Physiotherapy outweighed multiple therapy methods of bell’s palsy: a review study

Although its etiology is not known, Bell’s palsy is commonly based on trauma, infection, nervous damage due to surgery, genetic predisposition, autoimmune disease, temporal bone fracture, cerebellar arachnoid cyst and viral infection associated with vascular ischemia and inflammation. Viral infection due to herpes zoster and herpes simplex is the most common known cause of Bell’spalsy. It is seen in about 20-35 out of 100.000 people each year. Its incidence is low in children under the age of 14 and it is more frequent within the range of 15-45 years. It is also known to occur equally in men and women. In the third trimester of pregnancy and postpartum in the first week, its frequency increases 3-fold. Unilateral paralysis, lagophthalmos, keratitis, droop of eyelid and edgeof mouth, mouth and eye dryness, conjunctivitis and decreasing sensation and 2/3 taste of luxury in front of lingua are its common symptoms. 3 days from the onset of palsy, patients begin to use corticosteroid and antiviral drugs. 71% of patients had improvement after recovery but 29% of patients were shown to have hemifacial weakness and residual sequela throughout life. Synkinesis is the most common sequela of Bell’s palsy. The effects of physiotherapy methods and their different combinations with other methods on prognosis were discussed in the treatment of Bell’s palsy.

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Valença MM, Valença LP, Lima MC. Idiopathic facial paralysis (Bell’s palsy): a study of 180 patients. Arq Neuropsiquiatr 2001;59(3):733-9.
Remli R, Sarkan MM, Rani SA, Yahya WNN, Sahathevan R, Tan HJ, Ibrahim NM. The use of blink reflex study in determining the clinical recovery and quality of life in Bell’s palsy patient. Clinic Neurophysiol 2014;125:136.
Waxman B. Electrotherapy for treatment of facial nerve paralysis (Bell’s palsy). In Anonymous Health Technology Assessment Reports, third edition. National Center for Health Services Research, 1984:27.
Hultcrantz M. Rehabilitation of Bell’s Palsy from a multiteam perspective. Acta Otolaryngol 2016;136(4):363-7.
Glass GE, Tzafetta K. Optimising treatment of Bell’s Palsy in primary care: the need for early appropriate referral. Br J Gen Pract 2014;64(629):e807-9.
Santos RdeF, Brasileiro BF. Diagnosis and management of Bell’s Palsy. Gen Dent 2011;59(4):266-71.
Hung SH, Wong LH, Lin HC, Chung SD. Association between statin use and bell’s palsy: A population-based study. Drug Saf 2014;37(9):735-42.
Cederwall E, Olsen MF, Hanner P, Fogdestam I. Evaluation of a physiotherapeutic treatment intervention in Bell’s facial palsy. Physiother Theory Pract 2006;22(1):43-52.
Ferreira M, Firmino MJ, Marques EA, Santos PC, Duarte JA. Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s Palsy. Acta Otolaryngol 2016;136(7):736-41.
Jeon EJ, Park YS, Kim DH, Nam IC, Park SY, Noh H, et al. Effects of meteorological factors on onset of Bell’s Palsy. Auris Nasus Larynx 2013;40(4):361-5.
Jhal AK, Nijhawan S, Nepalia S, Suchismita A. Association of Bell’s palsy with hepatitis e virus infection: a rare entity. J Clin Exp Hepatol 2012;2(1):88-90.
Lampert L, Wong YJ. Combined antiviral- corticosteroid therapy for Bell palsy yields inconclusive benefit. J Am Dent Assoc 2012;143(1):57-8.
Ahmad MH, Hayat T. Bell’s palsy in association with a cerebellar arachnoid cyst. BMJ Case Rep 2015;1-2.
Cumberworth A, Mabuure NT, Norris JM, Watts S. Is acupuncture beneficial in the treatment of Bell’s palsy? best evidence topic (BET). Int J Surg 2012;10(6):310-2.
Li P, Qiu T, Qin C. Efficacy of Acupuncture for Bell’s Palsy: A systematic Review and Meta- analysis of Randomized Controlled Trials. PLoS One 2015;14(5):e0121889.
Livanelioğlu A, Erden Z, Günel MK. Proprioseptif Nöromusküler Fasilitasyon Teknikleri. 1. Baskı, Ankamat Matbaacılık, Ankara, 2014;87-90.
Robinson MW, Baiungo J, Hohman M, Hadlock T. Facial rehabilitation. Operative Techniques in Otolaryngology 2012;23:288-96.
Teixeir LJ, Valbuza JS, Prado GF. Physical therapy for Bell’s Palsy (idiopathic facial paralysis). Cochrane Database Syst Rev 2011;12:CD006283.
Kwon HJ, Choi JY, Lee MS, Kim YS, Shin BC, Kim JI. Acupuncture for the sequelce of Bell’s palsy: A randomized controlled trial. Trials 2015;16:246.
Wang XH, Zhang LM, Han M, Zhang KQ, Jiang JJ. Treatment of Bell’s Palsy with combination of traditional Chiese medicine and Western medicine. Hua Xi Kou Qiang Yi Xue Za Zhi 2004;22(3):211-3.
Pitaro J, Waissbluth S, Daniel SJ. Do children with Bell’s Palsy benefit from steroid treatment? A systematic review. Int J Pediatr Otorhinolaryngol 2012;76(7):921-6.
Cotton BA. Chiropractic care of a 47-year-old woman with chronic Bell’s palsy: a case study. J Chiropr Med 2011;10(4):288-93.
Nemet AY, Vinker S. Considerations and complications after Bell’s palsy. J Clin Neurosci 2015;22(12):1949-53.
Bayındır T, Tan M, Selimoğlu E. Bell Paralizisinde Tanı ve Tedavi Yöntemleri. KBB-Forum 2011;10:18-30.
McCaul JA, Cascarini L, Godden D, Coombes D, Brennan PA, Kerawala CJ. Evidence based management of Bell’s palsy. Br J Oral Maxillofac Surg 2014;52(5):387-91.
Yıldırım M. Klinik Nöroanatomi. Nobel Tıp Kitabevleri, İstanbul 2011;361-2.