of facial neuromuscular re-education on facial symmetry in patients with Bell’s palsy: Select your language of interest to view the total content in your interested language. Can’t read the image?
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