Cranial Nerve Seventh (VII) Mobilization versus Manual Manipulation of facial muscles for Bell’s palsy patients

Comparative effectiveness of Cranial Nerve Seventh (VII) Mobilization versus Manual Manipulation of facial muscles for improving muscular movement and Synkinesis among Bell’s palsy patients; Randomized Clinical Trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20240726062547N1

Enrollment

Registered

2024-10-01

Start date

2024-07-29

Completion date

Unknown

Last updated

2025-01-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bell's palsy. Bell's palsy

Interventions

Intervention 1: Intervention group: Manual Manipulation of facial muscles group. Intervention 2: Intervention group: Cranial Nerve seventh (VII) Mobilization group.

Eligibility

Sex/Gender

All

Age

15 Years to 45 Years

Inclusion criteria

Inclusion criteria: Acute stage (onset within first week). House Brackmann grading scale score grade?-? (mild to moderate). Sunny Brook facial grading scale score =40 (mild to moderate). Diagnosed unilateral Bell’s palsy by clinical and neurological assessment. No previous history of Bell’s palsy and stroke. Diagnosed Bell’s palsy pt receiving standard drug treatment (SDT). No previous History of physiotherapy treatment sessions for Bell’s palsy.

Exclusion criteria

Exclusion criteria: Diagnosed Neurodegenerative Disorders (Multiple sclerosis, Myasthenia gravis and Guillain-Barre syndrome). Diagnosed intra cranial Tumors(55), parotid gland tumors(56),facial nerve schwannomas (56)and squamous cell carcinoma. Diagnosed Viral infection (herpes simplex, herpes zoster). Diagnosed for more than 14 days. Multiple episodes (more than 1) of Bell’s palsy. Presence of severe comorbidities (diabetes, hypertension) that could impact the implementation of the treatment and performance. Diagnosed Traumatic injury to the 7th cranial nerve. Pacemakers or implanted electrical devices. Unwilling to participate in the study.

Design outcomes

Primary

Measure	Time frame
Voluntary movement. Timepoint: Before intervention and after 15th session. Method of measurement: House-Brackmann grading scale.;Synkinesis. Timepoint: Before intervention and after 15th session. Method of measurement: Sunny Brook Facial Grading Scale.;Facial expressions. Timepoint: Before intervention and after 15th session. Method of measurement: Sunny Brook Facial Grading Scale.	—

Secondary

Measure	Time frame
Symmetry of face. Timepoint: Before intervention and after 15th session. Method of measurement: Sunnybrook Facial Grading Scale.	—

Countries

Pakistan

Contacts

Public ContactAleena Shabbir

The University of Faisalabad

aleena.shabbir06@gmail.com+92 41 8750971

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026