Evidence map›Paper›PMID 35787015›Full record

SynthesisClinical rehabilitation2022

Physical therapy for facial nerve paralysis (Bell's palsy): An updated and extended systematic review of the evidence for facial exercise therapy.

Amir J Khan, Ala Szczepura, Shea Palmer, Chris Bark, Catriona Neville, David Thomson, Helen Martin, Charles Nduka

2 registry-linked trialsOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07078617 nacompletednot on this mapstarted 2025, after this paper: background citation

Comparison of PNF and Soft Tissue Mobilization Techniques Along With Exercise for the Treatment of Bell's Palsy

TypeinterventionalSponsorElite College of Management Sciences, Gujranwala, PakistanRan2025 to 2025Enrolled28ConditionsBell&#39, s PalsyArmsProprioceptive Neuromuscular Facilitation, Soft Tissue Mobilization along with exercise
NCT07514117 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Electroacupuncture With Different Pulse Patterns for the Post-acute Phase of Bell's Palsy: a Study Protocol for a Randomized Controlled Trial With Surface Electromyography Evaluation

TypeinterventionalSponsorThe First Affiliated Hospital of Zhejiang Chinese Medical UniversityRan2026 to 2027Enrolled111ConditionsBell PalsyArmssham EA, Electroacupunture(continuous pulse pattern), Electroacupuncture(intermittent pulse pattern)
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Manual Lymph Drainage Vodder (MLDV) Increases Facial Function in Bell's Palsy Patients.International journal of therapeutic massage & bodywork · 2026
    Article
  6. Response to letter to the editor re: "Predicting recovery in Bell's palsy: the impact of early rehabilitation and prognostic indicators".European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  7. Response to comment on: "Predicting recovery in Bell's palsy: the impact of early rehabilitation and prognostic indicators".European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  8. Article
  9. Article
  10. Telerehabilitation for peripheral facial palsy: A scoping review.Journal of telemedicine and telecare · 2026
    Article
  11. Article
  12. Predicting recovery in Bell's palsy: the impact of early rehabilitation and prognostic indicators.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  13. Article
  14. Facial Nerve Palsy in Malignant Otitis Externa Hospitalizations: Outcomes and Risk Factors.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  15. Evidence summary: facial nerve rehabilitationtraining management for patients with peripheral facial paralysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Amir J KhanDepartment of Economics, 119703Institute of Business Administration, Karachi, Pakistan.ORCID 0000-0003-3340-3036
Ala SzczepuraCentre for Healthcare Research, 2706Coventry University, Coventry, UK.ORCID 0000-0001-6244-9872
Shea PalmerCentre for Healthcare Research, 2706Coventry University, Coventry, UK.ORCID 0000-0002-5190-3264
Chris BarkLanchester Library, 2706Coventry University, Coventry, UK.
Catriona Neville8962Queen Victoria Hospital NHS Foundation Trust, East Grinstead, West Sussex, UK.ORCID 0000-0003-3969-5324
David Thomson8962Queen Victoria Hospital NHS Foundation Trust, East Grinstead, West Sussex, UK.
Helen Martin6718St Helens and Knowsley Teaching Hospitals NHS Trust, Liverpool, UK.
Charles Nduka8962Queen Victoria Hospital NHS Foundation Trust, East Grinstead, West Sussex, UK.
Queen Victoria Hospital NHS Foundation Trust · GBCoventry University · GBInstitute of Business Administration Karachi · PKSt Helens and Knowsley Teaching Hospitals NHS Trust · GBUniversity Hospital Coventry · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo conduct a systematic review of the effectiveness of facial exercise therapy for facial palsy patients, updating an earlier broader Cochrane review; and to provide evidence to inform the development of telerehabilitation for these patients. DATA SOURCES: MEDLINE, EMBASE, CINAHL, Cochrane Library, PEDro and AMED for relevant studies published between 01 January 2011 and 30 September 2020.

methodsPredetermined inclusion/exclusion criteria were utilised to shortlist abstracts. Two reviewers independently appraised articles, systematically extracted data and assessed the quality of individual studies and reviews (using GRADE and AMSTAR-2, respectively). Thematic analysis used for evidence synthesis; no quantitative meta-analysis conducted. The review was registered with PROSPERO (CRD42017073067).

resultsSeven new randomised controlled trials, nine observational studies, and three quasi-experimental or pilot studies were identified (

conclusionThe findings of this targeted review reinforce those of the earlier more general Cochrane review. New research studies strengthen previous conclusions about the benefits of facial exercise therapy early in recovery and add to evidence of the value in chronic cases. Further standardisation of study design/outcome measures and evaluation of cost-effectiveness are recommended.

Indexed as

Bell PalsyFacial ParalysisExercise TherapyFacial NerveHumansPhysical Therapy ModalitiesBell's palsyCOVID-19facial exercise therapysystematic reviewtelerehabilitation

Identifiers

PMID35787015
PMCPMC9510940
OpenAlexW4283824639

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.