Facial nerve palsy (FNP) changes facial expression and leads to functional problems in facial movement and negative psychological effect on patients. Fortunately, some of FNP problems recover completely, but some others remain with some sequelae like asymmetry, muscle contracture, synkinesis, and hyperkinesias that need rehabilitation. This article aimed to investigate physiotherapy modalities on these sequelae. Generally, exercise therapy in the form of neuromuscular reeducation was effective when the sequelae of FNP are analyzed. Then, we could select the type of exercise therapy according to that signs and sequelae (symptom). No acceptable researches about physiotherapy modalities like electrical nerve stimulation have been reported. Therefore, using electrical stimulation is not advised. Biofeedback therapy has been approved to be suitable.

Introduction: Vertigo is a clinical symptom of many disorders of the balance system. Benign Paroxysmal Positional Vertigo (BPPV), which is told to be idiopathic, may be due to the collection of calcium elements in the gelatinous material of sensory end organs in semicircular canals of the inner ear in different age groups. Medical treatment is no more than a symptom therapy. In some references, physical maneuvers are discussed to be effective in a complete cure of the symptoms. In this study, the effects of physical exercise on the relief of signs and symptoms are evaluated.Materials and Methods: In 2008 and 2000, a total of 112 patients with clinical diagnosis of BPPV, without any other clinical or laboratory findings were divided in two equal groups. The first group was trained in one hour by an experienced physiotherapist to do special maneuvers for 15 minutes TDS. The second group was treated with betaserc mg daily. A third physician evaluated the clinical results at the end of the first, third and sixth months.Results: Age and sex distributions were the same. The disease was commoner in the fifth 10-day period in females and in the sixth 10-day period in males. Complete recovery appeared with rehabilitation in the first month in 62% of females and in 58% of males. The results in the third month were 78% and 82% respectively. In the sixth month, they were 90% and 92% respectively. No worsening or complication was detected in this group. The results in the second group were 32% and 38% for females and males in the first month, 46% and 52% in the third month and 42% and 48% in the sixth month, respectively. Nausea and GI upset were detected in 32% of females and 18% of males. Discussion: Comparison of results between the two groups shows a significant difference and lower effectiveness of medical therapy in these patients. Conclusion: In clinical diagnosis of BPPV by physicians and R/O of the other causes of vertigo, rehabilitation may be recommended as an effective, inexpensive and low complication route of treatment.

Objectives: The aim of this research was to assess the level of awareness of rehabilitation professionals employed in academic rehabilitation centers in Tehran with reference to Tele-rehabilitation technology.Methods: In this study, a descriptive cross-sectional research method was used. The research was implemented by using a researcher-designed questionnaire which was developed by the integration and cultural adaptation of different tools collected in the field of tele-health implementation feasibility. The content and face validity of the questionnaire was determined and approved by Lawsche’s method. The reliability of the questionnaire was assessed by test-retest correlation coefficient determinations. After considering the inclusion and exclusion criteria, informed consent was obtained, and the questionnaires were distributed among the study sample, which comprised of 141 rehabilitation professionals.Results: The findings show that a desirable level of awareness does not exist among rehabilitation professionals with regards to this technology. Based upon the results, only 8% of the participants had basic knowledge of this technology required in case of implementation.Discussion: Since rehabilitation professionals’ awareness and knowledge can be a major key to a better implementation and application of this technology, it seems that there is a need for some developmental and training programs, such as informative educational workshops and seminars, to help them improve their level of knowledge and awareness.

As a common belief among rehabilitation specialists, the purpose of rehabilitation has been restoring some of a person's physical and mental capabilities that have been lost as a result of disease, illness, or injury and to help achieve the highest possible level of function, independence, and quality of life. Goals of rehabilitation for different populations differ...

Given finite healthcare resources it is important to ensure that they are put to the best use. Value in health care represents the relationship between health outcomes achieved and resources used. In a highly prevalent condition it is important to ensure that the highest value interventions are employed effectively In COPD these are influenza vaccination, smoking cessation and pulmonary rehabilitation...