Stability of Benefits of Mime Therapy in Sequelae of Facial Nerve Paresis During a 1-Year Period
| Autor: | Peter G. Heymans, Rob A.B. Oostendorp, Carien H. G. Beurskens |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
computer.internet_protocol Quality of nursing and allied health care [NCEBP 6] Facial Paralysis Relaxation Therapy law.invention MIME Disability Evaluation Randomized controlled trial Facial nerve paresis law medicine Humans Outpatient clinic In patient Prospective Studies Prospective cohort study Physical Therapy Modalities Analysis of Variance Facial expression business.industry Follow up studies Sensory Systems Exercise Therapy Surgery Quality of Care [EBP 4] Facial Expression Treatment Outcome Otorhinolaryngology Physical therapy Neurology (clinical) business computer Follow-Up Studies |
| Zdroj: | Otology & Neurotology, 27, 1037-42 Otology & Neurotology, 27, 7, pp. 1037-42 |
| ISSN: | 1531-7129 |
| DOI: | 10.1097/01.mao.0000217350.09796.07 |
| Popis: | Contains fulltext : 50069.pdf (Publisher’s version ) (Closed access) OBJECTIVE: To assess the stability of benefits of mime therapy, a modality of physiotherapy for patients with facial nerve paresis, during a period of 1 year. STUDY DESIGN: A prospective follow-up build on a randomized clinical trial in which a treatment group is compared with a control group. SETTING: Physiotherapy outpatient department. PATIENTS: Forty-eight patients with a history of a facial nerve paresis of 9 months or more. INTERVENTION: Mime therapy. METHOD: Sequelae of facial nerve paresis were measured using the same measurement instruments as in the randomized clinical trial--the Sunnybrook and the House-Brackmann (HB) Facial Grading Systems, the lip length and pout indices, a stiffness scale, and the Facial Disability Index. Stability of outcome level and of interpatient differences is analyzed. RESULTS: Of the 46 patients who completed the follow-ups, repeated-measures analyses of covariance revealed no significant differences in the average scores nor significant trends of the posttherapy measurements, except for the pout index and the Facial Disability Index-social. For six sequelae (except HB), 95% of patient-sequel combinations showed immediate improvement after mime therapy, for HB grades this was 74%. Where sequelae improved, the posttherapy individual courses (T2-T3-T4) showed, also for HB, in majority absence of deterioration; benefits obtained were stable. CONCLUSION: Mime therapy is effective in patients with facial nerve paresis and benefits are stable 1 year after therapy. |
| Databáze: | OpenAIRE |
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