Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014, 158(1):133-137 | DOI: 10.5507/bp.2013.014

Central facial paresis and its impact on mimicry, psyche and quality of life in patients after stroke

Petr Konecnya,b,c, Milan Elfmarkb,d, Stanislav Horaka,b, Dalibor Pastuchaa, Alois Krobota,b, Karel Urbanekc, Petr Kanovskyc
a Department of Rehabilitation and Exercise Medicine, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech Republic
b Department of Physiotherapy, Faculty of Health Sciences, Palacky University Olomouc
c Department of Neurology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc
d Department of Biomechanics and Engineering Cybernetics, Faculty of Physical Culture, Palacky University Olomouc

Aim: Using functional scales and face video analysis, changes in central facial paresis are monitored in patients with stroke after orofacial therapy and correlations between changes in mimicry, mental function and overall quality of life of patients after stroke are made.

Materials and Methods: A prospective randomized study of patients after stroke with facial paresis. The functional status of the experimental group of 50 cases with orofacial regulation therapy and 49 control cases without mimicry therapy is observed after four weeks of rehabilitation.

Results: Changes in mimicry functions evaluated by the House-Brackmann Grading System (HBGS) clinical range and using 2D video analysis of the distance between the paretic corner of the mouth and earlobe at rest and during smiling were statistically better in the experimental group than in controls. Changes in mental function - depression using Beck Depression Inventory and changes in the quality of life using Bartle index and modified Rankin score (scale) were significantly greater in the experimental group. There was a very close relationship between the changes in mimicry, mental state and overall quality of life according to the Spearman correlative coefficient.

Conclusion: Orofacial rehabilitation therapy for patients with paresis after stroke has a significant influence on the adjustment of mimicry, mental functions and overall quality of life after 4 weeks of treatment.

Keywords: stroke, facial paresis, depression, quality of life, orofacial rehabilitation

Received: November 2, 2011; Accepted: February 14, 2013; Prepublished online: March 21, 2013; Published: April 1, 2014  Show citation

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Konecny, P., Elfmark, M., Horak, S., Pastucha, D., Krobot, A., Urbanek, K., & Kanovsky, P. (2014). Central facial paresis and its impact on mimicry, psyche and quality of life in patients after stroke. Biomedical papers, 158(1), 133-137. doi: 10.5507/bp.2013.014
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