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At least 631 records · Page 35Linked to original sources
PubMed1984

Reduction of hemifacial spasm and dysarthria following EMG biofeedback.

In this case study, a geriatric patient who had an 18-year history of hemifacial spasm was given EMG-biofeedback-assisted relaxation training. No formal speech therapy was provided. Our results confirmed two hypotheses: (a) The patient would learn to reduce frontalis EMG and facial spasm with and then without biofeedback, and (b) as a result, speech would be markedly improved. At both the 1-month and 15-month follow-up the patient retained the ability to relax his facial muscles with similar carry-over to speech. Possible neurophysiologic mechanisms of action mediating the feedback training are discussed.

Aged↗
PubMed1984

Control of complex motor gestures: orofacial muscle responses to load perturbations of lip during speech.

The contribution of ascending afferents to the control of speech movement was evaluated by applying unanticipated loads to the lower lip during the generation of combined upper lip-lower lip speech gestures. To eliminate potential contamination due to anticipation or adaptation, loads were applied randomly on only 10-15% of the trials. Physical characteristics of the perturbations were within the normal range of forces and movements involved in natural lip actions for speech. Compensatory responses in multiple facial muscles and lip movements were observed the first time a load was introduced, and achievement of the multimovement speech goals was never disrupted by these perturbations. Muscle responses were seen in the lower lip muscles, implicating corrective, feedback processes. Additionally, compensatory responses to these lower lip loads were also observed in the independently controlled muscles of the upper lip, reflecting the parallel operation of open-loop, sensorimotor mechanisms. Compensatory responses from both the upper and lower lip muscles were observed with small (1 mm) as well as large (15 mm) perturbations. The latencies of these compensatory responses were not discernible by conventional ensemble averaging. Moreover, responses at latencies of lower brain stem-mediated reflexes (i.e., 10-18 ms) were not apparent with inspection of individual records. Response latencies were determined on individual loaded trials through the use of a computer algorithm that took into account the variability of electromyograms (EMG) among the control trials. These latency measures confirmed the absence of brain stem-mediated responses and yielded response latencies that ranged from 22 to 75 ms. Response latencies appeared to be influenced by the time relation between load onset and the initiation of muscle activation. Examination of muscle activity changes for individual loaded trials revealed complementary variations in the magnitude of responses among multiple muscles contributing to a movement compensation. These observations may have implications for limb movement control if multimovement speech gestures are considered analogous to a limb action requiring coordinated movements around multiple joints. In this context, these speech motor control data might be interpreted to suggest that for complex movements, both corrective feedback and open-loop predictive processes are operating, with the latter involved in the control of coordination among multiple movement subcomponents.

Electromyography↗
PubMed2003

EMG activities of facial and chewing muscles of human adults in response to taste stimuli.

To evaluate facial expression patterns induced by different taste stimuli, electromyograms (EMG) of the facial and chewing muscles of 12 healthy university students, aged 20 to 23 years, were analyzed. Sucrose (sweet), NaCl (salty), citric acid (sour), quinine-HCl (bitter), monosodium glutamate (MSG; umami), homogentisic acid (harsh), tannic acid (astringent), and capsaicine (pungent) were the taste stimuli used. Rating scale tests were made to assess the hedonics (pleasantness) of the taste stimuli. EMG responses of the corrugator supercilii, venter frontalis, orbicularis oculi, depressor anguli, and digastricus muscles to capsaicine, tannic, acid, and citric acid showed larger amplitudes than to NaCl, MSG, homogentisic acid, and sucrose. Increases in EMG responses for most facial and chewing muscles for the taste solutions had significant negative correlations to the solutions' hedonic scale values. Most facial and chewing muscles of adult humans therefore showed greater responses to disliked than to preferred or less preferred tastes.

Adult↗
PubMed1984

Auditory brain-stem evoked potentials in Bell's palsy.

In an attempt to assess objectively the integrity of the auditory pathways in patients suffering from Bell's palsy, an audiometric evaluation was performed and auditory brain-stem evoked potentials (ABEP) were obtained from 24 patients within the first week from the onset of facial weakness. Despite negative audiometric findings, significant ABEP abnormalities (greater than 2.5 SDs) were observed for 25% of the sample. In each case the ABEP deviation suggested prolonged brain-stem conduction time; for some patients the aberration was only apparent with an increased stimulus repetition rate. The ABEP measures were found to be independent of the side or severity of the paralysis, the acoustic reflex, or reported dysacusis. The ABEP was of no value in predicting recovery of facial muscle function. It is suggested that the facial paralysis may be only the overt manifestation of a generalized pathologic condition.

Acoustic Impedance Tests↗
PubMedDate not supplied

[A case of limb-girdle type myasthenia gravis in whom rheumatoid arthritis appeared immediately after thymectomy].

We report a 48-year-old female who presented limb-girdle type myasthenia gravis with inflammatory lung lesions and rheumatoid arthritis. She demonstrated a rapidly progressive muscle weakness of extremities. Neurological examination revealed facial muscle weakness, and proximal dominant limb muscle atrophy and weakness. Ptosis, ophthalmoplegia, and bulbar palsy were not observed. The edrophonium test and serum anti-acetylcholine receptor antibody were positive. The repetitive nerve stimulation showed 55% waning in the thenar muscles. From these findings, she was diagnosed as having myasthenia gravis. Plain chest X-P and body CT showed tumor-like lesions in the lung. Lung biopsy revealed the infiltration of lymphocytes. These lesions decreased in size after thymectomy and corticosteroid administration. Immediately after thymectomy, she began to have morning stiffness with pain and swelling of the finger and knee joints. RAHA test, which was negative before thymectomy, became highly positive. These findings were consistent with rheumatoid arthritis. In this patient, thymus probably played a role to suppress the development of rheumatoid arthritis.

Arthritis, Rheumatoid↗
PubMed2004

The management of salivary gland tumours.

The majority of the salivary gland tumours are of epithelial origin. The parotid gland is the most common location of these tumours. Surgery is the main modality for the management of salivary gland tumours. The dissection and preservation of the facial nerve are very important in most cases of parotidectomy. Partial parotidectomy has potential advantages in suitable cases. Sacrifice of the facial nerve is necessary for some patients with parotid carcinoma. The defects of the facial nerve should be reconstructed as soon as possible. Functional training of facial muscles is helpful for the recovery of facial nerve function. The indications for elective neck dissection, radiotherapy and chemotherapy are discussed.

Facial Nerve↗
PubMed1997

Focal myasthenia gravis in a dog.

A 10-month-old American cocker spaniel was evaluated for megaesophagus, aspiration pneumonia, but no appendicular muscle weakness. During hospitalization, weakness of the facial muscles developed, this resolved with anticholinesterase administration. Serum antibodies against acetylcholine receptors were documented, confirming the diagnosis of focal myasthenia gravis. Diagnosis, management, and medical treatment are discussed.

Animals↗
PubMed2001

Manipulation of frontal EEG asymmetry through biofeedback alters self-reported emotional responses and facial EMG.

Individual differences in resting asymmetrical frontal brain activity have been found to predict subsequent emotional responses. The question of whether frontal brain asymmetry can cause emotional responses has yet to be addressed. Biofeedback training designed to alter the asymmetry of frontal brain activity was therefore examined. Eighteen right-handed female participants were randomly assigned to receive biofeedback training designed to increase right frontal alpha relative to left frontal alpha (n = 9) or to receive training in the opposite direction (n = 9). Five consecutive days of biofeedback training provided signals of reward or nonreward depending on whether the difference between right (F4) and left (F3) frontal alpha exceeded a criterion value in the specified direction. Systematic alterations of frontal EEG asymmetry were observed as a function of biofeedback training. Moreover, subsequent self-reported affect and facial muscle activity in response to emotionally evocative film clips were influenced by the direction of biofeedback training.

Adolescent↗
PubMed2003

Anatomically accurate individual face modeling.

This paper presents a new 3D face model of a specific person constructed from the anatomical perspective. By exploiting the laser range data, a 3D facial mesh precisely representing the skin geometry is reconstructed. Based on the geometric facial mesh, we develop a deformable multi-layer skin model. It takes into account the nonlinear stress-strain relationship and dynamically simulates the non-homogenous behavior of the real skin. The face model also incorporates a set of anatomically-motivated facial muscle actuators and underlying skull structure. Lagrangian mechanics governs the facial motion dynamics, dictating the dynamic deformation of facial skin in response to the muscle contraction.

Biomechanical Phenomena↗
PubMed1992

[The treatment of hemifacial spasm using botulinum toxin].

Hemifacial spasm is a disagreeable disturbance with involuntary unilateral twitching of the facial muscles. Its most common form is supposedly due to an irritation of the facial nerve at its proximal intracranial segment by vascular structures. Various forms of treatment including surgical procedures are employed, very often without satisfactory results but frequently involving the risk for severe complications. For a few years a new method has been using injection of botulinum toxin into the affected muscles, which in the majority of patients relieves the abnormal movements for about half a year; therefore, this very effective and secure procedure is recommended as first-line treatment of hemifacial spasm.

Adult↗
PubMed1996

Awareness of physiological responding under stress and nonstress conditions in temporomandibular disorders.

To test the hypothesis that individuals with temporomandibular disorders (TMD) have deficits in proprioceptive awareness, 20 TMD patients were compared with 20 nonpain individuals matched to the TMD patients on age and gender. Left and right frontalis, masseter, and temporalis were monitored, as were forearm extensor, heart rate, and skin conductance while the participants viewed a nonstressful film segment. Following the film segment, participants provided self-reports of these physiological responses. This sequence was repeated for a second, stressful film segment and for a third, non-stressful film segment. Correlations between physiological activity and self-report were used as measures of proprioceptive awareness. The results indicated that TMD subjects were most accurate in their awareness of facial muscle activity during the stress condition and least accurate in the two nonstress periods. Control subjects increased their accuracy of awareness at each time period, showing significantly greater accuracy than the TMD group in the last, nonstress period. TMD subjects more accurately perceived activity of the nonfacial muscle variables in the two nonstress periods than during the stress period. These findings may provide a mechanism for understanding clinical observations showing that TMD patients with myofascial pain engage in high levels of parafunctional oral activity without awareness.

Adult↗
PubMed1979

[Variant of the facial-scapular-humeral-gluteal-femoral form of primary myopathy in children].

The facial-scapulohumeral-gluteal-femoral form of primary myopathy, described for the first time in 1872 by Duchenne, starts with lesions to the facial muscles and scapulae with subsequent dissemination to the other muscles of the shoulder girdle and lower extremities. The form of primary myopathy is characterized by a rapid development of myodystrophy without remissions and by the autosomal-recessive type of inheritance.

Adolescent↗
PubMed1997

Facial rejuvenation with botulinum.

Botulinum toxin type A (Botox) blocks the release of neurotransmitter acetylcholine at the presynaptic neuromuscular junction leading to an irreversible, but temporary muscular paralysis and weakness. This can produce a significant improvement of wrinkling in the upper face caused by the actions of the facial muscles. A prospective clinical study representing a 15-month experience with this new technique is presented. Patient selection and evaluation, classification of animation lines, techniques, results, and complications are discussed.

Botulinum Toxins, Type A↗
PubMed1986

Hemifacial spasm in childhood.

A nine-year-old girl presented with right hemifacial spasm (HFS) of 27 months duration. Stimulation of the right supraorbital nerve produced synkinesis of the ipsilateral facial muscles. Latency and amplitude of the blink reflex were equal bilaterally. Other investigations including computerized tomography (CT) were negative. Treatment with carbamazepine was not helpful. This is the third reported case of HFS in childhood.

Child↗
PubMed1995

Hemifacial spasm: successful treatment with felbamate.

Medical treatment of hemifacial spasm has generally been ineffectual. This report describes a 36-year-old man with a 7-year history of right hemifacial spasm who responded to felbamate (Felbatol) at doses of 1800-2800 mg per day. During treatment, he was able to achieve complete control of all spontaneous facial muscle spasms at rest. Activated hemifacial spasms, initiated by chewing, speaking, smiling, or grimacing were reduced in frequency and intensity of contraction by 40%-50%. Spontaneous worsening of the hemifacial spasms occurred at a dose of 3600 mg/day. Control of the hemifacial spasm was regained at a lower dose. This is the first reported use of felbamate for the control of hemifacial spasm. Microvascular decompression of the facial nerve has been the only known effective treatment for this condition. Successful felbamate therapy would provide an alternative to those patients for whom surgery is not a treatment option.

Adult↗
PubMed1985

[Clinical features of generalized epilepsy].

The pattern of generalized seizures was studied in 75 patients with the primary, mixed and secondary forms of generalized epilepsy. The majority of the patients (n-52) presented with generalized seizures with a complex development of generalized and partial motor disturbances throughout the entire paroxysm. The disturbances were divided into 3 variants. Referred to the first variant are convulsive manifestations in the structure of grand mal epilepsy when, in the presence of bilateral convulsions, they were predominant in the facial muscles on one side or muscles of the anterior or posterior aspect of the body. If generalized seizures were more predominant on one side, such motor disorders were attributed to the 2nd variant. The 3rd variant of generalized epileptic seizures was characterized by asymmetric convulsions.

Abdomen↗