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Parálisis facial. 18/09/ FASE FLACCIDA Crioterapia Masajes tonificantes Electroestimulación Reeducación neuromuscular – ejercicios. Bell’s palsy, physiotherapy, facial paralysis, parálisis facial and electro estimulación. Idiopathic peripheral facial paralysis or Bell’s palsy is the most frequent. Physical therapy for Bell´s palsy (idiopathic facial paralysis) (Protocol for a en la literatura consultada, diferencia de la electroestimulación con respecto compromiso del labio superior por parálisis facial periférica: reporte de caso clínico.

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Treatments for this pathology are pharmacologic and physiotherapeutic, from which just the pharmacological forms of treatment have systematically shown better results when compared with controls or other treatments [ 4 ]. Guidelines Upcoming Special Issues.

Effectiveness of Electro-stimulation as a Treatment for Bell’s Palsy: Keywords Rehabilitation; Physiotherapy; Peripheral facial paralysis. In two other studies where massage therapy, ES and feedback exercises FE in front of a mirror were applied to individuals with different neuronal damage, greater benefit was found when ES and FE were used compared to massage therapy; 10 or no difference when ES plus FE vs FE alone were compared [ 11 ] moreover, 29 subjects with neuropraxia from this last study completely recovered in one year without any treatment, i.

Effectiveness of Electro-stimulation as a Treatment for Bell’s Palsy: An Update Review

Home Publications Conferences Register Contact. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited. This illness occurs without specific causes in individuals regardless of age and in both sexes; however, its incidence is higher around 40 years of age or over 65 years of age [ 23 ].

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J Neurol Sci Turkish Even so it is stated that if electrotherapy is used for denervated electreostimulacion, its application must begin as soon as facial reconstruction is done [ 18 ]. The main concerns in the Alakram and Puckree [ 8 ] study are: In recent studies on the use of electro-stimulation besides being insufficient, only one report, where electrotherapy was used alone, showed positive results when compared to the control not-treated group [ 9 ].


J Neurol Phys Ther Regarding its treatment, it is recommended that it begins within the first 72 h of electroestumulacion appearance of symptoms [ 2 ]; however, due to its negative effects on the self-esteem it is very common for patients not to attend appointments or to electroeetimulacion treatment, making this illness a chronic one and harder to treat [ 715 ].

These authors applied the procedure during 21 days after reconstructive surgery of the temporal muscle, showing that patients subjected to ES had better facial symmetry both static and dynamic, than the control groups. J Sports Sci Med For a better understanding by the reader, it deals with general information about the pathology and the common form of electrotherapy used. Doshi D and Saab M Bell’s palsy in children: In Mexico, according to the Ministry of Health there werecases for the year [ 2 ].

Moreover, when there is a control group the differences could be significant [ 9 ]. With these criteria we found 54 reports, and after reading them only five met all the above inclusion and exclusion criteria Table 1.

As mentioned, the causes for electroestimulaciln illness are unknown but it is associated to hypercholesterolemia, hypertension, diabetes, infections, poisoning, genetic syndromes, neoplasias and musculoskeletal and neurological lesions [ 14 ]. Manikandan N Effect of facial neuromuscular re-education on facial symmetry in patients with Bell’s palsy: This might occur because FE is an efficient technique to treat facial paralysis [ 24 ]. An update review of randomized and controlled clinical trials inclusion criteria was done in the following databases: From the same study, due elsctroestimulacion the total segmentation of the facial nerve and its possible reconstruction, ES was applied to prevent muscular atrophy and to preserve completely the metabolic and contractile functioning, while waiting for neuronal regeneration [ 9 ].


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This illness carries no life-threatening risk for the patient, however it does considerably affect their self-esteem [ 15 ]. Peitersen E Bell’s oaralisis Those uncontrolled reports, aside from their lack of scientific strictness show low or no therapeutic capacity at all; [ 10 – 12 ] one of them even shows the worsening of facial functioning when electrotherapy is applied [ 13 ]. Phys Ther Rev 8: Can’t read the image? Review Article Open Access.

Narin S, Barutu A Treatment of prolonged facial paralysis with temporalis myoplasty and electrical stimulation. Hong Kong j emerg med In the case of denervated muscles 5 to 10 unidirectional paralisiw rectangular pulses per day with 30 to ms pulse duration, and 4 or more seconds between pulses are used [ 17 ].

As a consequence dlectroestimulacion this possibility, it is not known whether stimulation of muscles before the contact of nerves to the facial region, such as the stylohyoid, the digastric or the auricular muscles, may generate a positive therapeutic response or to cause other impairments following the stimulation of different nerves.

Eberstein A, Eberstein S Electrical stimulation of denervated muscle: Visit for more related articles at Journal of Novel Physiotherapies.

What this study adds: In addition, there are a few random and controlled studies that test the efficacy or not of ES [ 489 ].

Progression of this condition is within a week with a peak between 3 and 7 days; in contrast, recovery may take from a few weeks up to several years if denervation occurs and complete recovery may never be achieved[ 21114 ].