Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates [recurso electrónico] / by Doychin N. Angelov.

Por: Angelov, Doychin N [author.]Colaborador(es): SpringerLink (Online service)Tipo de material: TextoTextoSeries Advances in Anatomy, Embryology and Cell Biology ; 210Editor: Berlin, Heidelberg : Springer Berlin Heidelberg, 2011Descripción: XII, 143p. 22 illus., 14 illus. in color. online resourceTipo de contenido: text Tipo de medio: computer Tipo de portador: online resourceISBN: 9783642181207Tema(s): Medicine | Neurosciences | Biomedicine | NeurosciencesFormatos físicos adicionales: Printed edition:: Sin títuloClasificación CDD: 612.8 Clasificación LoC:RC321-580Recursos en línea: Libro electrónicoTexto
Contenidos:
Factors limiting motor recovery after peripheral nerve injury -- Attempts to improve axonal pathfinding and quality of target reinnervation -- Efforts to reduce collateral axonal branching at the lesion site -- Efforts to reduce intramuscular axonal sprouting in denervated muscles -- Discussion -- Significance axonal branching at the lesion site -- Unsuccessful ways to reduce intramuscular axonal sprouting in denerved muscles -- Successful ways to reduce intramuscular axonal sprouting in paralysed muscles -- Unsuccessful manual stimulation of paralysed forearm muscles after MMA -- Conclusions -- Subject index.
En: Springer eBooksResumen: Using a combined morpho-functional approach the author found that polyinnervation of the neuro-muscular juction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve. Since polyinnervation is activity-dependent and can be manipulated, the author tried to design a clinically feasible therapy by electrical stimulation or by soft tissue massage. First, electrical stimulation was applied to the transected facial nerve or to paralysed facial muscles. Both procedures did not improve vibrissal motor performance (video-based motion analysis of whisking), failed to diminish polyinnervation and even reduced the number of innervated NMJ to one fifth of normal values. In contrast, gentle stroking of the paralysed vibrissal muscles by hand resulted in full recovery of whisking. This manual stimulation depends on intact sensory supply of the denervated muscle targets and is also effective after hypoglossal-facial anastomosis, after interpositional nerve grafting, when applied to the orbicularis oculi muscle and after transection and suture of the hypoglossal nerve. From these results the author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction.
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Tipo de ítem Biblioteca actual Colección Signatura Copia número Estado Fecha de vencimiento Código de barras
Libro Electrónico Biblioteca Electrónica
Colección de Libros Electrónicos RC321 -580 (Browse shelf(Abre debajo)) 1 No para préstamo 375671-2001

Factors limiting motor recovery after peripheral nerve injury -- Attempts to improve axonal pathfinding and quality of target reinnervation -- Efforts to reduce collateral axonal branching at the lesion site -- Efforts to reduce intramuscular axonal sprouting in denervated muscles -- Discussion -- Significance axonal branching at the lesion site -- Unsuccessful ways to reduce intramuscular axonal sprouting in denerved muscles -- Successful ways to reduce intramuscular axonal sprouting in paralysed muscles -- Unsuccessful manual stimulation of paralysed forearm muscles after MMA -- Conclusions -- Subject index.

Using a combined morpho-functional approach the author found that polyinnervation of the neuro-muscular juction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve. Since polyinnervation is activity-dependent and can be manipulated, the author tried to design a clinically feasible therapy by electrical stimulation or by soft tissue massage. First, electrical stimulation was applied to the transected facial nerve or to paralysed facial muscles. Both procedures did not improve vibrissal motor performance (video-based motion analysis of whisking), failed to diminish polyinnervation and even reduced the number of innervated NMJ to one fifth of normal values. In contrast, gentle stroking of the paralysed vibrissal muscles by hand resulted in full recovery of whisking. This manual stimulation depends on intact sensory supply of the denervated muscle targets and is also effective after hypoglossal-facial anastomosis, after interpositional nerve grafting, when applied to the orbicularis oculi muscle and after transection and suture of the hypoglossal nerve. From these results the author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction.

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