Clinical Research Directory

Inclusion Criteria: * Age 18 years and above. * Both genders male and female will be included. * Patients diagnosed with Bell's palsy with relevant diagnostic criteria, including history. (tick bite, erythema migraine, pain), neurological examination including inspection of ear and infection of HIV, Herpes virus. * Patient having asymmetry in face (Sunnybrook Facial Grading Scale SFGS, use to check asymmetry in both sides of face). * Appearance of synkinesis on affected side (Synkinesis Assessment Scale) * Onset of symptoms must be first week. * Patient having sufficient, physical, and mental ability to understand instructions and cooperate throughout the session. Exclusion Criteria: * Patients diagnosed with other than Bell's palsy (e.g., facial nerve trauma) (25). * Patients with severe co-morbidities (e.g., uncontrolled hypertension, diabetes, cardiovascular diseases). * Patients with significant cognitive impairment or communication difficulties who have undergone previous facial nerve surgery or interventions. * Patients with severe psychiatric conditions affecting compliance or participation and on psychiatric medications. * Patients with central nervous system tumor.