Evolution of the degree of facial nerve involvement with physiotherapy in a specialized institute in Lima

Authors

  • Patricia Andrea Fuentes Lozada Escuela de Tecnología Médica, Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú
  • Diana Lizette Valenzuela Rodríguez Escuela de Tecnología Médica, Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú
  • Julissa Estefany Yesang Canales Escuela de Tecnología Médica, Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú
  • Adela Martínez Ampuero Escuela de Tecnología Médica, Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Instituto Nacional De Rehabilitación “Dra. Adriana Rebaza Flores” Amistad Perú – Japón. Lima, Perú.
  • Jorge Gabriel Marroquín Ballón Instituto Nacional de Ciencias Neurológicas. Lima, Perú
  • Paúl Rubén Alfaro Fernández Universidad de San Martín de Porres. Lima, Perú

DOI:

https://doi.org/10.20453/rhr.v4i1.4141

Abstract

The physiotherapy is essential in the treatment of facial paralysis, the House-Brackmann 2.0 scale records and evaluates the involvement of the facial nerve, making an analysis of functionality, facial symmetry and synkinesis, allowing to observe the changes in their evolution. Objective: To record the changes present in patients with peripheral facial paralysis after a standard treatment for a certain time in a Specialized Institute. Material and Methods: Observational, descriptive single cohort type, longitudinal and prospective study that evaluated all adult patients with peripheral facial paralysis who attended the Neurorehabilitation service of the INCN, fulfilling the inclusion criteria. The instrument used was the House-Brackmann 2.0 scale, which was applied four times (first day of evaluation, first month, second month and third month). Results: It was observed that the average score of the degree of the facial nerve involment before treatment was 18,82 (CI:11-24/Grade IV); In the second evaluation, even with the 72 patients, it decreased to 10,87 (CI: 5-21/Grade III); 65 patients arrived at the third with 6,32 (CI:4-14/Grade II) and finally 23 patients with 4,26 (CI: 4-7/Grade I) arrived at the fourth. Conclusions: 97,2% of patients who started their treatment presenting a grade IV, culminated in grade I achieving facial symmetry and muscle strengthening, according to the House-Brackmann 2.0 scale.

 

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Published

2022-02-10

How to Cite

Fuentes Lozada, P. A., Valenzuela Rodríguez, D. L., Yesang Canales, J. E., Martínez Ampuero, A., Marroquín Ballón, J. G., & Alfaro Fernández, P. R. (2022). Evolution of the degree of facial nerve involvement with physiotherapy in a specialized institute in Lima. Revista Herediana De Rehabilitación, 4(1), 10–18. https://doi.org/10.20453/rhr.v4i1.4141

Issue

Vol. 4 No. 1 (2021): January-June

Section

ARTICLES

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