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Description

The purpose of this case report is to determine the effectiveness of balance and vestibular exercises in conjunction with facial strengthening exercises on a patient with Bell’s palsy.

By incorporating vestibular exercises into the patient’s therapy sessions, she was able to demonstrate improved single leg stance and self-reported decrease in onset of symptoms with a progression of vestibular exercises. Facial muscle strengthening exercises demonstrated significant improvements in eye closure and smiling but she exhibited little changes in facial symmetry, strength and self-perceived function. The patient reported she was starting to drive and participate in more social events by the 4th treatment session.

Publication Date

Fall 2018

City

St. Augustine, FL

Keywords

Bell Palsy, Facial Muscles, Exercise Therapy

Disciplines

Physical Therapy | Rehabilitation and Therapy

Comments

Presented at the Fall 2018 Research Day on the St. Augustine, FL, campus of the University of St. Augustine for Health Sciences.

References

1.Marson AG, Salinas R. Bell's palsy. West J Med. 2000;173(4):266-8.

2.Baug RF, Basura GJ, Ishii LE, et al. Clinical Practice Guidelines: Bell’s palsy. Otolaryngol Head Neck Surg. 2013;149(3):1-27.

3.Nicastri M, Mancini P, DeSeta D, et al. Efficacy of early physical therapy in severe Bell’s palsy: A randomized controlled trial. Neurorehabil Neural Repair. 2013;27(6):542-51.

4.Rauchbach E, May M, Stroud MH. Vestibular involvement in Bell’s palsy. Laryngoscope. 1975;85(8):1396-8.

5.Hall CD, Herdman SJ, Whitney SL, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: An evidence-based clinical practice guideline: From the American Physical Therapy Association Neurology section. J Neurol Phys Ther. 2016;40(2):124-55.

6. Manikandan N. Effect of facial neuromuscular re-education on facial symmetry in patients with Bell’s palsy: a randomized controlled trial. Clin Rehabil. 2007;21(4):338-43.

Incorporation of Balance and Vestibular Exercises in a 45-year-old Female with Bell’s Palsy: A Case Report
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