Penanganan Fisioterapi pada Kasus Bell Palsy Dextra menggunakan intervensi TENS, Massage dan Mirror Exercise : a Case Report

Alviana Dwi Lestari; Umi Budi Rahayu; Mulyanto Mulyanto

doi:10.61132/vitamin.v3i3.1486

Authors

Alviana Dwi Lestari Unversitas Muhammadiyah Surakarta
Umi Budi Rahayu Universitas Muhammadiyah Surakarta
Mulyanto Mulyanto Fisioterapis RSUD Dr Moewardi Surakarta

DOI:

https://doi.org/10.61132/vitamin.v3i3.1486

Keywords:

Bell Palsy, TENS, Massage, Mirror Exercise

Abstract

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.

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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