Utilizing a Mobile Electrode (PEN) for Functional Electrical Stimulation (FES) to Treat Facial Paralysis Caused by a Brain Injury - A Case Study

Fabiana S. B. Perez, Adson Ferreira da Rocha, Karla de Castro Cardoso, Hellen Orlando Veloso, Inez Janaina de Lima Amaral

Abstract

This research is a case study that evaluated the therapeutic efficacy of Functional Electrical Stimulation (FES) associated with the method of Proprioceptive Neuromuscular Facilitation (PNF) in a patient with central facial paralysis caused by brain damage resulting from brain anoxia. The treatment involved the application of Orofacial Regulation Therapy, associated with physical therapy using a pen-shaped electrode whith an FES current. The treatment was administered for a period of one year and involved two weekly 15 minute sessions. The stimuli were performed with modulated current at a frequency of 60 hertz, pulse width of 300 miliseconds, rise of four (4) seconds, decay of four (4) seconds, time ON of one (1) second, time OFF of five (5) seconds, in trapezoidal pulses (forming a mini cycle of 14 seconds with 30 pulses) at an intensity level measured according to the patient’s sensitivity, associated with the PNF method. The mobile pen-shaped electrode was positioned at precise points on the paralyzed muscles of the face, and the fixed-electrode was positioned on the Deltoid muscle. There was satisfactory rehabilitation of muscles in the left hemiface and acquired improvement in the oral consumption of the bolus. The symmetry of the face was also enhanced, along with facial expressions and connotation measuring four (4) on the Chevalier scale.

References

  1. Agne, J. E. Electro-thermotherapy Theory and Practice. 2nd ed. Santa Maria: Orium, 2004, 346 p.
  2. Alencar, R. F. et al. Proprioceptive Neuromuscular Facilitation mat in the reacquisition of functions in spinal cord injury. Journal Neuroscience, v. 19, n. 3, p. 512-518, 2011.
  3. Bento, R. F.; Miniti, A.; Marone, S. A. M. Treaty of Otology. New York: Edusp, 1998
  4. Calais, L. L.; Gomez, M. V. S. G.; Bento, R. F.; Comerlatti, L. R. Avaliação funcional da mímica na paralisia facial central por acidente cerebrovascular. Pró- Fono Revista de Atualização Científica, Barueri (SP), v. 17, n. 2, p. 213-222, maio-ago. 2005.
  5. Chevalier, A. M. et al. Evaluation of motor function in the face of the central and peripheral lesions. IN: Lacote, M., Chevalier, AM, Miranda, A.; Bleton, JP; Stévenin, P. Clinical evaluation of muscle function. Manole, 13-24,1987.
  6. Comitê de Motricidade Oral - SBFa. Motricidade Oral - Como atuam os especialistas. Pulso Editorial. São José dos Campos, 2004.
  7. Esborrat, L. M. Facial paralysis (Part I). Chiron, v. 31, n. 1, p. 18-35, 2000.
  8. Goffi-Gomez, M.V.S. -The contribution of speech therapy in facial paralysis in head and neck cancer. In: Kowalski, LP, DIB, LL, Ikeda, MK & ADDE, C., Reg-prevention, diagnosis and treatment of oral cancer. New York: frontis, 523-8, 1999.
  9. Lazarini, P. R.; Fernández, A. M. F.; Brasileiro,V. S. B.; Custódio, S. E. V. Peripheral facial palsy by impairment of the brainstem - the purpose of a clinical case. Journal of Otolaryngology, v. 68, n. 1, p. 140- 144, 2002.
  10. Lima, C. M. O.; Atuação Fonoaudiológica na Paralisia Facial. Monografia de Conclusão de Especialização em Motricidade Oral Hospitalar. CEFAC. Londrina. 2001.
  11. Morales, R. C.: Terapia de Regulação Orofacial. Edições Científicas Memnon. São Paulo, 1999.
  12. Moran, C. J. & Neely, J. G. - Patterns of facial nerve synkinesis. Laryngoscope, 106, 1491-6, 1996.
  13. Perez, F. S. B. . Comparative study between a fixed electrode and movable electrode (pen) in strengthening perineal. Brasilia, 2011. 35 p. Thesis (Master of Medical Sciences) - Faculty of Medicine, UNB.
  14. Rodrigues, R. R. The Speech Therapy and Physical Therapy in Peripheral Facial Paralysis, New York, 1997. 25 p. Monograph - Centre of Specialization in Clinical Speech Pathology.
  15. Tessitore, A.; Regulação Orofacial: Sua importância no equilíbrio das funções estomatognáticas. Anais do 16º. Conclave Internacional de Campinas, ACDC. Mar/Abr, 2005, São Paulo.
  16. Testa, J. R. G.; Antunes, M. L. Facial palsy: diagnosis and treatment. Compact, v. 1, n. 4, p. 5 15, 2000.
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Paper Citation


in Harvard Style

S. B. Perez F., Ferreira da Rocha A., de Castro Cardoso K., Orlando Veloso H. and Janaina de Lima Amaral I. (2013). Utilizing a Mobile Electrode (PEN) for Functional Electrical Stimulation (FES) to Treat Facial Paralysis Caused by a Brain Injury - A Case Study . In Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2013) ISBN 978-989-8565-34-1, pages 269-272. DOI: 10.5220/0004252002690272


in Bibtex Style

@conference{biodevices13,
author={Fabiana S. B. Perez and Adson Ferreira da Rocha and Karla de Castro Cardoso and Hellen Orlando Veloso and Inez Janaina de Lima Amaral},
title={Utilizing a Mobile Electrode (PEN) for Functional Electrical Stimulation (FES) to Treat Facial Paralysis Caused by a Brain Injury - A Case Study},
booktitle={Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2013)},
year={2013},
pages={269-272},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004252002690272},
isbn={978-989-8565-34-1},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Biomedical Electronics and Devices - Volume 1: BIODEVICES, (BIOSTEC 2013)
TI - Utilizing a Mobile Electrode (PEN) for Functional Electrical Stimulation (FES) to Treat Facial Paralysis Caused by a Brain Injury - A Case Study
SN - 978-989-8565-34-1
AU - S. B. Perez F.
AU - Ferreira da Rocha A.
AU - de Castro Cardoso K.
AU - Orlando Veloso H.
AU - Janaina de Lima Amaral I.
PY - 2013
SP - 269
EP - 272
DO - 10.5220/0004252002690272