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Introduction Patient JRK limited range of movement and moderate synkinesis on the left side of his face, which began in September 2005. Facial paralysis was initially diagnosed with Bell's palsy, but the MRI showed a tumor of the pituitary gland, which was felt in the risk of facial nerve. The tumor was treated with medication, which led to large-size reduction, but there was no improvement of facial movement. Survey Static Photography was used to measure and record the face of the movement range of the position: • At rest • A small smile, the lips together • Big smile, lips apart • Lip pucker • Eye closure • Raising eyebrows • Open the mouth wide • Lift the upper lip and (or) snarl Sunnybrook Facial scoring system was used to provide an objective on the left side of his face to measure the range of movement compared to the unaffected right side and expressed as a percentage. This evaluation system not only measures the range of movement, as well as accountability for any signs sykinesis dispute, for example, linking the rest of the movement and unusual asymmetry. It is much more sensitive tool for patients who have demonstrated a significant synkinesis, Brackman scale than at home, which is widely used in British hospitals. In his first attendance JRK scored as follows: Voluntary movement of the result of 56% Resting symmetry score of -13% Synkinesis score of 14% Full rating: 29% Soft tissue assessment revealed reduced myofascia the presence of these muscles on the left side: • Oris Depressor Angulo - Depressor Labia inferiors • Risor • cheekbone zygoma malar uppercase and lowercase • orbicularis muscle • The lower part of the orbicularis Oris Surface electromyography (sEMG) was also used to evaluate each of the four main branches of facial nerve activity level, and proved a very useful part of the treatment if they biofeedback techniques. Occupation face JRK patient complained of severe cramping problems with his right cheek, trying to make his big mouth movements. This restricted the movement of his face when eating, yawning and laughing. He also suffered a strain of his left cheek, and reported fatigue in this field for a long time to speak. Treatment Treatment was given a one-year period during which the patient is a 6-fold after 2-month intervals, and it included the following treatments: First Trophic Electrical Stimulation Second sEMG Biofeedback Third Myofascial Release techniques 4th Home stretch 5th Start Exercise Results of treatment Static photograph showed an improvement in all 8 poses facial symmetry. Facial paralysis was initially diagnosed with Bell's palsy, but the MRI showed a tumor of the pituitary gland, which was felt in the risk of facial nerve. A tumor was treated with medication that led to large-size reduction, the Sunnybrook Facial Points scoring system, improved by 25%, and division: Voluntary movement of the result of 68% Resting symmetry score of -8% Synkinesis result of 6% Full rating: 54% Facial function improved significantly over the left cheek to reduce tension, and cramping on the large movement of the problem completely solved. Stamina to speak better, because the patient found that fatigue was no longer a problem. For more information on spa orange county , Visit platinummedicalspa
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