Management of Bell’s Palsy in an Elderly Patient with Dementia using Kinesiology Tape: A Case Report
Keywords:Bell's palsy, dementia, kinesiology tape, facial rehabilitation, physiotherapy
Bell’s palsy is an idiopathic nerve lesion involving the facial nerve and is the most common cause of lower motor neuron facial palsy. The management of Bell’s palsy involves the administration of corticosteroids and antiviral medications, physiotherapy including the use of kinesiology tape and time. This case report aims to use kinesiology tape as a rehabilitation tool for Bell’s palsy in an elderly patient with dementia. Due to the patient’s cognitive deficits associated with dementia, she had minimal participation in active rehabilitation and subsequently developed secondary impairments of drooling and ectropion. Kinesiology tape was applied to the patients face to improve facial symmetry, provide support and proprioceptive feedback. Following 10 weeks of application, the patient had reduced ectropion and eye irritation, improved facial symmetry and reduced drooling. The use of kinesiology tape in the rehabilitation of Bell’s palsy may be beneficial in those patients who have reduced capacity to participate in active rehabilitation programs.
Peitersen E: Bell’s palsy: The spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl. 2002; 122: 4–30.
Tiemstra JD, Khatkhate N: Bell’s palsy: Diagnosis and management. Am. Fam. Physician 2007; 7: 997–1002.
Patel DK, Levin KH: Bell palsy: Clinical examination and management. Cleve. Clin. J. Med. 2015; 82(7): 419–426.
De Diego-Sastre JI, Prim-Espada MP, Fernández-García F: The epidemiology of Bell’s palsy. Rev Neurol. 2005; 41: 287–290.
May M, Klein SR: Differential diagnosis of facial nerve palsy. Otolaryngol Clin North Am. 1991; 24: 613–645.
Murakami S, Mizobuchi M, Nakashiro Y, Doi T, Hato N, Yanagihara N: Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med. 1996; 124:27–30.
Lagalla G, Logullo F, Di Bella P, Provinciali L, Ceravolo MG: Influence of early high-dose steroid treatment on Bell’s palsy evolution. Neurol Sci. 2002; 23: 107–112.
Pereira LM, Obara K, Dias JM, Menacho MO, Lavado EL, Cardoso JR: Facial exercise therapy for facial palsy: Systematic review and meta-analysis. Clin Rehab. 00(0): 1–10.
Eviston TJ, Croxson GR, Kennedy PG, Hadlock T, Krishnan AV: Bell’s palsy: Aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry 2015: 86: 1356–1361.
Cardoso JR, Teizeira EC, Moreira MD, Fávero FM, Fontes SV, de Oliveira ASB: Effects of exercises on Bell’s palsy: Systematic review of randomized controlled trials. Otol Neurotol. 2008: 29: 557–560.
Chiu MJ, Chen TF, Yip PK, Hua MS, Tang LY: Behavioural and psychologic symptoms in different types of dementia. I Formos Med Assoc. 2006: 105(7): 556–562.
Whitehead MT, Guffey JS, Barrett CA: Ramsay Hunt Syndrome: Case report of a multifaceted physical therapy intervention. J Yoga Phys Ther. 2012: 2: 115
Schrom T, Habermann A: Temporary ectropion therapy by adhesive taping: a case study. Head Face Med. 4: 12.
Kalron A, Bar-Sela S: A systematic review of the effectiveness of Kinesio Taping – factor or fiction. Eur J Phys Rehabil Med. 2013: 49: 699–709.
Montalvo AM, Le Cara E, Myer GD: Effect of Kinesiology taping on pain in individuals with musculoskeletal injuries: Systematic review and meta-analysis. Physician Sportsmed. 2014: 42(2): 48–57.
Reneker JC, Latham L, McGlawn R, Reneker MR: Effectiveness of kinesiology tape on sports performance abilities in athletes: A systematic review. Phys Ther Sport. 2018: 31: 83–98.
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