Electro Physiological Responses to Kabat Motor Control Re-education on Bell's Palsy: A Randomized Controlled Study

NCT ID: NCT04894513

Last Updated: 2021-08-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-02-15
• Study Completion Date: 2021-05-30

Brief Summary

To investigate the Effect of Kabat motor control re-education therapy on facial nerve Electro physiological responses and facial muscles function in bell's palsy.

BACKGROUND: facial nerve recovery in children could be improved through facilitation of nerve regeneration which can be enhanced through Kabat motor control re-education therapy.

Detailed Description

Thirty children with bell's palsy will participate in this study. The patients will randomly be divided into two equal groups; the control group received the conventional selected program, and the study group received the same exercise training program in addition to Kabat motor control re-education therapy. The program of treatment will be three times per week for six weeks.

The evaluation methods: Facial nerve distal latency, amplitude, and percentage of degenerations via the Neuropack S1 MEB9004 EMG device, the Facial Disability Index, and Sunnybrook facial grading system (SBFGS) all the assessment methods before the program and after finishing the program

Conditions

Facial Nerve Palsy; Bell's Palsy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

study group

the study group received the conventional selected program in addition to Kabat motor control re-education

Group Type: EXPERIMENTAL

Kabat motor control re-education therapy

Intervention Type: OTHER

Kabat motor control re-education therapy that includes specific movements with predefined patterns of facial muscles exercises, which is spiral and diagonal movements involve the facial muscles, which are brought to train in global patterns. The program of treatment for three times per week for six weeks.

conventional selected program

Intervention Type: OTHER

the conventional selected program in the form of electrical stimulation (Faradic current) of affected muscles, facial muscle exercise program in front of the mirror, and home advices.

control group

the control group received the conventional selected program

Group Type: EXPERIMENTAL

conventional selected program

Intervention Type: OTHER

the conventional selected program in the form of electrical stimulation (Faradic current) of affected muscles, facial muscle exercise program in front of the mirror, and home advices.

Interventions

Kabat motor control re-education therapy

Kabat motor control re-education therapy that includes specific movements with predefined patterns of facial muscles exercises, which is spiral and diagonal movements involve the facial muscles, which are brought to train in global patterns. The program of treatment for three times per week for six weeks.

Intervention Type: OTHER

conventional selected program

the conventional selected program in the form of electrical stimulation (Faradic current) of affected muscles, facial muscle exercise program in front of the mirror, and home advices.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Thirty child diagnosed as acquired bell's palsy with unilateral peripheral facial paralysis
• Both gender
• Their age ranged from 12:16 years old.

Exclusion Criteria

• difficulty to communicate or to understand program instructions
• Oral dentures, Skin infection and metal implants on face
• Sensory loss over the face, Recurrent facial paralysis
• any other disorders or neurological deficits,
• a history of surgical intervention for the ear and facial nerve palsy
• pain of any other origin
• non co-operative patients

• Minimum Eligible Age: 12 Years
• Maximum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Lama Saad El-Din Mahmoud

OTHER

Sponsor Role: lead

Responsible Party

Lama Saad El-Din Mahmoud

Lecturer of physical therapy, Department of Neuromuscular disorders and its surgery, faculty of physical therapy, october 6 univerisity

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Lama S Mahmoud

Al Jīzah, Select State, Egypt

Countries

Egypt

References

Hamed SA, Saad El-Din Mahmoud L, Magdy ElMeligie M, Zoheiry IM. Electrophysiological responses to Kabat motor control re-education on Bell's Palsy: A randomized controlled study. J Musculoskelet Neuronal Interact. 2023 Mar 1;23(1):90-97.

Reference Type: DERIVED

PMID: 36856104 (View on PubMed)

Other Identifiers

P.T./REC /012/003143

Identifier Type: -

Identifier Source: org_study_id