Kasahara Takashi, Ikeda Saori, Sugimoto Ayaka, Sugawara Shinji, Koyama Yuji, Toyokura Minoru, Masakado Yoshihisa
Department of Rehabilitation Medicine, Tokai University Schol of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2017 Sep 20;42(3):139-142.
Mirror feedback rehabilitation is effective in preventing the development of oro-ocular synkinesis following severe facial palsy. However, we do not have effective maneuvers to prevent the deterioration of oculo-oral synkinesis. We developed a new method of biofeedback rehabilitation using tape for the prevention of oculo-oral synkinesis.
The aim of the present study was to investigate the efficacy of taping feedback rehabilitation.
Twelve consecutive patients with peripheral facial nerve palsy who developed synkinesis were divided into 2 groups. Six patients were treated with the new training method, and the remaining 6 patients were treated with conventional therapy as controls. In the experiment group, tape was placed around the mouth, and the patient was instructed to close the eyes so that no movements of the mouth would be perceived from sensations of the taped skin. After 4 weeks of training, facial movements were recorded and movie images were graded for mouth synkinesis using the revised Sunnybrook facial grading system by examiners blinded to patient grouping.
Mouth corner contraction during eye closure was significantly weaker in the experimental group than in the control group.
Our new feedback method could help prevent the deterioration of oculo-oral synkinesis.
镜像反馈康复对于预防严重面瘫后口眼联动的发展是有效的。然而，我们没有有效的措施来防止口眼联动的恶化。我们开发了一种使用胶带的生物反馈康复新方法来预防口眼联动。
本研究的目的是调查胶带反馈康复的疗效。
12例连续性外周性面神经麻痹且出现联动的患者被分为2组。6例患者采用新训练方法治疗，其余6例患者采用传统疗法作为对照。在实验组中，在嘴周围贴上胶带，并指导患者闭上眼睛，以便从贴有胶带的皮肤感觉中察觉不到嘴的任何动作。经过4周的训练后，记录面部动作，并由对患者分组不知情的检查人员使用修订后的桑尼布鲁克面部评分系统对嘴联动的电影图像进行评分。
实验组在闭眼时口角收缩明显弱于对照组。
我们的新反馈方法有助于防止口眼联动的恶化。
