Bell's PalsyNCT07436624
Kabat Rehabilitation Versus Kinesiology Taping in Bell's Palsy
A study testing Conventional Facial Therapy and Kabat Rehabilitation in people with Bell's Palsy and Facial Paralysis, run by University of Lahore at 1 site in Pakistan.
Trial summary
This randomized controlled trial aims to compare the effects of Kabat rehabilitation versus kinesiology taping, both combined with conventional therapy, on facial asymmetry and functional disability in patients with unilateral Bell's palsy. Read more about this study
- Who is it for?
- Ages 30 to 50 years
- Conditions the study is for
- Bell's Palsy, Facial Paralysis
- What is being tested?
- Conventional Facial Therapy and Kabat Rehabilitation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 38 participants
- Where
- 1 sitePakistan
- Study dates
- 11 Dec 2025to 12 Apr 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age between 30-50 years Both genders Unilateral Bell's palsy House-Brackmann grade greater than 3 Sufficient physical and mental ability to follow instructions
Who cannot join
- Facial skin lesions or contraindications for procedures Cranial or facial trauma within past 3 months Prior episodes of facial paralysis Craniofacial deformities or degenerative diseases Head and neck malignancy Active infection History of upper motor neuron lesion
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
University of Lahore Teaching Hospital
Lahore, Punjab Province
About this study
Official title: Effects of Kabat Rehabilitation Versus Kinesiology Taping Combined With Conventional Therapy on Facial Asymmetry and Functional Disability in Patients With Unilateral Bell's Palsy: A Randomized Controlled Trial
This randomized controlled trial aims to compare the effects of Kabat rehabilitation versus kinesiology taping, both combined with conventional therapy, on facial asymmetry and functional disability in patients with unilateral Bell's palsy. A total of 38 participants will be recruited from the University of Lahore Teaching Hospital. Participants will be randomly assigned into two groups using a lottery method. Outcomes will be assessed using the Sunnybrook Facial Grading System and the Facial Disability Index at baseline, 4 weeks, and 8 weeks.
Read the detailed description
This single-blinded randomized clinical trial will be conducted at the University of Lahore Teaching Hospital, Lahore. Participants aged 30-50 years diagnosed with unilateral Bell's palsy will be recruited using purposive sampling. After obtaining informed consent, 38 eligible participants will be randomly allocated into two parallel groups using the lottery method.
Group A will receive conventional therapy (facial massage and electrical muscle stimulation) combined with Kabat rehabilitation using proprioceptive neuromuscular facilitation (PNF) techniques.
Group B will receive conventional therapy combined with kinesiology taping applied according to a standardized protocol targeting affected facial muscles.
Treatment will be administered for 8 weeks, 5 sessions per week, with each session lasting approximately 40 minutes. Assessments will be conducted at baseline, at 4 weeks, and at 8 weeks. Data will be analyzed using SPSS version 27.0.
- Conditions
- Bell's Palsy, Facial Paralysis
- Being tested
- Conventional Facial Therapy, Kabat Rehabilitation
- Keywords
- Kabat Rehabilitation, Proprioceptive Neuromuscular Facilitation, Kinesiology Taping, Facial Asymmetry, Sunnybrook Facial Grading System, Facial Disability Index, House-Brackmann Scale, Physiotherapy
- Medical subject headings
- Bell Palsy, Facial Paralysis, Facial Asymmetry
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional Facial TherapyOther
Also called Electrical Muscle Stimulation, Facial Massage
Conventional therapy will consist of facial massage and electrical muscle stimulation (EMS). Massage techniques will include light stroking, tapping, and kneading of affected facial muscles for approximately 5 minutes. Electrical muscle stimulation will be delivered using interrupted galvanic current with a pulse width of 150 μs, frequency of 1-10 Hz, and intensity of 2-5 mA for 15 minutes. Small surface electrodes will be placed on key facial muscles including frontalis, zygomaticus major, orbicularis oris, and mentalis. Total duration of conventional therapy will be approximately 20 minutes per session.
Kabat RehabilitationOther
Also called Proprioceptive Neuromuscular Facilitation (PNF)
Kabat rehabilitation will be administered using proprioceptive neuromuscular facilitation (PNF) techniques. Manual resistance will be applied to stimulate contraction of affected facial muscles through three fulcrum points (upper, intermediate, and lower). Each muscle group (frontalis, corrugator supercilii, orbicularis oculi, procerus, orbicularis oris, and mentalis) will perform 10 repetitions for 2 sets. The Kabat component will last approximately 20 minutes per session. Treatment will be provided 5 sessions per week for 8 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Kabat Rehabilitation + Conventional Therapy | Experimental | Participants will receive conventional therapy (massage and EMS) combined with Kabat rehabilitation (PNF techniques) for 8 weeks, 5 sessions per week. Receives: Other: Kabat Rehabilitation |
| Kinesiology Taping + Conventional Therapy | Experimental | Participants will receive conventional therapy combined with kinesiology taping for 8 weeks, 5 sessions per week. Receives: Other: Conventional Facial Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Facial Asymmetry (Sunnybrook Facial Grading System)
Scores range from 0 to 100, where higher scores indicate better facial symmetry.
Measured: Baseline, 4 weeks, and 8 weeks
Secondary outcomes (1)
Functional Disability (Facial Disability Index - FDI)
Assesses physical and social well-being related to facial function. Higher scores indicate better function.
Measured: Baseline, 4 weeks, and 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2026
- Study start11 Dec 2025
- Primary completion13 Mar 2026 (estimated)
- Study completion12 Apr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Bell's PalsyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 38 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Lahore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sidra Zaman, University of Lahore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07436624
- Sponsor's protocol ID
- UOL/IREB/25/15/03/35
- Status last verified
- Feb 2026
- First submitted
- 21 Feb 2026
- Last updated
- 27 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared because this study was conducted as an academic research project. The informed consent obtained from participants did not include provisions for public data sharing, and the dataset contains sensitive personal health information. Data will be stored securely and
Publications
Atif, M. M., Hussain, K., Naeem, I., Asghar, Z., Batool, F., Butt, S., & Khalil, A. (2024). Prevalence of Recurrent Bell's Palsy: Prevalence of Recurrent Bell's Palsy. Pakistan Journal of Health Sciences, 50-54.
Athawale, V. K., Bawiskar, D. P., & Phansopkar, P. A. (2021). Rehabilitation of a Patient with Bell's Palsy. Journal of Evolution of Medical and Dental Sciences, 10(20), 1551-1555.
Amjad, A., Iqbal, M. H., Jamil, A., Kamran, S., Maqbool, S., & Akbar, M. (2024). Comparative Effects of Kabat Rehabilitation and Kinesiotaping on Functional Disability, Synkinesis and Patient Satisfaction in Patients with Bell's Palsy. Journal Riphah College of Rehabilitation Sciences, 12(1).
Alqahtani SY, Almalki ZA, Alnafie JA, Alnemari FS, AlGhamdi TM, AlGhamdi DA, Albaqami LO, Ibrahim M. Recurrent Bell's Palsy: A Comprehensive Analysis of Associated Factors and Outcomes. Ear Nose Throat J. 2024 Nov 25:1455613241301230. doi: 10.1177/01455613241301230. Online ahead of print.
PubMed 39587480Alanazi F, Kashoo FZ, Alduhishy A, Aldaihan M, Ahmad F, Alanazi A. Incidence rate, risk factors, and management of Bell's palsy in the Qurayyat region of Saudi Arabia. PeerJ. 2022 Oct 6;10:e14076. doi: 10.7717/peerj.14076. eCollection 2022.
PubMed 36221264Al Najim, M. M., & Marah, L. D. H. A. (2025). Identifying Key Risk Factors for Bell's Palsy and Insights from a Retrospective Analysis. Central Asian Journal of Medical and Natural Science, 6(2), 586-593.
Al-Hasan, H. K. J., Al-Salim, A. A., & Haji, S. A. (2023). Prevalence of facial nerve palsy in the neuro-medicine private clinic. Romanian JouRnal of neuRology, 22(2), 137.
Ahmed, S., Shahid, A., & Waheed, A. (2023). Effectiveness of Kabat Exercises along with Mirror Therapy in Bell's Palsy. Journal of Health and Rehabilitation Research, 3(2), 1288-1293.
Adhikari, S. P., Chaudhary, M., & Dev, R. (2020). Kabat interventions integrated with facial expressive and functional exercises for better and speedy recovery in bell's palsy; a pre-post design. Journal of Chitwan Medical College, 10(4), 71-76.
Abioke UB, Anosike W, Olaniyi AO, Okwuowulu IL, Mandal M, Eze CY. Physiotherapy Management of Bell's Palsy in an Elderly Patient: A Case Report. Cureus. 2025 Jul 15;17(7):e88045. doi: 10.7759/cureus.88045. eCollection 2025 Jul.
PubMed 40821194
Study at a glance
From the registry record, last updated by the sponsor on 27 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Kabat Rehabilitation Versus Kinesiology Taping Combined With Conventional Therapy on Facial Asymmetry and Functional Disability in Patients With Unilateral Bell's Palsy: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07436624
- Acronym / sponsor ID
- UOL/IREB/25/15/03/35
- Conditions
- Bell's Palsy, Facial Paralysis
- Keywords
- Kabat Rehabilitation, Proprioceptive Neuromuscular Facilitation, Kinesiology Taping, Facial Asymmetry, Sunnybrook Facial Grading System, Facial Disability Index, House-Brackmann Scale, Physiotherapy
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 38 participants (estimated)
- Lead sponsor
- University of LahoreUniversity, hospital or other
- Study start
- 11 Dec 2025 (actual)
- Primary completion
- 13 Mar 2026 (estimated)
- Study completion
- 12 Apr 2026 (estimated)
- First posted
- 27 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled trial aims to compare the effects of Kabat rehabilitation versus kinesiology taping, both combined with conventional therapy, on facial asymmetry and functional disability in patients with unilateral Bell's palsy. A total of 38 participants will be recruited from the University of Lahore Teaching Hospital. Participants will be randomly assigned into two groups using a lottery method. Outcomes will be assessed using the Sunnybrook Facial Grading System and the Facial Disability Index at baseline, 4 weeks, and 8 weeks.
Detailed description
This single-blinded randomized clinical trial will be conducted at the University of Lahore Teaching Hospital, Lahore. Participants aged 30-50 years diagnosed with unilateral Bell's palsy will be recruited using purposive sampling. After obtaining informed consent, 38 eligible participants will be randomly allocated into two parallel groups using the lottery method.
Group A will receive conventional therapy (facial massage and electrical muscle stimulation) combined with Kabat rehabilitation using proprioceptive neuromuscular facilitation (PNF) techniques.
Group B will receive conventional therapy combined with kinesiology taping applied according to a standardized protocol targeting affected facial muscles.
Treatment will be administered for 8 weeks, 5 sessions per week, with each session lasting approximately 40 minutes. Assessments will be conducted at baseline, at 4 weeks, and at 8 weeks. Data will be analyzed using SPSS version 27.0.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Kabat Rehabilitation + Conventional Therapy | Experimental | Other: Kabat RehabilitationParticipants will receive conventional therapy (massage and EMS) combined with Kabat rehabilitation (PNF techniques) for 8 weeks, 5 sessions per week. |
| Kinesiology Taping + Conventional Therapy | Experimental | Other: Conventional Facial TherapyParticipants will receive conventional therapy combined with kinesiology taping for 8 weeks, 5 sessions per week. |
Who may qualify
- Ages
- 30 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Age between 30-50 years Both genders Unilateral Bell's palsy House-Brackmann grade greater than 3 Sufficient physical and mental ability to follow instructions
Key exclusion criteria (1 listed)
- Facial skin lesions or contraindications for procedures Cranial or facial trauma within past 3 months Prior episodes of facial paralysis Craniofacial deformities or degenerative diseases Head and neck malignancy Active infection History of upper motor neuron lesion
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Conventional Facial TherapyAlso: Electrical Muscle Stimulation, Facial MassageConventional therapy will consist of facial massage and electrical muscle stimulation (EMS). Massage techniques will include light stroking, tapping, and kneading of affected facial muscles for approximately 5 minutes. Electrical muscle stimulation will be delivered using interrupted galvanic current with a pulse width of 150 μs, frequency of 1-10 Hz, and intensity of 2-5 mA for 15 minutes. Small surface electrodes will be placed on key facial muscles including frontalis, zygomaticus major, orbicularis oris, and mentalis. Total duration of conventional therapy will be approximately 20 minutes per session. | Other | Kinesiology Taping + Conventional Therapy |
| Kabat RehabilitationAlso: Proprioceptive Neuromuscular Facilitation (PNF)Kabat rehabilitation will be administered using proprioceptive neuromuscular facilitation (PNF) techniques. Manual resistance will be applied to stimulate contraction of affected facial muscles through three fulcrum points (upper, intermediate, and lower). Each muscle group (frontalis, corrugator supercilii, orbicularis oculi, procerus, orbicularis oris, and mentalis) will perform 10 repetitions for 2 sets. The Kabat component will last approximately 20 minutes per session. Treatment will be provided 5 sessions per week for 8 weeks. | Other | Kabat Rehabilitation + Conventional Therapy |
Primary outcome
Facial Asymmetry (Sunnybrook Facial Grading System)
Time frame: Baseline, 4 weeks, and 8 weeks
Scores range from 0 to 100, where higher scores indicate better facial symmetry.
1 secondary outcome
Functional Disability (Facial Disability Index - FDI)
Time frame: Baseline, 4 weeks, and 8 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Feb 2026.
- BackgroundAtif, M. M., Hussain, K., Naeem, I., Asghar, Z., Batool, F., Butt, S., & Khalil, A. (2024). Prevalence of Recurrent Bell's Palsy: Prevalence of Recurrent Bell's Palsy. Pakistan Journal of Health Sciences, 50-54.
- BackgroundAthawale, V. K., Bawiskar, D. P., & Phansopkar, P. A. (2021). Rehabilitation of a Patient with Bell's Palsy. Journal of Evolution of Medical and Dental Sciences, 10(20), 1551-1555.
- BackgroundAmjad, A., Iqbal, M. H., Jamil, A., Kamran, S., Maqbool, S., & Akbar, M. (2024). Comparative Effects of Kabat Rehabilitation and Kinesiotaping on Functional Disability, Synkinesis and Patient Satisfaction in Patients with Bell's Palsy. Journal Riphah College of Rehabilitation Sciences, 12(1).
- Background: PubMed 39587480Alqahtani SY, Almalki ZA, Alnafie JA, Alnemari FS, AlGhamdi TM, AlGhamdi DA, Albaqami LO, Ibrahim M. Recurrent Bell's Palsy: A Comprehensive Analysis of Associated Factors and Outcomes. Ear Nose Throat J. 2024 Nov 25:1455613241301230. doi: 10.1177/01455613241301230. Online ahead of print.
- Background: PubMed 36221264Alanazi F, Kashoo FZ, Alduhishy A, Aldaihan M, Ahmad F, Alanazi A. Incidence rate, risk factors, and management of Bell's palsy in the Qurayyat region of Saudi Arabia. PeerJ. 2022 Oct 6;10:e14076. doi: 10.7717/peerj.14076. eCollection 2022.
- BackgroundAl Najim, M. M., & Marah, L. D. H. A. (2025). Identifying Key Risk Factors for Bell's Palsy and Insights from a Retrospective Analysis. Central Asian Journal of Medical and Natural Science, 6(2), 586-593.
- BackgroundAl-Hasan, H. K. J., Al-Salim, A. A., & Haji, S. A. (2023). Prevalence of facial nerve palsy in the neuro-medicine private clinic. Romanian JouRnal of neuRology, 22(2), 137.
- BackgroundAhmed, S., Shahid, A., & Waheed, A. (2023). Effectiveness of Kabat Exercises along with Mirror Therapy in Bell's Palsy. Journal of Health and Rehabilitation Research, 3(2), 1288-1293.
- BackgroundAdhikari, S. P., Chaudhary, M., & Dev, R. (2020). Kabat interventions integrated with facial expressive and functional exercises for better and speedy recovery in bell's palsy; a pre-post design. Journal of Chitwan Medical College, 10(4), 71-76.
- Background: PubMed 40821194Abioke UB, Anosike W, Olaniyi AO, Okwuowulu IL, Mandal M, Eze CY. Physiotherapy Management of Bell's Palsy in an Elderly Patient: A Case Report. Cureus. 2025 Jul 15;17(7):e88045. doi: 10.7759/cureus.88045. eCollection 2025 Jul.
- Individual participant dataSharing planned: No. Individual participant data will not be shared because this study was conducted as an academic research project. The informed consent obtained from participants did not include provisions for public data sharing, and the dataset contains sensitive personal health information. Data will be stored securely and
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Facial Therapy and Kabat Rehabilitation in people with Bell's Palsy and Facial Paralysis, run by University of Lahore at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Facial Asymmetry (Sunnybrook Facial Grading System) (time frame: Baseline, 4 weeks, and 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07436624, which also lists 10 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2026.