Imaging spectrum of renal masses on multi-slice computed tomography

Background: Multi-slice computed tomography (MSCT) is the mainstay for preoperative assessment of many complex renal masses in current clinical practice. Benign renal processes may simulate malignant renal tumors and could be defined correctly by CT. MSCT has also an important role in tumor staging. The purpose of this article is to understand the imaging spectrum of renal masses on MSCT and assess the usefulness of CT in surgical planning and management.Methods: Studied 500 patients with suspected renal lesions who underwent MSCT during the period July 2017 to July 2020 at state-of-art imaging center. CT imaging was done in those patients in whom clinical examination and ultrasonography (USG) revealed possibility of diagnosis of renal masses for further detailed evaluation and deciding management.Results: Out of 500 total subjects, the common age group in this study is 51 to 60 years (25%). Male preponderance (59%) was noted. The most common presentation was pain (84%) followed by lump (29.4%) and haematuria (17.8%). Malignant masses (51%) were more common followed by benign (39%) and inflammatory masses (10%) respectively. Renal cell carcinoma has more incidence (30%) followed by simple cyst (20%). Calcification (19.6%), perinephric extension (78%) and vascular invasion (21.5%) are more common in malignant masses. Conclusion: MSCT is the modality of choice for the diagnosis of renal masses and deciding management approach in current practice. Detection of tumoral spread, invasion of surrounding organs and vascular structure are better with CT. MSCT also has a role in postoperative follow-up of renal masses.

Type ii aortopulmonary window with isolated left subclavian artery from left pulmonary artery

Abstract Type II Aortopulmonary window (APW) accounts for only 10% of total cases of APW, which by itself is a rare congenital anomaly. Various cardiac malformations have been reported to be associated with this rare anomaly. We report one such association of origin of left subclavian artery (LSCA) from left pulmonary artery (LPA) via ductus arteriosus that was surgically repaired.

Double outlet of right ventricle: imaging spectrum on multi-slice computed tomography

Background: Multi-slice computed tomography (MSCT) is the main stay of pre-operative assessment of many complex congenital heart diseases (CHD) in current clinical practice, one of them is double outlet of right ventricle (DORV). DORV is one of the conotruncal anomalies that encompasses a wide spectrum of anatomic malformations in which both the aorta and pulmonary arterial trunk arise entirely or predominantly from the morphologically right ventricle (RV). Purpose of this article is to understand spectrum of DORV and associated types of ventricular septal defect (VSD) on MSCT imaging with special emphasis of usefulness of 3-D volume rendered (VR) images in pre surgical evaluation.Methods: A total of 500 paediatric patients (<18 years old), who had undergone MSCT were studied during the period 2014 to 2019 at the tertiary cardiac care centre.Results: 500 patients having primary/suspicious diagnosis of DORV on echocardiography during the said period were enrolled in the study. All the patients who underwent MSCT scan, were studied in detail for: DORV spectrum, associated types of VSD and its relationship to the semilunar valves. Out of 500 total subjects, subaortic VSD was the most common type of VSD observed (53%), followed by subpulmonic VSD (22%), non-committed VSD (18%) and doubly committed VSD (7%). Associations of pulmonary stenosis, subaortic stenosis and aortic co-arctation with various types of VSDs were addressed. Associated other anomalies were also analysed.Conclusions: Advances in MSCT technology has revolutionized pre-surgical diagnosis, management approach and post-operative follow-up of DORV patients. Excellent image qualities along with 3D volume rendered images help surgeon understand complex morphology of DORV variants and associated types of VSD. Significant reduction in intra and post-operative mortality in DORV patients in current era is result of MSCT technology.

Comparison of effect of concurrent phone texting on gait speed in young and middle aged healthy subjects

Background: Around the world today, adoption of mobile media phones and its advancement have been growing at dizzying pace in all age groups. People use phone while walking on/crossing roads, climbing stairs, driving cars, etc. Using a smartphone while walking has shown decrease in walking speed and affect dynamic balance by reducing cognitive ability. The objective of study is to see and compare effect of concurrent phone texting while obstacle walking on walking time in young and middle-aged healthy subjects.Methods: An observational study with 100 healthy individuals (50 young and 50 middle-aged) were taken and had to walk on a 15 m walkway with obstacle (approximately 10% of subject’s height) at 8m distance from start without and with texting. The text messages used were all short objective questions and were sent to them approximately 2 steps prior to reaching the obstacle. Their walking time was analyzed.Results: Wilcoxon test used to analyze difference within group. In young people without phone texting it was11.41±1.24 seconds and with texting was14.79±2.67seconds, (z=-6.101, p<0.001) and in middle aged was14.93±1.20 seconds and 20.52±1.87 seconds respectively (z=-6.154, p<0.001). Mann Whitney test used to analyze difference between groups. For without texting in young and middle aged walking time (U=48.0, p<0.001), with texting young and middle aged walking time (U=122.00, p<0.001) and comparing the difference in walking time between young and middle aged with and without phone texting (U=372.5, p<0.001).Conclusions: Phone texting increases walking time in young and middle aged with difference in walking time more in middle aged adults.

Physical Activity Level And Physical Fitness Parameters In Physiotherapy Students

Background: Regular physical activity (PA) and health-related physical fitness are key indicators of health outcomes. Physiotherapy professional bodies are recognizing that physical activity and exercise are integral to professional practice and are core contributors to health along with reducing the risk of developing diabetes, hypertension, and cardiovascular diseases. PA also improves emotion and stress control. Objective: The objectives of the study are to find the level of physical activity and compare physical fitness parameters in physiotherapy students by evaluating aerobic capacity, endurance and body composition in different levels of physical activity. Methods: An observational study was conducted on 100 male and female physiotherapy students aged 18-24 years using random sampling. Subjects having severe back pain, recent fractures were excluded. Students were divided into three groups low PA, moderate PA, high PA based on their Physical activity score evaluated using international physical activity questionnaire-short form (IPAQ). Aerobic capacity was measured by Queens college step test, endurance of trunk extensor muscles (TE) was found by Sorenson’s test and endurance of trunk flexor muscles (TF) by holding time of prone forearm plank position and body composition was calculated by Body mass index (BMI). Level of significance was kept at 5%. Results: Data of 100 students was analysed. Forty one students were in low activity group, Thirty four students were in moderate activity group and twenty five students were in high activity group. Mean Aerobic capacity was 42.94±8.31ml/min/kg, Trunk Flexor endurance was 63.62±25.65s, Trunk extensor endurance was 71.50±30.41s and BMI was 23.33±4.02kg/m2. Comparing means of 3 groups by Kruskal Wallis test, Aerobic capacity ᵪ2=51.019, p<0.001, TE endurance ᵪ2=23.644, p<0.001.TF endurance ᵪ2=15.832, p<0.001, BMI ᵪ2=2.869, p>0.05. Conclusion: Low to moderate level of physical activity was found among physiotherapy students. Physiotherapy students who were physically active in their routine life have better aerobic capacity, Trunk flexor endurance and Trunk extensor endurance and thus better physical fitness, compared to those with low levels of physical activity. The body mass Index was not significantly different in three groups.

Functional Capacity And Its Correlation With Pain And Function In Subjects With Post-Polio Syndrome Across Gujarat, India

Acute polio is no longer a constant threat to people in the polio-free areas of the world,but there are still thousands of polio survivors who are at risk of developing late manifestations of the disease, known as post-polio syndrome (PPS) which presents with new or increased muscle weakness and muscle fatigability as key symptoms.This study aims to determine the functional capacity in subjects with PPS and its correlation with pain and physicalfunction.Functionalcapacitystronglycorrelateswithpain(rho=-0.60,p=0.01)andweaklycorrelateswithphysical function(rho=0.33,p=0.003).Pain is a predictor of functional capacity, and accounted for 33.7% variance, highlighting the need of appropriate intervention strategies to improve the functional capacity in individuals with PPS

MSCT coronary angiography in non-invasive assessment of coronary artery bypass grafts patency

Background: Coronary artery disease (CAD) is one of the leading cause of the morbidity and mortality in India and worldwide and last decade has seen a steep rise in incidence of CAD in India and its treatment as bypass surgery. Direct visualization of the grafts and native coronary arteries by invasive catheterization is now being replaced by non-invasive CT coronary angiography with higher slice machines and newer technology as it has good temporal resolution, high scanning speed as well as low radiation dose. We share our experience of graft imaging on 128 slice CT machine.Methods: This is a retrospective, single-center, observational study. We included 500 symptomatic patients who have undergone CT study between the year 2014 to 2018 post bypass surgery.Results: Arterial grafts have a better patency rate than venous grafts. (88% vs. 64.1%). Amongst the individual arterial grafts RIMA had the best patency rate (100%) followed by LIMA (90.8%), RA (68.7%). LAD was the most commonly involved artery (91%).Conclusions: Significant absolute concordance between CT and catheter angiographic findings have been documented for all arterial and venous grafts patency in the literature. The MSCT with retrospective gating permits an accurate and non-invasive evaluation of patent and diseased arterial and vein grafts and could replace conventional angiography for the follow-up of symptomatic, stable patients. Moreover, an optimal diagnostic accuracy was also documented in the appraisal of native vessels distal to the graft anastomoses.

MSCT imaging of various shunts and grafts in post operative cases of congenital heart diseases

Background: Multi-slice computed tomography (MSCT) plays an important role in clinical practice in assessing post-operative patients with complex CHD when echocardiography is not contributory.  Despite the great capabilities of MR imaging for anatomic and functional assessment of the heart, it is time-consuming and may require a lengthy period of patient sedation; hence its use in seriously ill or uncooperative patients is often limited. CT has the advantages of widespread availability and short acquisition times. It is imperative for a radiologist to be aware of various palliative as well as corrective procedures and their various imaging findings. Aim of this article is to demonstrate and make one aware of various checklists and imaging findings in paediatric patients who have undergone various shunts and grafts at our tertiary cardiac care centre, their immediate as well as long term complications.Methods: We studied a total of 100 paediatric patients (<12 years old), who had undergone some sort of palliative or corrective shunt or graft placement, on MSCT during the period 2014 to 2018 at our tertiary cardiac care centre.Results: We try to outline details of various shunts and grafts used in congenital heart diseases correction, MSCT technique and imaging appearances and appearances of abnormal post-operative findings.Conclusions: Advances in computed tomography (CT) scanners and electrocardiographic gating techniques have resulted in superior image quality of the aorta and pulmonary arteries for evaluating postoperative congenital heart disease. MSCT is an excellent non-invasive modality for post-operative evaluation of various shunts and grafts.

Comparison Of The Effect Of Active Release Technique Versus Proprioceptive Neuromuscular Facilitation Stretching (Modified Hold-Relax) On Hamstring Flexibility In Patients Having Chronic Low Back Pain.

Abstracts: Background and Objectives: Low back pain(LBP) is the leading cause of occupational injury and disability.The hamstring tightness was found to be one of the leading causes for development of LBP. Active Release Technique(ART)&PNF(Proprioceptive neuromuscular facilitation) stretchingboth the methods work on different physiological principles to increase the hamstrings flexibility. Hence objective of the study was to compare the effect of ART and PNF on hamstrings flexibility, Pain and functional disability in patients having LBP. Methodology: 30 subjects were taken in the study and divided in to 2 groups, 15 in each group.Measurement of the severity of pain by using VAS, degree of hamstrings tightness by active knee extension test and functional disability by modifies oswestry disability index was done. Group A was given modified hold relax PNF stretch and Group B was given ART for 10 sessions. Results: There was significant difference forMean of AKE (t=2.31, p=0.028), pain at activity (t=52.00, p=0.012) and functional disability (U=-2.224, p=0.026) between both groups. Conclusion: Both the techniques Modified hold-relax PNF stretch and ART improve hamstrings flexibility and reduce pain and disability over time but PNF (modified hold relax) was more effective than ART.

Correlation between fear of fall, balance and physical function in people with osteoarthritis of knee joint.

Introduction: Osteoarthritis is a degenerative joint disease. Fear of fall and balance impairment in people with osteoarthritis of knee joint is a major cause of loss of independence, which has an effect on the physical function in them. The aim of the study was to correlate fear of fall with balance scores and with physical function in people with osteoarthritis of knee joint. Material and methods: A correlational study was conducted at college of physiotherapy where fear of fall, balance impairment and physical function were assessed in 30 subjects, both males and females, diagnosed having osteoarthritis of knee joint. Exclusion criteria were subjects with history of neurological diseases, fracture or total joint replacement within the previous 6 month or acute illness or injury on the day of the functional assessment. Outcome measure includded Fear of fall measured using falls efficacy scale-international (English) (FES), balance was measured using Berg balance scale (BBS) and physical function was assessed using modified WOMAC index (CRD pune version). Level of significance was kept at 5%. Spearman correlation was applied to find the correlation between FES and BBS and between FES and WOMAC. All the data were analyzed using SPSS16. Results: A moderate negative correlation was found between FES and BBS (r=0.520, p=0.002) and a positive moderate correlation between FES and WOMAC (r=0.666, p<0.001) which were significant. Conclusion: The study concluded that there is a correlation between fear of fall and balance and physical function in subjects with osteoarthritis of knee.

Comparison of speed of walking with and without visual distraction in subjects with Osteoarthritis of knee.

Introduction: Knee osteoarthritis (OA) is a major public health problem. Knee OA leads to impaired balance and reduction in speed of walking, which is accentuated under dual-task conditions. Walking relies on continuous visual processing to obstacles as one navigates through a visually defined environment. Objectives: The study aimed to compare the speed of walking with and without vis subjects with OA knee and with normal individuals. Material and methods: Fifteen subjects with OA knee and 15 without OA knee of same age and gender were selected. Subjects were selected according to inclusion and exclusion criteria. Experiment was carried out over straight path of 50 m length and 2.5 m width. Subjects walked on two consecutive days at preferred speed 3 times back and forth covering total distance of 300 m. Charts were shown on either of the two days. Subjects passed 12 times through charts of various objects held by two assistants. Some objects were kept upright or inverted and subjects needed to reply by saying ‘yes’ or ‘no’. Charts of various colors were also shown and they were asked to identify them. The speed was noted. They also walked same distance without distraction. Level of significance will be kept at 5%. Results: Wilcoxon test was used for within group analysis for speed of walking with and without distraction. Significant difference was seen for both subjects with OA knee (W= 2.897, p=0.004) and normal subjects (W=-3.266, p=0.001). Mann Whitney U test was used for between groups analysis. With distraction groups showed significant difference (W=2.219, p=0.026). But there was no significant difference in analysis in between groups without distraction (w=-1.701,p=0.089). Conclusion: Visual distraction leads to reduction in speed of walking in subjects with OA knee as compared to normal subjects.

Correlation between aerobic capacity and fatigue in subjects with post- polio syndrome.

Introduction: Post-polio syndrome (PPS) is defined by Halstead and Ross as having a period of at least 15 years of neurologic and functional stability followed by onset of two or more of the following new health problems: unexplained fatigue, muscle or joint pain, muscle weakness, and cold intolerance and exclusion of other medical diagnosis. Fatigue occurs in 59-89% of PPS patients.Aerobic capacity during functional activities may also decrease in subjects with PPS which may lead to fatigue or vice versa. This study aimed to correlate the aerobic capacity using the 2 minute walk distance (2MWD) with fatigue using Fatigue Severity Scale (FSS) in subjects with PPS. Material and methods: An observational study using convenience sampling was conducted in a community setting, in Surat on 19 individuals with PPS. Inclusion criteria were according to the old Halstead criteria and individuals who were able to walk with and without walking aids. Individuals who were on psychotropic medications, a diagnosed respiratory or cardiac condition, who were uncooperative due to cognitive impairment and those who were unwilling to participate were excluded. Outcome measures were Two Minute Walk distance (2MWD) for aerobic capacity and Fatigue Severity Scale (FSS) for fatigue. The subjects were asked to fill a questionnaire which included their demographic data and the Fatigue Severity Scale. They were asked to walk on a25 m long corridor as far as they could, for 2 minutes. They were explained that if they felt breathless or fatigued, then they could stop. At the completion of 2 minutes, distance was recorded. Results: The mean 2MWD was 76.02±1.37 m and FSS was 40.25±3.50. The value of Spearman’s correlation coefficient was -0.46 (p=0.48).The study shows moderate correlation between FSS and 2MWD which was statistically significant. Conclusion: Fatigue influences the aerobic capacity of subjects with post- polio syndrome and vice versa.

Comparison of effect of different sensitizing manoeuvres on Slump test in patients with low back pain having normal and overweight Body Mass Index.

Introduction: Slump test, a neurodynamic test, is used to test mechanical movement of the neurological tissues and to test their sensitivity to mechanical stress. Various studies have found that neural tissue mobility differs in normal young adults with different body mass index (BMI). This study aimed at finding out whether the neural mobility is different in patients with different BMI having low back pain with or without radiculopathy. Objective: To compare the effect of different sensitizing manoeuvres on slump test in patients with low back pain having normal and overweight BMI. Material and methods: 30 patients having low back pain with or without radiculopathy were divided in two groups, one group (A) had patients with underweight and normal BMI and the other group (B) had overweight and obese subjects. Patients with conditions like infection, tumour, osteoporosis, spinal surgery and pregnancy were excluded. The outcome measure used was the popliteal angle, The readings were taken in four positions namely cervical spine neutral with ankle neutral, cervical spine neutral with ankle dorsiflexion, cervical spine flexion with ankle neutral, and cervical spine flexion with ankle dorsiflexion and were compared on both the sides. Thoracic and lumber spine was maintained in flexion in all positions. Level of significance was kept at 5%. Results: The difference in the means of popliteal angle deficit score on both the right and left sides between groups A and B in all four positions was found to be significantaly significant. Conclusion: Neural tissue extensibility is reduced in overweight and obese patients with low back pain compared to the patients having normal and underweight BMI.

Effect of hippo therapy on balance and function in children with spastic diplegia.

Introduction: Hippo therapy is a form of physical, occupational and speech therapy in which a therapist uses the characteristic movements of a horse. The horse's pelvis has a similar three dimensional movement to the human's pelvis at the walk. This movement provides physical and sensory input which is variable, rhythmic and repetitive which leads to improvement in spasticity and balance. Objective: The study aimed to find the effect of hippo therapy on balance and function in children with spastic diplegia Material and methods: A quasi-experimental study was conducted at College of Physiotherapy, Ahmadabad. Sixteen children (8 in control group (A) and 8 in experimental group (B) with spastic cerebral palsy, aged 3 to 10 years with GMFCS level 1, 2, body weight less than 35 kg were include. Children with history of botulism toxin injection within 6 months, selective dorsal rhizotomy or orthopedic surgery within 1 year, moderate to severe intellectual disability, uncontrolled seizures, and poor visual or hearing acuity were exclude. Both groups were given neuro developmental technique (NDT), group B was given additional hippo therpy (riding on horse with minimal support as required) for 15 minutes twice a week. Outcome measures were Pediatric balance scale (PBS), GMFM 66, 88, Modified Ashworth scale. Level of significance was kept at 5%. Result: Within group, analysis did not show significant difference in PBS score ( W2.214, p = 0.027). Within group analysis for group B showed significant difference in both GMFM score (W= 2.207, p = 0.027) and PBS score (W = 2.214, p = 0.027). Between group analysis for GMFM score showed significant difference (U = 0.500, p = 0.005). But there was no significant difference in between group analysis for PBS score (U = 12.00, p = 0.321). Conclusion: Hippo therapy and NDT both have similar effect for improving balance in spastic diplegic children. But Hippo therapy has an additional effect for improving gross motor function.

Case report of rehabilitation of a subject with post polio syndrome.

Post-Polio Syndrome (PPS) affects polio survivor’s years after the initial polio attack. They report new musculoskeletal symptoms. The purpose of this case report was to determine the effect of a physical therapy intervention on these symptoms in a 53 year old male subject with residual poliomyelitis of left lower limb more than right. Strengthening and aerobic exercises along with lifestyle modification advices were found to be beneficial with respect to all outcome measures taken after 4 and 12 weeks of program, with deterioration in none. This is a first case report documenting benefits of physical therapy following PPS in India. Its findings support the use of exercise in subjects with late effects of poliomyelitis and provide clinically valuable knowledge regarding the treatment efficacy of PPS exercise regimens.

Effect of pulsed electromagnetic energy therapy on pain and function in subjects with knee osteoarthritis.

Background: Osteoarthritis (OA) of knee is an important cause of pain and functional limitation in older people. Some studies show pulsed electromagnetic energy therapy (PEME) reduces pain and disability. The efficacy of PEME therapy in knee osteoarthritis is not known in Indian population. Aims & Objective: To compare the effect of PEME therapy versus conventional therapy on pain and function in participants with knee OA. Materials and Methods: A quasi experimental study of 20 participants fulfilling the inclusion and exclusion criteria, by selective sampling was conducted at college of physiotherapy. Participants were randomly allocated into 2 groups. Group A was given PEME therapy with Magnetodyne with frequency 15Hz for 30 minutes, 6 days/week for 2 weeks. Group B was given conventional physiotherapy in the form of hot pack to the knee for 10-15 minutes. Both groups also received a set of 10 repetitions of quadriceps drill and stretching of tight muscles for 30sec-3 repetitions. Visual Analogue Scale (VAS) was used to assess knee pain and Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) was used to measure knee pain, stiffness and physical function. Results: Difference in VAS and WOMAC scores were calculated using t-test. Mean difference in VAS score for Group A (4.08 ± 1.10) and Group B (1.40 ± 0.21) was significant with significant difference in favor of Group A (t= 7.57, p <0.001). Mean difference in WOMAC for Group A (27.50 ± 13.80) and Group B (8.50 ± 3.71), also showed a significant difference with more difference in Group A (t= 4.20, p<0.001). Conclusion: PEME therapy reduces pain and improves physical function in participants with knee OA.

The effect of stretching exercise on primary dysmenorrhea in adult girls.

Background: Primary dysmenorrhea is a difficult menstrual flow in the absence of any pelvic pathology where pain is spasmodic in character and felt mainly in the lower abdomen. Women that participated in sports experienced fewer occurrences of symptoms of dysmenorrhea. Aims & Objective: To assess the effect of stretching exercise on primary dysmenorrhea in adult girls. Materials and Methods: The study was conducted at SBB College of physiotherapy. A convenience sample was taken consisting of 30 participants, 15 in each group. Group A received Stretching Exercises. Participants completed an active stretching exercise program for 4 weeks (6 days per week, 2 times per day) at home. They were asked to perform 9 stretching exercises. Group B was in control group. All Participants were examined for pain intensity VAS (10-point scale). Verbal Multidimensional Scoring System for Assessment of Dysmenorrhea Severity (VMS) Level of significance was kept at 5%. Results: The results of Groups A and B were analyzed by Wilcoxon Signed Rank Test. In group A-VAS showed significant improvement in pain. Pain intensity was reduced from 6 to 3.80 (difference in mean 2.2 ± 0.16, W = 120, p = 0.001). VMS also showed significant improvement in pain. VMS was reduced from 2 to 1 (difference in median 1, W = 66, p = 0.002). In group B, there was no significant improvement in pain. VAS score reduced from 6.20 to 6.10. Difference in mean VAS (0.10 ± 0.30, W = 36, p = 0.5). There was no difference in mean VMS at the end of 4 weeks. Comparison of Group A and Group B was done with Mann Whitney U Test. There was a significant difference in improvement in VAS between Groups A and B (2.30 ± 0.21, U = 31.0, p < 0.01). There was a significant difference in improvement in VMS between Groups A and B (U = 12.0, p < 0.01). Conclusion: Stretching exercises are effective in reducing pain in young females with primary dysmenorrhea.

Effect of electrical stimulation on facial grading system in subjects with early facial palsy.

Aim and Purpose: Most patients with facial palsy experience spontaneous recovery by 3 weeks to 3 months. As electrical stimulation is a popular intervention the study was conducted to explore it as an option for enhancing recovery in patients with facial palsy. So the aim of the study was to determine the potential efficacy of applying electrical stimulation to facial nerve trunks in early phase of facial nerve palsy of idiopathic onset. Methodology: The study design was a pretest – post test control V/S experimental group, with a sample size of 50 subjects. Convenient sampling was used and subjects were randomly allocated into two groups. The outcome measure used was the Facial Grading System Score (FGS). The inclusion criteria were males and females aged 15-65 years with a clinical diagnosis of lower motor neuron facial palsy of idiopathic origin of less than 7 days onset. The exclusion criteria were subjects with a known cause of facial palsy with onset less than 7 days. Group A was given heat in the form of Infra Red to the ear and face on affected side for 10 minutes for 1 week. Electrical Stimulation for next 3 weeks to affected facial nerve trunk branches was then given. Parameters used were Surged Faradic Current with pulse duration 0.1ms, pulse frequency 50 Hz, and surge duration: interval ratio was 5:5. Intensity was increased to produce mild contraction of facial muscles stimulated at nerve trunk branch. 15 contractions daily were given. Both Group A and B subjects were explained the condition, taught exercises, and given advices about care required. Subjects in group B were asked to follow up after 4 weeks. Data was analyzed using SPSS. Level of significance was kept at 5%. Results: For group A and B difference in mean values of facial grading system scores at end of 4 weeks was found to be statistically significant (z=4.861, z= 4.016 respectively, p < 0.001). However at the end of 4 weeks difference in median values between the groups was not found to be statistically significant (z=0.420, p=0.675) Conclusion: Outcome demonstrates neither benefit nor harm with electrical stimulation in subjects with early facial palsy.