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Role of Kabat physical rehabilitation in Bell's palsy: a randomized trial
Barbara M, Antonini G, Vestri A, Volpini L, Monini S
Acta Oto-Laryngologica 2010;130(1):167-172
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

CONCLUSION: When applied at an early stage, Kabat's rehabilitation was shown to provide a better and faster recovery rate in comparison with non-rehabilitated patients. OBJECTIVE: To assess the validity of an early rehabilitative approach to Bell's palsy patients. PATIENTS AND METHODS: A randomized study involved 20 consecutive patients (10 males, 10 females; aged 35 to 42 years) affected by Bell's palsy, classified according to the House-Brackmann (HB) grading system and grouped on the basis of undergoing or not early physical rehabilitation according to Kabat, ie, a proprioceptive neuromuscular rehabilitation. The evaluation was carried out by measuring the amplitude of the compound motor action potential (CMAP), as well as by observing the initial and final HB grade, at days 4, 7 and 15 after onset of facial palsy. RESULTS: Patients belonging to the rehabilitation group clearly showed an overall improvement of clinical stage at the planned final observation, ie, 15 days after onset of facial palsy, without presenting greater values of CMAP.

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