Neuromuscular electrical stimulation and shortwave diathermy in unrecovered Bell palsy: A randomized controlled study.
Medicine (Baltimore)
; 99(8): e19152, 2020 Feb.
Article
em En
| MEDLINE
| ID: mdl-32080092
ABSTRACT
BACKGROUND:
Unrecovered Bell palsy is difficult to treat, because until now in literature there is not a gold standard. This study aimed to evaluate the effectiveness of neuromuscular electrical stimulation (NMES) and shortwave diathermy (SWD) therapy for chronic Bell palsy.METHODS:
After 5 months of conventional therapy, this 2-arm randomized controlled trial enrolled and randomly allocated 20 patients to a treatment group with NMES+SWD and supervised exercises (nâ=â10) or a sham group with supervised exercise alone (nâ=â10). The administration of NMES or sham NMES, as intervention, was performed 30âmin/session, 5âsessions/wk, for 4 weeks. The primary outcome was assessed by Sunnybrook scale. The secondary outcomes were evaluated by the Kinovea©, a movement analysis software. All primary and secondary outcomes were measured at baseline (T0), at the end of 4-week treatment (T1).RESULTS:
At the end of 4-week treatment, the patients in the treatment group did not achieve better outcomes in resting symmetry, but we observed an increase of the perceived a significant improvement (Pâ<â.05) for symmetry of voluntary movements by the Sunnybrook subscale, with a score of 55.4â±â9 compared to 46.4â±â3.7 to control group and an increase in zygomatic muscle movement symmetry ratio (Pâ<â.05) by Kinovea©. No adverse events occurred in either group.CONCLUSION:
The improvements in the symmetry of voluntary movements demonstrated that combining diathermy with neuromuscular electrostimulation is valid and reliable in the treatment of chronic Bell palsy.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Terapia por Estimulação Elétrica
/
Paralisia de Bell
/
Diatermia
Tipo de estudo:
Clinical_trials
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Itália