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双侧面肌训练同步视觉肌电反馈治疗特发性面神经麻痹的有效性

Efficacy of bilateral facial muscle training combined with visual electromyography biofeedback in the treatment of idiopathic facial nerve palsy

    摘要
  • 摘要:
    目的 探讨双侧面肌训练同步视觉肌电反馈治疗对特发性面神经麻痹患者面神经功能恢复的疗效。
    方法 选择2022年7月至2024年7月复旦大学附属上海市第五人民医院收治的特发性面神经麻痹患者，随机分为对照组和干预组。对照组给予常规物理因子治疗，干预组在对照组基础上给予双侧面肌训练同步视觉肌电反馈治疗。治疗20次后，比较两组患者的临床有效率，House-Brackmann（H-B）面神经瘫痪分级，多伦多面神经评定系统评分和双侧额肌、颧肌最大波幅的平均值比值。
    结果 共纳入90例患者，每组45例。治疗20次后，干预组临床有效率明显高于对照组（84.4% vs 75.6%，P＝0.003）。干预组H-B面神经瘫痪分级低于对照组（P＝0.003），多伦多面神经评定系统评分高于对照组（P＝0.001）。干预组患侧与健侧额肌（P＝0.013）、颧肌（P＝0.022）最大波幅的平均值比值高于对照组。
    结论 双侧面肌训练同步视觉肌电反馈治疗对特发性面神经麻痹患者疗效显著，可有效促进面神经功能恢复，改善面部对称性和面肌功能。

     

    Abstract:
    Objective To explore the efficacy of bilateral facial muscle training combined with visual electromyography biofeedback on facial nerve function recovery in patients with idiopathic facial nerve palsy.
    Methods Patients with idiopathic facial nerve palsy admitted to Shanghai Fifth People’s Hospital, Fudan University from July 2022 to July 2024 were selected and randomly divided into a control group and an intervention group. The control group received conventional physical factor therapy, while the intervention group received bilateral facial muscle training combined with visual electromyography biofeedback therapy based on the control group’s regimen. After 20 treatment sessions, the total effective rate, the House-Brackmann (H-B) facial nerve grading system, the Sunnybrook Facial Grading System (SFGS) score, and the average value ratio of maximal amplitudes of bilateral frontalis and zygomaticus muscles were compared between the two groups.
    Results A total of 90 patients were included, 45 in each group. After 20 treatment sessions, the total effective rate was significantly higher in the intervention group than in the control group (84.4% vs 75.6%, P＝0.003). Compared with the control group, the intervention group demonstrated a significantly lower H-B grade (P＝0.003) and a higher SFGS score (P＝0.001). The average value ratios of maximal amplitudes of the affected versus healthy side frontalis (P＝0.013) and zygomatic (P＝0.022) muscles were higher in the intervention group than in the control group.
    Conclusions Bilateral facial muscle training combined with visual electromyography biofeedback is an effective approach for treating idiopathic facial nerve palsy, effectively promoting the recovery of facial nerve function, and improving facial symmetry and facial muscle function.

     

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