Köyceğiz Vocational School of Health Services, Department of Health Care Services, Muğla Sıtkı Koçman University, Muğla, Turkey.
Faculty of Medicine, Department of Emergency Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey.
Percept Mot Skills. 2024 Dec;131(6):2182-2198. doi: 10.1177/00315125241284677. Epub 2024 Oct 1.
Recent case reports have emphasized the essential clinical contribution of telerehabilitation in the treatment of facial palsy. However, no randomized controlled trial has yet demonstrated the effects of telerehabilitation-based facial exercise therapy. Thus, we aimed to investigate the effectiveness of video exercise-based telerehabilitation on motor and non-motor clinical outcomes in adults with facial palsy. We conducted a randomized controlled trial with 40 peripheral facial palsy patients. Those in the experimental group (EG) received four weeks of telerehabilitation-based video exercises and routine care. Those in the control group (CG) received only routine care. All participants were evaluated with the Facial Disability Index (FDI), the Facial Clinimetric Evaluation Scale (FaCE), Short Form-12 (SF-12), the Hospital Anxiety and Depression Scale (HADS), the House-Brackmann Scale (H-B) and the Telemedicine Satisfaction and Usefulness Questionnaire (TSUQ), both before and after the interventions. Both groups demonstrated a significant improvement in FDI, FaCE, and SF-12 PCS scores ( < .05). In addition, there was a significant improvement only in EG on the SF-12 MCS score ( < .05), and there was a significant gain only in CG on the HADS-Depression score ( < .05). While these results provide a further contribution to our understanding of telerehabilitation benefits in mental health variables related to quality of life for facial palsy patients, we found no EG and CG differences on the physical components of treatment.
最近的病例报告强调了远程康复在面瘫治疗中的重要临床作用。然而，还没有随机对照试验证明基于远程康复的面部运动疗法的效果。因此，我们旨在研究基于视频的远程康复锻炼对面瘫患者运动和非运动临床结局的有效性。我们进行了一项随机对照试验，纳入了 40 名周围性面瘫患者。实验组（EG）接受四周的基于远程康复的视频锻炼和常规护理，对照组（CG）仅接受常规护理。所有参与者均在干预前后接受了面部残疾指数（FDI）、面部临床计量评估量表（FaCE）、简短表格-12 健康调查量表（SF-12）、医院焦虑抑郁量表（HADS）、House-Brackmann 量表（H-B）和远程医疗满意度和有用性问卷（TSUQ）评估。两组 FDI、FaCE 和 SF-12 PCS 评分均显著改善（<0.05）。此外，仅 EG 在 SF-12 MCS 评分上有显著改善（<0.05），仅 CG 在 HADS 抑郁评分上有显著提高（<0.05）。虽然这些结果进一步证明了远程康复在与面瘫患者生活质量相关的心理健康变量方面的益处，但我们在治疗的身体成分方面没有发现 EG 和 CG 的差异。
