Bell Palsi (İdiyopatik Fasiyal Paralizi) Rehabilitasyonunda Fizik Tedavi Seans Süresi Fonksiyonellik Üzerine Etkili Mi?

Amaç: Bell Palsili hastalarda değişen fizik tedavi seans sayısının fonksiyonellik düzeyine etkisinin değerlendirilmesi amaclanmıştır.Araçlar ve Yöntem: Bu retrospektif çalışmada Bell Palsi (BP) tanısı ile elektroterapi, infraruj ve mimik egzersizlerinden oluşan fizik tedavi programı uygulanan hastaların verileri incelendi. BP tanısı ile rehabilite edilen ve 15 seans tedavi gören 21 hasta ile 30 seans tedavi gören 21 hastanın verileri analiz edildi. Hastaların yaş, cinsiyet ve komorbiditeleri kaydedildi. Hastaların fonksiyonellikleri Yüz felci engellilik indeksi Facial Disability Index, House Brackmann Evrelemesi ve Sunny Brook Evrelemesi ile tedavi öncesi ve sonrası değerlendirildi.Bulgular: Hastaların tüm grup içi klinik ve işlevsellik değerlendirmelerinde hem 15 seans sonrasında hem de 30 seans sonrasında her iki grupta da anlamlı düzelme gözlendi (p<0.001). Gruplar arasındaki karşılaştırmalarda istatistiksel olarak fark bulunmadıSonuç: Çalışmanın sonuçları BP tansıyla fizik tedavi gören hastalarda 15 seans fizik tedavinin belirgin fonksiyonel iyileşme sağladığını ve fizik tedavi seans sayısını 30 seansa çıkarmanın fonksiyonellik üzerine ek bir etkisi olmadığını göstermektedir.

Anahtar Kelimeler:

house brackmann evrelemesi, idiopatik fasiyal paralizi, sunny brook evrelemesi, rehabilitasyon süresi, yüz felci engellilik indeksi

Is Physical Therapy Session Duration Effective on Functionality in Rehabilitation of Bell's Palsy (Idiopathic Facial Paralysis)?

Purpose: The aim of the study is to evaluate the effect of the changing number of physical therapy sessions on the functionality level of the patients with Bell Palsy.Materials and Methods: In this retrospective study, the data of patients who were diagnosed with Bell's Palsy (BP) and applied a physical therapy program consisting of electrotherapy, infrared and mimic exercises were examined. The data of 21 patients who were rehabilitated with the diagnosis of BP and received 15 sessions of treatment and 21 patients who received 30 sessions of treatment were analyzed. Age, gender and comorbidities of the patients were recorded. The functionality of the patients was evaluated with Facial Disability Index (FDI), House Brackmann System (HBS) and Sunny Brook Grading System (SBGS) before and after treatment.Results: In all intragroup clinical and functionality evaluations of the patients, significant improvement was observed in both groups, both after 15 sessions and after 30 sessions (p<0.001). No statistical difference was found in the comparisons between the groups.Conclusion: The results of this study show that 15 sessions of physical therapy provide significant functional improvement in patients undergoing physical therapy with BP, and that extending the number of physical therapy sessions to 30 sessions does not have an additional effect on functionality.

Keywords:

facial disability index, house brackmann system, idiopatic facial paralysisbell, sunny brook grading system, rehabilitation duration,

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