Effectiveness of PNF and STM in Bell Palsy

NCT07078617 | Completed

• 1 other identifier: 2020-GCUF-079348
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

Our study aims to determine the efficacy of PNF and Soft tissue mobilization techniques with exercise for Bell's palsy. It ascertains which intervention yields better outcomes and has greater effect on recovery.

Conditions

Bell's Palsy

Keywords

Facial disability index; PNF; House Brackmann scale

Outcome Measures

Primary Outcomes (1)

• Facial disability index

  in 1996, this scale was invented. This tool is used to evaluate functional and psychological effects of cranial nerve VII dysfunction like Bell's palsy. It consists of two subscales one is Physical Function and second is Social/Wellbeing Function, each with a range 0 to 100 where higher score shows better function and lesser disability.

  4 weeks

Secondary Outcomes (1)

• House Brackmann scale

  4 weeks

Study Arms (2)

Proprioceptive Neuromuscular Facilitation

EXPERIMENTAL

Repeated stretch and Hold relax method used in this technique.

Other: Proprioceptive Neuromuscular Facilitation

Soft Tissue Mobilization along with exercise

EXPERIMENTAL

Effleurage, Kneading and hacking along with facial exercises

Other: Soft Tissue Mobilization along with exercise

Interventions

Proprioceptive Neuromuscular Facilitation OTHER

PNF technique given for 3-4 days/week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week.

Proprioceptive Neuromuscular Facilitation

Soft Tissue Mobilization along with exercise OTHER

Soft tissue mobilization along with facial exercise 3- days/ week and electrical stimulation of DL-2 stimulator with 90 repetitions on each motor point of facial muscle for 3-4 days/week.

Soft Tissue Mobilization along with exercise

Eligibility Criteria

• Age: 25 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• aged 25-50 years
• sudden onset of one-sided Bell's palsy
• Ability and Eagerness to provide informed consent in written form

You may not qualify if:

• Uncontrolled Hypertension
• Uncooperative patients and those who don't follow instructions.
• Previous mental disorder that may affect participation.
• Preexisting ear surgery

Sponsors & Collaborators

• Elite College of Management Sciences, Gujranwala, Pakistan: lead

Study Sites (1)

Al Raee Hospital Gujranwala, Salamat Hospital Gujranwala, Chaudhary Hospital Gujranwala

Gujranwala, Punjab Province, 52200, Pakistan

Location

Related Publications (5)

• Amjad A, Jamil A, Fatima N, Javaid HB, Zahid H. Effects of Kabat rehabilitation versus mime therapy on facial disability and synkinesis in patients of Bell's palsy. J Pak Med Assoc. 2024 Nov;74(11):1927-1931. doi: 10.47391/JPMA.11247.

  PMID: 39548608 RESULT

• Burelo-Peregrino EG, Salas-Magana M, Arias-Vazquez PI, Tovilla-Zarate CA, Bermudez-Ocana DY, Lopez-Narvaez ML, Guzman-Priego CG, Gonzalez-Castro TB, Juarez-Rojop IE. Efficacy of electrotherapy in Bell's palsy treatment: A systematic review. J Back Musculoskelet Rehabil. 2020;33(5):865-874. doi: 10.3233/BMR-171031.

  PMID: 32144972 RESULT

• Khan AJ, Szczepura A, Palmer S, Bark C, Neville C, Thomson D, Martin H, Nduka C. Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy. Clin Rehabil. 2022 Nov;36(11):1424-1449. doi: 10.1177/02692155221110727. Epub 2022 Jul 5.

  PMID: 35787015 RESULT

• Albishi AM, Altowairqi RT, Alhadlaq SA, Alsulboud SK, Alhusaini AA, Alokaily AO, Alotibi M. Cross-cultural adaptation, reliability, and validation of the Arabic version of the Motor Activity Log (MAL-30) Scale in patients with stroke in Saudi Arabia. Disabil Rehabil. 2025 Dec;47(26):7042-7050. doi: 10.1080/09638288.2025.2526701. Epub 2025 Jul 3.

  PMID: 40607587 RESULT

• Eviston TJ, Croxson GR, Kennedy PG, Hadlock T, Krishnan AV. Bell's palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry. 2015 Dec;86(12):1356-61. doi: 10.1136/jnnp-2014-309563. Epub 2015 Apr 9.

  PMID: 25857657 RESULT

MeSH Terms

Interventions

Muscle Stretching Exercises; Exercise

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Imran Rafiq, PhD

  Elite College of Management sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 13, 2025
• First Posted: July 22, 2025
• Study Start: April 1, 2025
• Primary Completion: June 1, 2025
• Study Completion: July 1, 2025
• Last Updated: July 22, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)