Clinical application of physical therapy in facial paralysis treatment: A review

J Plast Reconstr Aesthet Surg. 2023 Dec:87:217-223. doi: 10.1016/j.bjps.2023.10.076. Epub 2023 Oct 13.

Abstract

This review aims to summarize recent studies regarding the specific modalities of physical therapy as a form of treatment for patients with facial paralysis, analyze the different components of physical therapy, and provide healthcare providers with guidance for their best practice in treating patients with facial paralysis. This paper will discuss the mechanism, indications, and impact factors for facial retraining, evaluate the standards for facial retraining, the creation of a treatment plan, and analyze the combined use of facial retraining with botulinum toxin injections and the application of facial retraining in post facial reanimation patients. Other modes of physical therapy, including electrical stimulation, dry needling, and acupuncture, will be addressed. Lastly, the application of new digital technology will be discussed.

Keywords: Facial paralysis; Facial retraining; Facial synkinesis; Physical therapy; Rehabilitation.

Publication types

  • Review

MeSH terms

  • Botulinum Toxins, Type A*
  • Face
  • Facial Muscles
  • Facial Paralysis* / therapy
  • Humans
  • Physical Therapy Modalities
  • Synkinesis* / drug therapy

Substances

  • Botulinum Toxins, Type A