电刺激联合镜像疗法和按摩减少慢性拉姆齐·亨特综合征患者联动性的效果:1例报告。

IF 1.5 4区 医学 Q2 REHABILITATION
Physiotherapy Theory and Practice Pub Date : 2025-10-01 Epub Date: 2025-05-04 DOI:10.1080/09593985.2025.2501061
Suzanne McCrum
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引用次数: 0

摘要

背景:拉姆齐亨特综合征(RHS)是水痘的晚期并发症,常伴有面瘫和面瘫。治疗急性面瘫或任何原因引起的面瘫联动性可能包括物理治疗(PT),其重点是肌电(EMG)生物反馈、拉伸和加热。较少的研究集中在治疗由RHS引起的联动。目的:本病例报告的目的是评估神经肌肉电刺激(NMES)加入更完善的PT治疗,如镜像疗法和按摩,以减少慢性RHS的联动性的有效性。病例描述:患者为62岁女性,患有RHS。诊断一年后,她开始PT,使用NMES,运动和按摩来减少联动性。联合运动方案在每周两次的诊所预约中进行,持续四周,患者每天在家两次执行该方案。结果:使用Sunnybrook面部评分系统(SFGS)和synkineesis评估问卷(SAQ)评估面部外观和功能。SFGS评分从64/100提高到89/100。SAQ分数从25/45提高到11/45。两人在微笑和抿嘴时都表现出联动功能减弱。结论:四周后,通过客观和主观测量,患者的对称性得到改善,口型运动中意外的右眼运动减少。长期研究将增加治疗面部异常的知识体系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of electrical stimulation in conjunction with mirror therapy and massage to decrease synkinesis in a patient with chronic Ramsay Hunt Syndrome: a case report.

Background: Ramsay Hunt Syndrome (RHS) is a late complication of chickenpox often associated with facial paralysis and synkinesis. Treatments for acute-onset facial paralysis or synkinesis from any cause may include physical therapy (PT) that focuses on electromyography (EMG) biofeedback, stretching, and heat. Less research has focused on treating synkinesis resulting from RHS.

Objective: The purpose of this case report was to assess the effectiveness of adding neuromuscular electrical stimulation (NMES) to more well-studied PT treatments, such as mirror therapy and massage, for decreasing synkinesis in chronic RHS.

Case description: The patient was a 62-year-old female with RHS. One year after diagnosis, she began PT to decrease synkinesis with the use of NMES, exercise, and massage. The synkinesis protocol was performed during twice-weekly clinic appointments lasting four weeks, and the patient performed the protocol at home twice daily.

Outcomes: Assessment of facial appearance and function utilized the Sunnybrook Facial Grading System (SFGS) and Synkinesis Assessment Questionnaire (SAQ). SFGS score improved from 64/100 to 89/100. SAQ score improved from 25/45 to 11/45. Both demonstrated decreased synkinesis during smiling and lip puckering.

Conclusion: After four weeks the patient showed improved symmetry and decreased unintended right eye movements during mouth movements, assessed by objective and subjective measures. Long-term studies would add to the body of knowledge for treating facial abnormalities.

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来源期刊
CiteScore
3.40
自引率
10.00%
发文量
300
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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