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Functional Training in the Management of Chronic Facial Paralysis.
MedLine Citation:
PMID:  22194280     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE:/b>Disability in patients with facial paralysis is the result of impairment or loss of complex and multidimensional functions of the face, including expression of emotions, facial identity and communication. However, the majority of interventions for facial paralysis are unidimensional and impairment-oriented. Thus, we devised a functional training program that addresses various dimensions of disability caused by facial paralysis. This patient-centered, multidimensional approach to rehabilitation of individuals with facial paralysis consists of patient education, functional training and complementary exercises. Our approach encourages context-specific facial functions, positive coping strategies and social interaction skills focusing on dimensions of disability including physical, emotional and social wellbeing. CASE DESCRIPTION: /b>The client was a 25-year-old woman with chronic complete right facial paralysis caused by a postoperative complication of ear surgery. Her problems were examined using the Facial Disability Index (physical function 45/100, social/well being function 28/100) and an informal interview exploring client experiences and priorities.OutcomeFollowing 8 weeks of functional training, the client showed considerable improvement in her facial functions (physical function 90/100, social/well being function 100/100) and reported positive changes in social interaction and interpersonal relationships. DISCUSSION:/b>The use of a functional training program was associated with positive changes in emotional expression, psychosocial function and social integration, thus contributing to reduced disability of an individual with chronic facial paralysis.
Authors:
Prakash Vaidhiyalingam; Hari Ohm Katherasapandian; Vijayakumar Perisamy; Bindiya Devi Thangjam
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-22
Journal Detail:
Title:  Physical therapy     Volume:  -     ISSN:  1538-6724     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
P. Vaidhiyalingam, MPT, Navodaya College of Physiotherapy, Raichur, Karnataka, India.
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