{"id":5208,"date":"2024-09-06T08:29:28","date_gmt":"2024-09-06T08:29:28","guid":{"rendered":"http:\/\/morethanphysio.com.hk\/?p=5208"},"modified":"2024-11-11T18:22:06","modified_gmt":"2024-11-11T10:22:06","slug":"bells-palsy","status":"publish","type":"post","link":"https:\/\/morethanphysio.com.hk\/en\/bells-palsy\/","title":{"rendered":"Facial paralysis treatment"},"content":{"rendered":"
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\ud83e\udd2a\u54a9\u4fc2\u8c9d\u723e\u6c0f\u9ebb\u75fa\u75c7(Bell\u2019s Palsy)?<\/span><\/p>\n

\u8c9d\u723e\u6c0f\u9ebb\u75fa\u75c7\u6cdb\u6307\u300c\u6210\u56e0\u4e0d\u660e\u300d\u5605\u9762\u7671\uff0c\u70ba\u6700\u5e38\u898b\u5605\u6025\u6027\u9762\u7671\uff0c\u4f54\u5497\u6240\u6709\u534a\u908a\u9762\u9762\u7671\u560570%\u3002\u7576\u4eba\u5605\u4e00\u5074\u7b2c\u4e03\u689d\u8166\u795e\u7d93(7th cranial nerve, CN VII)\u984f\u9762\u795e\u7d93(facial nerve)\u53d7\u640d\uff0c\u984f\u9762\u795e\u7d93\u7121\u6cd5\u63a7\u5236\u534a\u908a\u9762\u5605\u808c\u8089\uff0c\u5c31\u6703\u5f15\u81f4\u9762\u7671\u3002<\/span><\/p>\n

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\ud83e\udd74\u8c9d\u723e\u6c0f\u9ebb\u75fa\u75c7\u5605\u5e38\u898b\u5fb5\u72c0<\/span><\/p>\n

\u521d\u6642\u60a3\u8005\u6703\u89ba\u5f97\u8033\u6735\u5f8c\u4e0b\u4f4d\u7f6e(\u8396\u4e73\u7a81\u5b54\u9644\u8fd1)\u75bc\u75db\u53ca\u816b\u8139\uff0c\u7136\u5f8c\u5c31\u6703\u9010\u6f38\u51fa\u73fe\u4ee5\u4e0b\u5605\u5fb5\u72c0\uff08\u5fb5\u72c0\u4e0d\u5206\u5148\u5f8c\uff0c\u901a\u5e38\u55ba\u7b2c4\u65e5\u6700\u70ba\u660e\u986f\uff09\u22ef\u22ef<\/span><\/p>\n

\ud83d\ude42\u975c\u6b62\u5605\u6642\u5019\uff0c\u5176\u4ed6\u4eba\u53ef\u80fd\u89c0\u5bdf\u5230\u60a3\u8005\u4e00\u908a\u984d\u982d\u5187\u76ba\u7d0b\u3001\u4e00\u908a\u5634\u89d2\u4e0b\u5782\uff0c\u4ee4\u4e00\u908a\u81c9\u7747\u843d\u597d\u4f3c\u5187\u8868\u60c5\u5481\u3002<\/span><\/p>\n

\ud83e\udd28\u4e00\u908a\u7121\u6cd5\u8e59\u7709\uff08\u984d\u808cfrontalis muscle\u7121\u529b\uff09\u3002<\/span><\/p>\n

\ud83d\ude01\u4e00\u908a\u7121\u6cd5\u63d0\u8d77\u5634\u89d2\u5fae\u7b11\uff08\u9874\u5927\/\u5c0f\u808czygomaticus major\/minor muscles\u7121\u529b\uff09\uff0c\u4ea6\u6703\u5f71\u97ff\u8aaa\u8a71\u3001\u98df\u5622\u540c\u98f2\u6c34\u3002<\/span><\/p>\n

\ud83d\udc40\u4e00\u908a\u7121\u6cd5\u5408\u57cb\u96bb\u773c\uff08\u773c\u8f2a\u531d\u808corbicularis oculi muscle\u7121\u529b\uff09\uff0c\u89ba\u5f97\u773c\u775b\u4e7e\u6f80\u5bb9\u6613\u53d7\u5230\u5149\u5605\u523a\u6fc0\uff08\u56e0\u70ba\u984f\u9762\u795e\u7d93\u63a7\u5236\u773c\u6dda\u5206\u6ccc\uff09\u3002<\/span><\/p>\n

\ud83d\udc45\u5473\u89ba\u53d7\u5f71\u97ff\uff0c\u751a\u81f3\u6703\u89ba\u5f97\u53e3\u4e7e\uff08\u56e0\u70ba\u984f\u9762\u795e\u7d93\u63a7\u5236\u820c\u982d\u524d2\/3\u5605\u5473\u89ba\uff0c\u4ea6\u6703\u63a7\u5236\u53e3\u6c34\u5206\u6ccc\uff09\u3002<\/span><\/p>\n

<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\ud83d\udc68\u200d\u2695\ufe0f\u7269\u7406\u6cbb\u7642\u9ede\u5e6b\u5230\u8c9d\u723e\u6c0f\u9ebb\u75fa\u75c7\uff1f<\/span><\/p>\n

\ud83d\udc4d\u8212\u7de9\u708e\u75c7\u5605\u5fb5\u72c0\uff0c\u589e\u52a0\u984f\u9762\u795e\u7d93\u9644\u8fd1\u5605\u8840\u6db2\u5faa\u74b0\u4ee5\u4fc3\u9032\u795e\u7d93\u5fa9\u539f\u3002<\/span><\/p>\n

\ud83d\udc4d\u6e1b\u4f4e\u4f75\u767c\u75c7\u5605\u6a5f\u6703\uff0c\u5982\u9762\u90e8\u808c\u8089\u5f35\u529b\u589e\u52a0\u3001\u808c\u8089\u6523\u7e2e\u3001\u9023\u5e36\u52d5\u4f5c(synkinesis)\u7b49\u22ef\u22ef<\/span><\/p>\n

\ud83d\udc4d\u505a\u9069\u7576\u5605\u795e\u7d93\u808c\u8089\u8a13\u7df4(neuromuscular training)\u4ee5\u6fc0\u6d3b\u9762\u7671\u5605\u808c\u8089\u3002<\/span><\/p>\n

\u8c9d\u723e\u6c0f\u9ebb\u75fa\u75c7\u9810\u5f8c(Prognosis)\uff1a70%\u75c5\u4eba\u53ef\u4ee5\u55ba\u9762\u7671\u5f8c6\u661f\u671f\u5167\u5b8c\u5168\u5eb7\u5fa9\uff1b\u800c\u670915%\u75c5\u4eba\u55ba6\u500b\u6708\u5167\u672a\u5fc5\u80fd\u5b8c\u5168\u5eb7\u5fa9\uff0c\u53ef\u80fd\u6703\u6709\u6c38\u4e45\u9762\u90e8\u808c\u8089\u7121\u529b\u3002<\/span><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u8c9d\u723e\u6c0f\u9ebb\u75fa\u75c7\u7269\u7406\u6cbb\u7642\u5305\u62ec<\/span><\/p>\n

1\ufe0f\u20e3\u96fb\u7642(Electrophysiotherapy)\u3001\u91dd\u7078\u548c\u62d4\u7f50<\/span><\/p>\n

\u2622\ufe0f\u8d85\u8072\u6ce2\u6cbb\u7642(Therapeutic ultrasound)\uff1a\u53ef\u4ee5\u6e1b\u4f4e\u708e\u75c7\u53cd\u61c9\u3001\u8212\u7de9\u75db\u695a\u3001\u4fc3\u9032\u984f\u9762\u795e\u7d93\u5fa9\u539f\u3002<\/span><\/p>\n

\u2622\ufe0f\u4f4e\u80fd\u91cf\u6fc0\u5149\u6cbb\u7642(Low level laser therapy)\uff1a\u80fd\u6e1b\u4f4e\u708e\u75c7\u53cd\u61c9\u3001\u8212\u7de9\u75db\u695a\u3001\u589e\u52a0\u8840\u6db2\u5faa\u74b0\u3002<\/span><\/p>\n

\u2622\ufe0f\u795e\u7d93\u808c\u8089\u96fb\u523a\u6fc0(NMES)\uff1a\u5b58\u5728\u4e00\u5b9a\u722d\u8b70\uff0c\u6709\u4eba\u8a8d\u70ba\u4f62\u53ef\u4ee5\u5f37\u5316\u9762\u90e8\u5605\u808c\u8089\uff1b\u4f46\u6709\u4eba\u8a8d\u70ba\u4f62\u6703\u5e72\u64fe\u984f\u9762\u795e\u7d93\u53d7\u640d\u5206\u652f\u5605\u5fa9\u539f\u800c\u5c0e\u81f4synkinesis\u5605\u73fe\u8c61\u3002<\/span><\/p>\n

\ud83d\udc89\u91dd\u7078\uff1a\u80fd\u653e\u9b06\u7e43\u7dca\u6216\u5f35\u529b\u9ad8\u5605\u808c\u8089\uff0c\u9b06\u89e3\u7e96\u7dad\u5316\u5497\u5605\u7d44\u7e54\uff0c\u6709\u52a9\u6e1b\u4f4esynkinesis\u5605\u73fe\u8c61\uff1b\u4ea6\u589e\u52a0\u81c9\u90e8\u5605\u8840\u6db2\u5faa\u74b0\uff0c\u4fc3\u9032\u984f\u9762\u795e\u7d93\u5fa9\u539f\u3002<\/span><\/p>\n

\ud83c\udf75\u62d4\u7f50\uff1a\u4fc2\u4e00\u7a2evasopneumatic therapy\uff0c\u4ee5\u8ca0\u58d3\u5438\u8d77\u9762\u90e8\u76ae\u819a\u7d44\u7e54\uff0c\u53ef\u4ee5\u8212\u7de9\u9762\u90e8\u808c\u8089\u75d9\u6523\u3001\u653e\u9b06\u7e43\u7dca\u5605\u7d44\u7e54\u3001\u4fc3\u9032\u8840\u6db2\u5faa\u74b0\u3002<\/span><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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2\ufe0f\u20e3\u9762\u90e8\u6309\u6469(Facial massage)<\/span><\/p>\n

\u9762\u90e8\u6309\u6469\u53ef\u4ee5\u4fc3\u9032\u8840\u6db2\u5faa\u74b0\u3001\u9632\u6b62\u808c\u8089\u7d44\u7e54\u7e96\u7dad\u5316\u3001\u4ea6\u80fd\u4ee4\u9762\u90e8\u808c\u8089\u66f4\u67d4\u97cc\u66f4\u5bb9\u6613\u9069\u61c9\u4e4b\u5f8c\u5605\u9762\u90e8\u904b\u52d5\u3002\u800c\u91dd\u5c0d\u8c9d\u723e\u6c0f\u9ebb\u75fa\u75c7\uff0c\u9762\u90e8\u6309\u6469\u5605\u539f\u5247\u4fc2\u8981\u8f15\u529b\u3001\u6162\u3001\u53d7\u63a7\u5236\u5605\uff1b\u901a\u5e38\u55ba\u505a\u9762\u90e8\u904b\u52d5\u4e4b\u524d\u6309\u6469\uff1b\u800c\u6309\u6469\u524d\u6696\u6577(\u4f8b\u5982\u7528\u6696\u6bdb\u5dfe\u3001\u6c96\u6696\u6c34\u6dbc)\u53ef\u4ee5\u589e\u5f37\u6309\u6469\u5605\u6548\u679c\uff1b\u9762\u90e8\u6309\u6469\u901a\u5e38\u5efa\u8b70\u8ddf\u5f9e\u4ee5\u4e0b\u5e7e\u500b\u65b9\u5411\uff1a<\/span><\/p>\n

\u2b07\ufe0f\u7531\u9aee\u7dda\u5230\u773c\u90e8<\/span><\/p>\n

\u2b06\ufe0f\u7531\u9874\u9aa8\u5230\u773c\u90e8<\/span><\/p>\n

\u27a1\ufe0f\u7531\u8033\u6735\u5230\u9f3b\u54e5<\/span><\/p>\n

\u2b06\ufe0f\u7531\u4e0b\u5df4\u5230\u5634\u89d2\u6216\u9f3b\u54e5<\/span><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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3\ufe0f\u20e3\u9762\u90e8\u808c\u8089\u904b\u52d5<\/span><\/p>\n

\ud83d\ude46\u200d\u2642\ufe0f\u808c\u8089\u4f38\u5c55(Stretching)\uff1a\u653e\u9b06\u7e43\u7dca\u6216\u5f35\u529b\u9ad8\u5605\u808c\u8089\uff0c\u55ba\u808c\u8089\u5f37\u5316\u8a13\u7df4\u524d\u505a\u3002\u4f8b\u5982\u55ba\u7df4\u7fd2\u9589\u773c\u8a13\u7df4\u524d\uff0c\u53ef\u4ee5\u5148\u4f38\u5c55\u773c\u8f2a\u531d\u808c(orbicularis oculi muscle)\uff0c\u5b9a30\u79d2\uff0c\u505a3\u7d44\u3002<\/span><\/p>\n

\ud83c\udfcb\ud83c\udffc\u200d\u2642\ufe0f\u795e\u7d93\u808c\u8089\u6559\u80b2(Neuromuscular reeducation)\/\u5f37\u5316\uff1a\u91dd\u5c0d\u7279\u5b9a(isolate)\u5605\u808c\u8089\u505a\u7279\u5b9a\u5605\u8a13\u7df4\uff0c\u4f8b\u5982\u9589\u773c\u3001\u8e59\u7709\u3001\u76ba\u7709\u3001\u55e1\u9f3b\u3001\u9732\u9f52\u7b11\u3001\u62c9\u958b\u5634\u89d2\u3001\u62c9\u4e0b\u5634\u89d2\u3001\u561f\u9577\u500b\u5480\u3001\u561f\u5480\u7528\u529b\u5439\u6c23<\/span><\/p>\n

\ud83d\udc68\u200d\ud83d\udcbb\u751f\u7269\u53cd\u994b(biofeedback)\uff1a\u7269\u7406\u6cbb\u7642\u5e2b\u55ba\u75c5\u4eba\u904b\u52d5\u6642\u6703\u501f\u52a9\u5de5\u5177\uff0c\u4ee4\u75c5\u4eba\u77e5\u9053\u81ea\u5df1\u4fc2\u54aa\u505a\u5571\u52d5\u4f5c\u3001\u6709\u5187\u7528\u932f\u808c\u8089\u3001\u904b\u52d5\u8cea\u7d20\u7b49\uff0c\u5e38\u7528\u5605\u5de5\u5177\u6709\u8a3a\u65b7\u7528\u8d85\u8072\u6ce2(diagnostic ultrasound)\u3001Mirror Book\u3001\u808c\u5167\u6548\u8cbc\u5e03(Kinesiology Tape, KT)\u3002<\/span><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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4\ufe0f\u20e3\u75c5\u4eba\u6559\u80b2<\/span><\/p>\n

\u2705\u5982\u679c\u5f31\u908a\u773c\u6674\u7728\u5514\u5230\u773c\uff0c\u53ef\u4ee5\u7528\u624b\u6307\u8f15\u8f15\u62c9\u4e0b\u773c\u7709\u5354\u52a9\u9589\u773c<\/span><\/p>\n

\u2705\u5916\u51fa\u6642\u914d\u6234\u592a\u967d\u773c\u93e1\uff0c\u7528\u9838\u5dfe\u4fdd\u8b77\u9762\u90e8\u9632\u6b62\u5572\u98a8\u5439\u5230\u584a\u9762<\/span><\/p>\n

\u2705\u773c\u775b\u4e7e\u6f80\u53ef\u4ee5\u6ef4\u773c\u85e5\u6c34<\/span><\/p>\n

\u2705\u9762\u90e8\u53ef\u4ee5\u5857\u6f64\u819a\u971c\u4ee5\u4fdd\u6301\u76ae\u819a\u67d4\u6f64<\/span><\/p>\n

\u2705\u7528\u98f2\u7ba1\u98f2\u6c34<\/span><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\u63a8\u85a6\u5ef7\u4f38\u95b1\u8b80\uff1a<\/p>\n

    \n
  1. MTP \u7269\u7406\u6cbb\u7642 – \u982d\u6688\u53ef\u5927\u53ef\u5c0f\uff1f<\/a><\/li>\n
  2. MTP \u7269\u7406\u6cbb\u7642 – \u4e2d\u98a8\u90fd\u6709\u597d\u591a\u7a2e\uff1f\u5065\u5eb7\u4f60\u8981\u77e5\uff01<\/a><\/li>\n<\/ol>\n

    \u6309\u6b64\u700f\u89bd\u6240\u6709\u6587\u7ae0<\/a><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tBook Now<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    References\uff1a<\/p>\n

    Bylund, N., Hultcrantz, M., Jonsson, L., & Marsk, E. (2021). Quality of Life in Bell’s Palsy: Correlation with Sunnybrook and House\u2010Brackmann Over Time. The Laryngoscope, 131(2), E612-E618.<\/span><\/p>\n

    Diels, H. J. (2022). Facial Neuromuscular Retraining for Synkinesis. In Management of Post-Facial Paralysis Synkinesis (pp. 75-90). Elsevier.<\/span><\/p>\n

    Gilden, D. H. (2004). Bell’s palsy. New England Journal of Medicine, 351(13), 1323-1331.<\/span><\/p>\n

    The Foundation for Facial Recovery. (2020). Fix My Face: Expert Advice for Maximizing Recovery from Bell\u2019s Palsy, Ramsay Hunt Syndrome, and Other Causes of Facial Nerve Paralysis.<\/span><\/p>\n

    Walker, N. R., Mistry, R. K., & Mazzoni, T. (2022). Facial Nerve Palsy. In StatPearls [Internet]. StatPearls Publishing.<\/span><\/p>\n

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    \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tInstagram<\/span>\n\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tWhatsapp<\/span>\n\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

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