The type of exercise therapy for Bell's Disease depends on the patient's condition and stage of the disease, so facial exercises are always tailored to the individual.
From the first few days of facial palsy, patients can start position therapy, such as sleeping on the affected side and using the tape to stretch out healthy muscles.
In the acute phase, the patient is given exercises, which can activate paralysed muscles - for example, swallowing can promote lower eyelid movement, and looking down or at the affected side can improve upper eyelid closure by relaxing muscle antagonist (opposing muscle). In complete paresis, the patient also does passive exercises (using the hand).
With incomplete paresis, active exercises in front of the mirror are used. This teaches the patient to keep their face symmetrical during exercises. Active exercises can improve blood flow and muscle function and prevent contracture and muscle atrophy.
Patients, who already present with residual symptoms, receive exercise therapy, which focuses on contractures and synkinesis. This form of exercise therapy has many similarities with mime therapy, which is used in the Netherlands.
Valkenburgerstraat 188e
1011 NC Amsterdam
Phone: 020-463 82 43
E-mail: bellseparese@gmail.com
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