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Physical therapy with drug treatment in bell palsy: a focused review

dc.contributor.authorFerreira, M.
dc.contributor.authorMarques, E. E.
dc.contributor.authorDuarte, J. A
dc.contributor.authorSantos, Paula Clara
dc.date.accessioned2016-01-14T14:17:55Z
dc.date.available2016-04-01T00:30:12Z
dc.date.issued2015-04
dc.description.abstractThe physical therapy (PT) associated with standard drug treatment (SDT) in Bell palsy has never been investigated. Randomized controlled trials or quasirandomized controlled trials have compared facial PT (except treatments such as acupuncture and osteopathic) combined with SDT against a control group with SDT alone. Participants included those older than 15 yrs with a clinical diagnosis of Bell palsy, and the primary outcome measure was motor function recovery by the House-Brackmann scale. The methodologic quality of each study was also independently assessed by two reviewers using the PEDro scale. Four studies met the inclusion criteria. Three trials indicate that PT in association with SDT supports higher motor function recovery than SDT alone between 15 days and 1 yr of follow-up. On the other hand, one trial showed that electrical stimulation added to conventional PT with SDT did not influence treatment outcomes. The present review suggests that the current practice of Bell palsy treatment by PT associated with SDT seems to have a positive effect on grade and time recovery compared with SDT alone. However, there is very little quality evidence from randomized controlled trials, and such evidence is insufficient to decide whether combined treatment is beneficial in the management of Bell palsy.pt_PT
dc.identifier.doi10.1097/PHM.0000000000000255pt_PT
dc.identifier.issn0894-9115
dc.identifier.urihttp://hdl.handle.net/10400.22/7398
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWolters Kluwer Health, Incpt_PT
dc.relation.publisherversionhttp://journals.lww.com/ajpmr/Abstract/2015/04000/Physical_Therapy_with_Drug_Treatment_in_Bell.9.aspxpt_PT
dc.titlePhysical therapy with drug treatment in bell palsy: a focused reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage340pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage331pt_PT
oaire.citation.titleAmerican Journal of Physical Medicine and Rehabilitationpt_PT
oaire.citation.volume94pt_PT
person.familyNameSantos
person.givenNamePaula Clara
person.identifier.ciencia-id5C16-2441-F091
person.identifier.orcid0000-0003-3548-700X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication78bef72f-1c59-47e1-a79d-3e4f8e0d438d
relation.isAuthorOfPublication.latestForDiscovery78bef72f-1c59-47e1-a79d-3e4f8e0d438d

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