IJPR.2024.135
Type of Article: Original Research
Volume 12; Issue 5 (August 2024)
Page No.: 4806-4813
DOI: https://dx.doi.org/10.16965/ijpr.2024.135
Compare the Effectiveness of Mime Therapy on Facial Synkinesis in Idiopathic and Traumatic Lower Motor Neuron Facial Palsy
Vamakshi Vijay 1, Manish Kumar Jha *2, Lovneesh Kumar 3, Muskan Jain 4.
1 MPT, Neurology, Department of Physiotherapy, SRHU, Dehradun, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
*2 Faculty, Neurology, Department of Physiotherapy, SRHU, Dehradun, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
3 Professor, Department of ENT, SRHU, Dehradun, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
4 MPT, Neurology, Department of Physiotherapy, SRHU, Dehradun, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.
Corresponding Author: Dr. Manish Kumar Jha, Faculty, Neurology, Department of Physiotherapy, Swami Rama Himalayan University, Dehradun, Uttarakhand, India-248016. Phone no.- 8130785861 E-Mail: mkjha@srhu.edu.in
ABSTRACT
Background: The seventh cranial nerve has a core function of regulating emotional displays and speech. Facial paralysis, characterized by the loss of voluntary motor control on one or both sides, is commonly attributed to Bell’s palsy which accounts for 50-75% of cases and trauma responsible for 10-23% of cases. Various rehabilitation methods, including Mime Therapy, are employed to enhance facial muscle function.
Objective: This study aims to compare Mime Therapy’s impact to reduce the synkinesis of a face in individuals with idiopathic and traumatic lower motor neuron facial nerve palsy.
Study Design: Experimental, Comparative Study
Study Setting: Physiotherapy OPD, Neurology ward, and ENT ward of Himalayan Hospital, Dehradun
Participant: This study involved 30 patients, with 20 in Group A (Idiopathic) and 10 in Group B (Traumatic), all of whom had House-Brackmann Scores of 3-5. The patient’s ages ranged from 20 to 70.
Outcome Measure: Two outcome measures were used: House Brackmann Score and Sunnybrook Facial Grading System.
Result: A noticeable difference in both outcome measures was observed. In the House Brackmann Score for group A (p-value <0.001) and B (p-value=0.016), In Sunnybrook Facial Grading System for group A (p-value<0.001) and B (p-value=0.002). However, when comparing the post-intervention results of both groups, no distinct variation was found in the outcome variables (p-value>0.05).
Conclusion: The study provides evidence demonstrating that Mime Therapy has been successful in effectively reducing Facial Synkinesis in patients with both idiopathic and traumatic LMN Facial Palsy. The results indicate a significant improvement in the condition, suggesting that Mime therapy can be an efficacious treatment approach for this type of facial paralysis.
Keywords: Mime Therapy, Facial Synkinesis, Idiopathic LMN Facial palsy, Traumatic LMN facial palsy, Bell’s palsy.
REFERENCES
[1]. Spencer CR, Irving RM. Causes and management of facial nerve palsy. Br J Hosp Med (Lond) [Internet]. 2016;77(12):686-91.
https://doi.org/10.12968/hmed.2016.77.12.686
[2]. Hohman MH, Hadlock TA. Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. The Laryngoscope. 2014 Jul;124(7):E283-93.
https://doi.org/10.1002/lary.24542
[3]. Alaani A, Hogg R, Saravanappa N, Irving RM. An analysis of diagnostic delay in unilateral facial paralysis. The Journal of Laryngology & Otology. 2005 Mar;119(3):184-8
https://doi.org/10.1258/0022215053561477
[4]. Colbert S, Coombes D, Godden D, Cascarini L, Kerawala C, Brennan PA. How do I manage an acute injury to the facial nerve?. British journal of oral and maxillofacial surgery. 2014 Jan 1;52(1):67-71.
https://doi.org/10.1016/j.bjoms.2013.09.006
[5]. Facial palsy [Internet]. TeachMeSurgery. 2017 [cited 2024 Apr 12]. Available from: http://teachmesurgery.com/ent/presentations/facial-palsy
[6]. Walker NR, Mistry RK, Mazzoni T. Facial nerve palsy. InStatPearls [Internet] 2023 Jul 4. StatPearls Publishing
[7]. Bell’s palsy [Internet]. Mayo Clinic. 2024 [cited 2024 Apr 12]. Available from: https://www.mayoclinic.org/diseases-conditions/bells-palsy/symptoms-causes/syc-20370028
[8]. Gupta S, Gupta V. Incidence and management of Bell’s palsy in peripheral facial paralysis cases. Int J Res Med Sci [Internet]. 2022;10(3):644.
https://doi.org/10.18203/2320-6012.ijrms20220511
[9]. Cederwall E, Fagevik Olsén M, Hanner P, Fogdestam I. Evaluation of a physiotherapeutic treatment intervention in “Bell’s” facial palsy. Physiotherapy theory and practice, 2006 Jan 1; 22(1): 43-52.
https://doi.org/10.1080/09593980500422529
[10]. Guntinas-Lichius O, Prengel J, Cohen O, Mäkitie AA, Vander Poorten V, Ronen O, et al. Pathogenesis, diagnosis and therapy of facial synkinesis: A systematic review and clinical practice recommendations by the international head and neck scientific group. Front Neurol [Internet]. 2022;13.
https://doi.org/10.3389/fneur.2022.1019554
[11]. Wamkpah NS, Jeanpierre L, Lieu JEC, Del Toro D, Simon LE, Chi JJ. Physical therapy for iatrogenic facial paralysis: A systematic review. JAMA Otolaryngol Head Neck Surg [Internet]. 2020;146(11):1065.
https://doi.org/10.1001/jamaoto.2020.3049
[12]. Evans RA, Harries MLe, Baguley DM, Moffat DA. Reliability of the House and Brackmann grading system for facial palsy. The Journal of Laryngology & Otology. 1989;103(11):1045-6.
https://doi.org/10.1017/S002221510011093X
[13]. Györi E, Przestrzelski C, Pona I, Hagmann M, Rath T, Radtke C, Tzou CH. Quality of life and functional assessment of facial palsy patients: a questionnaire study. International Journal of Surgery. 2018 Jul 1; 55:92-7.
https://doi.org/10.1016/j.ijsu.2018.04.061
[14]. Beurskens CH, Devriese PP, Van Heiningen I, Oostendorp RA. The use of mime therapy as a rehabilitation method for patients with facial nerve paresis. International Journal of Therapy and Rehabilitation. 2004 May;11(5):206-10.
https://doi.org/10.12968/ijtr.2004.11.5.13340
[15]. Hotton, M., Huggons, E.,et.al. The psychosocial impact of facial palsy: A systematic review. British Journal of Health Psychology, 2020;25(3):695-727.
https://doi.org/10.1111/bjhp.12440
[16]. Chakravorty, S., Sharma, S., & Sharma, S. Role Of Electrical Stimulation Added to Conventional Therapy in Patients with Traumatic Facial Palsy. UPJOHNS 2021;9(11):38-44. DOI: httpp://doi.org/10.36611
[17]. Di Stadio, A., Gambacorta, V., Ralli, M., Pagliari, J., Longari, F., Greco, A., & Ricci, G. Facial taping as biofeedback to improve the outcomes of physical rehab in Bell’s palsy: preliminary results of a randomized case-control study. European Archives of 48 Oto-Rhino- Laryngology, 2021;278(5):1693-1698.
https://doi.org/10.1007/s00405-020-06193-3
[18]. D’Souza, A. F., & Rebello, S. R. Comparing the effectiveness of mime therapy and neuromuscular re-education in improving facial symmetry and function in acute Bell’s palsy: a pilot randomised clinical trial. IJTR, 2021;1-8.
https://doi.org/10.12968/ijtr.2019.0121
[19]. Prajapati, P., & Patel, S. Effectiveness of Electrical Stimulation with Mime Therapy Versus Electrical Stimulation with Motor Imagery Technique in Patients with Bell’s Palsy: A Comparative Study. IJSR, 2019;1669-1674.
DOI: 10.21275/SR21327101533
[20]. Mishra SS, Sayed M. Effects of Mime Therapy With Sensory Exercises on Facial Symmetry, Strength, Functional Abilities, and the Recovery Rate in Bell’s Palsy Patients. Function and Disability Journal. 2021 Aug 7;4(1):35-5.
https://doi.org/10.32598/fdj.4.35
[21]. Bylund, N., Hultcrantz, M., Jonsson, L., & Marsk, E. Quality of Life in Bell’s Palsy: Correlation with Sunnybrook and House‐Brackmann Over Time. The Laryngoscope, 2021;131(2):1 7.
https://doi.org/10.1002/lary.28751
[22]. Lee, S. A., Kim, J., Lee, J. M., Hong, Y. J., Kim, I. J., & Lee, J. D. (2020). Automatic Facial Recognition System Assisted-facial Asymmetry Scale Using Facial Landmarks. Otology & Neurotology, 2020;41(8):1140-1148.
https://doi.org/10.1097/MAO.0000000000002735
[23]. Díaz-Aristizabal, U., Valdés-Vilches, M., Fernández-Ferreras, T. R., Calero-Muñoz, E., Bienzobas-Allué, E., & Moracén-Naranjo, T. Correlations between impairment, psychological distress, disability, and quality of life in peripheral facial palsy. Neurología (English Edition), 2019;34(7):423-428.
https://doi.org/10.1016/j.nrl.2017.03.004
