Gambaran Peningkatan Fungsional Pasien Bell’s Palsy Setelah Pemberian Kombinasi Transcutaneous Electrical Nerve Stimulation (Tens) Dan Exercise : Literature Review

AbstractBell's palsy is an acute weakness or paralysis of the peripheral facial nerve with no known cause. The incidence of Bell's palsy is about 40-70% of all acute peripheral facial nerve palsy, the average prevalence ranges from 10-30% per 100,000 population per year) Data collected from 4 hospitals in Indonesia shows that the frequency of Bell's palsy shows 19.55% of all cases of neuropathy. The incidence of Bell's palsy ranges from 23 cases per 100,000 people annually, most of the cases 85 % cured within 1-2 months which occurs in 8% of cases. The literature Review research is to analyze the description of the functional improvement of Bell's Palsy patients after the combination of Transcutaneous Electrical Nerve Stimulation (TENS) and Exercise. The selection of articles in this study used the PICO mnemonic design. 160 reviewed articles via PubMed and google scholar, article search via PubMed (1), Google Scholar (4). Inclusion and exclusion criteria according to keywords, published in 2010-2021. The results of the analysis of the literature review of 5 articles showed that the male gender was at risk of experiencing Bell's palsy, namely 29 (52.7%) compared to the female sex, which was 26 (47.3%). Functional recovery in Bell's palsy from the mean pre-test and post-test scores, it can be seen that the average pre-test is 5.19 and the average post-test is 3.65. Improved functional recovery in Bell's palsy patients after administering TENS with a combination of Exercise with massage methods.Keywords: Bell’s palsy, TENS and Massage AbstrakBell's palsy adalah kelemahan akut atau kelumpuhan saraf wajah perifer tanpa diketahui penyebabnya. Kejadian Bell's palsy sekitar 40-70% dari seluruh kelumpuhan saraf fasialis perifer akut, prevalensi rata-rata berkisar 10-30% per 100.000 penduduk per tahun) Data yang dikumpulkan dari 4 rumah sakit di Indonesia menunjukkan bahwa frekuensi Bell's palsy menunjukkan 19,55 % dari semua kasus neuropati. Angka kejadian Bell's palsy berkisar 23 kasus per 100.000 orang setiap tahunnya, sebagian besar 85% sembuh dalam waktu 1-2 bulan yang terjadi pada 8% kasus. Penelitian Literatur Review ini untuk menganalisis gambaran peningkatan fungsional pasien Bell's Palsy setelah pemberian kombinasi Transcutaneous Electrical Nerve Stimulation (TENS) dan Latihan. Pemilihan artikel dalam penelitian ini menggunakan desain mnemonic PICO. 160 artikel yang diulas melalui PubMed dan google sarjana, pencarian artikel melalui PubMed (1), Google Cendekia (4). Kriteria inklusi dan eksklusi menurut kata kunci, terbit tahun 2010-2021. Hasil analisis literature review dari 5 artikel menunjukkan bahwa jenis kelamin laki-laki berisiko mengalami Bell’s palsy yaitu 29 (52,7%) dibandingkan dengan jenis kelamin perempuan, yaitu 26 (47,3%). Pemulihan fungsional pada Bell's palsy dari rerata skor pre-test dan post-test, terlihat bahwa rata-rata pre-test adalah 5,19 dan rata-rata post-test adalah 3,65. Peningkatan pemulihan fungsional pada pasien Bell's palsy setelah pemberian TENS dengan kombinasi Latihan dengan metode pijat.Kata kunci: Bell’s palsy, TENS dan pijat

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Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) in the Treatment of Bell's Palsy

Nepal Journal of Neuroscience ◽

10.3126/njn.v8i2.22768 ◽

2011 ◽

Vol 8 (2) ◽

pp. 147-149

Author(s):

Amina Shrestha ◽

Mohan R. Sharma

Keyword(s):

Nerve Stimulation ◽

Full Text ◽

Transcutaneous Electrical Nerve Stimulation ◽

Bell’S Palsy ◽

Bell's Palsy ◽

Electrical Nerve Stimulation

Available with full text

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Electroacupuncture and Transcutaneous Electrical Nerve Stimulation Induced Sensations in Bell’s Palsy Patients: A Quantitative Current Intensity Analysis

Frontiers in Neuroscience ◽

10.3389/fnins.2021.692088 ◽

2021 ◽

Vol 15 ◽

Author(s):

Han Cui ◽

Haibo Yu ◽

Xingxian Huang ◽

Lixiong Wu ◽

Weizheng Zhong ◽

...

Keyword(s):

Finite Element ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Massachusetts General Hospital ◽

Bell’S Palsy ◽

Current Intensity ◽

Bell's Palsy ◽

Element Analysis ◽

Electrical Nerve Stimulation ◽

De Qi

BackgroundThe intensity of electrical acupoint stimulation such as electroacupuncture (EA) and transcutaneous electrical nerve stimulation (TENS) is regulated by the observation of skin shivering or the participant’s comfort response. However, the specific intensity and spatial scope following EA or TENS stimulation are unclear.ObjectiveThis study aimed to test the stimulatory current intensities of lower and upper sensation thresholds in TENS- and EA-based treatment of Bell’s palsy patients. Also, the spatial scope of the stimulation at these current intensities was simulated and measured quantitatively.MethodsA total of 19 Bell’s palsy patients were recruited. Six acupoints on the affected side of the face were stimulated by TENS and EA successively at 30-min intervals. During the stimulation, the current intensity was regulated gradually from 0 to 20 mA, and we simultaneously measured the lower (sensory) and upper (tolerability) sensations. After the treatment by TENS and EA, the modified Chinese version of the Massachusetts General Hospital Acupuncture Sensation Scales (C-MMASS) was applied to survey the de-qi sensations during stimulation. Additionally, we analyzed the correlation between current intensities and C-MMASS and comfort scores. Finite element models were established to depict the spatial distribution of electric field gradients at the lower and upper thresholds.ResultsThe mean sensory and tolerability thresholds of TENS were 3.91–4.37 mA and 12.33–16.35 mA, respectively. The median sensory and tolerability thresholds of EA were 0.2 mA and 2.0–3.2 mA, respectively. We found a significant correlation between total C-MMASS scores and the current intensities at the tolerability threshold of TENS. The finite element model showed that the activated depths of TENS and EA at the lower threshold were 3.8 and 7 mm, respectively, whereas those at the upper threshold were both 13.8 mm. The cross-sectional diameter of the activated area during TENS was 2.5–4 times larger than that during EA.ConclusionThis pilot study provided a method for exploring the current intensity at which the de-qi sensations can be elicited by TENS or EA. The finite element analysis potentially revealed the spatial scope of the electrical stimulation at a specific current intensity.

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PERCEPTION OF PHYSIOTHERAPIST ON EFFECTS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IN COMPARISON TO THERAPEUTIC ULTRASOUND FOR THE TREATMENT OF GRADE V BELL’S PALSY

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.10.2/010 ◽

2021 ◽

Vol 10 (2) ◽

pp. 50-55

Author(s):

Farida Shaheen

Keyword(s):

Sample Size ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Bell’S Palsy ◽

Care Hospital ◽

Bell's Palsy ◽

Electrical Nerve Stimulation ◽

Burst Mode

BACKGROUND AND AIMS Transcutaneous Electrical Nerve Stimulation (TENS) and Ultrasound (US) both are the most common therapeutic intervention modalities applied for Bell’s palsy treatment. The study was conducted in a tertiary care hospital in order to evaluate the perception of physiotherapist regarding the effects of TENS and US in comparison for the treatment of grade V Bell’s palsy. METHODOLOGY It is an observational study based on cross sectional survey based on questionnaire from the physical therapists of a tertiary care hospital with the clinical experience of one year or more. The sample size was 45 based on convenient sampling technique with the mean age of 27.4 ± 7.75 years. RESULTS The results of the study indicated that preference of therapist for the effective treatment of grade 5 Bell’s palsy is TENS in comparison to US for early prognosis and patient’s satisfaction. Further, the therapist prefers burst mode of TENS for effective results. CONCLUSION Though the study favors use of TENS However, due to small sample size, further studies are required to be conducted in domain to strengthen the role of Burst Mode of TENS as an effective intervention for Bell’s palsy.

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