Effect of electrical stimulation in conjunction with mirror therapy and massage to decrease synkinesis in a patient with chronic Ramsay Hunt Syndrome: a case report.
Background: Ramsay Hunt Syndrome (RHS) is a late complication of chickenpox often associated with facial paralysis and synkinesis. Treatments for acute-onset facial paralysis or synkinesis from any cause may include physical therapy (PT) that focuses on electromyography (EMG) biofeedback, stretching...
| Publicado en: | Physiotherapy Theory & Practice Vol. 41; no. 10; pp. 2220 - 2228 |
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| Autor principal: | |
| Formato: | case study pictorial tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188157233&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188157233 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Oct2025 vid: 41 iid: 10 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 188157233 184908515 188157233 188157233 10.1080/09593985.2025.2501061 188157233 ppf: 2220 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effect of electrical stimulation in conjunction with mirror therapy and massage to decrease synkinesis in a patient with chronic Ramsay Hunt Syndrome: a case report. aug: au: McCrum, Suzanne affil: Trio Rehabilitation and Wellness, Boerne, Texas, USA sug: subj: Electrotherapy Mirror Therapy Massage Dyskinesias Herpes Zoster Oticus Chronic Disease Physical Therapy Treatment Outcomes Female Middle Age Dyskinesias Diagnosis Dyskinesias Etiology Dyskinesias Physiopathology Dyskinesias Therapy Herpes Zoster Oticus Complications Herpes Zoster Oticus Diagnosis Herpes Zoster Oticus Physiopathology Herpes Zoster Oticus Therapy Facial Paralysis Therapy Facial Paralysis Rehabilitation Electromyography Exercise Scales Quality of Life Biofeedback Facial Muscles Physiology Pain Headache Nausea Vomiting Range of Motion Middle Aged: 45-64 years Female ab: Background: Ramsay Hunt Syndrome (RHS) is a late complication of chickenpox often associated with facial paralysis and synkinesis. Treatments for acute-onset facial paralysis or synkinesis from any cause may include physical therapy (PT) that focuses on electromyography (EMG) biofeedback, stretching, and heat. Less research has focused on treating synkinesis resulting from RHS. Objective: The purpose of this case report was to assess the effectiveness of adding neuromuscular electrical stimulation (NMES) to more well-studied PT treatments, such as mirror therapy and massage, for decreasing synkinesis in chronic RHS. Case Description: The patient was a 62-year-old female with RHS. One year after diagnosis, she began PT to decrease synkinesis with the use of NMES, exercise, and massage. The synkinesis protocol was performed during twice-weekly clinic appointments lasting four weeks, and the patient performed the protocol at home twice daily. Outcomes: Assessment of facial appearance and function utilized the Sunnybrook Facial Grading System (SFGS) and Synkinesis Assessment Questionnaire (SAQ). SFGS score improved from 64/100 to 89/100. SAQ score improved from 25/45 to 11/45. Both demonstrated decreased synkinesis during smiling and lip puckering. Conclusion: After four weeks the patient showed improved symmetry and decreased unintended right eye movements during mouth movements, assessed by objective and subjective measures. Long-term studies would add to the body of knowledge for treating facial abnormalities. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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