OUT COMES OF STUDY ON BELLS PALSY....70 PATIENTS

[shahidheera]

WE HAVE STUDIED 70 PATIENTS OF BELLS PALSY.. OUT COMES OF STUDIES IS AS UNDER
1- Except one all were idiopathic,
2- As soon as the physiotherapy is started sooner the recovery is,
3- sixty seven 67 patients did not needFNLT study,..as eye lid started movements and neurophysician did it not,
4-- Threshold increases when palsy started yet decreases with the passage of time,
5- major recovery is between 21---40 days,
6- Modalities used were theraputic ultrasonics,EMS( idc and faradic..when muscles started flicking,)along with steam,rehab exs,and message,
7- regular neurophysician/physician's check up,

OTHER OUT COMES WILL BE POSTED TO THIS FORUM LATER AFTER YOUR REPLIES...
WAITING FOR YOUR REPLIES AND SUGGESTIONS.



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[perfphysio]

If you write this up in a more formal fashion (not journal quality) but as an article of interest, we would love to house it in our clinical tools section. regards and thanks
richard

[physiosanskrati]

Great! You should post it to neurophysicians also.
Best wishes for new researches.

[fateema]

good ...i think its same as we had study ,well i appreciate ur research.
Hope you best in future.....

[prem]

one of my bells palsy patient- (45 yrs old) has a sensory loss of taste on the left side.and all the other facial movements are near normal.any suggestions to improve the condition (sensory loss of 1 half of the tounge). she is complaing that she has a sweet taste on the affected side even after biting a chilli.she complained of the symptoms after severe pain behind ear pinna.now she is free from pain .


i taught her facial muscle exercises to be done infront of mirror.this will help to improve the muscle function but how can be sensory loss of tounge treated.any way to improve this?

bye.

[sjsrikanth]

Hi Prem
the food subsatnce we consume like chilli has got acids that can stimulate the sweet and hot receptors. The resultant taste sensation depends on which receptors are stmiulated more. If predominantly those fibres responsible for hotness are affected then only the sweetness is appreciated.(I mean to say that sweetness of chilli indicates a partial presence of receptors which is good)

I have seen that a few of the patients show more adaptaion to the sensory loss than recovery as far as taste is concerned. I guess it is only a matter of time!

[neuromuscular]

WE HAVE STUDIED 70 PATIENTS OF BELLS PALSY.. OUT COMES OF STUDIES IS AS UNDER
1- Except one all were idiopathic,
2- As soon as the physiotherapy is started sooner the recovery is,
3- sixty seven 67 patients did not needFNLT study,..as eye lid started movements and neurophysician did it not,
4-- Threshold increases when palsy started yet decreases with the passage of time,
5- major recovery is between 21---40 days,
6- Modalities used were theraputic ultrasonics,EMS( idc and faradic..when muscles started flicking,)along with steam,rehab exs,and message,
7- regular neurophysician/physician's check up,

OTHER OUT COMES WILL BE POSTED TO THIS FORUM LATER AFTER YOUR REPLIES...
WAITING FOR YOUR REPLIES AND SUGGESTIONS.

Dear shahadheera:

For most studies, a control group is needed.

In studies with a control group, results do not seem to differ from the control group much from your results.

Have you considered the effect of the pressure from the occiput to the C1 as a possible cause? While this is a theory of the NUCCA chiropractic discipline for the most part, a similar effect can be accomplished in approximately 5 treatments by treating the longus capitus, anterior suboccipitals and the levator scapula rather than the positional techniques of the NCCA chiropractic field. These all effect the position of the occipital to the C1.

My own experienvce in this is limited to only a few patients, but the effects have been quicker than expected and long term.

Hope that you find this helpful.

Best regards,

Neuromuscular

[jjose_01]

Since patients spontaneously recover for the first two weeks, when is the best time to initiate physical therapy and when can you say it a residual deficit (discharge plan)?

When can we say...that a patient's improvement is due to physical therapy?

What is the highest level of evidence we have in treating facial palsies?

When can we say that we are over-utilising physical therapy to this patientt population?