Physical therapy in peripheral facial paralysis: retrospective study

ABSTRACT Patients with peripheral facial paralysis (PFP) have some degree of recovery. The aim of this study was to evaluate prognostic factors and physical therapy modalities associated with functional recovery in patients with PFP. This is a cohort study with 33 patients. We collected the following variables of patients who underwent treatment at the rehabilitation center: age, sex, risk factors, affected side, degree of facial paralysis (House-Brackmann scale), start of rehabilitation, and therapy modality (kinesiotherapy only; kinesiotherapy with excitomotor electrotherapy; and kinesiotherapy with excitomotor electrotherapy and photobiomodulation therapy). The outcomes were: degree of facial movement (House-Brackmann) and face scale applied 90 days after treatment. Degree of PFP was associated with functional recovery (RR=0.51, 95% CI: 0.51-0.98; p=0.036). The facial movement was associated with the time to start rehabilitation (r=−0.37; p=0.033). Lower facial comfort was observed among women, worse ocular comfort was associated with diabetes mellitus, worse tear control with prior PFP, and worse social function with the degree of PFP. Our results indicate that the all modalities present in this study showed the same result in PFP. Recovery of PFP was associated with degree of nerve dysfunction, the length of time to onset of rehabilitation, female sex, hypertension, diabetes mellitus, and previous PFP, all of which were associated with worse outcomes on the face scale.

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Peripheral Facial Paralysis Sequelae in Lyme Disease Among Children

Case Medical Research ◽

10.31525/ct1-nct03981874 ◽

2019 ◽

Author(s):

Keyword(s):

Lyme Disease ◽

Facial Paralysis ◽

Peripheral Facial Paralysis

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Application of Intelligent Facial Dynamic Information Image in Warm Acupuncture and Moxibustion on Peripheral Facial Paralysis (Preprint)

10.2196/preprints.21052 ◽

2020 ◽

Author(s):

Yanping Chen ◽

Dongjie Yu ◽

Jane Cansoni

Keyword(s):

Facial Paralysis ◽

Computer Technology ◽

Treatment Time ◽

Facial Features ◽

Nerve Function ◽

Facial Nerve Function ◽

Peripheral Facial Paralysis ◽

Image Information ◽

Dynamic Image ◽

Acupuncture And Moxibustion

BACKGROUND Background: Nowadays, the application of computer technology in the medical field is more and more extensive, and many diseases can achieve better diagnosis and treatment effects through computer technology. OBJECTIVE Objective: The paper applies intelligent facial dynamic image information to the clinical treatment of peripheral acupuncture and moxibustion for the treatment of peripheral facial paralysis. An automatic acupoint positioning algorithm based on facial information dynamic image is proposed, which provides an objective and standard basis for the treatment of facial acupuncture and moxibustion. METHODS Methods: The paper selects the head threshold, that is, the facial dynamic image information as the research background, and divides the facial features according to the "three courts and five eyes" rule, and uses the Minimum Eigenvalue operator to detect the corner points of the facial features, locate the facial features, and use the face. The feature position is used as a reference coordinate for facial acupoint positioning. RESULTS Results: After verification, it was found that the positioning was accurate, and the peripheral facial paralysis of the patient was improved after warm acupuncture point positioning treatment, which improved the facial nerve function of the patient, improved the treatment efficiency and shortened the treatment time. Therefore, this technology is worthy of clinical promotion. CONCLUSIONS Conclusion: Through experimental analysis, the algorithm is proved to be effective and accurate. Based on facial dynamic image information to locate acupoints, warm acupuncture has a significant effect on peripheral facial paralysis, which can significantly improve facial nerve function and shorten treatment time, which is worthy of clinical promotion.

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