Effectiveness of Mime Therapy along with Electrical Stimulation in Facial Synkinesis with Communication Affection in Bell’s Palsy Patients

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Kuldeep Kailas Kanade, Moushumi Debnath, Mahendra S. Lodhi

Abstract

Objective: The objective of the study was to see the effectiveness of Mime therapy along with electrical stimulation for facial synkinesis with communication affection in Bell’s Palsy patient.


Methods: A total of 29 subjects were taken as one subject was not showing up for the follow-up. We selected these subjects according to inclusion criteria i.e., Acute Bell’s Palsy case, 40 – 60 years, Cases with communication participation with synkinesis, Subjects with poor prognostic factor. We utilized the free video analysis software Kinovea that can track preselected points during movements and measure two-point distances off-line and with this we used Communicative Participation Item Bank as an outcome measure for communication affection. Patient consent form and filled questionnaire were collected from the subjects.


Results: The data of 29 subjects were collected and analyzed. There was significant difference in pre-test and post-test which is seen in two muscles [orbicularis oculi, corrugator] but there were no significant changes in other muscles. For communication affection we checked for pre and post scores of CPIB scale and there is clear difference between pre and post scores as the P value is less than 0.001 it shows extremely strong evidence against the null hypothesis which is there is no effectiveness of Mime therapy with electrical stimulation in facial synkinesis with communication affection in Bell’s Palsy Patients.


Conclusion: As we performed our study on 29 subjects and the post CPIB mean value is 26.0 which is greater than the pre CPIB mean value 16.72. As there was significant change in two muscles [orbicularis oculi, corrugator] and in other muscles there is no significant change is seen, it is analyzed using video analysis software kinovea.  From the results of the study, we can conclude that there is effectiveness of Mime therapy with electrical stimulation for synkinesis with communication affection.

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