{"id":35,"date":"2021-04-16T08:33:58","date_gmt":"2021-04-16T08:33:58","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/rehabilitacion\/ca\/?p=35"},"modified":"2021-12-13T10:51:48","modified_gmt":"2021-12-13T10:51:48","slug":"reeducacio-neuromuscular-facial","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/rehabilitacion\/ca\/reeducacio-neuromuscular-facial\/","title":{"rendered":"Tractament conservador en Par\u00e0lisi Facial Perif\u00e8rica: programa de reeducaci\u00f3 neuromuscular facial"},"content":{"rendered":"

Com vam explicar en una entrada anterior, la par\u00e0lisi facial<\/strong><\/a> es caracteritza per la interrupci\u00f3 dels moviments facials<\/strong> a causa d’una lesi\u00f3 al nervi facial<\/strong>. Pot evolucionar, partint d’una fase fl\u00e0ccida on no hi ha moviment i to disminu\u00eft, entre d’altres signes. En una fase posterior, podem observar contractura muscular i pres\u00e8ncia de sincin\u00e8sies<\/strong>. Per a cada fase de la par\u00e0lisi facial<\/strong>, es descriuen estrat\u00e8gies de tractament espec\u00edfiques. Per\u00f2 sempre buscant la cura de l’ull, petits moviments amb execuci\u00f3 lenta, treballant la simetria. Depenent del tipus de par\u00e0lisi facial<\/strong><\/a> i el temps d’evoluci\u00f3, el pacient ser\u00e0 tributari de tractament conservador<\/strong> per part del metge rehabilitador<\/strong><\/a> mitjan\u00e7ant el programa d’exercicis de reeducaci\u00f3 facial<\/strong> i la infiltraci\u00f3 de toxina botul\u00ednica<\/strong><\/a>, de tractament quir\u00fargic per part de cirurgia maxil\u00b7lofacial<\/strong><\/a>, o un combinaci\u00f3 de tots dos. L’objectiu \u00e9s millorar la funci\u00f3 facial i amb aix\u00f2 disminuir els s\u00edmptomes produ\u00efts per la par\u00e0lisi<\/strong>. A continuaci\u00f3, veurem com funciona el programa de reeducaci\u00f3 neuromuscular facial<\/strong> i com pot ajudar a millorar el control muscular i recuperar la funcionalitat.
\n<\/p>\n

\n

ET POT INTERESSAR\u2026<\/h4>\n

\u00b7 Par\u00e0lisi facial: qu\u00e8 \u00e9s, s\u00edmptomes, causes, pron\u00f2stic i qu\u00e8 fer si dura en el temps\u2026<\/a><\/h4>\n

\u00b7 Fases de la par\u00e0lisi facial i tractament per a cada una d’elles<\/a><\/h4>\n<\/div>\n

En qu\u00e8 consisteix el programa de reeducaci\u00f3 neuromuscular facial?<\/h2>\n

El programa de reeducaci\u00f3 facial<\/strong> es basa en proves cl\u00edniques i cient\u00edfiques que demostren que un intens i espec\u00edfic entrenament muscular pot disminuir els s\u00edmptomes causats per la<\/strong> lesi\u00f3 del nervi facial<\/strong>. A la nostra ter\u00e0pia facial<\/strong> no utilitzem t\u00e8cniques d’estimulaci\u00f3 el\u00e8ctrica per al tractament dels s\u00edmptomes de la par\u00e0lisi facial<\/a><\/strong>, ja que poden produir efectes negatius sobre la regeneraci\u00f3 nerviosa.<\/p>\n

Per aquesta ra\u00f3, adaptem a cada pacient la instrucci\u00f3 necess\u00e0ria per donar-li la destresa i la confian\u00e7a per dur a terme el programa de reeducaci\u00f3 facial<\/strong> al seu domicili. La motivaci\u00f3 \u00e9s la clau de l’\u00e8xit d’aquest programa.<\/p>\n

\n

\"Dra.<\/a><\/h4>\n

“El programa de reeducaci\u00f3 neuromuscular facial es basa en proves cl\u00edniques i cient\u00edfiques que demostren que un entrenament muscular espec\u00edfic pot disminuir els s\u00edmptomes causats per la par\u00e0lisi facial”<\/h4>\n

Dra.\u00a0Sandra V\u00e1zquez<\/a><\/p><\/blockquote>\n

Programa de reeducaci\u00f3 neuromuscular facial<\/h2>\n
Primera visita – Estudi de la par\u00e0lisi facial<\/h5>\n

Durant la primera visita al centre, el metge rehabilitador analitzar\u00e0 al pacient i la seva par\u00e0lisi facial<\/strong>: valora els patrons de moviment facial utilitzant l’an\u00e0lisi fotogr\u00e0fic, l’electromiografia de superf\u00edcie i la valoraci\u00f3 funcional.<\/p>\n

Exercicis a casa – Tractament personalitzat<\/h5>\n

Els pacients reben un programa d’exercicis de reeducaci\u00f3 facial<\/strong> que hauran de realitzar di\u00e0riament al seu domicili. Els per\u00edodes de tractament varien segons els objectius de cada pacient.<\/p>\n

Visites de control – Ter\u00e0pia de manteniment<\/h5>\n

En les visites de control, el metge modifica la ter\u00e0pia facial domicili\u00e0ria<\/strong> en funci\u00f3 dels progressos i ser\u00e0 necess\u00e0ria la infiltraci\u00f3 de toxina botul\u00ednica<\/strong><\/a> en funci\u00f3 de la fase en qu\u00e8 es trobi la par\u00e0lisi facial<\/strong><\/a> i dels s\u00edmptomes que presenti el pacient. Aquesta combinaci\u00f3 de tractaments al centre i d’exercicis domiciliaris optimitza els resultats.<\/p>\n

Qui pot beneficiar-se de la reeducaci\u00f3 facial?<\/h2>\n

El Programa de reeducaci\u00f3 facial<\/strong> pot ajudar a aquelles persones que han patit o pateixen una par\u00e0lisi facial<\/strong> per:<\/p>\n

    \n
  1. Neurinomes de l’ac\u00fastic<\/li>\n
  2. Par\u00e0lisi de Bell<\/li>\n
  3. Lesions traum\u00e0tiques<\/li>\n
  4. Herpes Z\u00f2ster (S\u00edndrome de Ramsay-Hunt)<\/li>\n
  5. Anomalies cong\u00e8nites amb lesi\u00f3 parcial<\/li>\n
  6. S\u00edndrome de Guillain-Barr\u00e9<\/li>\n
  7. Tumors de l’angle ponto-cerebel\u00b7l\u00f3s \/ colesteatomes<\/li>\n
  8. Estats postquir\u00fargics incloent anastomosi i empelts del nervi facial<\/li>\n<\/ol>\n

    Per a qu\u00e8 m\u00e9s serveix el programa de reeducaci\u00f3 facial?<\/h2>\n

    La reeducaci\u00f3 facial<\/strong> tamb\u00e9 pot millorar les sincin\u00e8sies<\/strong>, que consisteixen en moviments incorporats i involuntaris que acompanyen el moviment voluntari. Aquest “encreuament de cables” del nervi facial<\/strong> pot ocasionar, per exemple, sacsejades oculars quan el pacient somriu o arruga els llavis. Tot i que la ter\u00e0pia facial<\/strong> no pot corregir la lesi\u00f3 nerviosa, s\u00ed que pot millorar el control muscular i, per tant, la funcionalitat de la zona afectada, la qual cosa repercuteix en la qualitat de vida del pacient.<\/p>\n

    \n

    \"Dra.<\/a><\/h4>\n

    “La ter\u00e0pia facial permet millorar el control muscular i la funcionalitat de la zona afectada, repercutint en la qualitat de vida del pacient”<\/h4>\n

    Dra.\u00a0Sandra V\u00e1zquez<\/a><\/p><\/blockquote>\n

    \n

    ET\u00a0POT INTERESSAR\u2026<\/h4>\n

    \u00b7 Tractament de la par\u00e0lisi facial amb toxina botul\u00ednica (Botox)<\/a><\/h4>\n<\/div>\n
    \n
    \n

    VOLS CONTACTAR AMB LA DRA. SANDRA V\u00c1ZQUEZ?<\/span><\/h1>\n

    DEMANAR CITA PRESENCIAL<\/a>\u00a0|\u00a0SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n

    \n

    Vector de Persones creat per pikisuperstar – www.freepik.es<\/a><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"

    Com vam explicar en una entrada anterior, la par\u00e0lisi facial es caracteritza per la interrupci\u00f3 dels moviments facials a causa d’una lesi\u00f3 al nervi facial. Pot evolucionar, partint d’una fase fl\u00e0ccida on no hi ha moviment i to disminu\u00eft, entre d’altres signes. En una fase posterior, podem observar contractura muscular i pres\u00e8ncia de sincin\u00e8sies. Per […]<\/p>\n","protected":false},"author":2,"featured_media":33,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[11,19,20,21,22,23,24,25,26],"yoast_head":"\nTractament conservador en Par\u00e0lisi Facial Perif\u00e8rica: programa de reeducaci\u00f3 neuromuscular facial - Blog de Rehabilitaci\u00f3n<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/rehabilitacion\/ca\/reeducacio-neuromuscular-facial\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tractament conservador en Par\u00e0lisi Facial Perif\u00e8rica: programa de reeducaci\u00f3 neuromuscular facial - Blog de Rehabilitaci\u00f3n\" \/>\n<meta property=\"og:description\" content=\"Com vam explicar en una entrada anterior, la par\u00e0lisi facial es caracteritza per la interrupci\u00f3 dels moviments facials a causa d’una lesi\u00f3 al nervi facial. 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