Background: Neural mobilisation technique is effective in spinal nerve rehabilitation. However, no study has reported the effect of facial nerve mobilisation in acute Bell’s palsy. Objectives: The objective of our study was to evaluate the effect of facial neural mobilisation over conventional therapy in improving facial symmetry in patients with acute Bell’s palsy. Methods: A randomised controlled trial was conducted in the physical therapy department for 62 patients with acute Bell’s palsy. The intervention included 10 days of drug therapy including 3 weeks of conventional therapy to the experimental and the control group. However, the experimental group received additional nerve mobilisation technique aimed at mobilising the facial nerve at the origin of external auditory meatus. All participants were assessed at baseline and after three weeks using the Sunnybrook facial grading system (SBS) and Kinovea Movement Analysis Software (KMAS). Results: For primary outcome, analysis of covariance with baseline data as covariate showed a significant difference between groups for the post-test mean scores of SBS after 3 weeks (between-group difference, 9.2 [95% CI, 5.1–13.3], [Formula: see text]. Importantly, the effect size calculated by partial [Formula: see text] for neural mobilisation was 0.258 (small effect size). For secondary outcomes, independent sample [Formula: see text]-test showed a significant difference between groups for the scores on KMAS after 3 weeks for zygomatic muscle (between-group difference, [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text]), frontalis muscle [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text], and orbicularis oris muscle [Formula: see text] [95% CI, [Formula: see text] to [Formula: see text]], [Formula: see text]. Conclusion: Facial neural mobilisation is likely to be an effective adjunctive intervention in addition to conventional therapy in improving facial symmetry in acute Bell’s palsy.
The COVID-19 pandemic is a major health crisis that has affected the lives of millions worldwide. This article aimed to assess the effects of the COVID-19 pandemic on the different aspects of human life. Throughout the pandemic, the worldwide lockdown has led to economic crises in many nations, resulting in a huge number of people losing their jobs and livelihoods. Societal communication decreased and mental status was affected; as fear of the pandemic spread, many people developed sleep disturbances. Mental illnesses, anxiety, and depression were prevalent among the population. However, young people reported increased periods of sleep, Sleep disturbance was high among pediatric and healthcare workers. During covid-19, was shown that the use of electronic media by people near bedtime increased. During lockdown due to COVID-19, increased nutrition intake reduced bodily activity, and hence increased body mass index, especially among children was observed. Food delays have also occurred, particularly among young people.
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