Varelas Eleni A, Gidumal Sunder, Verma Hannah, Vujovic Dragan, Rosenberg Joshua D, Gray Mingyang
Department of Otolaryngology-Head and Neck Surgery, New York University, New York, NY, United States of America.
Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
Am J Otolaryngol. 2025 Jan-Feb;46(1):104511. doi: 10.1016/j.amjoto.2024.104511. Epub 2024 Nov 22.
Idiopathic facial paralysis is a challenging condition that can significantly impact patients' quality of life. Treatment options include both medical to surgical management. The objective is to further understand and review the current literature on the effectiveness of physical therapy for treatment of idiopathic facial paralysis.
MEDLINE, EMBASE, and Cochrane Library were searched. English-language studies assessing the outcomes of idiopathic facial paralysis in adults after completion of physical therapy were included for analysis.
This study screened 778 studies, of which 12 met inclusion criteria. There were 228 patients included for analysis. Four studies, contributing 79 patients, included sex and age demographics, with a breakdown of 45 females and 34 males with an average age of 49.4 years. Objective outcomes were most frequently measured by utilizing the Sunnybrook Facial Grading System, followed by House-Brackmann Score and Facial Disability Index. All studies highlighted the positive result physical therapy had on facial rehabilitation.
The body of literature on physical therapy in treating idiopathic facial paralysis, although limited in size, strongly supports its use to accelerate recovery and minimize adverse outcomes. These findings suggest the addition of physical therapy in the management of patients with facial paralysis.
特发性面神经麻痹是一种具有挑战性的疾病，会对患者的生活质量产生重大影响。治疗选择包括从药物治疗到手术治疗。目的是进一步了解和回顾当前关于物理治疗特发性面神经麻痹有效性的文献。
检索了MEDLINE、EMBASE和Cochrane图书馆。纳入完成物理治疗后评估成特发性面神经麻痹结果的英文研究进行分析。
本研究筛选了778项研究，其中12项符合纳入标准。纳入分析的患者有228例。四项研究共纳入79例患者，包括性别和年龄人口统计学数据，其中45例女性和34例男性，平均年龄49.4岁。客观结果最常通过使用桑尼布鲁克面部分级系统来测量，其次是House-Brackmann评分和面部残疾指数。所有研究都强调了物理治疗对面部康复的积极效果。
关于物理治疗特发性面神经麻痹的文献数量虽有限，但有力地支持了其用于加速恢复和减少不良后果。这些发现表明在面神经麻痹患者的管理中应增加物理治疗。
