Effects of Mime Therapy With and Without Neural Mobilization on Facial Symmetry, Synkinesis and Functional Abilities in Patients With Bell's Palsy

What this Trial Is About

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. Bell's palsy causes facial muscle weakness, and mime therapy uses facial exercises and massages to improve muscle activation and reduce symptoms. Neural mobilization is a newer technique that may help nerve movement and reduce inflammation, potentially enhancing facial recovery when combined with mime therapy. This study aims to explore whether adding neural mobilization to mime therapy offers better results in treating Bell's palsy. Participants are randomly assigned to either an experimental group receiving mime therapy combined with facial neural mobilization or a control group receiving mime therapy with placebo mobilization. Each group undergoes 15 treatment sessions lasting 60 minutes each, five days a week over three weeks. The experimental group's neural mobilization involves specific circular and horizontal movements applied in sets, while the control group receives a placebo procedure mimicking the technique without the therapeutic maneuvers. During the study, participants will be assessed using the Sunnybrook Facial Grading System, Facial Disability Index, and Kinovea Movement Analysis software after three weeks of treatment. These tools measure facial symmetry, function, and movement. Researchers will monitor changes in facial muscle coordination, synkinesis, and overall functional improvement. The total participation duration includes the three-week therapy period with evaluations conducted at the end of this time.

Mime Therapy With and Without Neural Mobilization in Bell's Palsy.