Efficacy of bilateral facial muscle training combined with visual electromyography biofeedback in the treatment of idiopathic facial nerve palsy
10.12025/j.issn.1008-6358.2025.20250760
- VernacularTitle:双侧面肌训练同步视觉肌电反馈治疗特发性面神经麻痹的有效性
- Author:
Xinyue CAI
1
;
Ling DING
1
;
Yilan MA
1
;
Shihong HU
1
;
Huajun GU
2
;
Longdian GU
3
;
Yijie ZHU
3
;
Jiakun YAN
3
;
Yaoyao ZHENG
3
;
Qingsong MA
4
Author Information
1. Department of Rehabilitation Medicine, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China;Community Health Research Center, Fudan University, Shanghai 200240, China.
2. Zhoupu Community Health Service Center, Pudong New Area, Shanghai 200135, China.
3. Department of Rehabilitation, Shanghai Fuhua Hospital, Shanghai 201399, China.
4. Shuyuan Community Health Service Center, Pudong New Area, Shanghai 201304, China.
- Publication Type:Shortarticle
- Keywords:
idiopathic facial nerve palsy;
facial muscle training;
electromyography biofeedback;
rehabilitation
- From:
Chinese Journal of Clinical Medicine
2025;32(6):1017-1023
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of bilateral facial muscle training combined with visual electromyography biofeedback on facial nerve function recovery in patients with idiopathic facial nerve palsy. Methods Patients with idiopathic facial nerve palsy admitted to Shanghai Fifth People’s Hospital, Fudan University from July 2022 to July 2024 were selected and randomly divided into a control group and an intervention group. The control group received conventional physical factor therapy, while the intervention group received bilateral facial muscle training combined with visual electromyography biofeedback therapy based on the control group’s regimen. After 20 treatment sessions, the total effective rate, the House-Brackmann (H-B) facial nerve grading system, the Sunnybrook Facial Grading System (SFGS) score, and the average value ratio of maximal amplitudes of bilateral frontalis and zygomaticus muscles were compared between the two groups. Results A total of 90 patients were included, 45 in each group. After 20 treatment sessions, the total effective rate was significantly higher in the intervention group than in the control group (84.4% vs 75.6%, P＝0.003). Compared with the control group, the intervention group demonstrated a significantly lower H-B grade (P＝0.003) and a higher SFGS score (P＝0.001). The average value ratios of maximal amplitudes of the affected versus healthy side frontalis (P＝0.013) and zygomatic (P＝0.022) muscles were higher in the intervention group than in the control group. Conclusions Bilateral facial muscle training combined with visual electromyography biofeedback is an effective approach for treating idiopathic facial nerve palsy, effectively promoting the recovery of facial nerve function, and improving facial symmetry and facial muscle function.
