EFFECTIVENESS OF COMPLEX REHABILITATION MEASURES IN PATIENTS WITH FACIAL NERVE NEUROPATHY IN THE EARLY RECOVERY PERIOD
DOI:
https://doi.org/10.11603/1811-2471.2021.v.i2.12208Keywords:
facial nerve neuropathy, comprehensive rehabilitationAbstract
Facial nerve neuropathy (FNN) is one of the most common pathology of the cranial nerves. Facial nerve neuropathy leads to a deterioration in quality of life, which manifests itself in the form of prolonged temporary disability. Meanwhile, the issues of diagnosis, treatment, rehabilitation and prevention of facial nerve neuropathy lesions remain insufficiently studied today.
The aim – to evaluate the effectiveness of complex therapeutic measures on the dynamics of recovery processes in patients with facial nerve neuropathy depending on the date of onset of rehabilitation.
Material and Methods. We carried out complex rehabilitation treatment for 74 patients with FNN. The average age of patients is 42.6±5.5, the number of men – 44 (59.5 %), women – 30 (40.5 %). Patients were divided into two groups: the first – those who began rehabilitation immediately after the acute period (10–14 days), (n=49, average age 44.5±6.46). The second group included 25 patients (average age 38.8±2.9), who began rehabilitation later (20–30 days).
Results. Patients in the first group had a more positive dynamics of regression of symptoms than in the second group of patients. After completion of the rehabilitation course, a significant improvement in symptoms was observed in 30 patients (61.2 %) of the first group, in contrast to the second group of patients – 9 patients (36.0 %) with a significant improvement.
Conclusions: 1) Rehabilitation treatment of patients with facial nerve neuropathy should be comprehensive, pathogenetically sound with the use of various methods and tools, with the active participation of patients.
2) Therapeutic – rehabilitation complex created for each patient individually depending on the severity of neurological disorders and the dynamics of recovery processes.
3) Comprehensive treatment and rehabilitation measures are more effective when they were carried out at an early stage, immediately after the end of the acute period of the disease.
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