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Clinical Rehabilitation
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Bell's palsy: the effect on self-image, mood state and social activity

AM Weir

Department of Rehabilitation Medicine, Astley Ainslie Hospital

B. Pentland

Department of Rehabilitation Medicine, Astley Ainslie Hospital

A. Crosswaite

Department of Rehabilitation Medicine, Astley Ainslie Hospital

J. Murray

Department of ENT, Royal Infirmary, Edinburgh

R. Mountain

Department of ENT, Royal Infirmary, Edinburgh

Twenty patients with idiopathic lower motor neurone paralysis, Bell's palsy, were graded clinically for severity of palsy and subjected to a battery of questionnaires to assess self-image, mood and functional disability. A range of severity of palsy was represented and a variety of disturbance with facial self-image, social activity and emotional state was found. In particular 16 expressed dissatisfaction with at least one aspect of facial appearance, seven reported disturbance of face-to-face conversation and 12 described a change in other people's attitude to them. It was concluded that there is evidence of considerable social handicap in a proportion of patients afflicted by this otherwise relatively benign condition.

Clinical Rehabilitation, Vol. 9, No. 2, 121-125 (1995)
DOI: 10.1177/026921559500900206
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