Abstract
An individualized treatment model for peripheral facial neuritis based on the muscle strength classification method
  
DOI:
EN KeyWords: Manual muscle testing  Peripheral facial neuritis  Personalization  Rehabilitation treatment model
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作者单位
孟楠 中国医科大学附属盛京医院第一康复科沈阳 110022 
周凤华 中国医科大学附属盛京医院第一康复科沈阳 110022 
高敏行 中国医科大学附属盛京医院第一康复科沈阳 110022 
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EN Abstract:
  Objective: To observe the therapeutic effect of personalized diagnosis and treatment model based on manual muscle testing on motor function of peripheral facial neuritis. Methods: A total of 90 patients with peripheral facial neuritis who received treatment in the Rehabilitation Center of Shengjing Hospital Affiliated to China Medical University from January 2020 to December 2021 were selected and divided into control group and experimental group by a random number table method, with 45 cases in each group. The control group received facial exercise training, and the experimental group received personalized rehabilitation therapy based on manual muscle testing, 20 min/time, once/day, 5 days/week, continuous treatment for 4 weeks. Both groups received the same symptomatic therapy (neurotrophic, anti-inflammatory, and antiviral) and physical therapy (ultra-short wave and ultraviolet light). House-Brackmann facial nerve grading criteria and Sunnybrook Score scale were used to evaluate the therapeutic effect before treatment and in the first, second, third and fourth weeks after treatment, respectively. The cure rate of the two groups was evaluated after 4 weeks of treatment, and the incidence of associated exercise was evaluated at 6 months of follow-up. Results: Compared with baseline, H-B rating scale scores of the two groups decreased significantly from the third week, and Sunnybrook Facial Nerve Rating Scale scores increased significantly from the second week, with statistical significance (P<0.001). Compared with the control group, the H-B rating scale score of the experimental group decreased significantly and the Sunnybrook Facial nerve Rating Scale score increased significantly in the third and fourth weeks, with a higher cure rate and a lower incidence of associated movement, with statistical significance (P<0.05). Conclusion: The personalized diagnosis and treatment model based on manual muscle testing can effectively improve the facial motor function of patients with peripheral facial neuritis, increase the cure rate, and reduce the incidence of associated motor, which is worthy of widespread application and promotion in clinical practice.
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