Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes

Autores
Di Pietro, Antonio; Cameron, Michelle; Campana, Vilma; Leyes, Laura Elizabeth; Zalazar Cinat, Jessica Andrea Isabel; Lochala, Carly; Johnson, Christopher Z.; Hildebrand, Andrea; Loyo, Myriam
Año de publicación
2023
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Bell’s palsy is the most common cause of facial paralysis, affecting one in every 60 people in their lifetime. Transcutaneously applied selective electrical muscle stimulation could potentially accelerate recovery from Bell’s palsy but this intervention remains controversial. Studies have shown benefit, but concerns for lack of efficacy and potential for worsening synkinesis remain. We performed a prospective controlled trial comparing outcomes at initial recovery and six months later with selective electrical muscle stimulation and usual physical therapy versus usual physical therapy alone in adults with acute Bell’s palsy. Outcomes were facial function assessed with the House Brackman and eFACE scales. Outcomes were evaluated at discharge and six months after discharge. Discharge occurred when participants were judged to be fully recovered by their treating therapist and supervisor. 38 adults participated in the study. Participants in the electrical stimulation group achieved maximal recovery twice as fast as the control group (2.5 weeks versus 5.2 weeks) with no significant differences in facial function or synkinesis between groups at any time point. This study is the first human trial of electrical stimulation in Bell’s palsy to follow patients 6 months from recovery and supports that selective electrical muscle stimulation accelerates recovery and does not increase synkinesis.
Fil: Di Pietro, Antonio. Universidad Siglo 21; Argentina
Fil: Cameron, Michelle. Oregon Health & Science University; Estados Unidos
Fil: Campana, Vilma. Universidad Nacional de Córdoba. Facultad de Medicina; Argentina
Fil: Leyes, Laura Elizabeth. Universidad Nacional del Nordeste; Argentina
Fil: Zalazar Cinat, Jessica Andrea Isabel. Universidad Nacional del Nordeste; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Lochala, Carly. University of Southern California; Estados Unidos. University of Southern California; Estados Unidos
Fil: Johnson, Christopher Z.. University of Oregon; Estados Unidos
Fil: Hildebrand, Andrea. University of Oregon; Estados Unidos
Fil: Loyo, Myriam. Portland State University School of Public Health; Estados Unidos
Materia
BELL’S PALSY
CLINICAL TRIAL
FACIAL PARALYSIS
LONG PULSE ELECTRICAL MUSCLE STIMULATION
SYNKINESIS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/231661
Acceder
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network_name_str CONICET Digital (CONICET)
spelling Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomesDi Pietro, AntonioCameron, MichelleCampana, VilmaLeyes, Laura ElizabethZalazar Cinat, Jessica Andrea IsabelLochala, CarlyJohnson, Christopher Z.Hildebrand, AndreaLoyo, MyriamBELL’S PALSYCLINICAL TRIALFACIAL PARALYSISLONG PULSE ELECTRICAL MUSCLE STIMULATIONSYNKINESIShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Bell’s palsy is the most common cause of facial paralysis, affecting one in every 60 people in their lifetime. Transcutaneously applied selective electrical muscle stimulation could potentially accelerate recovery from Bell’s palsy but this intervention remains controversial. Studies have shown benefit, but concerns for lack of efficacy and potential for worsening synkinesis remain. We performed a prospective controlled trial comparing outcomes at initial recovery and six months later with selective electrical muscle stimulation and usual physical therapy versus usual physical therapy alone in adults with acute Bell’s palsy. Outcomes were facial function assessed with the House Brackman and eFACE scales. Outcomes were evaluated at discharge and six months after discharge. Discharge occurred when participants were judged to be fully recovered by their treating therapist and supervisor. 38 adults participated in the study. Participants in the electrical stimulation group achieved maximal recovery twice as fast as the control group (2.5 weeks versus 5.2 weeks) with no significant differences in facial function or synkinesis between groups at any time point. This study is the first human trial of electrical stimulation in Bell’s palsy to follow patients 6 months from recovery and supports that selective electrical muscle stimulation accelerates recovery and does not increase synkinesis.Fil: Di Pietro, Antonio. Universidad Siglo 21; ArgentinaFil: Cameron, Michelle. Oregon Health & Science University; Estados UnidosFil: Campana, Vilma. Universidad Nacional de Córdoba. Facultad de Medicina; ArgentinaFil: Leyes, Laura Elizabeth. Universidad Nacional del Nordeste; ArgentinaFil: Zalazar Cinat, Jessica Andrea Isabel. Universidad Nacional del Nordeste; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Lochala, Carly. University of Southern California; Estados Unidos. University of Southern California; Estados UnidosFil: Johnson, Christopher Z.. University of Oregon; Estados UnidosFil: Hildebrand, Andrea. University of Oregon; Estados UnidosFil: Loyo, Myriam. Portland State University School of Public Health; Estados UnidosPage Press Publications2023-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/231661Di Pietro, Antonio; Cameron, Michelle; Campana, Vilma; Leyes, Laura Elizabeth; Zalazar Cinat, Jessica Andrea Isabel; et al.; Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes; Page Press Publications; European Journal of Translational Myology; 33; 4; 10-2023; 1-112037-74522037-7460CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.4081/ejtm.2023.11630info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T12:00:02Zoai:ri.conicet.gov.ar:11336/231661instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 12:00:03.049CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
title Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
spellingShingle Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
Di Pietro, Antonio
BELL’S PALSY
CLINICAL TRIAL
FACIAL PARALYSIS
LONG PULSE ELECTRICAL MUSCLE STIMULATION
SYNKINESIS
title_short Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
title_full Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
title_fullStr Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
title_full_unstemmed Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
title_sort Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes
dc.creator.none.fl_str_mv Di Pietro, Antonio
Cameron, Michelle
Campana, Vilma
Leyes, Laura Elizabeth
Zalazar Cinat, Jessica Andrea Isabel
Lochala, Carly
Johnson, Christopher Z.
Hildebrand, Andrea
Loyo, Myriam
author Di Pietro, Antonio
author_facet Di Pietro, Antonio
Cameron, Michelle
Campana, Vilma
Leyes, Laura Elizabeth
Zalazar Cinat, Jessica Andrea Isabel
Lochala, Carly
Johnson, Christopher Z.
Hildebrand, Andrea
Loyo, Myriam
author_role author
author2 Cameron, Michelle
Campana, Vilma
Leyes, Laura Elizabeth
Zalazar Cinat, Jessica Andrea Isabel
Lochala, Carly
Johnson, Christopher Z.
Hildebrand, Andrea
Loyo, Myriam
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv BELL’S PALSY
CLINICAL TRIAL
FACIAL PARALYSIS
LONG PULSE ELECTRICAL MUSCLE STIMULATION
SYNKINESIS
topic BELL’S PALSY
CLINICAL TRIAL
FACIAL PARALYSIS
LONG PULSE ELECTRICAL MUSCLE STIMULATION
SYNKINESIS
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Bell’s palsy is the most common cause of facial paralysis, affecting one in every 60 people in their lifetime. Transcutaneously applied selective electrical muscle stimulation could potentially accelerate recovery from Bell’s palsy but this intervention remains controversial. Studies have shown benefit, but concerns for lack of efficacy and potential for worsening synkinesis remain. We performed a prospective controlled trial comparing outcomes at initial recovery and six months later with selective electrical muscle stimulation and usual physical therapy versus usual physical therapy alone in adults with acute Bell’s palsy. Outcomes were facial function assessed with the House Brackman and eFACE scales. Outcomes were evaluated at discharge and six months after discharge. Discharge occurred when participants were judged to be fully recovered by their treating therapist and supervisor. 38 adults participated in the study. Participants in the electrical stimulation group achieved maximal recovery twice as fast as the control group (2.5 weeks versus 5.2 weeks) with no significant differences in facial function or synkinesis between groups at any time point. This study is the first human trial of electrical stimulation in Bell’s palsy to follow patients 6 months from recovery and supports that selective electrical muscle stimulation accelerates recovery and does not increase synkinesis.
Fil: Di Pietro, Antonio. Universidad Siglo 21; Argentina
Fil: Cameron, Michelle. Oregon Health & Science University; Estados Unidos
Fil: Campana, Vilma. Universidad Nacional de Córdoba. Facultad de Medicina; Argentina
Fil: Leyes, Laura Elizabeth. Universidad Nacional del Nordeste; Argentina
Fil: Zalazar Cinat, Jessica Andrea Isabel. Universidad Nacional del Nordeste; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Lochala, Carly. University of Southern California; Estados Unidos. University of Southern California; Estados Unidos
Fil: Johnson, Christopher Z.. University of Oregon; Estados Unidos
Fil: Hildebrand, Andrea. University of Oregon; Estados Unidos
Fil: Loyo, Myriam. Portland State University School of Public Health; Estados Unidos
description Bell’s palsy is the most common cause of facial paralysis, affecting one in every 60 people in their lifetime. Transcutaneously applied selective electrical muscle stimulation could potentially accelerate recovery from Bell’s palsy but this intervention remains controversial. Studies have shown benefit, but concerns for lack of efficacy and potential for worsening synkinesis remain. We performed a prospective controlled trial comparing outcomes at initial recovery and six months later with selective electrical muscle stimulation and usual physical therapy versus usual physical therapy alone in adults with acute Bell’s palsy. Outcomes were facial function assessed with the House Brackman and eFACE scales. Outcomes were evaluated at discharge and six months after discharge. Discharge occurred when participants were judged to be fully recovered by their treating therapist and supervisor. 38 adults participated in the study. Participants in the electrical stimulation group achieved maximal recovery twice as fast as the control group (2.5 weeks versus 5.2 weeks) with no significant differences in facial function or synkinesis between groups at any time point. This study is the first human trial of electrical stimulation in Bell’s palsy to follow patients 6 months from recovery and supports that selective electrical muscle stimulation accelerates recovery and does not increase synkinesis.
publishDate 2023
dc.date.none.fl_str_mv 2023-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/231661
Di Pietro, Antonio; Cameron, Michelle; Campana, Vilma; Leyes, Laura Elizabeth; Zalazar Cinat, Jessica Andrea Isabel; et al.; Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes; Page Press Publications; European Journal of Translational Myology; 33; 4; 10-2023; 1-11
2037-7452
2037-7460
CONICET Digital
CONICET
url http://hdl.handle.net/11336/231661
identifier_str_mv Di Pietro, Antonio; Cameron, Michelle; Campana, Vilma; Leyes, Laura Elizabeth; Zalazar Cinat, Jessica Andrea Isabel; et al.; Efficacy of adding selective electrical muscle stimulation to usual physical therapy for Bell’s palsy: immediate and six-month outcomes; Page Press Publications; European Journal of Translational Myology; 33; 4; 10-2023; 1-11
2037-7452
2037-7460
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.4081/ejtm.2023.11630
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Page Press Publications
publisher.none.fl_str_mv Page Press Publications
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.982451

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