Programa de Pós-graduação em Fonoaudiologia, Faculdade de Odontologia de Bauru, Universidade de São Paulo - USP - Bauru (SP), Brasil.
Conselho Federal de Fonoaudiologia - CFFa - São Paulo (SP), Brasil.
Codas. 2023 Jun 2;35(3):e20210161. doi: 10.1590/2317-1782/20232021161pt. eCollection 2023.
Myotherapy intervention in facial aesthetics aims to attenuate wrinkles and signs of facial aging. The relationship between accentuated muscle contraction during chewing, swallowing and speaking and the appearance of facial wrinkles has been suggested by speech-language pathology literature. This study aimed to report the effect of electromyographic biofeedback associated with training of chewing, swallowing, and smiling patterns, during speech therapy intervention aimed at reducing the signs of facial wrinkles and furrows, in a 55-year-old woman. The therapy also included isotonic and isometric exercises and clinical procedures to decrease the contraction of facial mimicry muscles, which were not associated with training using electromyographic biofeedback. Signal collection and training were performed using the Biotrainer software on the New Miotool Face by Miotec, over nine weekly sessions. Two assessments were performed (before and after the nine sessions), using the MBGR Protocol (assessment of chewing, swallowing, and smiling) and validated scales described in the literature (assessment of signs of facial aging). In the reported case, the usefulness of electromyographic biofeedback was verified for learning trained orofacial myofunctional patterns, as well as to improve chewing and swallowing functions and decrease signs of facial aging. However, further research is needed to demonstrate the positive effects of electromyographic biofeedback associated with myofunctional therapy aimed at attenuating the signs of facial aging.
肌筋膜疗法干预在面部美学中旨在减轻皱纹和面部衰老的迹象。言语病理学文献提示咀嚼、吞咽和说话时肌肉收缩加剧与面部皱纹出现之间存在关联。本研究旨在报告肌筋膜疗法的一种应用，即通过肌电图生物反馈联合咀嚼、吞咽和微笑模式训练来减少面部皱纹和纹路的迹象，该研究的对象是一位 55 岁的女性。治疗还包括等张和等长练习以及临床程序，以减少面部表情肌的收缩，这些程序不包括使用肌电图生物反馈的训练。信号采集和训练使用 Miotec 的 New Miotool Face 上的 Biotrainer 软件进行，共进行了九周的每周一次的治疗。进行了两次评估（治疗前和治疗后九次治疗后），使用 MBGR 协议（咀嚼、吞咽和微笑评估）和文献中描述的验证量表（面部衰老迹象评估）。在报告的病例中，肌电图生物反馈用于学习训练有素的口面肌功能模式，以及改善咀嚼和吞咽功能以及减少面部衰老迹象是有用的。然而，需要进一步的研究来证明与旨在减轻面部衰老迹象的肌功能疗法相关的肌电图生物反馈的积极效果。
