Low Laser Therapy on Facial Motor Functions Function and Synkinesis in Patients With Bell's Palsy
Effects of Low Laser Therapy on Facial Motor Functions Function and Synkinesis in Patients With Bell's Palsy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ali Raza, MsOMPT
- Phone Number: 03326099065
- Email: araza.frahs@riphah.edu.pk
Study Locations
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Punjab
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Lahore, Punjab, Pakistan
- Recruiting
- Ali raza
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Contact:
- Ali Raza, MsOMPT
- Phone Number: 03326099065
- Email: araza.frahs@riphah.edu.pk
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male female diagnosed with idiopathic Bell's palsy by physician
- age 30-60years
- Bell's palsy in patients having known history of hypertension
- Bell's palsy in patients having known history of diabetes
Exclusion Criteria:
- Participants with a middle ear infection
- parotid gland tumor
- malignant otitis external
- Tumors in the base of the lateral skull
- upper motor neuron facial palsy
- segmental muscle weakness
- and recurrent episodes of facial paralysis, polyneuropathies
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: Low level laser therapy
Patients assigned to experimental group received low level laser therapy and conventional therapy.
Treatment frequency was five sessions/week for 4 weeks. .
For laser therapy, Omega laser system used with infrared probes of 830 nm wavelength and 100 mW output power, average energy density of 10 J/cm2 , frequency of 1 KHz, and a duty cycle of 80 % in one group.
In all cases, the laser was in direct contact with the superficial roots of the facial nerve on the affected side.
And was applied for 2 min and 5 s per point for 8 points.
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One group treated with low level laser therapy along with conventional therapy
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EXPERIMENTAL: Conventional therapy
Group B was treated with conventional therapy.
The interrupted galvanic electrical impulses with the duration of 3-30 milliseconds, the tolerable intensity was applied over the motor points of each facial muscle.
A total of 30-60 electrical twitch induced muscle contractions will be maintained for each muscle.
The facial muscles exercise training with mirror-visual feedback was progressed to resisted exercises by self and/or therapist-assistance.
All exercises were demonstrated to participants by the therapist's efforts and instructed the participants to continue the exercises twice a day for 10-15 minutes.
A pictorial leaflet of facial expressions exercises with appropriate instructions to perform exercises.
Treatment frequency was five sessions/week for 4 weeks.
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Group B treated with ems and exercises
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Facial disability index
Time Frame: 4 weeks
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To access the physical well-being
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4 weeks
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Housebrackmann scale
Time Frame: 4 weeks
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To grade the facial muscle weakness
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4 weeks
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Sunnybrook facial grading
Time Frame: 4 weeks
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To acess symmetry and synkinesis
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4 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ali Raza, MsOmpt, Riphah International University
Publications and helpful links
General Publications
- Aghamohamdi D, Fakhari S, Farhoudi M, Farzin H. The Efficacy of Low-Level Laser Therapy in the Treatment of Bell's Palsy in Diabetic Patients. J Lasers Med Sci. 2020 Summer;11(3):310-315. doi: 10.34172/jlms.2020.52. Epub 2020 Jun 21.
- Ordahan B, Karahan AY. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell's) palsy. Lasers Med Sci. 2017 May;32(4):931-936. doi: 10.1007/s10103-017-2195-9. Epub 2017 Mar 23. Erratum In: Lasers Med Sci. 2019 Jun 17;:
- de Oliveira RF, da Silva AC, Simoes A, Youssef MN, de Freitas PM. Laser Therapy in the Treatment of Paresthesia: A Retrospective Study of 125 Clinical Cases. Photomed Laser Surg. 2015 Aug;33(8):415-23. doi: 10.1089/pho.2015.3888.
- Alayat MS, Elsodany AM, El Fiky AA. Efficacy of high and low level laser therapy in the treatment of Bell's palsy: a randomized double blind placebo-controlled trial. Lasers Med Sci. 2014 Jan;29(1):335-42. doi: 10.1007/s10103-013-1352-z. Epub 2013 May 26.
- Bylund N, Hultcrantz M, Jonsson L, Marsk E. Quality of Life in Bell's Palsy: Correlation with Sunnybrook and House-Brackmann Over Time. Laryngoscope. 2021 Feb;131(2):E612-E618. doi: 10.1002/lary.28751. Epub 2020 May 28.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Completion (ANTICIPATED)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- REC/RCR&AHS/22/0216
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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