Therapeutic effect of extracorporeal shock wave combined with routine rehabilitation therapy for peripheral facial para-lysis
Objective:To explore the curative effectiveness of extracorporeal shock wave combined with conven-tional rehabilitation for peripheral facial paralysis.Methods:A total of 40 patients with peripheral facial palsy were included and randomly divided into control group and observation group,with 20 cases in each group.The control group received conventional comprehensive rehabilitation treatment,and the observation group received combined treatment with divergent extracorporeal shock wave on the basis of the control group,for a total of 4 weeks.Sunny-brook facial rating scale,facial disability physical function index(FDIP),facial disability social life function index(FDIS),Hamilton anxiety scale,temperature difference(frontal temperature difference,zygomatic temperature difference,mouth temperature difference),surface electromyography(EMG)were used before treatment,2 weeks and 4 weeks after treatment to evaluate efficacy.The surface EMG was done 2 and 4 weeks after treatment.Results:Before treatment,there were no significant differences in Sunnybrook score,FDIP,FDIS,anxiety,frontal tempera-ture difference,zygomatic temperature difference and oral temperature difference between 2 groups.With the exten-sion of treatment time,Sunnybrook score,FDIP,FDIS,anxiety,frontal temperature difference,oral temperature difference,facial nerve conduction velocity and amplitude were improved in 2 groups(P＜0.05),but frontal tem-perature difference was not significantly improved.After 2 weeks of treatment,Sunnybrook score and FDIP level in observation group were better than those in control group,and the difference was statistically significant(P＜0.05);There were no significant differences in FDIS,anxiety,frontal temperature difference,zygomatic tempera-ture difference,oral temperature difference,facial nerve conduction velocity and wave amplitude.After 4 weeks of treatment,there were significant difference in Sunnybrook score,FDIP,FDIS,zygomatic temperature difference,oral temperature difference,facial nerve conduction velocity and amplitude between two groups(P＜0.05),while anxiety and frontal temperature difference had no statistical significance.Conclusion:The combined application of extracorporeal shock wave and conventional rehabilitation therapy is more effective for peripheral facial paralysis,and the application of divergent extracorporeal shock wave in the field of nervous system is worthy of further discussion.
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