Conclusion: Rehabilitation was significantly efficient in both groups of patients with synkinesis, especially in those in whom treatment with botulinum toxin type A (BTX-A) preceded physical rehabilitation. Objective: To determine the influence of preventive treatment with BTX-A on synkinesis when physical rehabilitation is planned. Methods: Twenty patients, who recovered from facial palsy with final House-Brackmann (HB) grade II and III, were randomized to assess the efficacy of preventive BTX-A treatment on final synkinesis score after physical rehabilitation. Synkinesis was graded according to the four-point scale derived from the SunnyBrook Facial Grading System (FGS). Physical rehabilitation was carried out using NeuroMuscular Retraining Therapy (NMRT). In the randomized groups, NMRT was administered with (group a) or without pre-BTX-A treatment (group b). Results: Patients who were preliminarily treated with BTX-A in the affected area showed a 2.1 improvement of score on the SunnyBrook scale (p < 0.001), with significantly better results in comparison to the non-BTX-A group.

Combined protocol for treatment of secondary effects from facial nerve palsy / Monini, Simonetta; DE CARLO, Andrea; Biagini, Michela; Antonella, Buffoni; Volpini, Luigi; Lazzarino, Antonio Ivan; Barbara, Maurizio. - In: ACTA OTO-LARYNGOLOGICA. - ISSN 0001-6489. - STAMPA. - 131:8(2011), pp. 882-886. [10.3109/00016489.2011.577447]

Combined protocol for treatment of secondary effects from facial nerve palsy

MONINI, Simonetta;DE CARLO, ANDREA;BIAGINI, MICHELA;VOLPINI, LUIGI;LAZZARINO, Antonio Ivan;BARBARA, Maurizio
2011

Abstract

Conclusion: Rehabilitation was significantly efficient in both groups of patients with synkinesis, especially in those in whom treatment with botulinum toxin type A (BTX-A) preceded physical rehabilitation. Objective: To determine the influence of preventive treatment with BTX-A on synkinesis when physical rehabilitation is planned. Methods: Twenty patients, who recovered from facial palsy with final House-Brackmann (HB) grade II and III, were randomized to assess the efficacy of preventive BTX-A treatment on final synkinesis score after physical rehabilitation. Synkinesis was graded according to the four-point scale derived from the SunnyBrook Facial Grading System (FGS). Physical rehabilitation was carried out using NeuroMuscular Retraining Therapy (NMRT). In the randomized groups, NMRT was administered with (group a) or without pre-BTX-A treatment (group b). Results: Patients who were preliminarily treated with BTX-A in the affected area showed a 2.1 improvement of score on the SunnyBrook scale (p < 0.001), with significantly better results in comparison to the non-BTX-A group.
2011
synkinesis; botulinum toxin a; sunnybrook facial grading system; neuromuscular retraining therapy; kabat physical rehabilitation
01 Pubblicazione su rivista::01a Articolo in rivista
Combined protocol for treatment of secondary effects from facial nerve palsy / Monini, Simonetta; DE CARLO, Andrea; Biagini, Michela; Antonella, Buffoni; Volpini, Luigi; Lazzarino, Antonio Ivan; Barbara, Maurizio. - In: ACTA OTO-LARYNGOLOGICA. - ISSN 0001-6489. - STAMPA. - 131:8(2011), pp. 882-886. [10.3109/00016489.2011.577447]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/488988
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