THE EFFECTIVENESS OF PHYSICAL REHABILITATION COMPLEX FOR FACIAL NERVE PALSY

Abstract

The issue of treatment and rehabilitation of patients with facial nerve palsy is still unresolved. An essential role in functional recovery of the facial nerve during its lesion can play physical rehabilitation methods. The objective – to establish the effectiveness of the physical rehabilitation complex for facial nerve palsy. Methods. 40 patients with severe facial nerve dysfunction (grade V of House-Brackmann facial nerve grading system). Treatment was carried out in accordance with existing regulatory documents. The complex of physical rehabilitation included morning hygienic gymnastics, vocal gymnastics, mimic gymnastics, therapeutic massage of the neck and collar zone, paraffin wax applied to the affected face side, therapeutic facial massage, therapeutic massage of the hairy part of the head, ultra high frequency electric field (UHF) to the facial nerve branching zone and face self-massage. The course of the treatment and rehabilitation required 10-12 procedures of each physiotherapeutic procedure carried out daily. Results. After 14 days of physical rehabilitation, in 60% of cases (24/40) a moderate severe dysfunction is recorded, and in 40% of cases (16/40), a moderate facial nerve dysfunction is observed with all patients initially diagnosed with a severe nerve dysfunction. The symmetry of nasolabial folds, normal lachrymation and salivation also rehabilitate. Conclusions. The use of a complex of physical rehabilitation including vocal gymnastics, mimic gymnastics, massage and instrumental physiotherapy can significantly improve the clinical conditions of patients with facial nerve palsy.facial nerve palsy, physical rehabilitation, gymnastics, massage, paraffin, ultra high frequency electric field