Effectiveness of PNF and STM in Bell Palsy

NCT ID: NCT07078617

Last Updated: 2025-07-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-01

Study Completion Date

2025-07-01

Brief Summary

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Our study aims to determine the efficacy of PNF and Soft tissue mobilization techniques with exercise for Bell's palsy. It ascertains which intervention yields better outcomes and has greater effect on recovery.

Detailed Description

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It is a randomized controlled trial. This study includes 28 participants allocated into two groups by coin tossing method. Group A receives PNF and Group B receives soft tissue mobilization along with exercise. Both of the groups receive electrical stimulation as baseline treatment. The assessment of participants is done by using facial disability index and House Brackmann scale.

Conditions

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Bell's Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Proprioceptive Neuromuscular Facilitation

Repeated stretch and Hold relax method used in this technique.

Group Type EXPERIMENTAL

Proprioceptive Neuromuscular Facilitation

Intervention Type OTHER

PNF technique given for 3-4 days/week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week.

Soft Tissue Mobilization along with exercise

Effleurage, Kneading and hacking along with facial exercises

Group Type EXPERIMENTAL

Soft Tissue Mobilization along with exercise

Intervention Type OTHER

Soft tissue mobilization along with facial exercise 3- days/ week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week.

Interventions

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Proprioceptive Neuromuscular Facilitation

PNF technique given for 3-4 days/week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week.

Intervention Type OTHER

Soft Tissue Mobilization along with exercise

Soft tissue mobilization along with facial exercise 3- days/ week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* aged 25-50 years
* sudden onset of one-sided Bell's palsy
* Ability and Eagerness to provide informed consent in written form

Exclusion Criteria

* Uncontrolled Hypertension
* Uncooperative patients and those who don't follow instructions.
* Previous mental disorder that may affect participation.
* Preexisting ear surgery
Minimum Eligible Age

25 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Elite College of Management Sciences, Gujranwala, Pakistan

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Imran Rafiq, PhD

Role: PRINCIPAL_INVESTIGATOR

Elite College of Management sciences

Locations

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Al Raee Hospital Gujranwala, Salamat Hospital Gujranwala, Chaudhary Hospital Gujranwala

Gujranwala, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Amjad A, Jamil A, Fatima N, Javaid HB, Zahid H. Effects of Kabat rehabilitation versus mime therapy on facial disability and synkinesis in patients of Bell's palsy. J Pak Med Assoc. 2024 Nov;74(11):1927-1931. doi: 10.47391/JPMA.11247.

Reference Type RESULT
PMID: 39548608 (View on PubMed)

Burelo-Peregrino EG, Salas-Magana M, Arias-Vazquez PI, Tovilla-Zarate CA, Bermudez-Ocana DY, Lopez-Narvaez ML, Guzman-Priego CG, Gonzalez-Castro TB, Juarez-Rojop IE. Efficacy of electrotherapy in Bell's palsy treatment: A systematic review. J Back Musculoskelet Rehabil. 2020;33(5):865-874. doi: 10.3233/BMR-171031.

Reference Type RESULT
PMID: 32144972 (View on PubMed)

Khan AJ, Szczepura A, Palmer S, Bark C, Neville C, Thomson D, Martin H, Nduka C. Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clin Rehabil. 2022 Nov;36(11):1424-1449. doi: 10.1177/02692155221110727. Epub 2022 Jul 5.

Reference Type RESULT
PMID: 35787015 (View on PubMed)

Albishi AM, Altowairqi RT, Alhadlaq SA, Alsulboud SK, Alhusaini AA, Alokaily AO, Alotibi M. Cross-cultural adaptation, reliability, and validation of the Arabic version of the Motor Activity Log (MAL-30) Scale in patients with stroke in Saudi Arabia. Disabil Rehabil. 2025 Jul 3:1-9. doi: 10.1080/09638288.2025.2526701. Online ahead of print.

Reference Type RESULT
PMID: 40607587 (View on PubMed)

Eviston TJ, Croxson GR, Kennedy PG, Hadlock T, Krishnan AV. Bell's palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry. 2015 Dec;86(12):1356-61. doi: 10.1136/jnnp-2014-309563. Epub 2015 Apr 9.

Reference Type RESULT
PMID: 25857657 (View on PubMed)

Other Identifiers

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2020-GCUF-079348

Identifier Type: -

Identifier Source: org_study_id

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