| Effects of exercises on Bell's palsy: systematic review of randomized controlled trials. | |
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MedLine Citation:
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PMID: 18520590 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study examined the effects of facial exercises associated either with mirror or electromyogram (EMG) biofeedback with respect to complications of delayed recovery in Bell's palsy. PATIENTS: Patients with unilateral idiopathic facial palsy were included in this review. INTERVENTIONS: Facial exercises associated with mirror and/or EMG biofeedback as treatment. MAIN OUTCOME MEASURE: Report of facial symmetry, synkinesis, lip mobility, and physical and social aspects. RESULTS: Four studies of 132 met the eligibility criteria. The studies described mime therapy versus control (n = 50), mirror biofeedback exercise versus control (n = 27), "small" mirror movements versus conventional neuromuscular retraining (n = 10), and EMG biofeedback + mirror training versus mirror training alone. The treatment length varied from 1 to 12 months. CONCLUSION: Because of the small number of randomized controlled trials, it was not possible to analyze if the exercises, associated either with mirror or EMG biofeedback, were effective. In summary, the available evidence from randomized controlled trials is not yet strong enough to become integrated into clinical practice. |
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Authors:
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Jefferson Rosa Cardoso; Elsie Cobra Teixeira; Michelle Damasceno Moreira; Francis Meire Fávero; Sissy Veloso Fontes; Acary Souza Bulle de Oliveira |
Publication Detail:
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Type: Journal Article; Meta-Analysis; Review |
Journal Detail:
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Title: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology Volume: 29 ISSN: 1531-7129 ISO Abbreviation: Otol. Neurotol. Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-03 Completed Date: 2008-07-18 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 100961504 Medline TA: Otol Neurotol Country: United States |
Other Details:
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Languages: eng Pagination: 557-60 Citation Subset: IM |
Affiliation:
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Universidade Estadual de Londrina, Londrina, Brazil. jeffcar@uel.br |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bell Palsy
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therapy* Biofeedback, Psychology Electromyography Exercise Therapy* Facial Muscles / physiology Humans Quality Assurance, Health Care Randomized Controlled Trials as Topic Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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