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UTILIZAÇÃO DA ESTIMULAÇÃO TRANSCRANIANA (ETCC) EM PACIENTE COM PARALISIA DE BELL

Authors: Iara Ferreira dos Santos; Camila Batista da Silva; Adriana Cavalcanti de Macedo Matos;

UTILIZAÇÃO DA ESTIMULAÇÃO TRANSCRANIANA (ETCC) EM PACIENTE COM PARALISIA DE BELL

Abstract

Resumo Introdução: A paralisia de Bell, também conhecida como paralisia facial periférica19, é o enfraquecimento repentino ou paralisia dos músculos da face unilateralmente, podendo acometer pessoas de diversas idades e gêneros. A Cinesioterapia aplicada a PFP trabalha a dinâmica dos músculos envolvidos com a mímica facial, favorecendo a reeducação dos mesmos14. Objetivo: Verificar os efeitos da estimulação por corrente contínua trans craniana associado a cinesioterapia em um paciente com Paralisia de Bell, analisar o grau de paralisia facial por meio da escala de House-Brackmann e graduar sincinesias através da escala de Sincinesia. Métodos: O trabalho é um estudo de caso, baseando-se na análise individual de um paciente com diagnóstico de Paralisia Facial Periférica. O atendimento foi baseado em 30 minutos diários de exercícios cinéticos, sendo 15 minutos para liberação de fáscia e 15 minutos finais para mímicas faciais, bilateralmente. Realizou-se 15 intervenções consecutivas com intervalos de 2 dias, a cada cinco sessões realizadas. As escalas foram reaplicadas no 10° e 15º dia para reavaliação dos resultados. Resultados: Observou- se diminuição significativa no nível de paralisia, passando de grau III para grau II, referente a sincinesia permaneceu estável em grau I. Conclusão: Conclui-se que a atuação da eletroestimulação em um paciente com PFP obteve resultados relevantes, evidenciando uma melhora no grau de Paralisia Facial e controle de sincinesias em determinados movimentos, ao aplicar as escalas de comparação após a execução do ETCC e cinesioterapia. Portanto, sugere-se estudos aprofundados sobre o uso da neuromodulação por se mostrar eficaz nas sequelas clínicas. Palavras-chave: Paralisia de bell.Paralisia facial periférica.Sincinesia.Eletroestimulação transcraniana. Abstract Introduction: Bell’s palsy, also known as peripheral facial palsy14, is the sudden weakening or paralysis of the muscles of the face unilaterally, and can affect people of different ages and genders. Kinesiotherapy applied to PFP works on the dynamics of the muscles involved in facial mimicry, favoring their re-education12 . Objective: To verify the effects of transcranial direct current stimulation associated with kinesiotherapy in a patient with Bell’s palsy, to analyze the degree of facial paralysis using the House-Brackmann scale and to grade synkinesis using the Synkinesis scale. Methods: The work is a case study, based on the individual analysis of a patient diagnosed with Peripheral Facial Palsy. The service was based on 30 daily minutes of kinetic exercises, with 15 minutes for fascia release and the final 15 minutes for facial mimics, bilaterally. There were 15 consecutive interventions with intervals of 2 days, every five sessions performed. The scales were reapplied on the 10th and 15th day to reassess the results. Results: There was a significant decrease in the level of paralysis, going from grade III to grade II, referring to the synkinesis that remained stable in grade I. Conclusion: It is concluded that the performance of electrostimulation in a patient with PFP obtained relevant results, evidencing a improvement in the degree of Facial Paralysis and control of synkinesis in certain movements, when applying the comparison scales after performing tDCS and kinesiotherapy. Key words: Bell palsy. Peripheral facial palsy. Synkinesia. Transcranial electrostimulation.

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