Neuromuscular Facial Rehab Flashcards
The _ _ (_ _) is one of the few nerves in the body that branches, and it has the highest incidence of dysfunction in the body.
The CN VII (FACIAL NERVE) is one of the few nerves . . .
The CN VII has _ branches, innervates _ _ muscles that provide _ and _, and innervates the _ and _ _.
The CN VII has 6 branches, innervates 23 PAIRED muscles that provide FUNCTION and EXPRESSION, and innervates the LACRIMAL and SALIVARY GLANDS.
What muscle is responsible for pulling the eyebrows medially?
CORRUGATOR SUPERCILLI
A MD will determine the degree of facial injury using _ degrees of facial injury. A _ _ diagnosis means that you won’t be able to help (complete transesection of nerve)
MD will determine the degree of facial injury using SUDERLAND’S degrees of facial injury
A 5TH DEGREE diagnosis means that . . .
The Facial rehab community is split on the benefit of _ _ as a treatment option however can be useful in determining which nerves are _.
. . . On the benefit of E-STIM as a treatment option however can be useful in determining which nerves are still INTACT
_ _ is where regrowth of the nerve attaches to a different nerve. Can causes _ _.
SIMPLE MISDIRECTION is where regrowth of the nerve . . .
Can cause ABNORMAL FUNCTION
_ _ is a viral inflammatory immunologic injury to the facial nerve. Makes up _% of all facial palsies and often goes _.
BELL’S PALSY is a viral . . .
Makes up 57% of all facial palsies and often goes MISDIAGNOSED
The risk of developing Bell’s palsy is increased in which population?
Pregnant women during their 3rd trimesters
What is the treatment for Bell’s palsy?
Corticosteroids for 7-10 days (does cross the blood brain barrier but there is no evidence that it will have negative side effects on unborn child if given to pregnant mother)
How do you differentiate between Bell’s palsy and a stroke?
The upper face remains intact with a CVA (ask them to look in the mirror or look at them and try to wrinkle his/ her forehead) if they can go to ER/ dial 911 immediately
Melkerson Rosenthal is an _ form of _ _ whose hallmark is ‘fissure tongue’ characterized by a dried cracked tongue.
Is an ATYPICAL form of BELL’S PALSY whose hallmark . . .
Nerve graft (CN VII is attached to CN XII), clear eyepatch or taping eye shut (best to tape from _ _ _) or eye weights, and initial dual channel surface EMG are examples of?
Examples of treatment/ intervention options for Bell’s Palsy
What is the gold standard for Bell’s palsy treatment/intervention?
Dual channel surface EMG
_ _ can be given to help target impaired movements. Name?
SPECIFIC EXERCISES can be given to target impaired movements.
CRAIGS FACIAL EXERCISES
If release techniques are difficult how can you modify?
May need to start in a gravity eliminated position and progress from there.
