von Piekartz Harry, Mohr Gesche
University of Applied Science, Osnabrueck, Germany ; Cranial Facial Therapy Academy (CRAFTA), Hamburg, Germany.
University of Applied Science, Osnabrueck, Germany.
J Man Manip Ther. 2014 Feb;22(1):24-35. doi: 10.1179/2042618613Y.0000000063.
Chronic facial pain has many of the clinical characteristics found in other persistent musculoskeletal conditions, such as low back and cervical pain syndromes. Unique to this condition, however, is that painful facial movements may result in rigidity or altered ability to demonstrate mimicry, defined as the natural tendency to adopt the behavioral expressions of other persons involved in the interaction. Loss of ability to communicate through emotional expression can lead to impaired processing of emotions and ultimately social isolation. Diminished quality and quantity of facial expression is associated with chronic face pain, tempromandibular dysfunction, facial asymmetries, and neurological disorders. This report provides a framework for assessment of impaired emotional processing and associated somatosensory alterations. Principles for management for chronic facial pain should include graded motor imagery, in addition to standard treatments of manual therapy, exercise, and patient education. A case study is provided which illustrates these principles.
慢性面部疼痛具有许多在其他持续性肌肉骨骼疾病中发现的临床特征，如腰背痛和颈痛综合征。然而，这种情况的独特之处在于，疼痛的面部运动可能会导致僵硬或模仿能力改变，模仿能力被定义为在互动中自然倾向于采用其他参与者行为表情的能力。通过情感表达进行交流的能力丧失会导致情感处理受损，并最终导致社交孤立。面部表情的质量和数量下降与慢性面部疼痛、颞下颌关节功能障碍、面部不对称和神经系统疾病有关。本报告提供了一个评估情感处理受损及相关体感改变的框架。除了手动治疗、运动和患者教育等标准治疗方法外，慢性面部疼痛的管理原则还应包括分级运动想象。本文提供了一个案例研究来说明这些原则。
