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Facial taping as biofeedback to improve the outcomes of physical rehab in Bell’s palsy: preliminary results of a randomized case–control study

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Abstract

Purpose

This study aimed to investigate the efficacy of taping in association with Kabat rehabilitation to ameliorate the outcomes of Bell’s palsy.

Methods

This case–control study was conducted on hospital-outbound patients. 20 patients over 18 years affected from Bell’s palsy were recruited at the onset of the disease (< 5 days). Patients were simply randomized into two groups. Patients in group A underwent exclusively Kabat rehabilitation, while patients in group B were treated by combining facial taping and Kabat. Facial palsy severity was evaluated with ADS assessment at baseline (T0), 1 week (T1), 1 month (T2) and 3 months (T3) after treatment. One-way ANOVA was used to compare ADS scores variance between groups to evaluate differences between the two treatments.

Results

Both groups presented statistically significant differences comparing the baseline with the other observational points (within analysis) (p < 0.0001). Patients in group B showed a statistically significant improvement compared to group A (between analyses) (p < 0.0001), especially at T2 (p < 0.01).

Conclusions

Facial taping combined with Kabat rehabilitation allowed to reduce the time of recovery and improved the outcomes of Bell’s palsy.

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References

  1. Adour KK (1977) Incidence and management of Bell’s palsy. Facial nerve surgery (U.Fish). Kugler Medical Publications, Amstelveen, The Netherlands, pp 319–328

  2. Phan NT, Panizza B, Wallwork B (2016) A general practice approach to Bell's palsy. Aust Fam Physician 45:794–797

    PubMed  Google Scholar 

  3. Reich SG (2017) Bell's Palsy. Continuum (Minneap Minn) 23:447–466. https://doi.org/10.1212/CON.0000000000000447

    Article  Google Scholar 

  4. Jébéjian R (1984) Treatment of peripheral facial paralysis with ultrasound. Ann Otolaryngol Chir Cervicofac 101:471–479

    PubMed  Google Scholar 

  5. Hyvarinen A, Trakka Ina M, Meravaala E et al (2008) Cutaneous electrical nerve stimulation treatment in unsolved facial nerve paralysis. Am J phy Med Rehabil 87:992–997. https://doi.org/10.1097/PHM.0b013e318186bc74

    Article  Google Scholar 

  6. Ordahan B, Karahan AY (2017) Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell's) palsy. Lasers Med Sci 32:931–936. https://doi.org/10.1007/s10103-017-2195-9

    Article  PubMed  Google Scholar 

  7. Kwon HJ, Choi JY, Lee MS et al (2015) Acupuncture for the sequelae of Bell's palsy: a randomized controlled trial. Trials 3(16):246. https://doi.org/10.1186/s13063-015-0777-z

    Article  Google Scholar 

  8. Alptekin DÖ (2017) Acupuncture and Kinesio Taping for the acute management of Bell's palsy: a case report. Complement Ther Med 35:1–5. https://doi.org/10.1016/j.ctim.2017.08.013

    Article  PubMed  Google Scholar 

  9. Ton G, Lee LW, Ng HP et al (2019) 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) 98:e15120. https://doi.org/10.1097/MD.0000000000015120

    Article  Google Scholar 

  10. Cardoso JR, Teixeira EC, Moreira MD et al (2008) Effects of exercises on Bell's palsy: systematic review of randomized controlled trials. Otol Neurotol 29:557–560. https://doi.org/10.1097/MAO.0b013e31816c7bf1

    Article  PubMed  Google Scholar 

  11. Mandrini S, Comelli M, Dall'angelo A et al (2016) Long-term facial improvement after repeated BoNT-A injections and mirror biofeedback exercises for chronic facial synkinesis: a case-series study. Eur J Phys Rehabil Med 52:810–818

    PubMed  Google Scholar 

  12. Kasahara T, Ikeda S, Sugimoto A et al (2017) Efficacy of Tape Feedback Therapy on Synkinesis Following Severe Peripheral Facial Nerve Palsy. Tokai J Exp Clin Med 42:139–142

    CAS  PubMed  Google Scholar 

  13. Di Stadio A (2015). Another Scale for the Assessment of Facial Paralysis? ADS Scale: Our Proposition, How to Use It. J Clin Diagn Res. 9:MC08–11.https://doi.org/10.7860/JCDR/2015/15366.6953.

  14. Barbara M, Monini S, Buffoni A et al (2003) Early rehabilitation of facial nerve deficit after acoustic neuroma surgery. Acta Otolaryngol 123:932–935. https://doi.org/10.1080/00016480310000629

    Article  PubMed  Google Scholar 

  15. Kase K, Tatsuyuki H, Tomoki O (1996) Development of Kinesio™ tape Kinesio™ Taping Perfect Manual, pp 117–118

  16. Mikami DLY, Furia CLB, Welker AF (2019) Addition of Kinesio Taping of the orbicularis oris muscles to speech therapy rapidly improves drooling in children with neurological disorders. Dev Neurorehabil 22:13–18. https://doi.org/10.1080/17518423.2017.1368729

    Article  PubMed  Google Scholar 

  17. Monini S, Iacolucci CM, Di Traglia M et al (2016) Role of Kabat rehabilitation in facial nerve palsy: a randomised study on severe cases of Bell's palsy. Acta Otorhinolaryngol Ital 36:282–288. https://doi.org/10.14639/0392-100X-783

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Owusu Boahene KD (2016) Temporalis Muscle Tendon Unit Transfer for Smile Restoration After Facial Paralysis. Facial Plast Surg Clin North Am 24:37–45. https://doi.org/10.1016/j.fsc.2015.09.004

    Article  PubMed  Google Scholar 

  19. van Landingham SW, Diels J, Lucarelli MJ (2018) Physical therapy for facial nerve palsy: applications for the physician. Curr Opin Ophthalmol 29:469–475. https://doi.org/10.1097/ICU.0000000000000503

    Article  PubMed  Google Scholar 

  20. Monini S, Buffoni A, Romeo M et al (2017) Kabat rehabilitation for Bell's palsy in the elderly. Acta Otolaryngol 137:646–650. https://doi.org/10.1080/00016489.2016.1262553

    Article  PubMed  Google Scholar 

  21. Devriese PP (1994). Rehabilitation of facial expression ("mime therapy"). Eur Arch Otorhinolaryngol. S42–3.

  22. Sardaru D, Pendefunda L (2013) Neuro-proprioceptive facilitation in the re-education of functional problems in facial paralysis. A practical approach. Rev Med Chir Soc Med Nat Iasi 117:101–106

    CAS  PubMed  Google Scholar 

  23. Beurskens CH, Heymans PG, Oostendorp RA (2006) Stability of benefits of mime therapy in sequelae of facial nerve paresis during a 1-year period. Otol Neurotol 27:1037–1042. https://doi.org/10.1097/01.mao.0000217350.09796.07

    Article  PubMed  Google Scholar 

  24. Beurskens CH, Heymans PG (2006) Mime therapy improves facial symmetry in people with long-term facial nerve paresis: a randomised controlled trial. Aust J Physiother 52:177–183. https://doi.org/10.1016/s0004-9514(06)70026-5

    Article  PubMed  Google Scholar 

  25. Beurskens CH, Heymans PG (2003) Positive effects of mime therapy on sequelae of facial paralysis: stiffness, lip mobility, and social and physical aspects of facial disability. Otol Neurotol 24:677–681. https://doi.org/10.1097/00129492-200307000-00024

    Article  PubMed  Google Scholar 

  26. Coulson SE, Adams RD, O’Dwyer NJb, et al (2006) Use of video self-modelling and implementation intentions following facial nerve paralysis. Int J Ther Rehabil 13:30–34. https://doi.org/10.12968/ijtr.2006.13.1.21349

    Article  Google Scholar 

  27. Dalla Toffola E., Tinelli C (2012). Choosing the best rehabilitation treatment for Bell’s palsy. Eur J phys Rehabil Med.635–42.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors

Contributions

ADS, JP and VG study design; ADS and MR article writing; ADS and GR analysis of data and definition of conclusion; AM literature research and review; JP, VG and FL collection of clinical data; AG critical review.

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Correspondence to Arianna Di Stadio.

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Di Stadio, A., Gambacorta, V., Ralli, M. et al. Facial taping as biofeedback to improve the outcomes of physical rehab in Bell’s palsy: preliminary results of a randomized case–control study. Eur Arch Otorhinolaryngol 278, 1693–1698 (2021). https://doi.org/10.1007/s00405-020-06193-3

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  • DOI: https://doi.org/10.1007/s00405-020-06193-3

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