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Tele-exercise mobile app for patients with facial paralysis: development and usability study.
Yasin Sabet Kouhanjani1, Farahnaz Emami2, Rita Rezaee3
1Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Neurology
|November 5, 2025
Summary
This study developed a tele-exercise mobile app for facial paralysis patients. The app offers accessible physiotherapy, improving patient outcomes and potentially reducing healthcare costs.
Area of Science:
- Neurology
- Digital Health
- Rehabilitation Medicine
Background:
- Facial nerve paralysis impacts intentional facial muscle movements due to seventh cranial nerve involvement.
- Physiotherapy, particularly exercise therapy, is crucial for restoring muscle function.
- Tele-exercise mobile applications offer a novel approach to managing this condition.
Purpose of the Study:
- To develop and evaluate a tele-exercise mobile application tailored for patients with facial paralysis.
- To enhance patient access to physiotherapy and exercise programs.
- To investigate the usability of a mobile application for facial nerve rehabilitation.
Main Methods:
- The study employed a four-phase approach: content preparation, system requirements identification, app development, and usability evaluation.
- Exercises were identified from scientific literature, and application requirements were determined using the Delphi method with expert validation.
- The mobile application was developed for Android, featuring distinct interfaces for administrators, physiotherapists, and patients, and evaluated using heuristic usability principles.
Main Results:
- A total of 28 exercises were identified and categorized into 3 groups.
- Application requirements were defined (34 items) and classified into 6 categories.
- Usability evaluation indicated that the developed mobile application possesses a desirable level of usability for patients and clinicians.
Conclusions:
- Mobile applications provide convenient, anytime, anywhere access to exercise programs for patient rehabilitation.
- These applications facilitate seamless sharing of exercise progress between patients and physiotherapists.
- Utilizing tele-exercise apps can lead to reduced healthcare costs associated with patient recovery.

