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KMID : 1206219970040030499
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Journal of Korean Academy of Physical Therapy Science
1997 Volume.4 No. 3 p.499 ~ p.509
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rophysiologic Examination and Physiotherapy for Facial Nerve Palsy
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Ryoo Jae-Kwan
Kim Jong-Soon
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Abstract
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The facial nerve have a long pathway. Thus facial nerve fibers easily involved at any point along their course will lead to a facial palsy of lower motor neuron type and upper motor neuron type. The electrophysiologic examination can evaluate and anticipating that prognosis of facial nerve palsy. The electrophysiologic examination are Nerve Excitability Test(NET), Elecctroneurography(ENG), Electro-myography(EMG), Blink Reflex, and Electrogustometry et.al. The NET is very useful method for assessment of prognosis and distinguish between nerve degeneration and physiological block as early as 72 hour after onset of the facial palsy. And other examination also give objectively information of facial nerve for prognosis and treatment. Treatment goal of physiotherapy are prevent contracture and disuse atrophy of facial muscle with muscle reeducation and strengthening and maintain symmetry facial motion. The treatment better start as early as possible.
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KEYWORD
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Werve Excitability Test, Electroneurogaphy, Electromyography, Blink Reflex, Electrogustrometry
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