biofeedback therapy effect on facial nerve palsy and prevention of synkinesis

biofeedback therapy effect on facial nerve palsy and prevention of synkinesis

;Abbas ali Pour-Momeny;Hassan Zadmehr;Maryam Mir-Shamsi;Akbar Hassan-Zadeh
arsenic in geosphere and human diseases, as 2010 - 3rd international congress: arsenic in the environment 2011 Vol. 12 pp. 62-68
129
pour-momeny2011journalbiofeedback

Abstract

Objective: Synkiesia is a sequel of facial nerve palsy. It usually begins 3-4 months after axonal regeneration and progressed up to two years afterward. Treatment of synkinesia is very difficult and sometimes impossible.The aim of our study is find a better procedure to treat facial nerve palsy and prevent synkinesia. Materials and Methods: Twenty nine patients with facial nerve palsy were selected by electrodiagnosis tests. They were divided in two groups. The experimental group was treated by biofeedback electromyography and the second group was treated by common physiotherapy. The evaluation of all patients was done by Photoshop assessment and facial grading scale before and after treatment. Result: After the treatment, a significant general improvement was observed in both groups (p<0.05), but in experimental group (biofeedback) showed better result than the other one. The number of patients with synkinesia as well as the severity of their synkinesis in experimental group were lesser than the other one. Conclusion: Biofeedback therapy is more efficient than common physiotherapy.By using this approach, control and reducing synkinesia is more feasible. Assessment by Pohotoshop procedure showed better accuracy than facial grading scale.

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