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Bell’s Palsy

  1. What is it?
    • Flaccid(weak and relaxed muscle) paralysis of facial nerve(CN VII) by inflammation the nerve 
  2. Cause 
    • Unknown
    • Compression from edema
    • Trauma
    • Exposure to a chill or draft
  3. Symptoms 
    • Unilateral weakness : inability to raise the eyebrows, incomplete closure of the eye, the loss of the blinking reflex, inability to raise the corners of mouth, difficulty holding the lower lip to a glass to prevent dribbling
    • Sensory and autonomics symptoms : dry eye d/t loss of control of lacrimation, dry mouth d/t decrease of salivation, loss of taste
  4. Orthopedic test
    • Chvostek’s test
    • Orbicularis oculi strength test
  5. Massage treatment
    1. Hydrotherapy : cool on affected tissue, local heat on shortened muscle
    2. Massage is performed on the unaffected side first
    3. Unaffected side 
      • MLD
      • Swedish massage : toward to lesion site( from lateral to midline of the face)
    4. Affected side
      • Strokes is from midline towards the lesion
      • Stimulating techniques : vibration or tapping
      • No fascial techniques
      • No deep and long dragging strokes
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