CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20242023153
CoDAS
Original Article

Utilização da bandagem elástica funcional no tratamento fonoaudiológico da paralisia facial Pós-AVC na fase aguda

Use of athletic tape in the speech-languagehearing treatment of post-stroke facial paralysis in the acute phase

Raquel Karoline Gonçalves Amaral, Laélia Cristina Caseiro Vicente, Tatiana Simões Chaves e Aline Mansueto Mourão.

http://dx.doi.org/10.1590/2317-1782/20242023153 CoDAS, vol.36, n3, p.0, 2024
PDF Português
PDF English
PDF
SciELO
Downloads: 0
Views: 75

Resumo

Objetivo: Verificar a eficácia do uso da bandagem elástica funcional associada à terapia miofuncional no tratamento fonoaudiológico da paralisia facial pós-acidente vascular cerebral na fase aguda. Método: Estudo clínico controlado randomizado com 88 pacientes com paralisia facial na fase aguda do acidente vascular cerebral. A amostra foi alocada em: Grupo 1: reabilitação com terapia miofuncional orofacial e utilização da bandagem elástica funcional nos músculos zigomáticos maior e menor paralisados; Grupo 2: reabilitação apenas com terapia miofuncional orofacial na face paralisada; Grupo 3: sem qualquer intervenção fonoaudiológica para paralisia facial. Na avaliação foram solicitados os movimentos de mímica facial e o grau do comprometimento foi determinado de acordo com a escala de House e Brackmann. A incompetência do movimento foi obtida a partir de medições da face com paquímetro digital. Após a avaliação, a intervenção foi realizada de acordo como determinado para os grupos 1 e 2. Os participantes dos três grupos foram reavaliados após 15 dias. A análise estatística utilizada foi das equações generalizadas. Resultados: Os grupos foram homogêneos quanto à idade, medida de incapacidade e funcionalidade, gravidade do comprometimento neurológico e da paralisia facial pré-intervenção. O grupo 1 teve melhora significativa na medida canto externo do olho à comissura labial, com melhores resultados quando comparado aos grupos 2 e 3. Conclusão: A bandagem elástica funcional associada a terapia miofuncional orofacial apresentou melhor resultado no tratamento da paralisia facial após acidente vascular cerebral no local onde foi aplicado.

Palavras-chave

Paralisia Facial; Bandagem Elástica; Acidente Vascular Cerebral; Reabilitação; Fonoterapia; Expressão Facial

Abstract

Purpose: To verify the efficacy of using athletic tape associated with myofunctional therapy in the speechlanguage-hearing treatment of facial palsy after stroke in the acute phase. Method: Randomized controlled clinical study with 88 patients with facial palsy in the acute phase of stroke. The sample was allocated in: Group 1: rehabilitation with orofacial myofunctional therapy and use of athletic tape on the paralyzed zygomaticus major and minor muscles; Group 2: rehabilitation alone with orofacial myofunctional therapy on the paralyzed face; Group 3: no speech-language-hearing intervention for facial paralysis. In the evaluation, facial expression movements were requested, and the degree of impairment was determined according to the House and Brackmann scale. Movement incompetence was obtained from measurements of the face with a digital caliper. After the evaluation, the intervention was carried out as determined for groups 1 and 2. The participants of the three groups were reassessed after 15 days. The statistical analysis used was the generalized equations. Results: The groups were homogeneous in terms of age, measure of disability and functioning, severity of neurological impairment and pre-intervention facial paralysis. Group 1 had a significant improvement in the measure from the lateral canthus to the corner of the mouth, with better results than groups 2 and 3. Conclusion: The athletic tape associated with orofacial myofunctional therapy had better results in the treatment of facial paralysis after stroke in the place where it was applied.

Keywords

Facial Paralysis; Athletic Tape; Stroke; Therapy; Speech Therapy; Facial Expression

References

  1. Pimenta E, Costa A, Bule JM, Reis G. Recuperar a expressão facial após parésia facial central. Rev Ibero-Am Saude Envelhec. 2019;5(1):1691-706. http://doi.org/10.24902/r.riase.2019.5(1).1691

    » http://doi.org/10.24902/r.riase.2019.5(1).1691

  2. Silva MF, Peres SV, Lazarini PR, Cunha MC. Evaluation of the sensitivity of the Psychosocial Scale of Facial Appearance in peripheral facial paralysis. CoDAS. 2018;30(6):e20180072. PMid:30517273

  3. Vaughan A, Gardner D, Miles A, Copley A, Wenke R, Coulson S. A systematic review of physical rehabilitation of facial palsy. Front Neurol. 2020;11:222-7. http://doi.org/10.3389/fneur.2020.00222 PMid:32296385

    » http://doi.org/10.3389/fneur.2020.00222

  4. Amaral RKG, Mourão AM, Barreto SR, Simões TC, Vicente LCC. Self-perception of facial paralysis and sociodemographic-clinical conditions of post-acute stroke patients: association analysis. Distúrb Comun. 2022;34(2):1-7.

  5. Tessitore A, Paschoal JR, Pfeilsticker LN. Avaliação de um protocolo da reabilitação orofacial na paralisia facial periférica. Rev CEFAC. 2009;11(3, supl 3):432-20. http://doi.org/10.1590/S1516-18462009000700019

    » http://doi.org/10.1590/S1516-18462009000700019

  6. Romão AM, Cabral C, Magni C. Early speech therapy intervention in a patient with facial paralysis after otomastoiditis. Rev CEFAC. 2015;17(3):996-03.

  7. Volk GF, Steinerstauch A, Lorenz A, Modersohn L, Mothes O, Denzler J, et al. Facial motor and non-motor disabilities in patients with central facial paresis: a prospective cohort study. J Neurol. 2019;266(1):46-56. http://doi.org/10.1007/s00415-018-9099-x PMid:30367260

    » http://doi.org/10.1007/s00415-018-9099-x

  8. Barreto SR, Mourão AM, Chaves TS, Vicente LCC. The use of kinesio taping in the treatment of the acute phase of post-stroke facial paralysis. Audiol Commun Res. 2021;26:1-10.

  9. Dias MP, Silva MFF, Barreto SS. Speech-language rehabilitation in peripheral facial paralysis: integrative review. Audiol Commun Res. 2021;26:10-9.

  10. Hu Y, Zhong D, Xiao Q, Chen Q, Juan L, Jin R. Kinesio Taping for balance function after stroke: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2019;2019(35):26-33. http://doi.org/10.1155/2019/8470235 PMid:31379969

    » http://doi.org/10.1155/2019/8470235

  11. Zavarize SF, Martelli A. Mecanismo neurofisiológicos da aplicação de bandagem funcional no estimulo somatossensorial. Revista Saúde e Desenvolvimento Humano. 2014;2(2):39-49.

  12. Lopes M, Torres R, Romão D, Dias M, Valério S, Espejo-Antúnez L, et al. A fita de cinesiologia aumenta o tônus muscular, a rigidez e a elasticidade: efeitos da direção da aplicação da fita. J Bodyw Mov Ther. 2022;30:176-80. http://doi.org/10.1016/j.jbmt.2022.01.003 PMid:35500968

    » http://doi.org/10.1016/j.jbmt.2022.01.003

  13. Kase K, Wallis J, Kase T. Clinical therapeutic applications of the Kinesio Taping Method. 2nd ed. Tokyo: Ken Ikai; 2003. 189 p.

  14. Wang Y, Li X, Sun C, Xu R. Effectiveness of kinesiology taping on the functions of upper limbs in patients with stroke: a meta-analysis of randomized trial. Neurol Sci. 2022;43(7):4145-56. http://doi.org/10.1007/s10072-022-06010-1 PMid:35347525

    » http://doi.org/10.1007/s10072-022-06010-1

  15. Mezzedimi C, Livi W, Spinosi MC. Kinesio Taping in Dysphonic Patients. J Voice. 2017;31(5):589-93. http://doi.org/10.1016/j.jvoice.2017.01.012 PMid:28237552

    » http://doi.org/10.1016/j.jvoice.2017.01.012

  16. Sordi C, Araújo BL, Cardoso LVD, Correia LAV, Oliveira GM, Silva SSS, et al. Elastic bandage as a therapeutic resource for the control of sialorrhea: an analysis of its efficacy. Distúrb Comun. 2017;29(4):663-72. http://doi.org/10.23925/2176-2724.2017v29i4p663-672

    » http://doi.org/10.23925/2176-2724.2017v29i4p663-672

  17. Cheshmi B, Keyhan SO, Rayegani SM, Kim SG, Pekyavas NO, Ramezanzade S. A literature review of applications of Kinesio Taping® in the craniomaxillofacial region. Cranio. 2021;9:1-8. http://doi.org/10.1080/08869634.2021.2009994 PMid:34882511

    » http://doi.org/10.1080/08869634.2021.2009994

  18. Ramos RDL. Adaptação cultural e validação do “The Language Screening Test (LAST) versões a e b para o português do Brasil [dissertação]. Campinas: Faculdade Ciências Médicas, Universidade Estadual de Campinas; 2013.

  19. Altman DG, Schulz KF, Moher D, Egger M, Davidoff F, Elbourne D, et al. The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med. 2001;134(8):663-94. http://doi.org/10.7326/0003-4819-134-8-200104170-00012 PMid:11304107

    » http://doi.org/10.7326/0003-4819-134-8-200104170-00012

  20. Cincura C, Pontes-Neto OM, Neville IS, Mendes HF, Menezes DF, Mariano DC, et al. Validation of the national institutes of health stroke scale modified Rankin Scale and Barthel index in Brazil: the role of cultural adaptation and structured interviewing. Cerebrovasc Dis. 2009;27(2):119-22. http://doi.org/10.1159/000177918 PMid:19039215

    » http://doi.org/10.1159/000177918

  21. Functional Independence Measure. 1997 guide for the uniform data set for medical rehabilitation. Buffalo: University of New York; 1997.

  22. Flamand-Roze C, Falissard B, Roze E, Maintigneux L, Beziz J, Chacon A, et al. Validation of a New Language Screening Tool for Patients With Acute Stroke. The Language Screening Test (LAST). Stroke. 2011;42(5):1224-9. http://doi.org/10.1161/STROKEAHA.110.609503 PMid:21487118

    » http://doi.org/10.1161/STROKEAHA.110.609503

  23. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985;93(2):146-7. http://doi.org/10.1177/019459988509300202 PMid:3921901

    » http://doi.org/10.1177/019459988509300202

  24. Quintal M, Tessitore A, Paschoal JR, Pfeilsticker LN. Quantificação da paralisia facial com paquímetro digital. Rev CEFAC. 2004;6(2):170-6.

  25. Conselho Federal de Fonoaudiologia. Parecer CFFa nº 041, de 18 de fevereiro de 2016. Brasília: Conselho Federal de Fonoaudiologia; 2016.

  26. Fleiss JL. Measuring nominal scale agreement among many raters. Psychol Bull. 1971;76(5):378-82. http://doi.org/10.1037/h0031619

    » http://doi.org/10.1037/h0031619

  27. Jung YJ, Kim HJ, Choi JB, Park JS, Hwang NK. Effect of dysphagia rehabilitation using kinesiology taping on oropharyngeal muscle hypertrophy in post-stroke patients: a double blind randomized placebo-controlled trial. Healthcare (Basel). 2020;8(4):411-9. http://doi.org/10.3390/healthcare8040411 PMid:33086705

    » http://doi.org/10.3390/healthcare8040411

  28. Di Stadio A, Gambacorta V, Ralli M, Pagliari J, Longari F, Greco A, et al. Facial taping as biofeedback to improve the outcomes of physical rehab in Bell’s palsy: preliminary results of a randomized case-control study. Eur Arch Otorhinolaryngol. 2021;278(5):1693-8. http://doi.org/10.1007/s00405-020-06193-3 PMid:32681234

    » http://doi.org/10.1007/s00405-020-06193-3

  29. Kasahara T, Ikeda S, Sugimoto A, Sugawara S, Koyama Y, Toyokura M, et al. Efficacy of tape feedback therapy on synkinesis following severe peripheral facial nerve palsy. Tokai J Exp Clin Med. 2017;42(3):139-42. PMid:28871583

  30. Barradas LPF, Matos LKBL, Silva LFBP. Bandagem elástica terapêutica na dor e no equilíbrio de indivíduos com alteração postural. ConScientiae Saúde. 2015;14(3):425-33. http://doi.org/10.5585/conssaude.v14n3.5828

Submitted date:
06/23/2023

Accepted date:
09/21/2023

68d31300a9539520b40a96f6 codas Articles
2317-1782 (Electronic)
CoDAS ©2025 All rights reserved.

CoDAS

Share this page
Page Sections