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The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up

OBJECTIVE: To study the effects of the “Mirror Effect Plus Protocol” (MEPP) on global facial function in acute and severe Bell's Palsy. DESIGN: Single blind and randomized controlled trial to compare the effects of basic counseling (control group) versus MEPP (experimental group) over one year....

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Autores principales: Martineau, Sarah, Rahal, Akram, Piette, Eric, Moubayed, Sami, Marcotte, Karine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420890/
https://www.ncbi.nlm.nih.gov/pubmed/35722671
http://dx.doi.org/10.1177/02692155221107090
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author Martineau, Sarah
Rahal, Akram
Piette, Eric
Moubayed, Sami
Marcotte, Karine
author_facet Martineau, Sarah
Rahal, Akram
Piette, Eric
Moubayed, Sami
Marcotte, Karine
author_sort Martineau, Sarah
collection PubMed
description OBJECTIVE: To study the effects of the “Mirror Effect Plus Protocol” (MEPP) on global facial function in acute and severe Bell's Palsy. DESIGN: Single blind and randomized controlled trial to compare the effects of basic counseling (control group) versus MEPP (experimental group) over one year. SETTING: Outpatient clinic following referrals from Emergency or Otorhinolaryngology Departments. SUBJECTS: 40 patients (n = 20 per group) with moderately severe to total palsy who received standard medication were recruited within 14 days of onset. Baseline characteristics were comparable between the groups. INTERVENTIONS: The experimental group received the MEPP program (motor imagery + manipulations + facial mirror therapy) while the control group received basic counseling. Both groups met the clinician monthly until 6 months and at one-year post-onset for assessments. OUTCOME MEASURES: Facial symmetry, synkinesis, and quality of life were measured using standardized scales. Perceived speech intelligibility was rated before and after therapy by naïve judges. RESULTS: Descriptive statistics demonstrated improvements in favor of the MEPP for each measured variable. Significant differences were found for one facial symmetry score (House-Brackmann 2.0 mean (SD) = 7.40 (3.15) for controls versus 5.1 (1.44) for MEPP), for synkinesis measures (p = 0.008) and for quality-of-life ratings (mean (SD) score = 83.17% (17.383) for controls versus 98.36% (3.608) for MEPP (p = 0.002)). No group difference was found for perceived speech intelligibility. CONCLUSION: The MEPP demonstrates promising long-term results when started during the acute phase of moderately severe to total Bell's Palsy.
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spelling pubmed-94208902022-08-30 The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up Martineau, Sarah Rahal, Akram Piette, Eric Moubayed, Sami Marcotte, Karine Clin Rehabil Evaluative Studies OBJECTIVE: To study the effects of the “Mirror Effect Plus Protocol” (MEPP) on global facial function in acute and severe Bell's Palsy. DESIGN: Single blind and randomized controlled trial to compare the effects of basic counseling (control group) versus MEPP (experimental group) over one year. SETTING: Outpatient clinic following referrals from Emergency or Otorhinolaryngology Departments. SUBJECTS: 40 patients (n = 20 per group) with moderately severe to total palsy who received standard medication were recruited within 14 days of onset. Baseline characteristics were comparable between the groups. INTERVENTIONS: The experimental group received the MEPP program (motor imagery + manipulations + facial mirror therapy) while the control group received basic counseling. Both groups met the clinician monthly until 6 months and at one-year post-onset for assessments. OUTCOME MEASURES: Facial symmetry, synkinesis, and quality of life were measured using standardized scales. Perceived speech intelligibility was rated before and after therapy by naïve judges. RESULTS: Descriptive statistics demonstrated improvements in favor of the MEPP for each measured variable. Significant differences were found for one facial symmetry score (House-Brackmann 2.0 mean (SD) = 7.40 (3.15) for controls versus 5.1 (1.44) for MEPP), for synkinesis measures (p = 0.008) and for quality-of-life ratings (mean (SD) score = 83.17% (17.383) for controls versus 98.36% (3.608) for MEPP (p = 0.002)). No group difference was found for perceived speech intelligibility. CONCLUSION: The MEPP demonstrates promising long-term results when started during the acute phase of moderately severe to total Bell's Palsy. SAGE Publications 2022-06-19 2022-10 /pmc/articles/PMC9420890/ /pubmed/35722671 http://dx.doi.org/10.1177/02692155221107090 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Evaluative Studies
Martineau, Sarah
Rahal, Akram
Piette, Eric
Moubayed, Sami
Marcotte, Karine
The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up
title The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up
title_full The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up
title_fullStr The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up
title_full_unstemmed The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up
title_short The “Mirror Effect Plus Protocol” for acute Bell's palsy: A randomized controlled trial with 1-year follow-up
title_sort “mirror effect plus protocol” for acute bell's palsy: a randomized controlled trial with 1-year follow-up
topic Evaluative Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420890/
https://www.ncbi.nlm.nih.gov/pubmed/35722671
http://dx.doi.org/10.1177/02692155221107090
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