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面部贴扎作为生物反馈改善贝尔氏麻痹物理康复治疗效果的初步结果:一项随机病例对照研究。

Facial taping as biofeedback to improve the outcomes of physical rehab in Bell's palsy: preliminary results of a randomized case-control study.

机构信息

Otolaryngology Department, University of Perugia, Piazza Menghini 1, 06129, Perugia, Italy.

Department of Sense Organs, Sapienza University of Rome, Rome, Italy.

出版信息

Eur Arch Otorhinolaryngol. 2021 May;278(5):1693-1698. doi: 10.1007/s00405-020-06193-3. Epub 2020 Jul 17.

Abstract

PURPOSE

This study aimed to investigate the efficacy of taping in association with Kabat rehabilitation to ameliorate the outcomes of Bell's palsy.

METHODS

This case-control study was conducted on hospital-outbound patients. 20 patients over 18 years affected from Bell's palsy were recruited at the onset of the disease (< 5 days). Patients were simply randomized into two groups. Patients in group A underwent exclusively Kabat rehabilitation, while patients in group B were treated by combining facial taping and Kabat. Facial palsy severity was evaluated with ADS assessment at baseline (T0), 1 week (T1), 1 month (T2) and 3 months (T3) after treatment. One-way ANOVA was used to compare ADS scores variance between groups to evaluate differences between the two treatments.

RESULTS

Both groups presented statistically significant differences comparing the baseline with the other observational points (within analysis) (p < 0.0001). Patients in group B showed a statistically significant improvement compared to group A (between analyses) (p < 0.0001), especially at T2 (p < 0.01).

CONCLUSIONS

Facial taping combined with Kabat rehabilitation allowed to reduce the time of recovery and improved the outcomes of Bell's palsy.

摘要

目的

本研究旨在探讨贴扎联合 Kabat 康复疗法对改善贝尔氏面瘫结局的疗效。

方法

这是一项病例对照研究,在出院患者中进行。在疾病发病初期(<5 天),招募了 20 名年龄在 18 岁以上、患有贝尔氏面瘫的患者。患者被简单随机分为两组。A 组患者仅接受 Kabat 康复治疗,而 B 组患者则接受面部贴扎联合 Kabat 治疗。在治疗前(T0)、治疗后 1 周(T1)、1 个月(T2)和 3 个月(T3),采用 ADS 评估评估面瘫严重程度。采用单因素方差分析比较组间 ADS 评分的方差,以评估两种治疗方法之间的差异。

结果

两组患者在与其他观察点(内部分析)进行比较时均显示出统计学显著差异(p<0.0001)。与 A 组相比,B 组患者的改善更为显著(组间分析)(p<0.0001),特别是在 T2 时(p<0.01)。

结论

面部贴扎联合 Kabat 康复疗法可以缩短恢复期并改善贝尔氏面瘫的结局。

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