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贝尔面瘫:通过肌电图反馈进行肌肉再训练。

Bell palsy: muscle reeducation by electromyograph feedback.

作者信息

Jankel W R

出版信息

Arch Phys Med Rehabil. 1978 May;59(5):240-2.

PMID:655838
Abstract

The present case study investigated the efficacy of feedback in restoring muscle control to facial muscles which had been affected by Bell palsy. The subject, a woman, was provided an analog tone as feedback for modifying the muscle activity on the paralyzed (right) side of her face to match that of her nonaffected (left) side. The results showed a statistically significant shift in muscle activity in masseter, zygomaticus, and orbicularis oculi muscles. Post-treatment levels closely approximated the nonaffected side, and resulted in more normal facial characteristics with respect to jaw position and symmetry of smiling. Bidirectional control of the zygomaticus was also demonstrated.

摘要

本案例研究调查了反馈对恢复受贝尔面瘫影响的面部肌肉控制能力的功效。受试者为一名女性,她被给予一种模拟音调作为反馈,以调整其面部瘫痪(右侧)一侧的肌肉活动,使其与未受影响(左侧)一侧的肌肉活动相匹配。结果显示,咬肌、颧肌和眼轮匝肌的肌肉活动出现了具有统计学意义的变化。治疗后的水平与未受影响的一侧非常接近,并且在下巴位置和微笑对称性方面产生了更正常的面部特征。还证明了颧肌的双向控制。

相似文献

1
Bell palsy: muscle reeducation by electromyograph feedback.贝尔面瘫:通过肌电图反馈进行肌肉再训练。
Arch Phys Med Rehabil. 1978 May;59(5):240-2.
2
Efficacy of feedback training in long-standing facial nerve paresis.反馈训练对长期面神经麻痹的疗效。
Laryngoscope. 1991 Jul;101(7 Pt 1):744-50. doi: 10.1288/00005537-199107000-00009.
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The restoration of control in facial muscles affected by Bell's palsy.
Int J Psychosom. 1990;37(1-4):73-7.
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[Treatment of Bell's palsy by using portable biofeedback devices].[使用便携式生物反馈设备治疗贝尔麻痹]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(10):57-62.
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Physical therapy for facial paralysis: a tailored treatment approach.面瘫的物理治疗:一种个性化的治疗方法。
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Electromyographic biofeedback in the reeducation of facial palsy.面神经麻痹康复训练中的肌电图生物反馈疗法
Am J Phys Med. 1978 Aug;57(4):183-90.
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Dual innervation method using one-stage reconstruction with free latissimus dorsi muscle transfer for re-animation of established facial paralysis: simultaneous reinnervation of the ipsilateral masseter motor nerve and the contralateral facial nerve to improve the quality of smile and emotional facial expressions.采用游离背阔肌肌瓣一期重建的双神经支配法治疗陈旧性面瘫的面部再运动:同时重建同侧咬肌运动神经和对侧面神经以改善微笑及面部表情的质量。
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[The adaptive biological control system with electromyographic feedback in the treatment of Bell's palsy].
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引用本文的文献

1
The utilization of EMG biofeedback for the treatment of periorbital facial muscle tension.
Biofeedback Self Regul. 1983 Sep;8(3):377-82. doi: 10.1007/BF00998747.
2
Electromyographic feedback in the treatment of bilateral facial paralysis: a case study.肌电图反馈在双侧面瘫治疗中的应用:一项病例研究。
J Behav Med. 1992 Oct;15(5):533-9. doi: 10.1007/BF00844946.
3
Biofeedback in physical medicine and rehabilitation.物理医学与康复中的生物反馈
Biofeedback Self Regul. 1978 Dec;3(4):435-55. doi: 10.1007/BF00998946.