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Bells palsy facial retraining

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Added: 23.11.2018
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Bell's palsy is characterised by an acute, unilateral, partial, or complete paralysis of the face i. The weakness may be partial paresis or complete paralysis , and may be associated with mild pain, numbness, increased sensitivity to sound, and altered taste. Bell's palsy remains idiopathic, but a proportion of cases may be caused by reactivation of herpes viruses from the geniculate ganglion of the facial nerve. Bell's palsy is most common in people aged 15 to 40 years, with a 1 in 60 lifetime risk. We conducted a systematic review to answer the following clinical question: What are the effects of treatments in adults and children? We searched: Medline, Embase, The Cochrane Library, and other important databases up to June Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review.
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Synkinesis

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Facial Neuromuscular Retraining | Neuromotion Physiotherapy & Rehabilitation

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Exercises for Bell’s Palsy

The psychosocial and educational aspects of the rehabilitation process are thus of very great importance. In spite of the existence of biological bases for recovery, it does not occur without the appropriate environment, the attitude, and the involvement of the patient. Neuromuscular retraining NMR for facial paralysis is a marriage of neurophysiology, psychology, therapeutic science, learning theory, and art. Neuromuscular retraining is a problem solving approach to treatment using selective motor training to facilitate symmetrical movement and control undesired gross motor activity synkinesis. Tools such as surface EMG sEMG feedback and specific mirror exercises provide augmented sensory information to enhance neural adaptation and learning
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Or, if the facial nerve has been resewn, the facial nerve fibers may reconnect to the wrong nerve group, leading to undesired and simultaneous facial movements. Synkinesis results in an abnormal synchronization of facial movement. When this happens, an involuntary facial movement may occur during voluntary movement of a different facial muscle group.
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