Continual rehabilitation motivation of patients with postparalytic facial nerve syndrome
| Autor: | Bernhard Strauss, Christian Dobel, Anna-Maria Kuttenreich, Uwe Altmann, Gerd Fabian Volk, Orlando Guntinas-Lichius, Maike Osthues |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Quality of life medicine.medical_specialty 020205 medical informatics medicine.medical_treatment Facial Paralysis Liebowitz social anxiety scale 02 engineering and technology Anxiety Patient reported outcome measure Facial nerve 03 medical and health sciences Social support 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering medicine Humans 030223 otorhinolaryngology Motivation Rehabilitation business.industry Depression General Medicine Middle Aged medicine.disease Facial paralysis Miscellaneous Patient Health Questionnaire Cross-Sectional Studies Otorhinolaryngology Physical therapy Female medicine.symptom business Chronic facial palsy Psychosocial |
| Zdroj: | European Archives of Oto-Rhino-Laryngology |
| ISSN: | 1434-4726 |
| Popis: | Purpose To evaluate the continued rehabilitation motivation in patients with postparalytic facial synkinesis (PFS). Methods In this single-center cross-sectional survey, the multidimensional patient questionnaire for assessment of rehabilitation motivation (PAREMO-20) was used to assess the rehabilitation motivation. Associations Sunnybrook and Stennert index grading, Facial Clinimetric Evaluation (FaCE) survey, general quality of life (SF-36), Liebowitz Social Anxiety Scale (LSAS), Patient Health Questionnaire (PHQ)-9, technology commitment and affinity, and interest in further therapy were analyzed. Results 69 adults with PFS (73% women; median age: 54 years) answered the survey. In comparison to prior treatment forms, there was a significant higher future interest in computer-based home facial training (p p p = 0.018). Working (p = 0.033) and permanent relationship (p = 0.029) were the only independent factors correlated to PAREMO Social Support Subscore. Higher positive impacts of technology affinity was inversely correlated to PAREMO Knowledge subscore (p = 0.017). Lower SF-36 Role physical subscore p = 0.045) and a lower SF-36 General health (p = 0.013) were correlated to a higher PAREMO Skepticism subscore. Conclusions Patients with PFS seem to have a high facial motor and non-motor psychosocial impairment even after several facial therapies. Rehabilitation-related motivation increases with both, higher facial motor and non-motor dysfunction. Social and emotional dysfunction are drivers to be interested in innovative digital therapy forms. |
| Databáze: | OpenAIRE |
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