International Journal of Scientific and Research Publications, Volume 9, Issue 1, January 2019 253 ISSN 2250-3153 http://dx.doi.org/10.29322/IJSRP.9.01.2019.p8533 www.ijsrp.org Attitude of Physiotherapists about the Role of Transpore Tape in the Treatment of Facial Palsy Patients Dr. Zar Bakht Bano, Dr. Tehmina Ramzan, Dr. Mohsin Majeed, Dr. Hamza Sardar, Dr. Riffat Ammar, Dr. Ayesha Basharat, Dr. Muhammad Abubakar Physical Therapy department of Sargodha Medical College DOI: 10.29322/IJSRP.9.01.2019.p8533 http://dx.doi.org/10.29322/IJSRP.9.01.2019.p8533 Abstract- Background: Facial palsy refers to the weakness of facial muscles mainly resulting from the temporary damage to the facial nerve. The recommended treatments for facial palsy include facial muscle exercises, biofeedback, electrical stimulation, massage and sensory stimulation. Objective: The purpose of this study is to check the attitude of physiotherapist about effectiveness of Transpore tape in patients of facial palsy in early correction of mouth deviation and associated complications. This is prime study to determine therapist trend about the use of Transpore tape in facial palsy conservative treatment in Punjab Pakistan. Methodology: The study was conducted in different physical therapy units including both government and private hospitals of Punjab, Pakistan. Data was collected by the help of modified Synkinesis assessment questionnaire from 500 physiotherapists to know their opinion about effectiveness of supportive therapy by using Transpore tape in facial palsy treatment Results: Results were analyzed from the data given by physiotherapist. According to the data, 60% physiotherapists recommended the use of Transpore tape for facial paralysis treatment for improvement in chewing process. 58% recommended Transpore tape for ease of drinking water. 40% physiotherapists recommended electrical stimulation for puffing of mouth. And 56% physiotherapists recommended Transpore tape for early correction of mouth deviation. Conclusion: Transpore tape was an effective supportive therapy in early rehabilitation of mouth deviation & associated complications in facial palsy Index Terms- Adhesive tape, Facial paralysis, mastication, angle of mouth, puffing of mouth. I. INTRODUCTION acial palsy is a neurological disorder caused by facial nerve injury. Facial nerve can be injured as a result of trauma, any infection to the nerve or degenerative diseases. Facial paralysis refers to the weakness of facial muscles (Orbicularis oris, buccinators, zygomatic major &minor, Angulii oris and Levator labii). It can occur sometimes on the lower half of the face and sometimes on one whole side of the face. This results in loss of normal facial functions like mastication and (1) . Some causes are listed below: • Viral Infections like Bell’s palsy and Ramsay hunt Syndrome. • Surgical causes, e.g. removal of acoustic neuroma or facial nerve tumor or when operating on the parotid gland. • Bacterial causes. • Neurological conditions such as Guillain-Barré syndrome, • Traumatic injury such as fracture of skull. • Birth Trauma • Congenital conditions such as abnormal development of facial nerve. Stroke (2) . Bell's palsy represents very nearly 75% of all intense facial paralyses. Highest incidence was being in 15-45 years of age. The annual incidence in UK population was around 20 per 100,000 with one in 60 people being affected during their lifetime. Men and women were equally affected (3) .It occurs with equal frequency on either the right or left side of the face. Simultaneously, bilateral facial palsy is extremely rare with a prevalence of 0.3–2% of the facial palsies. Bell’s palsy arises more frequently in the spring (4 ).The loss of the capacity to move the face has both social and useful ramifications for the patient. Over half were found to have a significant level of mental trouble and social withdrawal as a consequence of their facial paralysis. Signs and symptoms can include an asymmetric smile, Synkinesis, epiphora or dry eye, abnormal blink, problems with speech articulation, drooling, hyperacusis, change in taste and facial pain (5) . Diabetic patients are 30% more likely have chance to recover than non-diabetic patients that have only partial recovery; recurrence of Bell palsy is also more common among diabetic patients. The effectiveness of neuromuscular facial retraining techniques in combination with electromyography to improve facial function was studied in cases of long-standing paralysis. All patients made significant improvements in function with improved symmetry in dual-channel electromyography readings and increased facial movement percentages. Facial retraining is an amazing case of the plasticity of the central nervous system to reorganize, even in cases of long-standing paralysis. In individuals with long standing facial palsy, Neuromuscular facial retraining exercises are effective to improve facial movements (6) . Mime therapy is a novel therapy combining mime and physiotherapy. The effects of mime therapy for patients with longstanding (at least 9 months) squeal of unilateral peripheral facial paralysis were F