[面部康复训练对帕金森病患者情绪、面部表情及面部肌肉活动的影响]
[Effects of facial rehabilitation exercise on the mood, facial expressions, and facial muscle activities in patients with Parkinson's disease].
作者信息
Okamoto Rumiko, Adachi Kazutaka, Mizukami Katsuyoshi
机构信息
Graduate School of Comprehensive Human Science, Department of Social Health and Stress Management, University of Tsukuba.
Faculty of Health and Sport Sciences, University of Tsukuba.
出版信息
Nihon Ronen Igakkai Zasshi. 2019;56(4):478-486. doi: 10.3143/geriatrics.56.478.
AIM
Facial expressions are often impaired in patients with Parkinson's disease (PD). Few studies have examined the effects of head and neck rehabilitation in patients with PD using a facial expression analysis. In the present study, to further elucidate the effects of facial rehabilitation exercise in patients with PD, a three-dimensional facial expression analysis with FaceReader™ and surface electromyography (EMG) were performed in order to assess the facial expressions and muscle activities, respectively. The effects of such exercises on the mood and mental health were also evaluated.
METHOD
Twenty-one patients with PD (63.3±12.1 years) participated in the present study and were randomly assigned to an intervention group and non-intervention group. Facial rehabilitation exercise was performed for 60 minutes once a week for 12 weeks in the intervention group. GHQ-12, the facial expression analysis with FaceReader™, surface EMG, and the VAS scale for mood changes were used to evaluate the effects of the program. The results from both groups were compared.
RESULTS
The results from eight patients in the intervention group and five in the non-intervention group were analyzed. FaceReader™ revealed a higher "Happy" index and lower "Sad" index in the intervention group than in the non-intervention group, and a significant interaction "Happy" index by an analysis of variance was noted between the two groups. EMG also showed increases in the activity of facial muscles in the intervention group. The subjects' mood improved after each facial rehabilitation exercise session.
CONCLUSION
The results of the present study suggest that the facial rehabilitation exercise affected the mood, facial expression, and facial muscle activities in patients with PD and indicate that the expression analysis with the FaceReader™ and surface EMG are useful for evaluating the effects of facial rehabilitation exercise.
目的
帕金森病（PD）患者的面部表情常受损。很少有研究使用面部表情分析来检验头颈康复对PD患者的影响。在本研究中，为了进一步阐明面部康复锻炼对PD患者的影响，分别进行了使用FaceReader™的三维面部表情分析和表面肌电图（EMG），以评估面部表情和肌肉活动。还评估了此类锻炼对情绪和心理健康的影响。
方法
21名PD患者（63.3±12.1岁）参与了本研究，并被随机分为干预组和非干预组。干预组每周进行一次60分钟的面部康复锻炼，共12周。使用一般健康问卷-12（GHQ-12）、FaceReader™面部表情分析、表面肌电图以及情绪变化视觉模拟量表（VAS）来评估该项目的效果。比较两组结果。
结果
分析了干预组8名患者和非干预组5名患者的结果。FaceReader™显示，干预组的“快乐”指数高于非干预组，“悲伤”指数低于非干预组，并且通过方差分析发现两组之间“快乐”指数存在显著交互作用。肌电图也显示干预组面部肌肉活动增加。每次面部康复锻炼后，受试者的情绪都有所改善。
结论
本研究结果表明，面部康复锻炼影响了PD患者的情绪、面部表情和面部肌肉活动，并表明使用FaceReader™和表面肌电图进行表情分析有助于评估面部康复锻炼的效果。
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