Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/1809-2950/19016727022020 http://hdl.handle.net/11449/213222 |
Resumo: | Patients with peripheral facial paralysis (PFP) have some degree of recovery. The aim of this study was to evaluate prognostic factors and physical therapy modalities associated with functional recovery in patients with PFP. This is a cohort study with 33 patients. We collected the following variables of patients who underwent treatment at the rehabilitation center: age, sex, risk factors, affected side, degree of facial paralysis (House-Brackmann scale), start of rehabilitation, and therapy modality (kinesiotherapy only; kinesiotherapy with excitomotor electrotherapy; and kinesiotherapy with excitomotor electrotherapy and photobiomodulation therapy). The outcomes were: degree of facial movement (House-Brackmann) and face scale applied 90 days after treatment. Degree of PFP was associated with functional recovery (RR=0.51, 95% CI: 0.51-0.98; p=0.036). The facial movement was associated with the time to start rehabilitation (r=−0.37; p=0.033). Lower facial comfort was observed among women, worse ocular comfort was associated with diabetes mellitus, worse tear control with prior PFP, and worse social function with the degree of PFP. Our results indicate that the all modalities present in this study showed the same result in PFP. Recovery of PFP was associated with degree of nerve dysfunction, the length of time to onset of rehabilitation, female sex, hypertension, diabetes mellitus, and previous PFP, all of which were associated with worse outcomes on the face scale. |
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Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysisPrincipales factores pronósticos y modalidades de fisioterapia relacionadas a la recuperación funcional de pacientes con parálisis facial periféricaPrincipais fatores prognósticos e modalidades fisioterapêuticas associados à recuperação funcional em pacientes com paralisia facial periféricaFacial ParalysisBell’s PalsyPhysical TherapyPrognosisParalisia FacialParalisia de BellFisioterapiaPrognósticoPatients with peripheral facial paralysis (PFP) have some degree of recovery. The aim of this study was to evaluate prognostic factors and physical therapy modalities associated with functional recovery in patients with PFP. This is a cohort study with 33 patients. We collected the following variables of patients who underwent treatment at the rehabilitation center: age, sex, risk factors, affected side, degree of facial paralysis (House-Brackmann scale), start of rehabilitation, and therapy modality (kinesiotherapy only; kinesiotherapy with excitomotor electrotherapy; and kinesiotherapy with excitomotor electrotherapy and photobiomodulation therapy). The outcomes were: degree of facial movement (House-Brackmann) and face scale applied 90 days after treatment. Degree of PFP was associated with functional recovery (RR=0.51, 95% CI: 0.51-0.98; p=0.036). The facial movement was associated with the time to start rehabilitation (r=−0.37; p=0.033). Lower facial comfort was observed among women, worse ocular comfort was associated with diabetes mellitus, worse tear control with prior PFP, and worse social function with the degree of PFP. Our results indicate that the all modalities present in this study showed the same result in PFP. Recovery of PFP was associated with degree of nerve dysfunction, the length of time to onset of rehabilitation, female sex, hypertension, diabetes mellitus, and previous PFP, all of which were associated with worse outcomes on the face scale.Los pacientes con parálisis facial periférica (PFP) tienen diferentes grados de recuperación. El presente estudio tuvo como objetivo evaluar los factores pronósticos y las modalidades de fisioterapia relacionadas a la recuperación funcional de pacientes con PFP. Este es un estudio de cohorte prospectivo con 33 pacientes. Se recogieron las siguientes variables de pacientes sometidos a tratamiento en el centro de rehabilitación: edad, sexo, factores de riesgo, lado afectado, grado de parálisis facial (escala de House-Brackmann), inicio de la rehabilitación y modalidad de terapia (kinesioterapia, kinesioterapia asociada a la electroterapia, kinesioterapia asociada a la electroterapia y terapia de fotobiomodulación). Los resultados fueron: grado de movimiento facial (House-Brackmann) y face scale, aplicados 90 días después del tratamiento. El grado de PFP se asoció con la recuperación funcional (RR=0,51,95% IC: 0,51-0,98; p=0,036). El movimiento facial se asoció con el tiempo para comenzar la rehabilitación (r=−0,37; p=0,033). Se observó menor comodidad facial entre las mujeres, peor comodidad ocular en personas con diabetes mellitus, peor control lagrimal en individuos con PFP previa y peor función social con el grado de PFP. Todas las modalidades presentadas en este estudio tuvieron el mismo resultado en PFP. La recuperación de la PFP se asoció con el grado de disfunción nerviosa, el tiempo inicial de la rehabilitación, el sexo femenino, la hipertensión arterial sistémica, la diabetes mellitus y la PFP previa, todos asociados con peores resultados en face scale.Os pacientes com paralisia facial periférica (PFP) apresentam diversos graus de recuperação. O objetivo deste estudo foi avaliar os fatores prognósticos e as modalidades fisioterapêuticas associados à recuperação funcional em pacientes com PFP. Trata-se de um estudo coorte prospectiva de 33 pacientes. Foram coletadas variáveis de pacientes submetidos ao tratamento no centro de reabilitação: idade, sexo, fatores de risco, lado afetado, grau de paralisia facial (escala de House-Brackmann), início da reabilitação e modalidade de terapia (cinesioterapia; cinesioterapia associada à eletroterapia; cinesioterapia associada à eletroterapia e terapia de fotobiomodulação). Os desfechos foram: grau de movimento facial (House-Brackmann) e face scale aplicados 90 dias após o tratamento. O grau de PFP foi associado à recuperação funcional (RR=0,51, 95% IC: 0,51-0,98; p=0,036). O movimento facial foi associado com o tempo para iniciar a reabilitação (r=−0,37; p=0,033). Menor conforto facial foi observado entre as mulheres, pior conforto ocular em indivíduos com diabetes mellitus, pior controle lacrimal em indivíduos com PFP prévia e pior função social com o grau de PFP. Todas as modalidades apresentadas neste estudo tiveram o mesmo resultado na PFP. A recuperação da PFP foi associada ao grau de disfunção nervosa, ao tempo de início da reabilitação, ao sexo feminino, à hipertensão arterial sistêmica, ao diabetes mellitus e à PFP prévia, todos associados a piores desfechos na face scale.Universidade Estadual Paulista “Júlio de Mesquita Filho”Universidade Federal do Triângulo MineiroUniversidade Estadual Paulista “Júlio de Mesquita Filho”Universidade de São PauloUniversidade Estadual Paulista (Unesp)Universidade Federal do Triângulo MineiroCappeli, Angela Juliana [UNESP]Nunes, Hélio Rubens De Carvalho [UNESP]Gameiro, Mônica De Oliveira Orsi [UNESP]Bazan, Rodrigo [UNESP]Luvizutto, Gustavo José2021-07-14T10:51:52Z2021-07-14T10:51:52Z2020-07-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article180-187application/pdfhttp://dx.doi.org/10.1590/1809-2950/19016727022020Fisioterapia e Pesquisa. Universidade de São Paulo, v. 27, n. 2, p. 180-187, 2020.1809-29502316-9117http://hdl.handle.net/11449/21322210.1590/1809-2950/19016727022020S1809-29502020000200180S1809-29502020000200180.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengFisioterapia e Pesquisainfo:eu-repo/semantics/openAccess2024-08-16T15:45:05Zoai:repositorio.unesp.br:11449/213222Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T15:45:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis Principales factores pronósticos y modalidades de fisioterapia relacionadas a la recuperación funcional de pacientes con parálisis facial periférica Principais fatores prognósticos e modalidades fisioterapêuticas associados à recuperação funcional em pacientes com paralisia facial periférica |
title |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis |
spellingShingle |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis Cappeli, Angela Juliana [UNESP] Facial Paralysis Bell’s Palsy Physical Therapy Prognosis Paralisia Facial Paralisia de Bell Fisioterapia Prognóstico |
title_short |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis |
title_full |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis |
title_fullStr |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis |
title_full_unstemmed |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis |
title_sort |
Main prognostic factors and physical therapy modalities associated with functional recovery in patients with peripheral facial paralysis |
author |
Cappeli, Angela Juliana [UNESP] |
author_facet |
Cappeli, Angela Juliana [UNESP] Nunes, Hélio Rubens De Carvalho [UNESP] Gameiro, Mônica De Oliveira Orsi [UNESP] Bazan, Rodrigo [UNESP] Luvizutto, Gustavo José |
author_role |
author |
author2 |
Nunes, Hélio Rubens De Carvalho [UNESP] Gameiro, Mônica De Oliveira Orsi [UNESP] Bazan, Rodrigo [UNESP] Luvizutto, Gustavo José |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade Federal do Triângulo Mineiro |
dc.contributor.author.fl_str_mv |
Cappeli, Angela Juliana [UNESP] Nunes, Hélio Rubens De Carvalho [UNESP] Gameiro, Mônica De Oliveira Orsi [UNESP] Bazan, Rodrigo [UNESP] Luvizutto, Gustavo José |
dc.subject.por.fl_str_mv |
Facial Paralysis Bell’s Palsy Physical Therapy Prognosis Paralisia Facial Paralisia de Bell Fisioterapia Prognóstico |
topic |
Facial Paralysis Bell’s Palsy Physical Therapy Prognosis Paralisia Facial Paralisia de Bell Fisioterapia Prognóstico |
description |
Patients with peripheral facial paralysis (PFP) have some degree of recovery. The aim of this study was to evaluate prognostic factors and physical therapy modalities associated with functional recovery in patients with PFP. This is a cohort study with 33 patients. We collected the following variables of patients who underwent treatment at the rehabilitation center: age, sex, risk factors, affected side, degree of facial paralysis (House-Brackmann scale), start of rehabilitation, and therapy modality (kinesiotherapy only; kinesiotherapy with excitomotor electrotherapy; and kinesiotherapy with excitomotor electrotherapy and photobiomodulation therapy). The outcomes were: degree of facial movement (House-Brackmann) and face scale applied 90 days after treatment. Degree of PFP was associated with functional recovery (RR=0.51, 95% CI: 0.51-0.98; p=0.036). The facial movement was associated with the time to start rehabilitation (r=−0.37; p=0.033). Lower facial comfort was observed among women, worse ocular comfort was associated with diabetes mellitus, worse tear control with prior PFP, and worse social function with the degree of PFP. Our results indicate that the all modalities present in this study showed the same result in PFP. Recovery of PFP was associated with degree of nerve dysfunction, the length of time to onset of rehabilitation, female sex, hypertension, diabetes mellitus, and previous PFP, all of which were associated with worse outcomes on the face scale. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-31 2021-07-14T10:51:52Z 2021-07-14T10:51:52Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1809-2950/19016727022020 Fisioterapia e Pesquisa. Universidade de São Paulo, v. 27, n. 2, p. 180-187, 2020. 1809-2950 2316-9117 http://hdl.handle.net/11449/213222 10.1590/1809-2950/19016727022020 S1809-29502020000200180 S1809-29502020000200180.pdf |
url |
http://dx.doi.org/10.1590/1809-2950/19016727022020 http://hdl.handle.net/11449/213222 |
identifier_str_mv |
Fisioterapia e Pesquisa. Universidade de São Paulo, v. 27, n. 2, p. 180-187, 2020. 1809-2950 2316-9117 10.1590/1809-2950/19016727022020 S1809-29502020000200180 S1809-29502020000200180.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Fisioterapia e Pesquisa |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
180-187 application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo |
dc.source.none.fl_str_mv |
SciELO reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128103548977152 |