Effect of Conventional Physiotherapeutic Techniques on Post-Operative Facial Palsy: A Case Study

Abstract

This case study highlights the benefits of combining multiple conventional physiotherapeutic methods for post-operative facial palsy with an evidence-based treatment plan using the International Classification of Functioning Disability and Health ICF. A middle-aged female reported with a primary complaint of facial weakness experienced post the surgical removal of parotid gland due to pleomorphic adenomatous growth. Treatment was offered at the out-patient physiotherapy department and each session lasted for 45 minutes with exercises like proprioceptive training facial neuromuscular rehabilitation mime therapy and sensory re-education incorporated as a part of the patients dose-based physical treatment. With outcome measurements Sunnybrook Facial Grading System indicating improvement by 27 points and Facial Disability Index showing improvement by 41 points and a noticeably higher level of confidence the patient demonstrated a considerable reduction in discomfort and improvement of mobility prior to discharge. The case study focuses on how an evidence-based plan of conventional treatment strategies ensures better prognosis for a patient with post-operative facial palsy.