"The Benefits of Infrared Therapy, Mirror Exercise, and Faradic Current in a Patient with Bell’s Palsy: Case Study" by Dhyan Rachmawati, Sugiono - et al.
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Jurnal Fisioterapi Terapan Indonesia

Abstract

Background: Bell’s Palsy is defined as paralysis of one side of the facial nerve, with an unknown cause. Several other conditions can also cause facial paralysis, such as brain tumors, stroke, myasthenia gravis, and Lyme disease. However, if no specific cause can be identified, this condition is known as Bell’s Palsy, which is caused by swelling and pressure on the nerve at the stylomastoid foramen, leading to nerve compression or damage. Often, the affected side’s eye cannot be closed. Physiotherapy management plays a vital role in the rehabilitation process for Bell’s Palsy patients to reduce symptoms, accelerate recovery, and restore facial muscle function. This study aims to determine the effectiveness of infrared modality, mirror exercises, and faradic current in patients with Bell’s Palsy. Objectives: To examine physiotherapy management using Infrared, Mirror Exercise, and Faradic Current in cases of Bell’s Palsy. Methods: The method involved patients with left-sided Bell’s Palsy. Assessments were conducted using Manual Muscle Testing (MMT) to evaluate facial muscle strength and the Ugok Fish test to assess the functional ability of facial muscles. The therapy was administered four times with a combination of infrared, mirror exercises, and faradic current. Results: Evaluation of facial muscle strength on the left side using MMT showed that the frontalis muscle score increased from 1 at T1 to 3 at T4, and the orbicularis oris muscle score increased from 1 at T1 to 3 at T4 on the affected side. Additionally, functional ability measured by the Ugok Fish test improved from 50% initially to 60%. Conclusion: The administration of infrared, mirror exercises, and faradic current therapy resulted in increased muscle strength and improved functional activity in a case of Bell’s Palsy.

References

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Bahasa Abstract

Latar belakang: Bell’s Palsy didefinisikan sebagai kelumpuhan saraf fasialis satu sisi, dengan penyebabnya tidak diketahui. Beberapa keadaan lain juga dapat menyebabkan kelumpuhan fasialis, misalnya tumor otak, stroke, myasthenia gravis, dan penyakit Lyme. Namun, jika tidak ada penyebab khusus yang dapat diidentifikasi, kondisi ini dikenal sebagai bell’s palsy yang disebabkan akibat pembengkakan dan tekanan saraf pada foramen stylomastoid dan menyebabkan penghambatan atau kerusakan saraf. Seringkali mata di sisi yang terkena tidak dapat ditutup. Penatalaksanaan fisioterapi berperan penting dalam proses rehabilitasi pasien bell’s palsy untuk mengurangi gejala, mempercepat pemulihan, serta mengembalikan fungsi otot wajah. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian modalitas infrared, mirror exercise dan faradic current pada pasien bell’s palsy. Tujuan: Untuk mengetahui penatalaksanaan fisioterapi pada kasus bell’s palsy dengan Infrared, Mirror Exercise, dan Faradic current. Metode: Metode dengan studi kasus (case study) yang digunakan pada pasien bell’s palsy sinistra. Pengukuran dengan Manual Muscle Testing (MMT) untuk mengetahui kekuatan otot wajah dan pengukuran dengan ugo fisch untuk mengetahui kemampuan fungsional otot wajah. Terapi diberikan sebanyak empat kali dengan kombinasi infrared, mirror exercise, dan faradic current. Hasil: Hasil evaluasi kekuatan otot wajah sisi kiri dengan uji Manual Muscle Testing (MMT) otot wajah pada m. frontalis yang pada T1 bernilai 1 di T4 menjadi bernilai 3, dan m. orbicularis oris di T1 bernilai 1 di T4 menjadi bernilai 3 ada sisi sinistra. Selanjutnya pengukuran kemampuan fungsional dengan uji ugo fisch dengan poin awal 50% menjadi 60%. Kesimpulan: Pemberian terapi infrared, mirror exercise, dan faradic current yang telah dilakukan memberikan hasil terdapat peningkatan kekuatan otot dan peningkatan aktivitas kemampuan fungsional pada kasus bell’s palsy.

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