Rehabilitation of facial paresis due to a lesion of the facial nerve in clinical practice

Czech version

Authors: H. Zimermanová ¹; M. Janatová ^2,3; M. Grünerová Lippertová ¹
Authors‘ workplace: Klinika rehabilitačního lékařství 3. LF UK a FNKV Praha ¹; Katedra informačních a komunikačních technologií v lékařství, FBMI, ČVUT, Praha ²; Centrum podpory aplikačních výstupů a spin-off fi rem, 1. LF UK, Praha ³
Published in: Cesk Slov Neurol N 2024; 87(5): 322-327
Category: Review Article
doi: https://doi.org/10.48095/cccsnn2024322

Overview

Facial nerve lesions lead to a variety of functional, motor, and psychological limitations in all stages of the disease. Acute therapy in neurology and neurosurgery has long defined procedures based on evidence-based medicine. However, in follow-up, rehabilitation therapy procedures are inconsistent, with therapies applied according to empirical experience with little support from the evidence. Currently, some procedures are already being validated, but still either in a small sample of patients or only in individual areas. For example, in the field of electrotherapy, methodologies are inconsistent, without clearly defined recommendations. There are also no conclusive data on the effect of relaxation methods, massage, and manual lymphatic drainage. The use of mirror therapy and virtual therapy with biofeedback is positive, but here too, there appears a need for standardization of practice and the addition of evidence.

Keywords:

Facial nerve – therapy – evidence – palsy

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