Bell'
Conditions
Interventions
Participants receive an exercise logbook containing an enhanced home facial exercise program incorporating mime therapy and the Kabat technique. The program includes facial muscle massage, facial musc
Experimental Behavioral,Active Comparator Behavioral
Enhanced home facial exercise program,Standard home facial exercise program
Sponsors
Neurological Institute of Thailand
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age 18-80 years. 2. First-time diagnosis of Bell's palsy by a physician within 30 days of symptom onset. 3. House-Brackmann grade 4-6. 4. Ability to attend standard physiotherapy sessions twice weekly for five consecutive weeks as an outpatient. 5. Ability to follow therapist instructions for home facial exercises. 6. No other neurological disorders affecting communication.
Exclusion criteria
Exclusion criteria: 1. Facial palsy due to causes other than idiopathic Bell's palsy (e.g., tumor, infection, or trauma). 2. Inability to use the LINE mobile application via smartphone. 3. Inability to perform or manage home facial exercises independently.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sunnybrook Facial Grading System (SFGS) 3 months Regional scoring system evaluating resting symmetry, voluntary movement, and synkinesis. Scores range from 0 to 100, where higher scores indicate better facial function.,House-Brackmann Scale (HB) 3 months Global assessment tool grading overall facial nerve function on a 6 point scale from Grade 1 normal to Grade 6 total paralysis. Lower grades indicate better function.,Facial Disability Index (FDI) 3 months Self reported questionnaire assessing the physical and psychosocial impact of facial palsy. Scores range from 0 to 100 per subscale. Higher scores indicate better quality of life. | — |
Secondary
| Measure | Time frame |
|---|---|
| patient satisfaction with the home exercise program in the experimental group 3 months 6-point Likert scale questionnaire | — |
Countries
Thailand
Contacts
Public ContactArnuphap Tanasakampai
Department of Physical Therapy, Neurological Institute of Thailand
Outcome results
None listed