Edorium Journal of

Disability and Rehabilitation

 
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Case Report
 
Physiotherapy for a 38 years old man with Bell’s palsy: A case report
Mohammad Habibur Rahman1, Md. Shofiqul Islam1, Ehsanur Rahman1, Samena Akter Kakuli2 Farjana Sharmin3
1Assistant Professor of Physiotherapy, Bangladesh Health Professions Institute (BHPI), the Academic Institute of Centre for the Rehabilitation of the Paralysed (CRP).
2Senior Clinical Physiotherapist, Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP).
3Lecturer and Senior Clinical Physiotherapist, Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP).

Article ID: 100027D05MR2017
doi:10.5348/D05-2017-27-CR-3

Address correspondence to:
Mohammad Habibur Rahman
Assistant Professor
BHPI, CRP, Savar, Dhaka
Bangladesh

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How to cite this article
Rahman MH, Islam MS, Rahman E, Kakuli SA, Sharmin F. Physiotherapy for a 38 years old man with Bell’s palsy: A case report. Edorium J Disabil Rehabil 2017;3:25–29.


Abstract
Introduction:

Bell’s palsy is regarded as temporary paresis of one side of the face and resulting in loss of facial function especially facial expressions. The aim of this case report is to share the evidence based plan of care of a Bell’s palsy patient based on International Classification of Functioning, Disability and Health (ICF).
Case Report: A 38-year-old male diagnosed as unilateral Bell’s palsy. Patient complained of deviation of face towards the left side, unable to drink water and chewing difficulties. In addition, patient also complained of pain in the mastoid region and neck stiffness. Patient received a six weeks of dose based physiotherapy service including proprioceptive exercise, trophic stimulator, transcutaneous electrical nerve stimulation, facial neuromuscular rehabilitation and home exercise programs. Centre based physiotherapy was performed at center four sessions per week. Each session consists of 45 minutes. During discharge, patient showed improvement in pain reduction at numerical pain rating scale by 4 cm and improvement of facial expression by 55% in accordance to Synkinesis Assessment Questionnaire (SAQ). Conversely, patient also showed improvement in ADL’s, recreational activities and social gatherings.
Conclusion: The case report showed that evidence based plan of care incorporating ICF helps in rehabilitation with full of potentials for a patient with Bell’s palsy.

Keywords: Bell’s palsy, International Classification of Functioning, Disability and Health (ICF), Physiotherapy, Synkinesis Assessment Questionnaire (SAQ)

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Author Contributions
Mohammad Habibur Rahman – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Md. Shofiqul Islam – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ehsanur Rahman – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Samena Akter Kakuli – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Farjana Sharmin – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest
Copyright
© 2017 Mohammad Habibur Rahman et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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