Fasiyal Paralizi Hastalarında Çoklu Modelde Uygulanan Fizyoterapi ve Rehabilitasyon Uygulamalarının Etkinliği: Olgu Sunumu
Notice bibliographique
Résumé
Introduction: Facial paralysis is the seventh cranial nerve injury of central or peripheral origin. It is characterized by multiple sensory, motor and autonomic losses, such as loss of sensation, loss of muscle strength, pain, and loss of function in the lacrimal glands. The aim of the study is to investigate the effectiveness of multimodal physiotherapy and rehabilitation (PTR) applications in patients with facial paralysis. Case: E. Ö., a 43-year-old tourism manager, is being followed up with a diagnosis of right parotid gland tumor. When the tumor was 2.1 cm in size, it was taken into surgery, and since nerve damage occurred during the surgery, the patient was directed to physical therapy. As a result of the electromyography (EMG) performed 21 days later, 88% nerve damage was detected in the 4 branches of N. facialis. The patient started physiotherapy in the 4th week after the injury. The patient’s facial muscle functions were assessed with the Facial Clinimetric Evaluation (FaCE) questionnaire, nerve damage was assessed with EMG, muscle strength was assessed with the House-Brackmann scale, synkinesis was assessed with the synkinesis assessment questionnaire (SAQ), disability was assessed with the facial disability index (FDI), and pain was assessed with the McGill Melzack scale. Salivation, lacrimation and tongue functions were questioned verbally. All tests were repeated before treatment (BT) and after treatment (AT). PTR applications were performed 3 days a week for 10 weeks. For motor problems, facial mimic muscles were strengthened with the proprioceptive neuromuscular facilitation (PNF) method and combined mimic exercises with motor point stimulation were performed. The exercises were supported by imaginary exercises in front of the mirror. A rest splint was given with infrared to accelerate pain and healing, and kinesio taping for flaccid sensation. Classical facial massage was applied to both reduce pain and increase regional circulation. Conclusion: While 88% nerve damage was detected in the 4 branches of the facial nerve in the EMG result (BT) 21 days after the injury, the nerve damage decreased to 21% after treatment and a success rate of 67% was achieved. After treatment, improvements were recorded in the FaCE questionnaire (BT: 23, AT: 64), SAQ (BT: 60%, AT: 22.2%, progression rate 37.8%), FDI (BT: 16, AT: 21) and MCGill Melzack Pain Rating Scale; on localization and type of the pain parameters didn’t change while time (BT:1 hour, AT:15 minutes), frequency (BT: twice a day, AT: once a week) and intensity (BT:8/10, AT:1/10) changings recorded, excluding the muscle strength test. In conclusion, multimodal PTR applied to patients with facial paralysis improve the motor and sensory effects of the patients. Keywords: Facial paralysis, motor function, pain, rehabilitation
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,003 | 0,003 |
| Méta-épidémiologie (sens large) | 0,004 | 0,003 |
| Bibliométrie | 0,003 | 0,005 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,002 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».