Your Physical Therapy

On the last post we Bell Palsy we show the common causes and sign of Bell's Palsy, On this post we will show the Physiotherapy way for treat the Bell's Palsy

A. Electrotherapy

The electrotherapy modalities reviewed included:
electrical stimulation (ES), Ultrasound, electromyography and biofeedback
No evidence support electrical stimulation benefit for acute facial paralysis but it's effective for chronic condition
Biofeedback is more effective when muscle activity presents
Ultrasound can be beneficial for acute conditions

B. Neuromuscular retraining

When each muscle group is being assessed, the patient observes the action of these muscles in the mirror and instructed to perform small symmetrical specific movements on the sound side to identify the right response. Each patient presents with different functional disability, so there are no general list of exercises.

The movements should be initiated slowly and gradually so that the patient can observe the angle, strength, and speed of each movement, because rapid movements can't help the patient in controlling the abnormal movement

The patient can apply a manual resistance as isolated facial movement improved in affected side to be obvious without synkinesis.(with out other muscle move ) abnormal movement

C. Manual massage
Massage can be done with other treatment options. It can be done to improve perceptual awareness.

Massage technique on the face include:


1. Effleurage
2. Finger or thumb kneading
3. Wringing
4. Hacking
5. Tapping
6. Stroking

D. Exercise
by applying different Facial expressions like

1- Cheek puff and hold without let the air outside
2- ٍSmile
3- Frowning moving Eyebrows several time 

Facial palsy is neurological Problem result from lesion of the 7th cranial nerve leading to partial or total paralysis on the effected side of the face muscles the patient should early start with physiotherapy as fast as its possible because early rehabilitation can back you to normal 

Facial Palsy Causes 

A- Sudden exposure to cold air currents or weather changes

B- Traumatic accidents

C- Tumors

D- Diabetes persons more exposure to nerve palsy four times than others

E- Pregnant women are more exposed to Bell's palsy three times more than others 

F- Middle ear infection

Sign and symptom 

The severity of symptoms depends on the extent of facial nerve damage

A- dry eyes and mouth

B- Inability to blink or close the eye, tearing

C- Impaired or loss sense of taste

D- Inability to speaking or form sentence

E- Hypersensitivity to sound

To See the Treatment Tips Follow this Link
Physiotherapy for patient with facial palsy