Neuromuscular facial retraining


Therapy in the acute stage focuses on education in self-care strategies for both prevention of secondary problems and promotion of maximal functional recovery as the facial nerve heals In the post-acute stages, months to years from the onset of the paralysis, therapy focuses on reducing muscle spasms and abnormal movements, promoting facial symmetry, and achieving selective muscle control for desired facial expression and function. What conditions can cause facial paralysis? Therapy in the acute stage focuses on education in self-care strategies for both prevention of secondary problems and promotion of maximal functional recovery as the facial nerve heals. Its synonyms include facial neuromuscular re-education, facial retraining, and Mime Therapy. Azizzadeh and the Facial Paralysis Institute team take a holistic approach to physical therapy for facial paralysis. Bell's Palsy and Ramsey Hunt Syndrome Facial, temporal bone or head traumas Acoustic neuromas, facial schwannomas and other tumors affecting facial movements Vascular damage Infections Cerebrovascular accidents CVA Congenital abnormalities Lyme Disease What is involved in facial retraining therapy? With the proper exercises and physical therapy, facial paralysis patients can recover some of their lost facial movement and regain animation in their facial expressions. Individualized specific functional facial exercises Dual Channel Electromyograph training using sensory, visual and auditory feedback to teach the brain to make new neurological connections for facial movements when the old ones have been damaged. Establishment of realistic goals and an individualized treatment plan.
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Australian Journal of Physiotherapy, American Academy of otolaryngology-Head and Neck Surgery, Home About Meet Dr. What is Facial Neuromuscular Rehabilitation? Below are two of the most common approaches used by our physical therapists. At the Facial Paralysis Institute, we stress the importance of being evaluated by an expert neuromuscular therapist to learn the proper exercises for your condition. Treatment is based on individual function, and as a result, each treatment program is different. Normalize movement of facial muscles Increase symmetrical movement patterns of the face Increase volitional movements of the face Inhibit undesired movements and synkinesis Normalize muscular tone What conditions can cause facial paralysis?
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Physical Therapy

Its synonyms include facial neuromuscular re-education, facial retraining, and Mime Therapy. American Academy of otolaryngology-Head and Neck Surgery, Symmetry Patients are instructed in symmetrical excursion of movements to reinforce the normal physiological response. Structuring therapy in this manner results in a cost-effective service delivery system that reduces the number of billed clinic hours while increasing the overall number of treatment hours. American Society of Plastic Surgeons 7: By achieving improved facial symmetry, improved ocular and oral control, and a return of effective nonverbal communication facial expression , you will experience a recovery of your self image and social interactions. Surface EMG if applicable , to augment the evaluation. Understanding facial paralysis is appreciating the significant impact that loss of facial expression and function can have on your physical, psychological, and social well-being.
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Description:Physical Therapy Techniques for Facial Paralysis Neuromuscular Retraining NMR NMR involves the use of subtle but critically important exercises to teach and retrain the brain to coordinate the facial muscles more effectively and efficiently. Patients return to the clinic periodically to refine movement patterns, learn new exercises, document progress and establish new treatment goals. Following your initial evaluation and training sessions, subsequent clinic visits may occur from once every month to once every six months, depending on the complexity of your case, the progress achieved, and the distance you reside from the clinic. Facial NMR will require time, patience, and commitment on your part for the effects to be fully realized. Facial neuromuscular retraining is a technique used to treat individuals who have paralysis or paresis of the facial muscles resulting from injury or disease to their facial nerve. Normalize movement of facial muscles Increase symmetrical movement patterns of the face Increase volitional movements of the face Inhibit undesired movements and synkinesis Normalize muscular tone What conditions can cause facial paralysis? Azizzadeh and the Facial Paralysis Institute team take a holistic approach to physical therapy for facial paralysis.

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