Dominguez-Defez Nerea, Lopez-Barreiro Juan, Hernandez-Lucas Pablo, González-Castro Ana
Nursing and Physical Therapy Department, University of Leon, Astorga Ave., 24401 Ponferrada, Spain.
Faculty of Education and Sport Sciences, University of Vigo, Campus A Xunqueira, 36005 Pontevedra, Spain.
Neurol Int. 2025 Jan 23;17(2):17. doi: 10.3390/neurolint17020017.
Peripheral facial paralysis (PFP) affects the facial nerve, the seventh cranial nerve. It has an incidence rate of 20-30 cases per 100,000 habitants. The diagnosis is clinical, though imaging tests may be required in some cases. The treatment protocol includes medication, physiotherapy, and, in certain cases, surgery. Proprioceptive neuromuscular facilitation (PNF) techniques and electrical stimulation have been shown to be significant for recovery. Although PFP has a high recovery rate, up to 40% of patients may experience permanent sequelae.
to assess the efficacy of treatment based on electrical stimulation and/or PNF in patients affected by PFP.
A systematic search was conducted across six databases (PubMed, Medline, SportDiscus, CINAHL, Scopus, and Web of Science) in November 2024. Randomized controlled trials were included.
Fourteen articles were analyzed, applying PNF and/or electrical stimulation methods, pharmacological treatment, low-level laser treatment, subcutaneous collagen injections, and physiotherapy protocols involving facial expression exercises, yielding evidence for the variables assessed.
PNF and/or electrical stimulation treatment in patients with PFP can be effective when employed early with appropriate parameters, showing promising results in improving quality of life, facial movement quality, and CMAP and reducing both the incidence and degree of synkinesis.
周围性面神经麻痹（PFP）影响面神经，即第七对颅神经。其发病率为每10万居民中有20 - 30例。诊断主要基于临床，不过在某些情况下可能需要影像学检查。治疗方案包括药物治疗、物理治疗，在某些情况下还包括手术。本体感觉神经肌肉促进法（PNF）技术和电刺激已被证明对恢复有显著作用。尽管PFP的恢复率较高，但仍有高达40%的患者可能会出现永久性后遗症。
评估基于电刺激和/或PNF对PFP患者的治疗效果。
2024年11月在六个数据库（PubMed、Medline、SportDiscus、CINAHL、Scopus和Web of Science）中进行了系统检索。纳入随机对照试验。
分析了14篇文章，这些文章应用了PNF和/或电刺激方法、药物治疗、低强度激光治疗、皮下胶原蛋白注射以及涉及面部表情练习的物理治疗方案，为所评估的变量提供了证据。
对于PFP患者，早期采用适当参数进行PNF和/或电刺激治疗可能有效，在改善生活质量、面部运动质量以及复合肌肉动作电位（CMAP）方面显示出有前景的结果，并能降低联带运动的发生率和程度。
