Cronin Gaye W, Steenerson Ronald Leif
Department of The Atlanta Ear Clinic, Atlanta, GA, USA.
Otolaryngol Head Neck Surg. 2003 Apr;128(4):534-8. doi: 10.1016/S0194-59980300005-6.
The study goal was to present the effectiveness of neuromuscular facial retraining techniques used in combination with electromyography for improving facial function even in cases of longstanding paralysis.
We conducted a retrospective case review in a tertiary neurotology clinic.
Twenty-four patients with facial paralysis received neuromuscular facial retraining between April 1999 and April 2001. The patient sample included 6 males and 18 females, with an average age of 44 years. A control group consisted of 6 patients (4 females and 2 males).
All patient groups made significant improvements in function with improved symmetry in dual-channel electromyographic readings and increased facial movement percentages. Some of the percentages of posttreatment facial function were as follows: acoustic neuromas, 93%; Bell's palsy/Ramsay Hunt syndrome, 80%; and facial nerve anastomosis, 71%. Synkinesis was reduced by at least 2 levels in patients who initially demonstrated synkinesis.
Neuromuscular facial retraining exercises and electromyography are effective for improving facial movements.
Facial retraining is an excellent example of the plasticity of the central nervous system to reorganize, even in cases of longstanding paralysis.
本研究的目标是展示神经肌肉面部再训练技术与肌电图相结合在改善面部功能方面的有效性，即使是在长期瘫痪的情况下。
我们在一家三级神经耳科诊所进行了一项回顾性病例分析。
1999年4月至2001年4月期间，24例面瘫患者接受了神经肌肉面部再训练。患者样本包括6名男性和18名女性，平均年龄44岁。一个对照组由6名患者组成（4名女性和2名男性）。
所有患者组在功能上都有显著改善，双通道肌电图读数的对称性提高，面部运动百分比增加。治疗后面部功能的一些百分比如下：听神经瘤患者为93%；贝尔麻痹/拉姆齐·亨特综合征患者为80%；面神经吻合患者为71%。最初表现为联带运动的患者，其联带运动至少降低了2个等级。
神经肌肉面部再训练练习和肌电图对改善面部运动有效。
面部再训练是中枢神经系统可塑性重组的一个很好的例子，即使是在长期瘫痪的情况下。
