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运用神经肌肉促进技术矫正儿童微笑:一则有趣的病例报告。

Correct the smile of a child by neuromuscular facilitation technique: An interesting case report.

作者信息

Aranha Vencita Priyanka, Samuel Asir John, Narkeesh Kanimozhi

机构信息

Department of Pediatric and Neonatal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar University, Mullana, Ambala, Haryana, India.

Department of Musculoskeletal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar University, Mullana, Ambala, Haryana, India.

出版信息

Int J Health Sci (Qassim). 2017 Apr-Jun;11(2):83-84.

PMID:28539869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5426404/
Abstract

Bell's palsy (BP) in children is a rare case with no documented evidence regarding its rehabilitation management. Till date, individuals with BP are being treated with electrical stimulation are proportionately greater than other conventional means such as facial exercise and massage. These conventional modes of treatment have proved to have less incidence of synkinesis with more benefits. Here, we report a case of a 7-year-old boy diagnosed clinically to have right idiopathic facial nerve paralysis, who underwent 14 days of facial proprioceptive neuromuscular facilitation exercises along with facial therapeutic massage. Documented improvements in facial grading system reveal promising outcomes. Hence, we propose the above technique might improve the functional outcome in the children with BP.

摘要

儿童贝尔面瘫(BP)较为罕见,目前尚无关于其康复治疗的文献记载。迄今为止,接受电刺激治疗的BP患者比例高于面部运动和按摩等其他传统治疗方法。事实证明,这些传统治疗方式导致联动症的发生率较低,且益处更多。在此,我们报告一例临床诊断为右侧特发性面神经麻痹的7岁男孩,他接受了为期14天的面部本体感觉神经肌肉促进训练以及面部治疗性按摩。面部分级系统记录的改善情况显示出了良好的效果。因此,我们认为上述技术可能会改善BP患儿的功能预后。

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1
Correct the smile of a child by neuromuscular facilitation technique: An interesting case report.运用神经肌肉促进技术矫正儿童微笑:一则有趣的病例报告。
Int J Health Sci (Qassim). 2017 Apr-Jun;11(2):83-84.
2
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引用本文的文献

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Bell's Palsy: Description, Diagnosis, and Current Management.贝尔麻痹:描述、诊断及当前治疗方法
Cureus. 2025 Jan 19;17(1):e77656. doi: 10.7759/cureus.77656. eCollection 2025 Jan.
2
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Cureus. 2024 Mar 14;16(3):e56191. doi: 10.7759/cureus.56191. eCollection 2024 Mar.
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Treatment Approaches for Altered Facial Expression: A Systematic Review in Facioscapulohumeral Muscular Dystrophy and Other Neurological Diseases.

本文引用的文献

1
The effects of PNF training on the facial profile.本体觉神经肌肉促进法训练对面部轮廓的影响。
J Oral Sci. 2008 Mar;50(1):45-51. doi: 10.2334/josnusd.50.45.
2
Effect of facial neuromuscular re-education on facial symmetry in patients with Bell's palsy: a randomized controlled trial.面部神经肌肉再训练对贝尔麻痹患者面部对称性的影响:一项随机对照试验。
Clin Rehabil. 2007 Apr;21(4):338-43. doi: 10.1177/0269215507070790.
3
[Idiopathic facial paralysis (Bell's palsy): a study of 180 patients].[特发性面神经麻痹(贝尔麻痹):180例患者的研究]
面部表情改变的治疗方法:面肩肱型肌营养不良及其他神经系统疾病的系统评价
J Neuromuscul Dis. 2024;11(3):535-565. doi: 10.3233/JND-230213.
4
Electrophysiological responses to Kabat motor control re-education on Bell's Palsy: A randomized controlled study.电生理反应对贝尔氏面瘫的 Kabat 运动控制再教育:一项随机对照研究。
J Musculoskelet Neuronal Interact. 2023 Mar 1;23(1):90-97.
Arq Neuropsiquiatr. 2001 Sep;59(3-B):733-9.
4
Physical therapy for facial paralysis: a tailored treatment approach.面瘫的物理治疗:一种个性化的治疗方法。
Phys Ther. 1999 Apr;79(4):397-404.
5
Occurrence of sequelae in Bell's palsy.贝尔面瘫后遗症的发生情况。
Acta Otolaryngol Suppl. 1988;446:93-6. doi: 10.3109/00016488709121848.