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Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy.
Khan, Amir J; Szczepura, Ala; Palmer, Shea; Bark, Chris; Neville, Catriona; Thomson, David; Martin, Helen; Nduka, Charles.
Afiliación
  • Khan AJ; Department of Economics, 119703Institute of Business Administration, Karachi, Pakistan.
  • Szczepura A; Centre for Healthcare Research, 2706Coventry University, Coventry, UK.
  • Palmer S; Centre for Healthcare Research, 2706Coventry University, Coventry, UK.
  • Bark C; Centre for Healthcare Research, 2706Coventry University, Coventry, UK.
  • Neville C; Centre for Care Excellence, 2708Coventry University & University Hospital Coventry & Warwickshire, Coventry, UK.
  • Thomson D; Lanchester Library, 2706Coventry University, Coventry, UK.
  • Martin H; 8962Queen Victoria Hospital NHS Foundation Trust, East Grinstead, West Sussex, UK.
  • Nduka C; 8962Queen Victoria Hospital NHS Foundation Trust, East Grinstead, West Sussex, UK.
Clin Rehabil ; 36(11): 1424-1449, 2022 Nov.
Article en En | MEDLINE | ID: mdl-35787015
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parálisis de Bell / Parálisis Facial Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Clin Rehabil Asunto de la revista: REABILITACAO Año: 2022 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parálisis de Bell / Parálisis Facial Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Clin Rehabil Asunto de la revista: REABILITACAO Año: 2022 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Reino Unido