Role of Kabat physical rehabilitation in Bell's palsy: A randomized trial

Conclusion: When applied at an early stage, Kabat's rehabilitation was shown to provide a better and faster recovery rate in comparison with non-rehabilitated patients. Objective: To assess the validity of an early rehabilitative approach to Bell's palsy patients. Patients and methods: A r...

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Bibliographic Details
Published in:Acta oto-laryngologica 2010, Vol.130 (1), p.167-172
Main Authors: Barbara, Maurizio, Antonini, Giovanni, Vestri, Annarita, Volpini, Luigi, Monini, Simonetta
Format: Article
Language:English
Subjects:
Adult
Bell Palsy - physiopathology
Bell Palsy - rehabilitation
Biological and medical sciences
Combined Modality Therapy
Diseases of the osteoarticular system. Orthopedic treatment
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
electroneuronography
Evoked Potentials, Motor - physiology
Facial Nerve - physiopathology
Facial palsy
Female
Follow-Up Studies
House-Brackmann grading system
Humans
Kabat
Male
Medical sciences
Middle Aged
Muscle Stretching Exercises
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Non tumoral diseases
Otorhinolaryngology. Stomatology
physical rehabilitation
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
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Summary:Conclusion: When applied at an early stage, Kabat's rehabilitation was shown to provide a better and faster recovery rate in comparison with non-rehabilitated patients. Objective: To assess the validity of an early rehabilitative approach to Bell's palsy patients. Patients and methods: A randomized study involved 20 consecutive patients (10 males, 10 females; aged 35-42 years) affected by Bell's palsy, classified according to the House-Brackmann (HB) grading system and grouped on the basis of undergoing or not early physical rehabilitation according to Kabat, i.e. a proprioceptive neuromuscular rehabilitation. The evaluation was carried out by measuring the amplitude of the compound motor action potential (CMAP), as well as by observing the initial and final HB grade, at days 4, 7 and 15 after onset of facial palsy. Results: Patients belonging to the rehabilitation group clearly showed an overall improvement of clinical stage at the planned final observation, i.e. 15 days after onset of facial palsy, without presenting greater values of CMAP.
ISSN:0001-6489
1651-2251
DOI:10.3109/00016480902882469