The Experts below are selected from a list of 117 Experts worldwide ranked by ideXlab platform
Wahyu Ariyanto - One of the best experts on this subject based on the ideXlab platform.
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penatalaksanaan fisioterapi pada Bells Palsy dextra di rs al dr ramelan surabaya
2009Co-Authors: Wahyu AriyantoAbstract:Dalam penatalaksanaan fisioterapi pada penderita Bells Palsy Dextra selama 6x terapi, dengan menggunakan metode penelitian berupa studi kasus. Pada kasus Bells Palsy menyebabkan adanya gangguan baik secara fungsional tampak mencong dan ekspresi abnormal sehingga penderita merasa kurang percaya diri. Untuk dapat menentukan metode penanganan fisioterapi yang efektif dan efisien, terlebih dahulu dilakukan pemeriksaan dengan Manual Muscle Testing (MMT) otot-otot wajah, skala Ugo Fisch. Dalam membantu mengembalikan fungsi motorik otot-otot wajah digunakan modalitas berupa infra red, stimulasi listrik dengan IDC, message dan terapi latihan. Dan pada akhir terapi didapatkan hasil berupa peningkatan fungsi motorik otot-otot wajah.
Orlando Guntinaslichius - One of the best experts on this subject based on the ideXlab platform.
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prognostic factors for the outcome of Bells Palsy a cohort register based study
Clinical Otolaryngology, 2020Co-Authors: Elisabeth Urban, Gerd Fabian Volk, K Geisler, J Thielker, Andreas Dittberner, Carsten M Klingner, Otto W Witte, Orlando GuntinaslichiusAbstract:OBJECTIVES There is a lack of data on patients' and diagnostic factors for prognostication of complete recovery in patients with Bell's Palsy. DESIGN AND SETTING Cohort register-based study of 368 patients with Bell's Palsy and uniform diagnostics and standardised treatment in a university hospital from 2007 to 2017 (49% female, median age: 51 years). MAIN OUTCOME MEASURES Clinical data, facial grading, electrodiagnostics, motor function tests, non-motor function tests and onset of prednisolone therapy were assessed for their impact on the probability of complete recovery using univariable and multivariable statistics. RESULTS Median onset of treatment was 1.5 days. 46% of patients had a House-Brackmann scale at baseline of ≥ III. The median recovery time was 2.6 months (95% confidence interval [CI] = 2.1-3.0). 54.9% achieved a complete recovery. If prednisolone therapy started later than 96 hours after onset, the recovery rate decreased significantly. Beyond less severe Palsy, no abnormal electroneurography side difference, no pathological spontaneous activity in electromyography and normal stapedius reflex testing were the most powerful tool for prognostication of recovery after Bell's Palsy. CONCLUSION Beyond severity of the Palsy, facial electrodiagnostics and stapedius reflex testing are the most powerful tool for prognostication of recovery time after Bell's Palsy. Prednisolone therapy should have started at best within a time window of 96 hours after onset to reach the highest probability of complete recovery.
Dewi Prasetyaningsih - One of the best experts on this subject based on the ideXlab platform.
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penatalaksanaan fisioterapi pada Bells Palsy dextra di rs al dr ramelan surabaya
2009Co-Authors: Dewi PrasetyaningsihAbstract:Low Back Pain (LBP) adalah nyeri pinggang tulang bawah L1 sampai seluruh sacrum dan otot-otot sekitarnya, pada kondisi Low Back Pain akibat Spondylosis Lumbalis menimbulkan suatu permasalahan kapasitas fisik yaitu adanya nyeri, keterbatasan lingkup gerak sendi (LGS), menurunnya kekuatan otot, adanya spasme otot pada otot paravertebra dan permasalahan kemampuan fungsional adalah permasalahan gangguan dari posisi tidur ke berdiri, gangguan saat aktivitas sholat, adanya gangguan saat jongkok ke berditi, kesulitan dalam posisi membungkuk, berdiri lama dan berjalan jauh. Untuk mengatasi permasalahan yang timbul pada kondisi tersebut modalitas yang digunakan adalah Micro Wave Diathermy (MWD), Ultra Sound(US), dan William Flexion Exercise juga diberikan edukasi pada penderita. Tujuan dari pemberian modalitas terapi tersebut adalah mengurangi nyeri, menambah Lingkup Gerak Sendi (LGS), meningkatkan kekuatan otot, mengurangi spasme dan meningkatkan kemampuan fungsional setelah diberikan terapi sebanyak 6x didapat penurunan nyeri diamT1:3 menjadi T6:2, nyeri tekan T1:6 menjadi T6:4,nyeri gerak T1: 10 menjadi T6:8, Kekuatan otot Flexor T1:4- menjadi T6:4, Ekstensor T1:4- menjadi T6:4, Lateral Flexor kanan T1: 4 menjadi T6: 4+, Lateral Flexor kiri T1:4 menjadi 4+, LGS pada trunk fleksi T1: 6cm menjadi T6: 7cm, Ekstensi T1: 1cm menjadi T6:5cm, Lateral fleksi kanan T1:13cm menjadi T6:16cm, Lateral fleksi kiri T1: 13cm menjadi T6: 17cm.
K Dhanya - One of the best experts on this subject based on the ideXlab platform.
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effectiveness of proprioceptive neuromuscular fecilitation and neuromuscular re education for reducing facial disability and synkinesis in patients with Bells Palsy a comparative study
2019Co-Authors: K DhanyaAbstract:BACKGROUND: Peripheral facial Palsy is the most frequent cranial neuropathy and can originate from various kinds of damage to the seventh cranial nerve. Bells Palsy is the most common form of peripheral facial Palsy in adults, with an annual incidence of 20-30 cases. No gender, side, annual or seasonal differences have been noted. Recurrence rate is about 10%. The on set of Bells Palsy is sudden. METHODOLOGY: 30 Patients with acute idiopathic facial Palsy were selected for this study on the selection crieteria, 15 in each group (males and females). Subjections in Group A were treated with proprioceptive neuromuscular facilitation technique and subjects in Group B were treated with neuromuscular reeducation technique. Both the group received intervention for 4 weeks. The baseline and post test score were measured by using SunnyBrook Facial Grading Scale. RESULT: There is a significant difference in functional independence between patients receiving neuromuscular facilitation and neuromuscular re–education treatment. CONCLUSION: Finally the study concluded that four weeks of training program with proprioceptive neuromuscular facilitation showed significant improvement when compared to the neuromuscular re-education technique.
Tanpreet Kaur Bagga - One of the best experts on this subject based on the ideXlab platform.
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Comparison between Proprioceptive Neuromuscular Facilitation and Neuromuscular Re-Education for Reducing Facial Disability and Synkinesis in Patients with Bells Palsy: A Randomized Clinical Trial
International Journal of Physical Medicine and Rehabilitation, 2015Co-Authors: An Kumar, Tanpreet Kaur BaggaAbstract:Purpose To evaluate the comparative effectiveness of neuromuscular re-education technique and proprioceptive neuromuscular facilitation technique on improving facial disability and synkinesis in rehabilitation of bell's Palsy. Methodology: It was a randomized clinical trial consisting 40 participants (males and females) 20 in each group, with Bell’s Palsy of non-traumatic origin. Group A received proprioceptive neuromuscular technique (PNF) with conventional PT treatment and Group B received facial neuromuscular re-education technique (NMR) combined with conventional PT treatment for 6 days a week for 4 weeks. Results: The result suggest that Group A had significant higher score at Sunny brook facial grading scale (SFGS) whereas in Facial Disability Index (FDI) Group A had significant difference at total score but there was no significant difference over individual component (social and physical function). Group B had significant better improvement over Synkinesis Assessment Questionnaire (SAQ). Conclusions: Both PNF group and NMR showed significant results and displayed efficient improvement in facial symmetry after 4 weeks of treatment. PNF with conventional PT is more effective in improving facial function and reducing facial disability whereas NMR with conventional PT is better in reducing synkinesis in Bell’s Palsy rehabilitation.
