Miray Baser, Fatih Özden, Yalçın Gölcük, Özgür Nadiye Doğrukök, Zübeyir Sarı
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引用次数: 0
Abstract
Objective: To investigate the relationships between patient-reported physical and social facial disability, health-related quality of life (HRQoL), and instrumental activities of daily living (IADLs) in individuals with peripheral facial paralysis (PFP) compared with healthy controls.
Methods: This cross-sectional study included 100 PFP patients and 116 age- and sex-matched controls. Facial disability, IADLs, and HRQoL were assessed using the Facial Disability Index (FDI), Nottingham Extended Activities of Daily Living Index (NEADL), and EuroQol-5 Dimensions (EQ-5D). Between-group comparisons and partial correlations controlling for demographics were performed.
Results: Patients with PFP had significantly lower physical and social scores on the FDI than controls (p < .001). Scores for HRQoL were significantly reduced across all dimensions (p ≤ .002). Total and subdomain scores of the NEADL Index were also significantly lower in the PFP group. Partial correlation analyses showed that the social subscale of the FDI was significantly associated with multiple NEADL items and EQ-5D dimensions (r = 0.197-0.410, p < .050), whereas physical scores had limited correlations. Mediation analysis confirmed that psychological distress (EQ-5D Anxiety/Depression) fully mediated the relationship between social disability and IADL performance (Path c' p = .108). Paralysis duration showed limited association with functional outcomes.
Conclusion: Patients with PFP exhibited significant impairments in social facial function, HRQoL, and NEADL performance. Social facial disability, rather than physical impairment, is the primary driver of limitations in daily activities, a relationship that is fully mediated by psychological distress. These findings underscore the need for psychosocial interventions alongside motor rehabilitation to optimize functional independence in PFP patients.
目的：探讨周围性面瘫（PFP）患者报告的身体和社交性面部残疾、健康相关生活质量（HRQoL）和日常生活工具活动（IADLs）与健康对照者的关系。方法：本横断面研究包括100例PFP患者和116例年龄和性别匹配的对照组。采用面部残疾指数（FDI）、诺丁汉日常生活扩展活动指数（NEADL）和EuroQol-5维度（EQ-5D）评估面部残疾、IADLs和HRQoL。进行了组间比较和人口统计学控制的部分相关。结果：PFP患者的FDI生理和社会得分明显低于对照组（p≤0.002）。PFP组NEADL指数的总得分和子域得分也显著降低。偏相关分析显示，外商直接投资社会分量表与NEADL多个项目和EQ-5D维度显著相关（r = 0.197 ~ 0.410, p p = 0.108）。麻痹持续时间与功能预后的关联有限。结论：PFP患者在社交面部功能、HRQoL和NEADL表现上有明显的损害。社交性面部残疾，而不是身体损伤，是日常活动受限的主要驱动因素，这种关系完全由心理困扰介导。这些发现强调了在运动康复的同时进行社会心理干预以优化PFP患者的功能独立性的必要性。
期刊介绍：
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
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