Table of Contents
ISRN Rehabilitation
Volume 2013, Article ID 501034, 6 pages
http://dx.doi.org/10.1155/2013/501034
Research Article

Clinical Features of Bell’s Palsy in Children and Outcomes of Physical Therapy: A Retrospective Study

1Department of Physical Medicine and Rehabilitation, Dr. Behcet Uz Children’s Diseases Training and Research Hospital, Sezer Dogan Street No. 11, Konak, 35210 Izmir, Turkey
2Department of Pediatric Neurology, Dr. Behcet Uz Children’s Diseases Training and Research Hospital, Sezer Dogan Street No. 11, Konak, 35210 Izmir, Turkey
3Department of Physical Medicine and Rehabilitation, Pamukkale University Faculty of Medicine, Kınıklı 20070, Denizli, Turkey
4Department of Otorhinolaryngology, Dr. Behcet Uz Children’s Diseases Training and Research Hospital, Sezer Dogan Street No. 11, Konak, 35210 Izmir, Turkey

Received 10 October 2013; Accepted 9 November 2013

Academic Editors: S. Eyigor and E. E. Hansson

Copyright © 2013 Duygu Cubukcu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this study was to describe clinical features of Bell’s palsy (BP) in children and outcomes of physical therapy interventions. Medical records of 186 patients with diagnosis of BP were reviewed. The severity of facial nerve dysfunction was graded according to House Brackmann Facial Nerve Grading Scale (HB FGS). After one month, patients who had HB FGS grade three or more were included in a physical therapy programme consisting of superficial heat, massage, exercises, and electrical stimulation. Among 186 children with BP, 167 children had a severity of HB FGS grade three or more and 19 had the incomplete type at the time of the diagnosis. After one month follow-up, 144 patients fully recovered, 35 patients recovered partially, while 7 patients had no recovery. Patients who had not fully recovered one month after onset of paralysis were included in the physical therapy programme. There was statistically significant difference between pretreatment and posttreatment HB FGS scores in patients who had not fully recovered one month after onset of paralysis. We concluded that the prognosis of BP in children seems to be good with higher recovery rate and physical therapy programme might be an effective method to facilitate recovery in patients with poor prognosis.