Treatment of Bell’s palsy by combination of Laser and Kabat rehabilitation: a case study

Asmita Avinash Kale; Tejas V. Suryavanshi; Komal D. Thorat

doi:10.18203/2320-6012.ijrms20233737

Authors

Asmita Avinash Kale Department of Neuro Physiotherapy, Dr. APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra, India
Tejas V. Suryavanshi Department of Electrotherapy and Electrodiagnosis, Dr. APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra, India
Komal D. Thorat Department of Neuro Physiotherapy, Dr. APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233737

Keywords:

Bell’s palsy, Laser, Kabat rehabilitation

Abstract

This study examined the role of Kabat Rehabilitation and laser therapy in Bell's palsy patient, and its effectiveness in physical and social function. Individuals with Bell's palsy, which produces the facial mimicry, it’s crucial for rehabilitation of facial muscle paralysis. PNF enforces and encourages the muscular action on the weaker side of the face, it enables patients with Bell's palsy perform better physically and socially. Therefore, the effectiveness of Kabat therapy in conjunction with Laser was proven in this investigation. The study was conducted at the outpatient department (OPD), Neuro Physiotherapy, Dr. APJ AK COPT. Patient received the Kabat rehabilitation therapy, as well as laser therapy. In this study, results were found significant in HBS and FDI scale comparing pre and post scores by progressing from moderate to normal on grading and progression of 30% on FDI scale. Hence, we conclude that this intervention could be an adjunct intervention in rehabilitation of Bell’s palsy. Physiotherapy Program including Laser therapy and Kabat rehabilitation for 3 weeks had shown significant on the treatment of Bell’s palsy. Hence, it has proven that it could be used as an adjunct intervention on patient with Bell’s palsy.

Metrics

Metrics Loading ...

References

Khanzada K, Gondal MJ, Qamar MM, Basharat A, Ahmad W, Ali S. Comparison of efficacy of Kabat rehabilitation and facial exercises along with nerve stimulation in patients with Bell's palsy. BLDE Univ J Health Sci. 2018;3(1):31.

Marques AM, Soares LG, Nascimento CM, Valença Neto AA, Marques RC, Pinheiro AL. Laser Phototherapy in Bell's Palsy. Int. Magazine of Laser Dentistry. 2010;2:12-3.

Alayat MS, Elsodany AM, El Fiky AA. Efficacy of high- and low-level laser therapy in the treatment of Bell's palsy: a randomized double-blind placebo-controlled trial. Lasers Med Sci. 2014;29(1):335-42.

Barbara M, Antonini G, Vestri A, Volpini L, Monini S. Role of Kabat physical rehabilitation in Bell's palsy: a randomized trial. Acta Oto-laryngologica. 2010;130.

Ordahan B, Karahan AY. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell's) palsy. Lasers Med Sci. 2017;32(4):931-6.

Kandakurti PK, Shanmugam S, Basha SA, Amaravadi SK, Suganthirababu P, Gopal K, George GS. The effectiveness of low-level laser therapy combined with facial expression exercises in patients with moderate-to-severe Bell's palsy: A study protocol for a randomised controlled trial. Int J Surg Protoc. 2020;24:39-44.

Barbara M, Antonini G, Vestri A, Volpini L, Monini S. Role of Kabat physical rehabilitation in Bell's palsy: a randomized trial. Acta Otolaryngol. 2010;130(1):167-72.

Aghamohamdi D, Fakhari S, Farhoudi M, Farzin H. The efficacy of low-level laser therapy in the treatment of Bell’s palsy in diabetic patients. J Lasers Med Sci. 2020;11(3):310.

Alakram P, Puckree T. Effects of electrical stimulation on House-Brackmann scores in early Bell's palsy. Physiotherapy Theory Pract. 2010;26(3):160-6.

Ton G, Lee LW, Ng HP, Liao HY, Chen YH, Tu CH, et al. Efficacy of laser acupuncture for patients with chronic Bell's palsy: A study protocol for a randomized, double-blind, sham-controlled pilot trial. Medicine (Baltimore). 2019;98(15):e15120.

Javath JM, D’Souza AF, Rebello SR. Low-Level Laser Therapy Versus Electrical Stimulation for the Management of Acute Bell's Palsy: A Randomized Clinical Trial. Physical Treatments-Specific Physical Therapy J. 2021;11(4).

Robertson V, Ward A, Low J, Reed A. Low and Reed Electrotherapy Explained, Principles and Practice. 4th edition. Butterworth-Heinemann. 2006;459-97.

Committee of Physical Therapy Protocols Office of Physical Therapy Affairs, Ministry of Health-Kuwait with Collaboration of: Physical Therapy Department Kuwait University. Physical Therapy Management for Facial Nerve Paralysis. 2007. Available at: http://www.tabeae.org/tabeaebooks/Facial%20Protocol.pdf. Accessed on 09 September 2023.

Kale A, Suryvanshi T. Comparison of Efficacy of Kabat Rehabilitation and Facial Exercise in Patient’s with Bell’s Palsy in Loni (Pravara Rural Hospital). Int J Sci Res. 2022;11(10):420-3.

Berg T, Jonsson L, Engstrom M. Agreement between the Sunnybrook, House-Brackmann and Yanaghiara facial grading systems in Bell’s palsy. Otol Neurotol. 2004;25:1020-6.

Gonzalez-Cardero E, Infante-Cossio P, Cayuela A, Acosta-Feria M, Gutierrez-Perez JL. Facial disability index (FDI): adaptation to Spanish, reliability and validity. Med Oral Patol Oral Cir Bucal. 2012;17(6):e1006-12.

Evans RA, Harries ML, Baguley DM, Moffat DA. Reliability of the House and Brackmann grading system for facial palsy. J Laryngol Otol. 1989;103(11):1045-6.