Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases

Peripheral facial palsy (PFP) or bell palsy, implies lost or degree of facial movements by facial nerve illness.  Annual incidence is between 30 and 40 every 100.000 people. Traditional Treatment methods are mostly pharmacologic and motor rehabilitation. Patients often have issues to c...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Assum, F, Toconás, MG, Ceballos, E, Cosentino, MMl, Paolini, G, Hernandez, A, Vega, L
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
facial paralysis
clinical protocols
speech language and hearing sciences
parálisis facial
protocolos clínicos
fonoaudiología
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25786
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-25786
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic facial paralysis
clinical protocols
speech language and hearing sciences
parálisis facial
protocolos clínicos
fonoaudiología
spellingShingle facial paralysis
clinical protocols
speech language and hearing sciences
parálisis facial
protocolos clínicos
fonoaudiología
Assum, F
Toconás, MG
Ceballos, E
Cosentino, MMl
Paolini, G
Hernandez, A
Vega, L
Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases
topic_facet facial paralysis
clinical protocols
speech language and hearing sciences
parálisis facial
protocolos clínicos
fonoaudiología
author Assum, F
Toconás, MG
Ceballos, E
Cosentino, MMl
Paolini, G
Hernandez, A
Vega, L
author_facet Assum, F
Toconás, MG
Ceballos, E
Cosentino, MMl
Paolini, G
Hernandez, A
Vega, L
author_sort Assum, F
title Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases
title_short Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases
title_full Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases
title_fullStr Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases
title_full_unstemmed Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases
title_sort peripheral facial palsy: developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases
description Peripheral facial palsy (PFP) or bell palsy, implies lost or degree of facial movements by facial nerve illness.  Annual incidence is between 30 and 40 every 100.000 people. Traditional Treatment methods are mostly pharmacologic and motor rehabilitation. Patients often have issues to chew, speak, swallow, and express emotions.  Traditional Facial palsy grading and assessment methods are based on subjective judgment or medical criteria.  Consequently, it arises the need to develope a simple, quantitative, and organized method to get  graduation and clinical accuration of the patient's evolution during the treatment. A speech therapy protocol assessment for peripheral facial palsy (STPAPFP) was developed with three domains: resting asymmetries, contraction in muscular synergies, and stomatognathic functions. Evolution of two patients is presented: a 56-year- old masculine (A), and a 44-year-old female (B), with idiopathic PFP diagnosis, who came to Speech Therapy service in “Hospital Nacional de Clínicas”.  Manual neuro-motor activation therapy was applied periodically and they were graded in three stages: at the begining, in the meanwhile and at present.  In both cases, STPAPFP enabled/allowed to set the degree of PFP severity and characterization on the three domains, yielding quantitative and concordant results between degree and stage: At the begining: severe (patient scores A: 71; B: 83); in the meanwhile: moderate (A: 39; B: 51) and at present: mild (A: 23; B:18). Application of STPAPFP yields clinical and functional relevant data in each domain that allowed a precise speech therapy diagnosis, rehabilitation according to plan and severity grade determination of PFP in three stages. The STPAPFP made possible the following of A and B cases during therapy, using an organized, quick, cheap and quantitative assessment. The application of STAPAPFP in a larger sample is expected a check to verify its reliability and posterior validation as a speech therapy clinical assessment instrument.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25786
work_keys_str_mv AT assumf peripheralfacialpalsydevelopingofaspeechtherapyprotocolassessmentforclinicalfollowingpresentationofclinicalevolutionoftwocases
AT toconasmg peripheralfacialpalsydevelopingofaspeechtherapyprotocolassessmentforclinicalfollowingpresentationofclinicalevolutionoftwocases
AT ceballose peripheralfacialpalsydevelopingofaspeechtherapyprotocolassessmentforclinicalfollowingpresentationofclinicalevolutionoftwocases
AT cosentinomml peripheralfacialpalsydevelopingofaspeechtherapyprotocolassessmentforclinicalfollowingpresentationofclinicalevolutionoftwocases
AT paolinig peripheralfacialpalsydevelopingofaspeechtherapyprotocolassessmentforclinicalfollowingpresentationofclinicalevolutionoftwocases
AT hernandeza peripheralfacialpalsydevelopingofaspeechtherapyprotocolassessmentforclinicalfollowingpresentationofclinicalevolutionoftwocases
AT vegal peripheralfacialpalsydevelopingofaspeechtherapyprotocolassessmentforclinicalfollowingpresentationofclinicalevolutionoftwocases
AT assumf paralisisfacialperifericapfpdesarrollodeprotocolodeevaluacionfonoaudiologicaparaseguimientoclinicopresentaciondeevoluciondedoscasos
AT toconasmg paralisisfacialperifericapfpdesarrollodeprotocolodeevaluacionfonoaudiologicaparaseguimientoclinicopresentaciondeevoluciondedoscasos
AT ceballose paralisisfacialperifericapfpdesarrollodeprotocolodeevaluacionfonoaudiologicaparaseguimientoclinicopresentaciondeevoluciondedoscasos
AT cosentinomml paralisisfacialperifericapfpdesarrollodeprotocolodeevaluacionfonoaudiologicaparaseguimientoclinicopresentaciondeevoluciondedoscasos
AT paolinig paralisisfacialperifericapfpdesarrollodeprotocolodeevaluacionfonoaudiologicaparaseguimientoclinicopresentaciondeevoluciondedoscasos
AT hernandeza paralisisfacialperifericapfpdesarrollodeprotocolodeevaluacionfonoaudiologicaparaseguimientoclinicopresentaciondeevoluciondedoscasos
AT vegal paralisisfacialperifericapfpdesarrollodeprotocolodeevaluacionfonoaudiologicaparaseguimientoclinicopresentaciondeevoluciondedoscasos
first_indexed 2024-09-03T21:01:02Z
last_indexed 2024-09-03T21:01:02Z
_version_ 1809210160209461248
spelling I10-R327-article-257862024-08-27T18:26:16Z Peripheral facial palsy: Developing of a speech therapy protocol assessment for clinical following, presentation of clinical evolution of two cases Parálisis facial periférica (PFP) : Desarrollo de protocolo de evaluación fonoaudiológica para seguimiento clínico, presentación de evolución de dos casos Assum, F Toconás, MG Ceballos, E Cosentino, MMl Paolini, G Hernandez, A Vega, L facial paralysis clinical protocols speech language and hearing sciences parálisis facial protocolos clínicos fonoaudiología Peripheral facial palsy (PFP) or bell palsy, implies lost or degree of facial movements by facial nerve illness.  Annual incidence is between 30 and 40 every 100.000 people. Traditional Treatment methods are mostly pharmacologic and motor rehabilitation. Patients often have issues to chew, speak, swallow, and express emotions.  Traditional Facial palsy grading and assessment methods are based on subjective judgment or medical criteria.  Consequently, it arises the need to develope a simple, quantitative, and organized method to get  graduation and clinical accuration of the patient's evolution during the treatment. A speech therapy protocol assessment for peripheral facial palsy (STPAPFP) was developed with three domains: resting asymmetries, contraction in muscular synergies, and stomatognathic functions. Evolution of two patients is presented: a 56-year- old masculine (A), and a 44-year-old female (B), with idiopathic PFP diagnosis, who came to Speech Therapy service in “Hospital Nacional de Clínicas”.  Manual neuro-motor activation therapy was applied periodically and they were graded in three stages: at the begining, in the meanwhile and at present.  In both cases, STPAPFP enabled/allowed to set the degree of PFP severity and characterization on the three domains, yielding quantitative and concordant results between degree and stage: At the begining: severe (patient scores A: 71; B: 83); in the meanwhile: moderate (A: 39; B: 51) and at present: mild (A: 23; B:18). Application of STPAPFP yields clinical and functional relevant data in each domain that allowed a precise speech therapy diagnosis, rehabilitation according to plan and severity grade determination of PFP in three stages. The STPAPFP made possible the following of A and B cases during therapy, using an organized, quick, cheap and quantitative assessment. The application of STAPAPFP in a larger sample is expected a check to verify its reliability and posterior validation as a speech therapy clinical assessment instrument. La parálisis facial periférica idiopática o de Bell implica disminución o pérdida del movimiento facial por disfunción del VII par; tiene una incidencia anual que varía entre 30 a 40 por cada 100.000 habitantes. El tratamiento es fundamentalmente farmacológico y de rehabilitación motora. El paciente a menudo tiene dificultad para masticar, hablar, deglutir y expresar emociones. Los métodos tradicionales de evaluación y graduación de la parálisis se basan en el juicio subjetivo del profesional o en criterios médicos. De allí surge la necesidad de crear un método simple, cuantitativo y organizado para obtener graduación precisa y realizar seguimiento clínico de la evolución del paciente durante el tratamiento. Se desarrolló un protocolo de evaluación fonoaudiológica de parálisis facial periférica (PEFPFP) de tres dominios: asimetrías en reposo, contracción en sinergias musculares y funciones estomatognáticas. Se presenta la evolución de dos pacientes, masculino de 56 años (A) y femenino de 44 años (B), con diagnóstico de PFP idiopática que acudieron al Servicio de Fonoaudiología (SF) del Hospital Nacional de Clínicas. Se aplicó terapia manual de activación neuromotora de forma periódica  y fueron evaluados mediante el PEFPFP en tres instancias evaluativas: Inicial, intermedia y actualizada.  En ambos casos el PEFPFP permitió establecer el grado de severidad de PFP de los pacientes y su caracterización en los tres dominios, arrojando resultados cuantitativos concordantes entre grado de severidad y estadío en el que se encontraban: al momento del ingreso grado severo (paciente A: 71, B: 83 puntos), en la medición intermedia grado moderado (39 - 51 puntos, respectivamente) y en la actualidad grado leve (23 - 18 puntos). La aplicación del PEFPFP arrojó datos de relevancia clínica y funcional, en cada dominio estudiado, que permitieron un diagnóstico fonoaudiológico preciso, la elaboración del plan terapéutico y determinación del grado de severidad de PFP en cada etapa. El protocolo posibilitó el seguimiento de la evolución de A y B durante la terapia, mediante una evaluación organizada, rápida, de bajo costo y  cuantificable. Se proyecta continuar con la aplicación del PEFPFP en una muestra mayor para verificar su confiabilidad y posterior validación como instrumento fonoaudiológico de evaluación clínica.  Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25786 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25786/27535 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

Ejemplares similares