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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/231661
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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 Técnicas2025-09-29T10:27:36Zoai: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:34982025-09-29 10:27:36.506CONICET 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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1844614277943525376 |
score |
13.070432 |