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Bells Palsy Exercise

Following Bell's Palsy, exercises should begin only after signs the nerve is sending signals to muscles. Stage 1 involves gentle massage from the mouth corner to ear and jaw in circles. Stage 2 includes exercises like raising eyebrows, frowning, winking, and saying sounds while watching in a mirror. Short sessions repeating the routine 2-3 times daily are most effective.

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0% found this document useful (0 votes)
595 views

Bells Palsy Exercise

Following Bell's Palsy, exercises should begin only after signs the nerve is sending signals to muscles. Stage 1 involves gentle massage from the mouth corner to ear and jaw in circles. Stage 2 includes exercises like raising eyebrows, frowning, winking, and saying sounds while watching in a mirror. Short sessions repeating the routine 2-3 times daily are most effective.

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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Patient Information for the

Gloucestershire Health Community

Exercises
following
Bell
Bellss Palsy

GHPI0252 /10/03
Author: Physiotherapy
Date Written: October 2003
Review due: October 2004

Exercises following Bell


Bellss
Palsy
Stage 1 - massage
Do not begin any exercises for the face until
there are visible signs that the nerve is
sending signals to the muscles. However, it
is safe to start some gentle massage:

Stage 2 exercises
Preferably do the exercises in front of a
mirror and concentrate on which muscles
are trying to work. If the good side
overworks or movements become too
exaggerated, then stop and make the
movements smaller.

Using your fingers, massage and gently


stretch the skin from the corner of your
mouth towards the ear and then down
to the jaw bone in a circular pattern

Exercise in short sessions but repeat the


routine 2 3 times a day. Quality is more
important than quantity.

Do the same circular pattern on your


chin and forehead

With your finger (or electric toothbrush


/ make-up brush / ice cube) brush
forehead in an upward direction
towards the hairline, 2 3 times. Do the
same with the cheek area, or try gentle
tapping on the skin with your fingertips

After brushing the forehead (see


above) try to then raise eyebrows in a
look of surprise. (Do not let corner of
mouth move upwards)

Brush cheek, using techniques as


above, in an upward direction from
corner of mouth to ear. Then smile as if
saying eee

Wrinkle forehead into a frown

Close eyes slowly

Gently wink with one eye. Repeat with


other

Wrinkle up nose as if you have smelt


something horrible

Open mouth wide as if to say ahh

Pucker lips and push forwards as if to


say ooo

Alternate say ooo, eee and ahh

Smile without showing teeth; then


smile showing teeth

Puff cheeks out with air hold lips shut


so that no air escapes. Hold for 3 5
seconds

Compress lips together

Practise reading / speaking out loud,


carefully sounding out the words

NB Dont chew gum as this exercises the


wrong muscles.

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