Physiotherapy in patients with facial nerve paresis: Description of outcomes

The purpose of this study was to describe changes and stabilities of long-term sequelae of facial paresis in outpatients receiving Mime therapy, a form of physiotherapy. Archived data of 155 patients with peripheral facial nerve paresis were analyzed. Main outcome measures were (1) impairments: faci...

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Bibliographic Details
Published in:American journal of otolaryngology 2004-11, Vol.25 (6), p.394-400
Main Authors: Beurskens, Carien H.G., Heymans, Peter G.
Format: Article
Language:English
Subjects:
Adult
Asymmetry
Bell Palsy - psychology
Bell Palsy - rehabilitation
Bell's palsy
Biological and medical sciences
Ear diseases
Facial Expression
Facial Muscles - physiopathology
Facial Paralysis - psychology
Facial Paralysis - rehabilitation
Female
Humans
Male
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Otorhinolaryngology. Stomatology
Physical Therapy Modalities
Quality of Life
Rehabilitation
Synkinesis - rehabilitation
Time Factors
Treatment Outcome
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Summary:The purpose of this study was to describe changes and stabilities of long-term sequelae of facial paresis in outpatients receiving Mime therapy, a form of physiotherapy. Archived data of 155 patients with peripheral facial nerve paresis were analyzed. Main outcome measures were (1) impairments: facial symmetry in rest and during movements and synkineses; (2) disabilities: eating, drinking, and speaking; and (3) quality of life. Symmetry at rest improved significantly; the average severity of the asymmetry in all movements decreased. The number of synkineses increased for 3 out of 8 movements; however, the group average severities decreased for 6 movements; substantially fewer patients reported disabilities in eating, drinking, and speaking; and quality of life improved significantly. During a period of approximately 3 months, significant changes in many aspects of facial functioning were observed, the relative position of patients remaining stable over time. Observed changes occurred while the patients participated in a program for facial rehabilitation (Mime therapy), replicating the randomized controlled trial-proven benefits of Mime therapy in a more varied sample of outpatients.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2004.04.010