Penanganan Fisioterapi pada Kasus Bell Palsy Dextra menggunakan intervensi TENS, Massage dan Mirror Exercise : a Case Report
DOI:
https://doi.org/10.61132/vitamin.v3i3.1486Keywords:
Bell Palsy, TENS, Massage, Mirror ExerciseAbstract
Background: Bell's Palsy is a condition of facial muscle weakness due to inflammation or damage to the VII cranial nerve (facial nerve), which is classified as a primary acute idiopathic lower motor neuron (LMN) type. This condition is characterized by unilateral facial paralysis and pain in the mastoid area, which can affect the patient's quality of life. Method: This study design used a case report method which observed one patient with a case of Bell Palsy Right. Physiotherapy intervention was carried out during four meetings at Dr. Moewardi Hospital, with therapy modalities including Transcutaneous Electrical Nerve Stimulation (TENS), massage, and mirror exercise. Evaluation was carried out using the Numeric Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for facial muscle strength, and the Ugo Fisch scale for functional ability. Results: This study shows that physiotherapy treatment during 4 meetings resulted in decreased pain, increased muscle strength, and increased functional ability with Bell palsy. Conclusion: Physiotherapy interventions in the form of TENS, massage, and mirror exercise are effective in reducing pain, increasing muscle strength, and improving functional abilities in patients with Bell's Palsy Right.
Downloads
References
Abdelatief, E. E. M. (2020). Effect of transcutaneous electrical nerve stimulation and faradic current stimulation on the recovery of Bell’s palsy. International Journal of Human Movement and Sports Sciences, 8(6), 369–380. https://doi.org/10.13189/saj.2020.080608
Alharbi, R., Kashoo, F. Z., Ahmed, M., Alqahtani, M., Aloyuni, S., Alzhrani, M., Alanazi, A. D., Sidiq, M., Alharbi, B. H., & Nambi, G. (2023). Effect of neural mobilisation in Bell’s palsy: A randomised controlled trial. Hong Kong Physiotherapy Journal, 43(2), 93–103. https://doi.org/10.1142/S1013702523500063
Bano, G., Angral, S., Sasanka, K. K., Panda, S., Kumar, A., Varshney, S., Yella, S. S. T., & Sarangi, P. K. (2024). Postoperative delayed facial nerve palsy: A surgeon’s nightmare. Cureus. https://doi.org/10.7759/cureus.58691
Burelo-Peregrino, E. G., Salas-Magaña, M., Arias-Vázquez, P. I., Tovilla-Zarate, C. A., Bermudez-Ocaña, D. Y., López-Narváez, M. L., Guzmán-Priego, C. G., González-Castro, T. B., & Juárez-Rojop, I. E. (2020). Efficacy of electrotherapy in Bell’s palsy treatment: A systematic review. Journal of Back and Musculoskeletal Rehabilitation, 33(5), 865–874. https://doi.org/10.3233/BMR-171031
Çelik, F., Yılmaz, F., Ayyıldız, A., Çelik, M., İnceoğlu, S. Ç., & Kuran, B. (2024). Clinical and electrophysiological evaluation of electrical stimulation in patients with Bell’s palsy. Acta Medica Lituanica, 31(2), 368–380. https://doi.org/10.15388/Amed.2024.31.2.19
Damerius Silitonga, S., Nugraha, E., & Naibaho, V. (2023). The effect of mirror exercise and massage on the facial functional ability of Bell’s palsy patients in the Anugerah Sehat Physiotherapy Practice. COVID-19: Journal of Health, Medical Records and Pharmacy, 1(1). https://jurnal.devitara.or.id/index.php/sehat
Di Pietro, A., Cameron, M., Campana, V., Leyes, L., Cinat, J. A. I. Z., Lochala, C., Johnson, C. Z., Hildebrand, A., & Loyo, M. (2023). Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: Immediate and six-month outcomes. European Journal of Translational Myology, 33(4). https://doi.org/10.4081/ejtm.2023.11630
Loyo Li, M., Cameron, M. H., & Volk, G. F. (2024). Does electrical stimulation still have a place in the treatment armamentarium for Bell’s palsy? Expert Review of Neurotherapeutics, 24(1), 1–3. https://doi.org/10.1080/14737175.2023.2295426
Marotta, N., Demeco, A., Inzitari, M. T., Caruso, M. G., Ammendolia, A., & Enix, D. (2020). Neuromuscular electrical stimulation and shortwave diathermy in unrecovered Bell palsy: A randomized controlled study. Medicine (United States), 99(8). https://doi.org/10.1097/MD.0000000000019152
Mishra, S. S., & Sayed, M. (2021). Effects of mime therapy with sensory exercises on facial symmetry, strength, functional abilities, and the recovery rate in Bell’s palsy patients. Function and Disability Journal, 4(1), 35. https://doi.org/10.32598/fdj.4.35
Oliveira, C., Sousa, R. De, Ramos, C., & Cruz, A. L. (2022). Effect of electrostimulation applied on Bell’s palsy—A systematic review. OALib, 9(6), 1–14. https://doi.org/10.4236/oalib.1108600
Parveen, U., Maurya, N., Khan, A. R., Khan, A., Aafreen, A., Shohaim, S., & Ahamad, T. (2023). Effectiveness of neuromuscular electrical stimulation and proprioceptive neuromuscular facilitation in combination with facial exercise in patient with Bell’s palsy: A comparative study. https://doi.org/10.21203/rs.3.rs-3339408/v1
Santiago, S., Joshua, A. M., Nayak, A., Misri, Z., Pai, S., Pai, R., Mithra, P., Prabhakar, A. J., & Palaniswamy, V. (2024). Effectiveness of novel facial stretching with structured exercise versus conventional exercise for Bell’s palsy: A single-blinded randomized clinical trial. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-64046-z
Verhagen Metman, L., Wang, M., Jhou, H.-J., Zhang, K., Tang, C.-Z., Yang, L.-S., Zhou, D.-F., Zheng, S.-Z., Zhao, B.-M., Li, H.-G., & Yang, H.-Z. (2023). Early intervention with acupuncture improves the outcome of patients with Bell’s palsy: A propensity score-matching analysis. http://www.chictr.org.cn
Wu, D., Zhao, Y. L., Sun, J. Y., Dai, R. J., Cao, K., Qu, R. K., Wang, Y., & Wu, Y. Q. (2023). A nonrandomized trial of the effects of near-infrared photobiomodulation therapy on Bell’s palsy with a duration of greater than 8 weeks. Photobiomodulation, Photomedicine, and Laser Surgery, 41(9), 490–500. https://doi.org/10.1089/photob.2023.0056
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Vitamin : Jurnal ilmu Kesehatan Umum
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
