Volume 128, Issue 4 p. 539-543
Original Articles

Biofeedback Rehabilitation for Prevention of Synkinesis after Facial Palsy

Dr Katsuhiko Nakamura MD

Corresponding Author

Dr Katsuhiko Nakamura MD

Department of Otolaryngology, The University of Tokushima, School of Medicine, Tokushima, Japan

Reprint requests: Katsuhiko Nakamura, MD, 3-18-15 Kuramoto, Tokushima 770-8503, Japan; e-mail, [email protected].Search for more papers by this author
Dr Naoki Toda MD

Dr Naoki Toda MD

Department of Otolaryngology, The University of Tokushima, School of Medicine, Tokushima, Japan

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Dr Koichiro Sakamaki MD

Dr Koichiro Sakamaki MD

Tokushima Prefectural Miyoshi Hospital, Tokushima, Japan

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Dr Kenji Kashima MD

Dr Kenji Kashima MD

Tokushima Red Cross Hospital, Tokushima, Japan

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Dr Noriaki Takeda MD

Dr Noriaki Takeda MD

Department of Otolaryngology, The University of Tokushima, School of Medicine, Tokushima, Japan

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First published: 17 May 2016
Citations: 7

Presented at the Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery, Washington, DC, September 24–27, 2000.

Abstract

OBJECTIVE

We developed a new training method of biofeedback rehabilitation for the prevention of synkinesis after facial palsy and evaluated the efficacy of the training.

METHODS

Twenty-seven patients with complete facial palsy were divided randomly into 2 groups. Twelve of the patients were treated with the training method, and the other 15 patients served as controls. Patients were instructed to keep their eyes open symmetrically during mouth movements using a mirror. Thirty minutes of daily training was continued for a period of 10 months. The degree of synkinesis was evaluated by computing the percent asymmetry of eye opening width.

RESULTS

The percent asymmetry of eye opening width was significantly greater in the training group than in the control group (P < 0.05). The results indicate that the degree of synkinesis is much less in the training group than in the control group.

CONCLUSION

Our new training method is very effective for preventing the development of synkinesis after facial palsy.