PENATALAKSANAAN FISIOTERAPI PADA KASUS BELL’S PALSY SINISTRA DENGAN MODALITAS INFRAMERAH, ELECTRICAL STIMULATION DAN MIME EXERCISE
DOI:
https://doi.org/10.53625/jirk.v3i2.6044Keywords:
Fisioterapi, Bell’s Palsy Sinistra, Modalitas Inframerah, Electrical Stimulation, Mime ExerciseAbstract
Bell palsy is the most common idiopathic condition of peripheral paralysis of the seventh cranial nerve. Bell palsy causes the inability to move the affected side of the facial muscles fully or partially. About 40,000 new cases of bell palsy are diagnosed each year with a lifetime risk of 1 in 60. Treatment for Bell''s palsy includes electrical stimulation and infrared therapy. The motor points sought were for the movements of closing the mouth, smiling, closing the eyes and frowning. Mime exercise..Mime exercises are performed with a frequency of 2x a week. With 10 repetitions in 5 sets of each movement. Movements included (1) passive eyebrow raising (2) passive winking (3) passive eye opening and closing (4) passive mouth blowing and (5) passive smiling. After the physiotherapy program was carried out for 1 week, it was found that there was no improvement in facial functional ability based on the evaluation results using the ugo fisch scale and the strength of the facial muscles based on the evaluation of MMT values. Patient Mr. D is 27 years old with a diagnosis of bell''s palsy sinistra after being given physiotherapy interventions, such infrared, electrical stimulation, mime therapy as much as 3x in 2 weeks, there are no changes in facial motor functional abilities or facial muscle strength values.
References
Bellew, J. W., Michlovitz, S. L., & Nolan Jr., T. P. (2016). Foreword. In Modalities for Therapeutic Intervention, 6e. McGraw-Hill Education. http://fadavisat.mhmedical.com/content.aspx?aid=1135305855
Kurz, A., Volk, G. F., Arnold, D., Schneider-Stickler, B., Mayr, W., & Guntinas-Lichius, O. (2022). Selective Electrical Surface Stimulation to Support Functional Recovery in the Early Phase After Unilateral Acute Facial Nerve or Vocal Fold Paralysis. Frontiers in Neurology, 13(April). https://doi.org/10.3389/fneur.2022.869900
Lj, T., Js, V., & Gf, P. (2012). Physical therapy for Bell ’ s palsy ( idiopathic facial paralysis ) ( Review ). 12. https://doi.org/10.1002/14651858.CD006283.pub3.www.cochranelibrary.com
Loyo, M., McReynold, M., Mace, J. C., & Cameron, M. (2020). Protocol for randomized controlled trial of electric stimulation with high-volt twin peak versus placebo for facial functional recovery from acute Bell’s palsy in patients with poor prognostic factors. Journal of Rehabilitation and Assistive Technologies Engineering, 7, 205566832096414. https://doi.org/10.1177/2055668320964142
Mishra, S. S., & Sayed, M. (2021). Effects of Mime Therapy With Sensory Exercises on Facial Symmetry, Strength, Functional Abilities, and the Recovery Rate in Bell’s Palsy Patients. Function and Disability Journal, 4(1). https://doi.org/10.32598/fdj.4.35
Permenkes, N. 65. (2015). Standar Pelayanan Fisioterapi. Nhk技研, 151(1), 10–17.
Thielker, J., Geißler, K., Granitzka, T., Klingner, C. M., Volk, G. F., & Guntinas-Lichius, O. (2018). Acute Management of Bell’s Palsy. Current Otorhinolaryngology Reports, 6(2), 161–170. https://doi.org/10.1007/s40136-018-0198-0
Tsai, S.-R., & Hamblin, M. R. (2017). Biological effects and medical applications of infrared radiation. Journal of Photochemistry and Photobiology. B, Biology, 170, 197–207. https://doi.org/10.1016/j.jphotobiol.2017.04.014
Warner MJ, Hutchison J, Varacallo M. Bell Palsy. [Updated 2022 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482290/
Zhang, W., Xu, L., Luo, T., Wu, F., Zhao, B., & Li, X. (2020). The etiology of Bell’s palsy: a review. Journal of Neurology, 267(7), 1896–1905. https://doi.org/10.1007/s00415-019-09282-4
