The Library
Physical therapy for facial nerve paralysis (Bell's palsy) : an updated and extended systematic review of the evidence for facial exercise therapy
Tools
Khan, Amir J., Szczepura, Ala, Palmer, Shea, Bark, Chris, Neville, Catriona, Thomson, David, Martin, Helen and Nduka, Charles (2022) Physical therapy for facial nerve paralysis (Bell's palsy) : an updated and extended systematic review of the evidence for facial exercise therapy. Clinical Rehabilitation, 36 (11). pp. 1424-1449. doi:10.1177/02692155221110727 ISSN 0269-2155.
|
PDF
WRAP-physical-therapy-facial-nerve-paralysis-(Bell's palsy)-Szczepura-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1068Kb) | Preview |
Official URL: http://dx.doi.org/10.1177/02692155221110727
Abstract
Objective:
To conduct a systematic review of the effectiveness of facial exercise therapy for facial palsy patients, updating an earlier broader Cochrane review; and to provide evidence to inform the development of telerehabilitation for these patients.
Data Sources:
MEDLINE, EMBASE, CINAHL, Cochrane Library, PEDro and AMED for relevant studies published between 01 January 2011 and 30 September 2020.
Methods:
Predetermined inclusion/exclusion criteria were utilised to shortlist abstracts. Two reviewers independently appraised articles, systematically extracted data and assessed the quality of individual studies and reviews (using GRADE and AMSTAR-2, respectively). Thematic analysis used for evidence synthesis; no quantitative meta-analysis conducted. The review was registered with PROSPERO (CRD42017073067).
Results:
Seven new randomised controlled trials, nine observational studies, and three quasi-experimental or pilot studies were identified (n = 854 participants). 75% utilised validated measures to record changes in facial function and/or patient-rated outcomes. High-quality trials (4/7) all reported positive impacts; as did observational studies rated as high/moderate quality (3/9). The benefit of therapy at different time points post-onset and for cases of varying clinical severity is discussed. Differences in study design prevented data pooling to strengthen estimates of therapy effects. Six new review articles identified were all rated critically low quality.
Conclusion:
The findings of this targeted review reinforce those of the earlier more general Cochrane review. New research studies strengthen previous conclusions about the benefits of facial exercise therapy early in recovery and add to evidence of the value in chronic cases. Further standardisation of study design/outcome measures and evaluation of cost-effectiveness are recommended.
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RC Internal medicine R Medicine > RM Therapeutics. Pharmacology |
||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||
Library of Congress Subject Headings (LCSH): | Facial paralysis, Facial paralysis -- Patients, Face -- Movement disorders, Facial nerve -- Diseases -- Physical therapy, Facial paralysis -- Physical therapy | ||||||||
Journal or Publication Title: | Clinical Rehabilitation | ||||||||
Publisher: | Sage Publications Ltd. | ||||||||
ISSN: | 0269-2155 | ||||||||
Official Date: | November 2022 | ||||||||
Dates: |
|
||||||||
Volume: | 36 | ||||||||
Number: | 11 | ||||||||
Page Range: | pp. 1424-1449 | ||||||||
DOI: | 10.1177/02692155221110727 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 9 September 2022 | ||||||||
Date of first compliant Open Access: | 12 September 2022 | ||||||||
RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year