MIME THERAPY vs MOTOR IMAGERY TECHNIQUE in Bell's Palsy

March 25, 2024 updated by: Riphah International University

Comparison of Mime Therapy and Motor Imagery Technique on Facial Disability in Bell's Palsy.

Bell's palsy, characterized by unilateral paralysis/paresis of facial muscles, is a condition with a significant impact on individuals' lives. It was first identified by scientist Sir Charles Bell, and its sudden onset can lead to social, psychological, and emotional distress. Left untreated, Bell's palsy can have long-lasting effects on a patient's quality of life, including loss of facial muscle control, emotional stress, and communication difficulties. Rehabilitation protocols encompass various physical therapy techniques, among which Mime therapy and Motor imagery technique have shown promise.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

While rehabilitation protocols have shown promise in enhancing facial muscle control, reducing disability, and preventing long-term complications, there remains a critical gap in the literature regarding the comparative effectiveness of various rehabilitation techniques. Currently, there is limited empirical evidence to guide healthcare professionals in selecting the most suitable rehabilitation approach for individual patients. The purpose of this study is to address this gap in knowledge by comparing two specific rehabilitation techniques: Mime therapy and Motor imagery technique. Understanding which of these rehabilitation techniques is more effective can significantly influence clinical practice and patient care. By conducting a systematic comparison, this study aims to provide evidence-based recommendations to healthcare professionals in selection of appropriate rehabilitation protocol for Bell's palsy patients.

Study Type

Interventional

Enrollment (Estimated)

44

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Pakistan
      • Sargodha, Pakistan
        • Recruiting
        • Muzaffar Hospital
        • Contact:
          • Mulazam Imran, MS-NMPT*

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Age 20-40 years
  • Both male and female
  • Patients diagnosed with Bell's Palsy
  • Paralysis/paresis of all muscle groups of one side of face

Exclusion Criteria:

  • Patients diagnosed with facial palsy
  • Patients with impaired cognition
  • Patients diagnosed with other neurological diseases

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Mime therapy group
Mime therapy focuses on improving facial symmetry and muscle control through self-massage, breathing exercises, eye and lip closure exercises, letter and word exercises, and expression exercises in front of mirror
Other: mime therapy
  1. Facial Massage
  2. Frowning
  3. Close eyes
  4. Smile
  5. Fish Face
  6. Eyebrow raising
  7. Breathing exercise
  8. Blow cheeks
  9. Mouth opening and closing.
  10. Moving lips side to side
  11. Blow a candle.
  12. Nasal flaring
  13. Chewing exercise
  14. Rinse mouth
  15. Speaking vowels
  16. Fill mouth with water
  17. Fill rubber balloon
  18. Sucking water with straw
Active Comparator: motor imagery group
Motor imagery technique involves mental rehearsal of motor activities, activating similar brain regions as actual movements, which enhances neuroplasticity.
Other: motor imagery
  1. Raising your eyebrows
  2. Showing angry face
  3. Closing and opening eyes
  4. Pouting
  5. Blowing cheeks
  6. Smiling
  7. Nasal flaring
  8. Blowing candle
  9. Deviating lips side to side
  10. Chewing something
  11. Speaking vowels

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
House-Brackmann Scale (HBS)
Time Frame: week 6
A widely used scale to assess facial nerve dysfunction.Grades facial muscle function from I (normal) to VI (total paralysis). - Higher scores indicate more severe dysfunction.
week 6
Facial Disability Index (FDI)
Time Frame: week 6
A patient-reported outcome measure assessing the impact of facial palsy on daily life.Assesses physical, social, and emotional functioning - Uses a questionnaire. - Higher scores indicate a greater impact on daily life.
week 6
Sunnybrook Facial Grading System
Time Frame: week 6
An assessment tool for evaluating facial muscle function, including static and dynamic aspects.
week 6
Synkinesis Assessment Questionnaire (SAQ)
Time Frame: week 6
An assessment tool specifically designed to evaluate synkinesis- related symptoms. Assesses the presence and severity of synkinesis symptoms during voluntary actions. - Uses a questionnaire. - Higher scores indicate more severe synkinesis-related symptoms.
week 6

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Ayesha Afridi, PhD*, Riphah International University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 22, 2024

Primary Completion (Estimated)

August 22, 2024

Study Completion (Estimated)

August 25, 2024

Study Registration Dates

First Submitted

March 25, 2024

First Submitted That Met QC Criteria

March 25, 2024

First Posted (Actual)

April 1, 2024

Study Record Updates

Last Update Posted (Actual)

April 1, 2024

Last Update Submitted That Met QC Criteria

March 25, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/01743

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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