Efficacy of Mirror Biofeedback Rehabilitation on Synkinesis in Acute Stage Facial Palsy in Children

Baba, Satoru; Kondo, Kenji; Yoshitomi, Ai; Kanemaru, Asako; Nakaya, Muneo; Yamasoba, Tatsuya

doi:10.1097/mao.0000000000003144

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…In addition, this patient was administered home therapies, including facial massage, biofeedback, and warm compresses three times a day with a duration of 10 minutes. Studies have demonstrated that these therapies can facilitate muscle relaxation and improve muscle tone, as well as stimulate muscle strength through specific movements in front of a mirror (Baba et al, 2021;Dewi et al, 2020). In this case, the parents have high expectations that their daughter will achieve symmetrical lips similar to those of other children, given her psychosocial development.…”

Section: Discussionmentioning

confidence: 99%

“…In this case, the parents have high expectations that their daughter will achieve symmetrical lips similar to those of other children, given her psychosocial development. The prognosis for peripheral facial palsy in children is likely to be more favorable than in adults (Baba et al, 2021). Should the patient's condition at the end of therapy fall short of parental expectations, it is recommended that they undergo dynamic facial reanimation surgery, with a recovery outcome of more than 80%, and crossfacial nerve grafting, with a recovery outcome of more than 83% (Ciorba et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

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Peripheral congenital facial palsy: a rare case report

Budi Dewi,

Gunawan

2024

SMJ IDI Surabaya

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Background: Congenital facial nerve palsy is a rare condition that is typically associated with a traumatic birth event or manifests as a characteristic of a syndrome that necessitates a rehabilitation program. Objective: This report aims to present a rare case and its subsequent outcome after undergoing a rehabilitation program. Case: An eight-month-old infant presented with complaints of an asymmetrical mouth when crying and smiling since birth. The left eye was unable to fully close. No evidence of a syndrome was found. The results of the electromyography of the left facial nerve revealed the presence of partial axonal loss, axonal malfunction, or neuropathy. The patient was subjected to a comprehensive treatment plan, involving rehabilitation programs such as neuromuscular electrical stimulation (NMES) and laser therapy over a period of 18 months. Discussion: It is important to determine if congenital facial palsy is a standalone condition or part of a broader syndrome. Rehabilitation programs, such as NMES and laser therapy, can stimulate the neurons and improve muscle weakness. The House-Brackmann scale demonstrated a clinical improvement, moving from grade V to grade II. With consistent physical therapy, the patient demonstrated improvements in facial expressions and eye closure. Conclusion: NMES and laser therapy, as well as facial massage and biofeedback, are potential treatments for congenital facial palsy due to their efficacy and favorable outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Peripheral congenital facial palsy: a rare case report

Budi Dewi,

Gunawan

2024

SMJ IDI Surabaya

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“…Treatment modalities include patient education, massage/stretching, facial tapping, functional and facial expression retraining, electrical stimulation, biofeedback therapy, and more [19]. Despite some concerns that physical therapy in the early stages of facial paralysis can increase the risk of synkinesis, recent studies have shown improved functional outcomes with either no change or a decrease in the development of synkinesis [20 ▪▪ ,21,22 ▪ ]. There is thought that electrical stimulation could reduce the sequelae of facial paralysis by preventing muscle atrophy and improving the selectivity of motor nerve regeneration; however, study results vary.…”

Section: Physical Therapymentioning

confidence: 99%

Facial paralysis: timing of repair and management of the nonflaccidly paralyzed face

Sanchez¹,

Pannu²,

Fuller³

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review To explore recent advances in therapeutic interventions for nonflaccid facial paralysis (NFFP), including new evidence for surgical and nonsurgical treatments. Timing of treatment is also discussed, along with possible future treatments. Recent findings NFFP remains a difficult disease to treat. Chemodenervation with botulinum toxin remains a first-line treatment to suppress aberrant and antagonistic movements during voluntary use of muscles. More permanent treatments such as selective neurectomy, myectomy, and nerve and muscle transfers have been shown to offer promising results for the nonflaccidly paralyzed face. Summary NFFP is commonly seen in patients who have incomplete recovery from facial paralysis, and carries high psychosocial morbidity. A large array of treatments have been described in the literature, both procedural and nonprocedural. Both treatment type and timing are important in optimal patient recovery.

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“…7 The electroneurography (ENoG) value of <40% and the ratio of the interpalpebral distance of <85% [8][9][10] have been reported to be correlated with the occurrence of synkinesis. Based on our previous studies, [11][12][13][14][15][16][17] we hypothesized that the characteristics of patients with early-onset facial paralysis measured with values of "ENoG," "the difference in the nerve excitability test (NET)," and "Yanagihara score" could be used to exquisitely predict facial synkinesis using machine learning (ML). Previous studies demonstrated the effectiveness of ML models in predicting clinical outcomes in numerous medical conditions, as well as in identifying prognostic factors.…”

Section: Introductionmentioning

confidence: 99%

Predicting synkinesis caused by Bell's palsy or Ramsay Hunt syndrome using machine learning‐based logistic regression

Kishimoto‐Urata,

Urata,

Nishijima

et al. 2023

Laryngoscope Investig Oto

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ObjectiveTo investigate whether machine learning (ML)‐based algorithms, namely logistic regression (LR), random forest (RF), k‐nearest neighbor (k‐NN), and gradient‐boosting decision tree (GBDT), utilizing early post‐onset parameters can predict facial synkinesis resulting from Bell's palsy or Ramsay Hunt syndrome more accurately than the conventional statistics‐based LR.MethodsThis retrospective study included 362 patients who presented to a facial palsy outpatient clinic. Median follow‐up of synkinesis‐positive and ‐negative patients was 388 (range, 177–1922) and 198 (range, 190–3021) days, respectively. Electrophysiological examinations were performed, and the rate of synkinesis in Bell's palsy and Ramsay Hunt syndrome was evaluated. Sensitivity and specificity were assessed using statistics‐based LR; and electroneurography (ENoG) value, the difference in the nerve excitability test (NET), and scores of the subjective Yanagihara scaling system were evaluated using early post‐onset parameters with ML‐based LR, RF, k‐NN, and GBDT.ResultsSynkinesis rate in Bell's palsy and Ramsay Hunt syndrome was 20.2% (53/262) and 40.0% (40/100), respectively. Sensitivity and specificity obtained with statistics‐based LR were 0.796 and 0.806, respectively, and the area under the receiver operating characteristic curve (AUC) was 0.87. AUCs measured using ML‐based LR of “ENoG,” “difference in NET,” “Yanagihara,” and all three components (“all”) were 0.910, 0.834, 0.711, and 0.901, respectively.ConclusionML‐based LR model shows potential in predicting facial synkinesis probability resulting from Bell's palsy or Ramsay Hunt syndrome and has comparable reliability to the conventional statistics‐based LR.Level of Evidence3.

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Efficacy of Mirror Biofeedback Rehabilitation on Synkinesis in Acute Stage Facial Palsy in Children

Cited by 3 publications

References 23 publications

Peripheral congenital facial palsy: a rare case report

Peripheral congenital facial palsy: a rare case report

Facial paralysis: timing of repair and management of the nonflaccidly paralyzed face

Predicting synkinesis caused by Bell's palsy or Ramsay Hunt syndrome using machine learning‐based logistic regression

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