A Randomized Control Trial to Review the Effectiveness of Combination Therapy versus Steroids Alone, for the Treatment of Bells Palsy. | [Annals of the Pakistan Institute of Medical Sciences • 2013]

Author(s):

1. Mazhar Badshah: Department of Neurology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan

2. Muhammad Umar: Department of Physiotherapy, Holy Family Hospital, Rawalpindi, Pakistan

3. Aamer Naeem: Riphah College of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan

4. Misbah Marryam: Department of Physiotherapy, Holy Family Hospital, Rawalpindi, Pakistan

Abstract:

Objective: To compare the effectiveness of combined programme including steroids, electrical stimulation with facial exercises as compared to steroids alone for treatment of Bells Palsy. Study Design: Randomized Control trial study. Place and Duration: At Holy Family Hospital Rawalpindi and in Private setting at Islamabad from August 2012 to August 2013. Materials and Methods: A total of 113 male and female patients having been diagnosed with Bell’s palsy were randomly assigned to two groups. The experimental group received a combined steroids, electrical stimulation and facial exercise programme. The control group was given steroids alone. House–Brackmann facial nerve grading system was used to assess the recovery in patients. Results: Bell’s palsy was graded according to House–Brackmann facial nerve grading system. Mean values for grades of experimental group were 2.95 (before treatment) and 0.98 (after treatment) showing a significant improvement in condition after receiving treatment (p=.000 for all). These findings were statistically supported by applying paired t-test which showed significant improvement regarding House–Brackmann facial grading and other symptoms of facial palsy (p

Page(s): 118-121

DOI: DOI not available

Published: Journal: Annals of the Pakistan Institute of Medical Sciences, Volume: 9, Issue: 3, Year: 2013

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