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題名 | 復健治療對顏面神經麻痺之臉部功能恢復的效果 |
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作者姓名(中文) | 張幸初; 劉復康; | 書刊名 | 復健醫學會雜誌 |
卷期 | 22:1 1994.06[民83.06] |
頁次 | 頁75-81 |
分類號 | 415.831 |
關鍵詞 | 復健治療; 顏面神經麻痺; 功能恢復; Rehabilitation; Facial palsy/paralysis; Functional recovery; |
語文 | 中文(Chinese) |
中文摘要 | 本研究旨在探討復健治療對顏面神經麻痺後臉部功能恢復之效果。本研究收集三總復健醫學部從1986年1月到1991年12月六年間有記錄接受完整復健治療的34例,其中有20位男性,14位女性,平均年齡為34.2歲。無特別偏向左側或右側。三十四例中,25例(74%)為不明原因型(或所謂貝爾氏麻痺),其餘9例(26%)為器官疾病型。不明原因型這一組平均年齡為32.7歲(1~76歲),但在器官疾病型這一組,所有病例均小於40歲,平均年齡為35.4歲(12~40歲)。顏面神經麻痺之不明原因型及器官型在治療前之平均罹病期間分別為20.2天(1~54天)及28.4天(9~68天)。本研究採用之復健治療計劃包括紅外線、臉部按摩、臉部運動、肌肉電刺激及居家照護教育等,並用簡單易行的分級法來評估。顏面神經麻痺中不明原因型平均之復健治療期間為72.4天(21~315天),而器官型者為42.1天(20~142天)。三十二個病患(95%)接受治療少於六個月,其中大多數(55%)治療少於一個月。臉部肌肉功能之改善,對不明原因型對器官型者,在復健治療前評估分別為21.3%與18.2%,而在治療停止後評估分別為93.2%與78.5%,將兩型個別比較治療前與治療後之結果,統計上均呈現明顯的差異(p<0.05)。所有病例(除三例,8.8%)均或多或少有症狀上之改善。大多數病例早期改善之症狀分別為:閉眼運動(51.7%)、額頭皺眉(29.3%)及嘴角運動(22.4%),同時臉部上方功能之恢復比下方較佳。整體而言,臉部表情之恢復是令人滿意的。本研究強調對顏面神經麻痺者,施予復健治療是為恢復臉部功能之一有效治療方法,並建議門診中採用此一簡單而方便之評估法。 |
英文摘要 | The facial expression of functional recovery in patients with peripheral facial palsy/paralysis on rehabilitation therapy was investigated. Thirty-four cases of facial palsy were collected from January 1986 to December 1991 in the Department of Physical Medicine and Rehabilitation of Tri-Service General Hospital. Twenty-five cases (74%) were classified as idiopathic and the remaining 9 cases (26%) were as organic facial palsy. The rehabilitation program included daily superficial heat, oil massage, electrical stimulation and active exercise of the affected muscles was prescribed and instituted completely. The Facial muscular disfigurement was graded into six grades to evaluate before and after the physical therapy. After rehabilitation for the average duration of 72.4 days (21-315 days) in the idiopathic group and 42.1 days (20-142 days) in the organic group, most cases got improvement except 3 cases. There was significant difference of recovery in facial appearance between pre- and post- rehabilitation evaluation (21.3% to 93.2% and 18.2% to 78.2%, respectively, p<0.05). In conclusion, rehabilitation therapy is an effective method for the management of peripheral facial palsy, particularly from the view point of functional recovery. |
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