Brach J S, VanSwearingen J M
Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, PA 15260, USA. jsbst6+@pitt.edu
Phys Ther. 1999 Apr;79(4):397-404.
Bell palsy is an acute facial paralysis of unknown etiology. Although recovery from Bell palsy is expected without intervention, clinical experience suggests that recovery is often incomplete. This case report describes a classification system used to guide treatment and to monitor recovery of an individual with facial paralysis.
The patient was a 71-year-old woman with complete left facial paralysis secondary to Bell palsy. Signs and symptoms were assessed using a standardized measure of facial impairment (Facial Grading System [FGS]) and questions regarding functional limitations. A treatment-based category was assigned based on signs and symptoms. Rehabilitation involved muscle re-education exercises tailored to the treatment-based category.
In 14 physical therapy sessions over 13 months, the patient had improved facial impairments (initial FGS score= 17/100, final FGS score= 68/100) and no reported functional limitations.
Recovery from Bell palsy can be a complicated and lengthy process. The use of a classification system may help simplify the rehabilitation process.
贝尔面瘫是一种病因不明的急性面神经麻痹。尽管预计未经干预贝尔面瘫也能恢复，但临床经验表明恢复往往不完全。本病例报告描述了一种用于指导治疗和监测面瘫患者恢复情况的分类系统。
患者为一名71岁女性，继发于贝尔面瘫导致左侧完全性面瘫。使用面部损伤标准化测量方法（面部分级系统[FGS]）和有关功能受限的问题对体征和症状进行评估。根据体征和症状指定基于治疗的类别。康复治疗包括根据基于治疗的类别量身定制的肌肉再教育练习。
在13个月内进行的14次物理治疗中，患者面部损伤有所改善（初始FGS评分为17/100，最终FGS评分为68/100），且未报告功能受限情况。
贝尔面瘫的恢复可能是一个复杂且漫长的过程。使用分类系统可能有助于简化康复过程。
