Management of Bell’s Palsy in an Elderly Patient with Dementia using Kinesiology Tape: A Case Report

Ryan Fraser
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Abstract

Bell’s palsy is an idiopathic nerve lesion involving the facial nerve and is the most common cause of lower motor neuron facial palsy. The management of Bell’s palsy involves the administration of corticosteroids and antiviral medications, physiotherapy including the use of kinesiology tape and time. This case report aims to use kinesiology tape as a rehabilitation tool for Bell’s palsy in an elderly patient with dementia. Due to the patient’s cognitive deficits associated with dementia, she had minimal participation in active rehabilitation and subsequently developed secondary impairments of drooling and ectropion. Kinesiology tape was applied to the patients face to improve facial symmetry, provide support and proprioceptive feedback. Following 10 weeks of application, the patient had reduced ectropion and eye irritation, improved facial symmetry and reduced drooling. The use of kinesiology tape in the rehabilitation of Bell’s palsy may be beneficial in those patients who have reduced capacity to participate in active rehabilitation programs.
运动机能学胶带治疗老年痴呆患者贝尔麻痹1例
贝尔麻痹是一种累及面神经的特发性神经病变,是下运动神经元面神经麻痹的最常见原因。贝尔氏麻痹的治疗包括皮质类固醇和抗病毒药物的使用,物理治疗包括使用运动机能学磁带和时间。本病例报告的目的是使用运动机能学磁带作为贝尔氏麻痹的康复工具在老年痴呆症患者。由于患者与痴呆相关的认知缺陷,她很少参与主动康复,随后出现流口水和外翻的继发性损伤。将运动机能胶带贴于患者面部以改善面部对称性,提供支撑和本体感觉反馈。应用10周后,患者外翻和眼部刺激减少,面部对称性改善,流口水减少。运动机能学带在贝尔氏麻痹的康复中可能对那些参与积极康复计划的能力降低的患者有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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