Combined Effects of Proprioceptive Neuromuscular Facilitation (PNF) and Neural Mobilization on Improving Facial Symmetry in Patients With Bells Palsy

Bell's palsy is an acute,unilateral facial paresis that significantly affects patient's facial symmetry,motor function and quality of life.The primary goal of this randomized controlled trial is to determine if integrating the targeted neural mobilization with proprioceptive neuromuscular facilitation improves facial symmetry and motor function more effectively than using pnf alone.participants allocated to either experimental group receiving neural mobilization and pnf or control group receiving pnf alone.after approval from ERC FUSH, participants are assessed using housebrackman scale and sunnybrook facial grading system(scales to asses the degree of severity of facial paralysis) at first and fourth week of intervention application.data will be analysed using spss v.22.

Inclusion Criteria: * Age 15-60 years. * Both male and female. * Patient diagnosed with bells palsy by neurologist or relevant specialist. * Patients with moderate to severe Bell's palsy evaluated by Modified House-Brackman SCALE * Patient without exposure to any other rehabilitation program * Patients within the acute or subacute phases (within 6 months of onset) Exclusion Criteria: * Patients with a history of recurrent Bell's palsy or other neurological disorders (e.g., stroke, multiple sclerosis) * Patients with pacemakers, metal implants or other contraindications for electrical muscle stimulation. * Presence of facial trauma or surgical interventions that might interfere with rehabilitation outcomes. * Co-existing medical conditions (e.g., diabetes mellitus, infections, or malignancies) that might impair nerve recovery or affect study outcomes