Hello everyone, you are watching Physioclassroom channel and in today’s video we are going to talk about Bell’s palsy. In Bell’s palsy, the patient suddenly realizes that he/she is having difficulty in moving one side of the face. For example, raising eyebrow, closing eye, smiling and making various other facial expressions become difficult for the patient. You can find many videos on YouTube describing various exercises that should done in Bell’s palsy, but in none of the video I have seen that someone is telling you about what is the best way to perform those exercises! So let’s understand important physiotherapy tips and tricks to perform facial exercises in Bell’s palsy. In Bell’s palsy, the patient should perform the exercises in front of mirror in sitting or standing position, so that they can see how much and how well they are able to move their paralysed side. Exercising in front of mirror also gives us motivation and feedback. The first exercise that is often told to Bell’s palsy patient to perform at home is to raise eyebrows. So let’s imagine that if my right side face is paralyzed, then I won’t be able to raise my right eyebrow. In such case, patients are often told to raise the paralyzed side eyebrow using the hand and move both sides together. So now our exercise would look something like this: But I must tell you this that it is not the best way to do the exercise. So if we want that we should get the maximum benefit from our exercises then we should pay attention to two important things: Firstly when we are moving both sides together, we not only have to assist the weaker side in moving, but also simultaneously resist the stronger side muscle contraction. So now we would be doing our exercise somewhat like this: My one hand will resist the eyebrow movement of the normal side by applying a downward force and my other hand will assist the eyebrow movement of the paralyzed side by applying an upward force. So now when I do my exercise, it would look like this: The second important tip/ advice that I want to share with you all is this we should not focus on doing the exercise repeatedly many number of times but instead always try and hold the end position (raised eyebrow) for a second or two before returning back slowly to the starting position. So if Bell’s palsy patients while doing their exercise will pay attention to these two important points, then they will not only notice more benefits from their exercises but also will take lesser time to recover completely. So now let me quickly demonstrate some of the important exercises done in Bell’s palsy and the best way to do them! EXERCISE NO. 1: RAISING EYEBROWS EXERCISE NO.2: FROWNING: In this we need to move our eyebrows downwards and inwards. EXERCISE NO.3: CLOSING EYES EXERCISE NO.4: WRINKINKLING NOSE, somewhat like this. EXERCISE NO.5: SMILING EXPRESSION EXERCISE NO.6: WHISTLING EXERCISE NO. 7: SHOWING UPPER TEETH EXERCISE NO.8: PULLING BOTH LIPS INWARDS: For doing this exercise take an ice-cream stick and keep it between your lips, and then pull the stick inwards using your lips and with gentle force of hand pull the stick outwards Start this exercise by keeping the ice-cream stick in the center of lips, and as you start improving, progress this exercise by shifting the stick towards the affected side like this: EXERCISE NO.9: DRINKING WATER FROM STRAW: Bell’s palsy patients should try to take their daily water intake by sipping from a straw, which will help in making the lips muscle stronger Start by sipping from the center of the mouth and as you start improving, shift the straw toward the weaker side of mouth. EXERCISE NO. 10: BLOWING CHEEKS: There are lot many more exercises that can be done in Bell’s palsy, but this video has been made to make the patients understand the best way to perform any facial exercise. You can do your exercises 20 to 30 times in a single session and three to four times in a day. The recovery rate in Bells palsy patients is very good and majority of the patients get recovered in first 3 to 6 months after suffering from Bell’s palsy. Advantage of Doing Physical Therapy in the right way is that the patient can recover quickly and completely in lesser time. Physical Therapy plays a very important role in Bell’s palsy rehabilitation, and I am going to make a series of videos on Bell’s palsy in which we are going to discuss on many more important things. Kindly share this video maximally so that it could reach to the needy ones. So keep learning, keep sharing and stay connected.