one, self-massage
1, occipitofrontalis frontalis
The patient or someone else to the occipitofrontalis frontalis frontalis with the thumb or fingers along the direction of the arch of the eyebrow to the top of the head and from the top of the head to the arch of the eyebrow direction of a gentle massage. The massage can be done by gently pushing and pulling from the arch of the eyebrow to the hairline on the top of the head, or by slowly rubbing.
2, orbicularis oculi muscle
Most patients manifested as eye closure dysfunction and tearing. The main reason is that the orbicularis oculi muscle can not be effectively contracted to pull the orbicularis oculi muscle down from above the bulging eyeball to close. The patient is first asked to close the eyes before using the fingertips to massage along the upper and lower eyelids or the depression between the infraorbital rims. Gently pushing and pulling on the upper and lower eyelids from the inside out and then from the outside in helps restore upper eyelid function. This method also helps to close the eyes. In general, peripheral facial paralysis is mainly characterized by impaired upper eyelid closure. In severe lesion type facial paralysis, lower eyelid lifting obstruction may occur. Individuals may have mild eversion of the lower eyelid, which is mainly due to the relaxation of the lower eyelid after facial paralysis. The above method of pushing and pulling the fingers can also be used. Ask the patient to close his eyes, and use the thumb and the tip of the finger to gently push and pull along the skin of the lower eyelid from the inside to the outside, and then from the outside to the inside, respectively. Individual patients in the facial expression muscles after most of the recovery, the remaining upper eyelid closure incomplete, the use of this method of massage treatment, can avoid or reduce the recovery of eyelid contracture.
3, lift the upper lip muscle
Lift the upper lip muscle, also known as the upper lip square muscle, originated in the infraorbital foramen above the infraorbital rim of the maxillary part of the orbital rim, which is located in the orbicularis oculi muscle in the deep part. Part of the muscle fibers of the upper lip lifting muscle go down into the outer skin of the upper lip, and other fibers are intertwined with the orbicularis oris muscle fibers. Therefore, massage should be done on the affected side of the upper orbicularis oris muscle toward the paranasal and zygomatic regions, and then along the nasolabial folds or up the corners of the mouth toward the zygomatic region. The zygomatic area is treated by pressing and kneading with the thumb or the belly of the thumb and middle finger or by pushing and pulling the massage along the direction of the muscle.
4, zygomatic muscle
Zygomatic muscle is divided into zygomatic large and small muscles, starting from the zygomatic bone and ending at the corner of the mouth. It is mainly referred to the outward pulling of the corners of the mouth, and can be pushed and pulled or pressed and kneaded along the muscle fibers from the side of the corners of the mouth to the zygomatic bone direction.
5, orbicularis oris muscle
Upper orbicularis oris muscle: with the finger of the finger and thumb, along the affected side of the corner of the mouth to the middle of the human groove, and then along the middle of the human groove to the corners of the mouth direction massage. Lower orbicularis oculi: with the finger of the signing finger and thumb, massage along the corner of the mouth of the affected side toward the center, and then along the corner of the mouth of the affected side toward the center.
6. Lower lip square muscle
Gently massaging, pushing and pulling from the lower corner of the mouth to the medial side and downward with the thumb finger, helps to restore the function of the lower lip square muscle, chin muscle and deltoid muscle.
Two, expression muscle rehabilitation training
Effective expression muscle rehabilitation training can significantly improve the efficacy of treatment after the movement of expression muscles on the affected side. The main expression muscles involved in facial paralysis are the occipital frontalis frontalis, orbicularis oculi, levator ani, zygomaticus, levator ani, orbicularis oculi, and lower lip square muscle. Functional training of these major muscles can promote the normalization of the motor function of the entire facial expression muscles. In the training should be based on the patient's different symptoms to choose the following treatment, training 2~3 times a day, each movement training 10~20 times. Specific training methods are as follows:
1, eyebrow lifting training
The completion of eyebrow lifting mainly relies on the movement of the occipital frontalis frontalis. In the disuse type, mild and moderate lesion type facial paralysis, the motor function of occipitofrontalis frontalis is the easiest to recover. The patient can be instructed to raise the eyebrows of the healthy side and the affected side, which will help the recovery of the eyebrow lifting motor function.
2. Eye closure training
The function of eye closure mainly relies on the motor contraction of orbicularis oculi muscle. When training for eye closure, the patient is asked to gently close the eyes at the beginning and close both eyes at the same time for 10-20 times. If the eyelids can not be completely closed, when the whites are exposed, the belly of the finger can be used to gently massage along the infraorbital rim, and then forcefully close the eyes for 10 times, which will help to recover the function of eyelid closure.
3, shrug the nose training
Shrug the nose movement mainly by lifting the upper lip muscle and nasal pressure muscle movement contraction to complete. Nose shrug training can promote the pressure of the nose, lift the upper lip muscle motor function recovery. There are a few patients who do not know how to shrug their noses, so they should pay attention to the direction of the nose during training.
4, show teeth training
Show teeth action mainly rely on the zygomaticus large and small muscles, lifting the corner of the mouth muscle and the contraction of the smile muscle to complete. And the four muscles of the movement dysfunction is caused by the main reason for the crooked mouth. The patient is instructed to move the angle of the mouth to both sides at the same time, to avoid only to one side of the force practiced into a habitual skewed angle of the mouth movement.
5, Nu mouth training
Nu mouth mainly rely on orbicularis oculi muscle contraction to complete. When you are training for nuzzling, contract your lips and nuzzle forward, nuzzling with all your might. After the orbicularis oris muscle is restored, the patient is able to puff out his cheeks, and the symptoms of brushing teeth and drooling disappear. The training of nuzzle at the same time training the upper lip lifting muscle, lower lip square muscle and chin muscle motor function.
6, puffing training
Puffing training helps the orbicularis oris muscle and buccal muscle motor function recovery. When puffing the cheek leakage, use the upper and lower hands to pinch the affected orbicularis oris muscle for puffing training. The patient is able to perform cheek puffing exercise, indicating that the orbicularis oris muscle and buccal muscle motor function can be restored to normal, brushing leakage, drooling and food stagnation symptoms disappeared. This method helps to prevent and control the contracture of the square muscle of the upper lip.
The training of each of the above movements is designed for the motor disorders of different muscle groups, so when observing the motor disorders of the patient's facial expression muscles, the training should be carried out for the affected muscle groups, and if you can not effectively judge the affected muscle groups, you can carry out the motor function training according to the above procedures, and you can also get a good rehabilitation effect.