书目名称 | Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates |
编辑 | Doychin N. Angelov |
视频video | |
概述 | Using a combined morpho-functional approach the author recently found that polyinnervation of the neuro-muscular junction (NMJ) is the critical factor for recovery of function after transection and su |
丛书名称 | Advances in Anatomy, Embryology and Cell Biology |
图书封面 |  |
描述 | Using a combined morpho-functional approach the author recently 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, he 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. Manual stimulation was also effective after hypoglossal-facial anastomosis and after interpositional nerve grafting. The author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction. |
出版日期 | Book 2011 |
关键词 | axonal branching; axonal pathfinding; intramuscular axonal sprouting; muscle reinnervation; peripheral n |
版次 | 1 |
doi | https://doi.org/10.1007/978-3-642-18120-7 |
isbn_softcover | 978-3-642-18119-1 |
isbn_ebook | 978-3-642-18120-7Series ISSN 0301-5556 Series E-ISSN 2192-7065 |
issn_series | 0301-5556 |
copyright | The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer-Verlag GmbH, DE |