Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates

von Doychin N. Angelov
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€ 160,49
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Doychin N. Angelov Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates
Doychin N. Angelov - Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates

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Beschreibung

Using a combined morpho-functional approach the author recently found that polyinnervation of the neuro-muscular juction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve. Since polyinnervation is activity-dependent and can be manipulated, he tried to design a clinically feasible therapy by electrical stimulation or by soft tissue massage. First, electrical stimulation was applied to the transected facial nerve or to paralysed facial muscles. Both procedures did not improve vibrissal motor performance (video-based motion analysis of whisking), failed to diminish polyinnervation and even reduced the number of innervated NMJ to one fifth of normal values. In contrast, gentle stroking of the paralysed vibrissal muscles by hand resulted in full recovery of whisking. Manual stimulation was also effective after hypoglossal-facial anastomosis and after interpositional nerve grafting. The author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction.

Mitwirkende

Autor:
Doychin N. Angelov

Weitere Informationen

Anmerkung Illustrationen:
8 schwarz-weiße und 14 farbige Abbildungen
Bemerkungen:

Using a combined morpho-functional approach the author recently found that polyinnervation of the neuro-muscular junction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve.

Medientyp:
Taschenbuch
Verlag:
Springer Berlin
Sprache:
Englisch
Seitenanzahl:
144
Zusammenfassung:
Using a combined morpho-functional approach the author recently found that polyinnervation of the neuro-muscular juction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve.

Stammdaten

Produkttyp:
Taschenbuch
Veröffentlichungsdatum:
26. Februar 2011
Verpackungsabmessungen:
0.226 x 0.152 x 0.013 m; 0.227 kg
GTIN:
09783642181191
DUIN:
CSALSA0MT0E
Herstellerartikelnummer:
8 black & white illustrations
€ 160,49
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