Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
Department of Medical, Oral and Biotechnological Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.
J Biol Regul Homeost Agents. 2020 Jul-Aug;34(4):1245-1255. doi: 10.23812/20-339-A.
Idiopathic facial palsy is the most common disease of the VII cranial nerve. There are many treatments to facilitate recovery from this condition: pharmacological, surgical, rehabilitative, but the effectiveness of some of these treatments, especially the latter, is still under discussion. The purpose of this umbrella review of systematic reviews is to analyse the literature in order to investigate the different rehabilitation interventions in patients suffering from idiopathic facial palsy. A scientific literature search was carried out from January 2009 until August 2019, using Mesh the terms "facial palsy", "Bell's Palsy", "idiopathic facial nerve palsy", combined with "rehabilitation" and "therapy". Initially all the systematic reviews and meta-analyses of the last 10 years concerning rehabilitation treatments for the recovery of injured functions in facial palsy were included. Given the heterogeneity of the studies in the literature, which do not differentiate the different causes of facial palsy, all the causes of idiopathic facial palsy were included in the review. The research resulted in 94 published systematic reviews but only 6 were considered in respect to the inclusion criteria. All studies agree on the lack of high-quality scientific work to be able to say that Bell's physiotherapy treatments for facial palsy are effective, in particular with regard to recovery times during the rehabilitation process. Future studies are needed, in order to highlight the therapeutic implications of the different rehabilitation methods, with standardized protocols, in patients suffering from facial palsy of different aetiology.
特发性面瘫是第七脑神经最常见的疾病。有许多治疗方法可以促进这种疾病的康复：药理学、手术、康复治疗，但其中一些治疗方法，特别是后者的效果仍在讨论中。本系统评价综述的目的是分析文献，以研究特发性面瘫患者的不同康复干预措施。从 2009 年 1 月至 2019 年 8 月，使用 MeSH 术语“面瘫”、“贝尔面瘫”、“特发性面神经麻痹”，结合“康复”和“治疗”，进行了科学文献检索。最初，所有关于面瘫康复治疗以恢复损伤功能的 10 年来的系统评价和荟萃分析都被包括在内。鉴于文献中的研究存在异质性，且没有区分面瘫的不同原因，因此将特发性面瘫的所有原因都包括在综述中。研究结果产生了 94 篇已发表的系统评价，但只有 6 篇符合纳入标准。所有研究都同意缺乏高质量的科学工作来证明贝尔氏面瘫治疗方法有效，特别是在康复过程中的恢复时间方面。需要进一步的研究，以突出不同康复方法的治疗意义，采用标准化方案，对不同病因的面瘫患者进行治疗。
