Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial Paralysis
Rehabilitation after free gracilis muscle transfer (smile surgery, SS) is crucial for a functional recovery of the smiling skill, mitigating social and psychological problems resulting from facial paralysis. We compared two post-SS rehabilitation treatments: the traditional based on teeth clenching...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.757523/full |
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| author | Elisa De Stefani Elisa De Stefani Anna Barbot Cecilia Zannoni Mauro Belluardo Chiara Bertolini Rita Cosoli Bernardo Bianchi Andrea Ferri Francesca Zito Michela Bergonzani Arianna Schiano Lomoriello Paola Sessa Paola Sessa Pier Francesco Ferrari |
| author_facet | Elisa De Stefani Elisa De Stefani Anna Barbot Cecilia Zannoni Mauro Belluardo Chiara Bertolini Rita Cosoli Bernardo Bianchi Andrea Ferri Francesca Zito Michela Bergonzani Arianna Schiano Lomoriello Paola Sessa Paola Sessa Pier Francesco Ferrari |
| author_sort | Elisa De Stefani |
| collection | DOAJ |
| description | Rehabilitation after free gracilis muscle transfer (smile surgery, SS) is crucial for a functional recovery of the smiling skill, mitigating social and psychological problems resulting from facial paralysis. We compared two post-SS rehabilitation treatments: the traditional based on teeth clenching exercises and the FIT-SAT (facial imitation and synergistic activity treatment). FIT-SAT, based on observation/imitation therapy and on hand-mouth motor synergies would facilitate neuronal activity in the facial motor cortex avoiding unwanted contractions of the jaw, implementing muscle control. We measured the smile symmetry on 30 patients, half of whom after SS underwent traditional treatment (control group, CG meanage = 20 ± 9) while the other half FIT-SAT (experimental group, EG meanage= 21 ± 14). We compared pictures of participants while holding two postures: maximum and gentle smile. The former corresponds to the maximal muscle contraction, whereas the latter is strongly linked to the control of muscle strength during voluntary movements. No differences were observed between the two groups in the maximum smile, whereas in the gentle smile the EG obtained a better symmetry than the CG. These results support the efficacy of FIT-SAT in modulating the smile allowing patients to adapt their smile to the various social contexts, aspect which is crucial during reciprocal interactions. |
| first_indexed | 2024-12-12T03:40:54Z |
| format | Article |
| id | doaj.art-a58db9eb3fbb4962bd3475a44f710729 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-12T03:40:54Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-a58db9eb3fbb4962bd3475a44f7107292022-12-22T00:39:41ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-05-011310.3389/fneur.2022.757523757523Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial ParalysisElisa De Stefani0Elisa De Stefani1Anna Barbot2Cecilia Zannoni3Mauro Belluardo4Chiara Bertolini5Rita Cosoli6Bernardo Bianchi7Andrea Ferri8Francesca Zito9Michela Bergonzani10Arianna Schiano Lomoriello11Paola Sessa12Paola Sessa13Pier Francesco Ferrari14Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Parma, ItalyChild and Adolescent Neuropsychiatry–NPIA District of Scandiano, AUSL of Reggio Emilia, Reggio Emilia, ItalyOperative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Parma, ItalyOperative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Parma, ItalyUnit of Neuroscience, Department of Medicine and Surgery, University of Parma, Parma, ItalyOperative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Parma, ItalyUnit of Neuroscience, Department of Medicine and Surgery, University of Parma, Parma, ItalyOperative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Parma, ItalyOperative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Parma, ItalyOperative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Parma, ItalyOperative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Parma, ItalySection for Cognitive Systems, DTU Compute, Technical University of Denmark, Kongens Lyngby, DenmarkDepartment of Developmental and Social Psychology, University of Padova, Padova, ItalyPadova Neuroscience Center (PNC), University of Padova, Padova, ItalyInstitut des Sciences Cognitives Marc Jeannerod, CNRS, Université de Lyon, Lyon, FranceRehabilitation after free gracilis muscle transfer (smile surgery, SS) is crucial for a functional recovery of the smiling skill, mitigating social and psychological problems resulting from facial paralysis. We compared two post-SS rehabilitation treatments: the traditional based on teeth clenching exercises and the FIT-SAT (facial imitation and synergistic activity treatment). FIT-SAT, based on observation/imitation therapy and on hand-mouth motor synergies would facilitate neuronal activity in the facial motor cortex avoiding unwanted contractions of the jaw, implementing muscle control. We measured the smile symmetry on 30 patients, half of whom after SS underwent traditional treatment (control group, CG meanage = 20 ± 9) while the other half FIT-SAT (experimental group, EG meanage= 21 ± 14). We compared pictures of participants while holding two postures: maximum and gentle smile. The former corresponds to the maximal muscle contraction, whereas the latter is strongly linked to the control of muscle strength during voluntary movements. No differences were observed between the two groups in the maximum smile, whereas in the gentle smile the EG obtained a better symmetry than the CG. These results support the efficacy of FIT-SAT in modulating the smile allowing patients to adapt their smile to the various social contexts, aspect which is crucial during reciprocal interactions.https://www.frontiersin.org/articles/10.3389/fneur.2022.757523/fullhand-mouth synergiessmile surgeryfree gracilis muscle transferMoebius syndromemirror neuronsaction observation (AO) |
| spellingShingle | Elisa De Stefani Elisa De Stefani Anna Barbot Cecilia Zannoni Mauro Belluardo Chiara Bertolini Rita Cosoli Bernardo Bianchi Andrea Ferri Francesca Zito Michela Bergonzani Arianna Schiano Lomoriello Paola Sessa Paola Sessa Pier Francesco Ferrari Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial Paralysis Frontiers in Neurology hand-mouth synergies smile surgery free gracilis muscle transfer Moebius syndrome mirror neurons action observation (AO) |
| title | Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial Paralysis |
| title_full | Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial Paralysis |
| title_fullStr | Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial Paralysis |
| title_full_unstemmed | Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial Paralysis |
| title_short | Post-surgery Rehabilitative Intervention Based on Imitation Therapy and Mouth-Hand Motor Synergies Provides Better Outcomes in Smile Production in Children and Adults With Long Term Facial Paralysis |
| title_sort | post surgery rehabilitative intervention based on imitation therapy and mouth hand motor synergies provides better outcomes in smile production in children and adults with long term facial paralysis |
| topic | hand-mouth synergies smile surgery free gracilis muscle transfer Moebius syndrome mirror neurons action observation (AO) |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.757523/full |
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