Facial paresis after stroke and its impact on patients’ facial movement and mental status

Konečný, Petr; Elfmark, Milan; Urbánek, Karel

doi:10.2340/16501977-0645

Cited by 25 publications

(32 citation statements)

References 5 publications

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“…OFR has impact not only on the restoration of the swallowing but also on the other orofacial functions (mimics, speech), overall health and life quality 4,8 . A newly recommended approach for the functional restoration of swallowing muscles is electrical stimulation (ES) of hyoid muscles.…”

Section: Introductionmentioning

confidence: 99%

Electrical stimulation of hyoid muscles in post-stroke dysphagia

Konečný¹,

Elfmark²

2018

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims. The purpose of this study was to evaluate swallowing changes in post-stroke patients with dysphagia after four weeks of suprahyoid muscles electrical stimulation. Methods. This was a prospective randomized study of early stage stroke patients with dysphagia. Electrical stimulation of suprahyoid muscles was given to a group of 54 patients (26 men, average age 70 years) for 20 minutes a day, 5 days a week. Standard orofacial rehabilitation without electrical stimulation was carried out on a control group of 54 patients (31 men, average age 69 years). Swallowing was evaluated at the beginning of the study and at the end, by videofluoroscopy -measuring the time for oral and pharyngeal phases. Results. The difference in duration of oral transit time (OTT) after the therapy between the study group (average: 0.55 ± 0.01) and the control group (average: 0.29 ± 0.03) was statistically significant (P=0.01). Difference in duration of the pharyngeal transit time (PTT) after the therapy between the study group (average: 0.37 ± 0.02) and control group (average: 0.15 ± 0.02) was also statistically significant (P=0.009). Conclusion. Electrical stimulation of suprahyoid muscles significantly reduced the duration of the oral and pharyngeal phases: in the post-stroke patients with dysphagia used in this study. The result is improved swallowing. This is a recently recommended approach and your study confirms its efficacy.

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Section: Introductionmentioning

confidence: 99%

Electrical stimulation of hyoid muscles in post-stroke dysphagia

Konečný¹,

Elfmark²

2018

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…This higher order regulation may indicate that activity on demand is dependent on correct information from both cortical sides and may explain our findings of bilateral dysfunction in the lower as well as in the upper facial quadrants. Dysfunction in all facial quadrants will likely also have emotional implications owing to the face's inability to express feelings [12]. …”

Section: Discussionmentioning

confidence: 99%

Four-Quadrant Facial Function in Dysphagic Patients after Stroke and in Healthy Controls

Hägg

Tibbling

2014

Neurology Research International

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This study aims to examine any motility disturbance in any quadrant of the face other than the quadrant innervated by the lower facial nerve contralateral to the cortical lesion after stroke. Thirty-one stroke-afflicted patients with subjective dysphagia, consecutively referred to a swallowing centre, were investigated with a facial activity test (FAT) in all four facial quadrants and with a swallowing capacity test (SCT). Fifteen healthy adult participants served as FAT controls. Sixteen patients were judged to have a central facial palsy (FP) according to the referring physician, but all 31 patients had a pathological FAT in the lower quadrant contralateral to the cortical lesion. Simultaneous pathology in all four quadrants was observed in 52% of stroke-afflicted patients with dysphagia; some pathology in the left or right upper quadrant was observed in 74%. Dysfunction in multiple facial quadrants was independent of the time interval between stroke and study inclusion. All patients except two had a pathological SCT. All the controls had normal activity in all facial quadrants. In summary the majority of poststroke patients with dysphagia have subclinical orofacial motor dysfunction in three or four facial quadrants as assessed with a FAT. However, whether subclinical orofacial motor dysfunction can be present in stroke-afflicted patients without dysphagia is unknown.

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“…In their study, Volk et al (6) reported that a high percentage of patients continued to present with CFP 3 weeks post-onset, and over 60% of these patients were discharged from sub-acute rehabilitation with deficits persisting for more than 41 days post-stroke. As the available literature suggests that CFP can persist past the initial acute phase of stroke and not resolve spontaneously, people with CFP may benefit from access to a specific rehabilitation program aimed at maximizing recovery of facial movement and function (6,13,16).…”

Section: Introductionmentioning

confidence: 99%