Kasur

Researchers are evaluating the effects of Mime Therapy with and without Neural Mobilization on facial symmetry, synkinesis, and functional abilities in patients with Bell's Palsy. This study focuses on patients aged 20 to 40 years with moderate to severe sub-acute Bell's Palsy lasting 3 to 6 months. Mime therapy is known to improve muscle activation through various facial exercises and massages, while neural mobilization is a newer approach aimed at improving nerve movement and blood supply to reduce inflammation and muscle strain. The study includes two groups: an experimental group receiving Mime Therapy combined with facial neural mobilization, and a control group receiving Mime Therapy with placebo mobilization. Both groups undergo 15 treatment sessions over 3 weeks, each session lasting 60 minutes, conducted 5 days per week. The experimental group receives additional neural mobilization techniques involving specific head positioning and manual mobilization movements, while the control group receives a sham procedure designed to match treatment time without applying mobilization. Participants will be assessed using the Sunnybrook Facial Grading System, Facial Disability Index, and Kinovea Movement Analysis software after 3 weeks of treatment. The study monitors changes in facial symmetry, synkinesis, and functional abilities to determine the added value of neural mobilization alongside Mime Therapy. Safety and adherence are monitored throughout the treatment period, with a focus on improving overall facial function in Bell's Palsy patients.