Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?

Detalhes bibliográficos
Autor(a) principal: Ferreira, Margarida
Data de Publicação: 2016
Outros Autores: Firmino, Machado J., Marques, Elisa A., Santos, Paula Clara, Duarte, José A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.22/9342
Resumo: The results provide preliminary evidence that corticosteroids were not effective in all grades of dysfunction and for achieving a rapid remission in the early phase of BP, highlighting the need to define standard and rigorous criteria to prescribe corticosteroids in these patients. The main aim of this study was to investigate whether the use of corticosteroids better associated than paralleled with neuromuscular training (C + FNT) is more effective than facial neuromuscular training (FNT) applied alone, in terms of recovery degree and facial symmetry during the early phase of Bell's palsy (BP). A prospective single-blinded study involved 73 patients: the C + FNT group (n = 42; median age = 37.5 years) and FNT group (n = 31; median age = 49.0 years). Patients were assessed before and 6 weeks after treatment by House-Brackmann (HB-FGS) and Sunnybrook Facial Grading System (SB-FGS). Results Recovery degree and facial symmetry improved significantly in both groups (p < 0.001), without differences between groups (p > 0.05). However, the C + FNT group displayed better outcomes for cheek (p = 0.004) and mouth (p = 0.022) resting symmetry at SB-FGS, instead of compared to the FNT group. The corticosteroids had no significant effect on all recovery degrees (p = 0.992) and rapid remission (p = 0.952). Multiple linear regression analysis showed that the type of intervention was not a significant predictor for recovery degree (p = 0.917).
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spelling Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?Facial palsymedical therapy;Medical therapyMuscular trainingSunnybrook Facial Grading SystemHouse-Brackmann Facial Grading SystemThe results provide preliminary evidence that corticosteroids were not effective in all grades of dysfunction and for achieving a rapid remission in the early phase of BP, highlighting the need to define standard and rigorous criteria to prescribe corticosteroids in these patients. The main aim of this study was to investigate whether the use of corticosteroids better associated than paralleled with neuromuscular training (C + FNT) is more effective than facial neuromuscular training (FNT) applied alone, in terms of recovery degree and facial symmetry during the early phase of Bell's palsy (BP). A prospective single-blinded study involved 73 patients: the C + FNT group (n = 42; median age = 37.5 years) and FNT group (n = 31; median age = 49.0 years). Patients were assessed before and 6 weeks after treatment by House-Brackmann (HB-FGS) and Sunnybrook Facial Grading System (SB-FGS). Results Recovery degree and facial symmetry improved significantly in both groups (p < 0.001), without differences between groups (p > 0.05). However, the C + FNT group displayed better outcomes for cheek (p = 0.004) and mouth (p = 0.022) resting symmetry at SB-FGS, instead of compared to the FNT group. The corticosteroids had no significant effect on all recovery degrees (p = 0.992) and rapid remission (p = 0.952). Multiple linear regression analysis showed that the type of intervention was not a significant predictor for recovery degree (p = 0.917).Taylor & FrancisRepositório Científico do Instituto Politécnico do PortoFerreira, MargaridaFirmino, Machado J.Marques, Elisa A.Santos, Paula ClaraDuarte, José A.2017-01-23T11:10:50Z20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.22/9342eng1651-225110.3109/00016489.2016.1154604info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-13T12:50:40Zoai:recipp.ipp.pt:10400.22/9342Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:29:57.200237Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
title Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
spellingShingle Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
Ferreira, Margarida
Facial palsymedical therapy;
Medical therapy
Muscular training
Sunnybrook Facial Grading System
House-Brackmann Facial Grading System
title_short Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
title_full Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
title_fullStr Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
title_full_unstemmed Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
title_sort Are corticosteroids useful in all degrees of severity and rapid recovery of Bell’s palsy?
author Ferreira, Margarida
author_facet Ferreira, Margarida
Firmino, Machado J.
Marques, Elisa A.
Santos, Paula Clara
Duarte, José A.
author_role author
author2 Firmino, Machado J.
Marques, Elisa A.
Santos, Paula Clara
Duarte, José A.
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Politécnico do Porto
dc.contributor.author.fl_str_mv Ferreira, Margarida
Firmino, Machado J.
Marques, Elisa A.
Santos, Paula Clara
Duarte, José A.
dc.subject.por.fl_str_mv Facial palsymedical therapy;
Medical therapy
Muscular training
Sunnybrook Facial Grading System
House-Brackmann Facial Grading System
topic Facial palsymedical therapy;
Medical therapy
Muscular training
Sunnybrook Facial Grading System
House-Brackmann Facial Grading System
description The results provide preliminary evidence that corticosteroids were not effective in all grades of dysfunction and for achieving a rapid remission in the early phase of BP, highlighting the need to define standard and rigorous criteria to prescribe corticosteroids in these patients. The main aim of this study was to investigate whether the use of corticosteroids better associated than paralleled with neuromuscular training (C + FNT) is more effective than facial neuromuscular training (FNT) applied alone, in terms of recovery degree and facial symmetry during the early phase of Bell's palsy (BP). A prospective single-blinded study involved 73 patients: the C + FNT group (n = 42; median age = 37.5 years) and FNT group (n = 31; median age = 49.0 years). Patients were assessed before and 6 weeks after treatment by House-Brackmann (HB-FGS) and Sunnybrook Facial Grading System (SB-FGS). Results Recovery degree and facial symmetry improved significantly in both groups (p < 0.001), without differences between groups (p > 0.05). However, the C + FNT group displayed better outcomes for cheek (p = 0.004) and mouth (p = 0.022) resting symmetry at SB-FGS, instead of compared to the FNT group. The corticosteroids had no significant effect on all recovery degrees (p = 0.992) and rapid remission (p = 0.952). Multiple linear regression analysis showed that the type of intervention was not a significant predictor for recovery degree (p = 0.917).
publishDate 2016
dc.date.none.fl_str_mv 2016
2016-01-01T00:00:00Z
2017-01-23T11:10:50Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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url http://hdl.handle.net/10400.22/9342
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1651-2251
10.3109/00016489.2016.1154604
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis
publisher.none.fl_str_mv Taylor & Francis
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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