Document Detail


Effects of exercises on Bell's palsy: systematic review of randomized controlled trials.
MedLine Citation:
PMID:  18520590     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jefferson Rosa Cardoso; Elsie Cobra Teixeira; Michelle Damasceno Moreira; Francis Meire Fávero; Sissy Veloso Fontes; Acary Souza Bulle de Oliveira
Publication Detail:
Type:  Journal Article; Meta-Analysis; Review    
Journal Detail:
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:
Created Date:  2008-06-03     Completed Date:  2008-07-18     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  557-60     Citation Subset:  IM    
Affiliation:
Universidade Estadual de Londrina, Londrina, Brazil. jeffcar@uel.br
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MeSH Terms
Descriptor/Qualifier:
Bell Palsy / 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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