Krauß Johannes, Meincke Gabriel, Geitner Maren, Kuttenreich Anna-Maria, Beckmann Jan, Arnold Dirk, Ballmaier Jonas, Lehmann Thomas, Mayr Winfried, Guntinas-Lichius Orlando, Volk Gerd Fabian
ENT-Department, Jena University Hospital, Jena.
ENT-Department, Jena University Hospital, Jena, Germany; Facial-Nerve-Center, Jena University Hospital, Jena.
Eur J Transl Myol. 2024 Nov 15;34(4):13161. doi: 10.4081/ejtm.2024.13161.
Surface Functional Electrical Stimulation (FES) is a well-studied intervention for multiple muscular disorders. However, it is still controversially discussed as a complementary therapy for complete facial paralysis. The aim of this intervention is to test a daily home-based ES concept as a pilot study regarding safety, feasibility, and effects on facial functionality and symmetry. In a prospective single-centre pilot study, 10 patients (median 61 years, denervation 130 d) with complete peripheral facial paralysis performed home-based FES of the affected lateral mouth region Stimulation parameters, facial paralysis scores and standardised photographs were assessed in monthly follow-ups. No serious adverse events appeared. Stimulation parameters could be constantly increased indicating effective muscle training while subjectively perceived functionality of the face improved. Thus, smile angle of the paralysed side improved as well. FES is a safe therapy model for application in facial nerve paralysis patients. A feasible stimulation protocol could be applied, which improved the functionality and symmetry of the stimulated facial region. A future controlled, randomised and double-blind follow-up study is needed to investigate these initial results in a further evolved replicable setting.
表面功能性电刺激（FES）是一种针对多种肌肉疾病进行了充分研究的干预措施。然而，作为完全性面瘫的辅助治疗方法，其仍存在争议。本干预措施的目的是测试一种基于家庭的每日电刺激概念，作为一项关于安全性、可行性以及对面部功能和对称性影响的试点研究。在一项前瞻性单中心试点研究中，10例完全性周围性面瘫患者（中位年龄61岁，失神经支配130天）对患侧口角区域进行了家庭式FES治疗。在每月的随访中评估刺激参数、面瘫评分和标准化照片。未出现严重不良事件。刺激参数可不断增加，表明有效的肌肉训练，同时面部主观感知功能得到改善。因此，患侧的微笑角度也有所改善。FES是一种应用于面神经麻痹患者的安全治疗模式。可以应用一种可行的刺激方案，该方案改善了受刺激面部区域的功能和对称性。未来需要进行一项对照、随机和双盲的随访研究，以便在进一步发展的可重复环境中研究这些初步结果。
