Nakamura Katsuhiko, Toda Naoki, Sakamaki Koichiro, Kashima Kenji, Takeda Noriaki
Department of Otolaryngology, The University of Tokushima, School of Medicine, Japan.
Otolaryngol Head Neck Surg. 2003 Apr;128(4):539-43. doi: 10.1016/S0194-59980223254-4.
We developed a new training method of biofeedback rehabilitation for the prevention of synkinesis after facial palsy and evaluated the efficacy of the training.
Twenty-seven patients with complete facial palsy were divided randomly into 2 groups. Twelve of the patients were treated with the training method, and the other 15 patients served as controls. Patients were instructed to keep their eyes open symmetrically during mouth movements using a mirror. Thirty minutes of daily training was continued for a period of 10 months. The degree of synkinesis was evaluated by computing the percent asymmetry of eye opening width.
The percent asymmetry of eye opening width was significantly greater in the training group than in the control group (P < 0.05). The results indicate that the degree of synkinesis is much less in the training group than in the control group.
Our new training method is very effective for preventing the development of synkinesis after facial palsy.
我们开发了一种用于预防面瘫后联动的生物反馈康复训练新方法,并评估了该训练的效果。
27例完全性面瘫患者随机分为两组。其中12例患者采用该训练方法进行治疗,另外15例患者作为对照。指导患者在做口部动作时使用镜子对称地睁开眼睛。每天进行30分钟的训练,持续10个月。通过计算睁眼宽度的不对称百分比来评估联动程度。
训练组睁眼宽度的不对称百分比显著高于对照组(P < 0.05)。结果表明,训练组的联动程度远低于对照组。
我们的新训练方法对于预防面瘫后联动的发生非常有效。