Combined Effects of Low Level Laser Therapy and Kabat Technique in Patients With Bell's Palsy
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ClinicalTrials.gov Identifier: NCT06028191 |
Recruitment Status :
Recruiting
First Posted : September 8, 2023
Last Update Posted : September 8, 2023
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Condition or disease | Intervention/treatment | Phase |
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Bell Palsy | Other: Kabat Technique along with baseline treatment Device: Kabat Technique and LLLT along with baseline treatment | Not Applicable |
Bell's palsy is an acute condition which occurs by the damage of 7th cranial nerve along its course at the level which is distal to Pons. Basically it is an idiopathic facial condition.
The yearly incidence of Bell's palsy is 15 to 30 per 100,000 people, which affect both sexes equally. This study aims to see combined effects of Low Level Laser Therapy and Kabat technique in the treatment of Bell's palsy.
Synkinesis, which is described as an involuntary movement in one part of the face produced during voluntary movement in another region of the face, is a problematic Bell's palsy sequel. The mechanism behind the formation of synkinesis is unknown. According to the predominant idea, damaged axons regenerate abnormally, innervating facial muscles that weren't originally innervated. The yearly incidence of Bell's palsy is 15 to 30 per 100,000 people, which affect both sexes equally.
Kabat Technique is neurorehabilitation technique that uses diagonal and spiral patterns for movement in conjunction with stretch and resistance and other PNF techniques to reinforce neuromuscular recruitment. It mainly concerns the stimulation of these muscles: Orbicularis occuli, ztgomaticus, Levator labii, nasalis, buccinator, frontalis, corrugator.
For all BP patients, including those who are unable to take corticosteroids due to diabetes or hypertension, laser therapy offers a non-invasive, painless means of treatment. However, just a few researches have examined the effectiveness of low- dose laser therapy in BP patients.
Low Level Laser Therapy has the potential to promote nerve regeneration, reduce inflammation, and accelerate tissue healing in the affected facial nerve. On the other hand, the Kabat technique focuses on restoring neuromuscular control and improving muscle function. By combining Low Level Laser Therapy and the Kabat technique, a synergistic effect may be achieved, maximizing the potential benefits of both interventions. Therefore, this study aims to determine the specific parameters and protocols for the combined use of Low Level Laser Therapy and the Kabat technique in Bell's palsy
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 36 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Combined Effects of Low Level Laser Therapy and Kabat Technique in Patients With Bell's Palsy |
Actual Study Start Date : | July 17, 2023 |
Estimated Primary Completion Date : | October 2023 |
Estimated Study Completion Date : | December 2023 |
Arm | Intervention/treatment |
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Kabat Technique along with baseline treatment
Kabat technique will be performed for 15 min along with baseline treatment will be given to Group A. They will have 45 min-1 hour session thrice a week in duration of six weeks.
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Other: Kabat Technique along with baseline treatment
Group A will receive Kabat Technique along with baseline treatment. Electrical muscle stimulation for 15 min which includes faradic current to the facial nerve trunks given by DL-2 electro pulse stimulator, Effleurage and Kneading for 5 min and resistive exercise for 5 min and facial expression exercises for 5 min, which included eye closure, eyebrow raise, frown, smile, snarl, pucker and pout as baseline treatment. Kabat Technique is neurorehabilitation technique that uses diagonal and spiralpatterns for movement in conjunction with stretch and resistance and other PNF techniques to reinforce neuromuscular recruitment. It mainly concerns the stimulation of these muscles: Orbicularis occuli, ztgomaticus, Levator labii, nasalis, buccinator, frontalis, corrugator Other Name: Group A |
Experimental: Kabat Technique and LLLT along with baseline treatment
Kabat technique will be performed for 15 min and LLLT will be performed for 10 min to eight points of the effected side for 2 min at each point along with baseline treatment. They will have 45 min-1 hour session thrice a week in duration of six weeks
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Device: Kabat Technique and LLLT along with baseline treatment
Group B will receive Kabat Technique and LLLT along with baselinetreatment. Kabat technique is same as mentioned in group A. Laser treatment will be administered to eight points of the affected side for 2 min at each point at a wavelength of 830 nm, output power of 100 Mw, and frequency of 1 KHz. Endo laser 422 is the model name and number of device which will be used in this study to administered low level laser therapy.
Other Name: Group B |
- Sunnybrook Facial Grading system [ Time Frame: 6 weeks ]Sunnybrook facial grading system was used to quantify the symmetry of voluntary and resting muscles
- Facial disability index [ Time Frame: 6 weeks ]it has two components. The physical function subscale detects problems in drinking, speaking eating, lacrimation, and oral hygiene. The social/well-being function subscale detects subjective irritation, perception of anxiety, and isolation; problems in sleeping; and limitations in social participation.
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Ages Eligible for Study: | 18 Years to 40 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 18-40
- Both genders will be included
- Unilateral Facial paralysis/paresis
- Patients presented within onset of 12 days - 3 weeks (sub-acute Bell's Palsy)
Exclusion Criteria:
- Previous surgery of facial reconstruction
- Traumatic Brain Injury
- Any other neurological deficit
- Congenital Deformities
- Recurrent Bell's palsy will be excluded
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06028191
Contact: Fatima Tariq, Mphil | 03344255033 | fatima.tariq@riphah.edu.pk |
Pakistan | |
Allied Hospital | Recruiting |
Faisalābad, Punjab, Pakistan, 38000 | |
Contact: Fatima Tariq, Mphil 03344255033 fatima.tariq@riphah.edu.pk | |
Physiofit | Recruiting |
Faisalābad, Punjab, Pakistan, 38000 | |
Contact: Fatima Tariq, Mphi; 03344255033 fatima.tariq@riphah.edu.pk |
Principal Investigator: | Fatima Tariq, Mphil | Riphah International University |
Responsible Party: | Riphah International University |
ClinicalTrials.gov Identifier: | NCT06028191 |
Other Study ID Numbers: |
REC/RCR & AHS/23/0229 |
First Posted: | September 8, 2023 Key Record Dates |
Last Update Posted: | September 8, 2023 |
Last Verified: | August 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Bell's Palsy Facial Disability Index Kabat Technique Low Level Laser Therapy Sunnybrook facial grading system |
Bell Palsy Facial Paralysis Paralysis Neurologic Manifestations Nervous System Diseases Herpesviridae Infections DNA Virus Infections |
Virus Diseases Infections Mouth Diseases Stomatognathic Diseases Facial Nerve Diseases Cranial Nerve Diseases |