Multiwave Locked System Laser for Patients With Bell's Palsy. (MLS)
Facial Paralyses, Idiopathic, Laser Therapy, Bell Palsy
About this trial
This is an interventional treatment trial for Facial Paralyses, Idiopathic focused on measuring Bell's palsy, Multiwave locked system laser therapy, facial disability scale, House-Brackmann scale
Eligibility Criteria
Inclusion Criteria:
- Any patient who has unilateral IBP either on the right or left side.
- Treatment will begin in the sub-acute stage of illness 3-5 days after the acute onset subsided.
- patients will accept to attend to the physical therapy department to receive their corresponding treatment twice a week for successive six weeks.
Exclusion Criteria:
- Patients who have central nervous system pathology
- sensory loss over the face, or recurrence of BP.
- Patients with upper motor facial nerve palsy will be also excluded.
- Any infant or child (≤18 years) with BP will be also excluded.
- Chronic facial palsy patients
- Patients BP having after a tumor, stroke, and Lyme disease will be excluded.
Sites / Locations
- Umm Al-Qura University, Faculty of Applied Medical ScienceRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Scanning Gorup
Point laser Group
Control Group
Patients in this group will receive facial massage, facial expression exercises and a Multiwave Locked System Laser with energy density 10 J/cm2. Laser will scan the affected side after calculating the distance and the total energy delivered to the one side of the face. The average treatment area is 50 cm2. The energy density was 10 J/cm2 with a total energy of 500 J and the treatment time is approximately 15 minutes. The laser probe will be away from the eye region. Both patients and therapist wear a laser googles.
Patients in this group will received facial massage, facial expression exercises and laser at predetermined eight points on the affected side of the facial muscles. the hand piece is positioned perpendicular to 8 points which is located on the superficial roots of the facial nerve of the affected side. Each point will receive an energy density of 10 J/point with total energy delivered to the patient during one session of 80 joules. The time of application 90 sec/point. laser is calibrated by the manufacture company before the starting the experiment and periodically during the sessions. The laser probe will be away from the eye region. Both patients and therapist wear a laser googles.
patients in this group will receive only facial massage, facial expression exercises and placebo laser. Facial expression exercises include active graduated strengthening exercises in front of a mirror (active assisted, freedom, and resisted), proprioceptive neuromuscular facilitation exercises for facial muscles, and resisted exercises for neck muscles. Participants are taught to perform massage and exercises correctly by the physiotherapist. All treatment groups are given instruction to repeat the massage and exercises two times a day for at least 6 weeks. The patient or one of his/her family members will confirm that the participant carries out the massage and exercises at home.