Beurskens Carien H G, Heymans Peter G
Radboud University Nijmegen Medical Centre, The Netherlands.
Aust J Physiother. 2006;52(3):177-83. doi: 10.1016/s0004-9514(06)70026-5.
What is the effect of mime therapy on facial symmetry and severity of paresis in people with facial nerve paresis?
Randomised controlled trial.
50 people recruited from the Outpatient department of two metropolitan hospitals with facial nerve paresis for more than nine months.
The experimental group received three months of mime therapy consisting of massage, relaxation, inhibition of synkinesis, and co-ordination and emotional expression exercises. The control group was placed on a waiting list.
Assessments were made on admission to the trial and three months later by a measurer blinded to group allocation. Facial symmetry was measured using the Sunnybrook Facial Grading System. Severity of paresis was measured using the House-Brackmann Facial Grading System.
After three months of mime therapy, the experimental group had improved their facial symmetry by 20.4 points (95% CI 10.4 to 30.4) on the Sunnybrook Facial Grading System compared with the control group. In addition, the experimental group had reduced the severity of their paresis by 0.6 grade (95% CI 0.1 to 1.1) on the House-Brackmann Facial Grading System compared with the control group. These effects were independent of age, sex, and duration of paresis.
Mime therapy improves facial symmetry and reduces the severity of paresis in people with facial nerve paresis.
哑剧疗法对面神经麻痹患者的面部对称性和麻痹严重程度有何影响？
随机对照试验。
从两家大城市医院门诊部招募的50名面神经麻痹超过9个月的患者。
实验组接受为期三个月的哑剧疗法，包括按摩、放松、抑制联带运动以及协调和情感表达练习。对照组被列入等待名单。
在试验入组时和三个月后由对分组情况不知情的测量者进行评估。使用桑尼布鲁克面部分级系统测量面部对称性。使用豪斯-布拉克曼面部分级系统测量麻痹严重程度。
经过三个月的哑剧疗法，与对照组相比，实验组在桑尼布鲁克面部分级系统上的面部对称性提高了20.4分（95%可信区间为10.4至30.4）。此外，与对照组相比，实验组在豪斯-布拉克曼面部分级系统上的麻痹严重程度降低了0.6级（95%可信区间为0.1至1.1）。这些效果与年龄、性别和麻痹持续时间无关。
哑剧疗法可改善面神经麻痹患者的面部对称性并降低麻痹严重程度。
