title: Positive effects of mime therapy on sequelae of facial paralysis: stiffness, lip mobility, and social and physical aspects of facial disability.
abstract: OBJECTIVE
  Evaluation of the effect of mime therapy, a novel therapy combining mime and physiotherapy, for patients with longstanding (at least 9 months) sequelae of unilateral peripheral facial paralysis.
  
  
  METHODS
  Randomized clinical trial, with the treatment group receiving mime therapy and the control group forming a waiting list.
  
  
  METHODS
  Physiotherapy outpatient department of two university medical centers.
  
  
  METHODS
  There were 50 patients, 21 men and 29 women, with sequelae of facial paralysis and a mean House-Brackmann score of Grade IV.
  
  
  METHODS
  Mime therapy, including automassage, relaxation exercises, inhibition of synkinesis, coordination exercises, and emotional expression exercises.
  
  
  METHODS
  Stiffness of the face, lip mobility (both lip and pout length) and the physical and social index of the Facial Disability Index.
  
  
  RESULTS
  Stiffness, lip mobility, and both aspects of the Facial Disability Index improved substantially because of mime therapy.
  
  
  CONCLUSIONS
  On the basis of present evidence, mime therapy is a good treatment choice for patients with sequelae of facial paralysis.
authors.affiliation: Department of Physiotherapy, University Medical Center Nijmegen, Nijmegen, The Netherlands. c.beurskens@umcn.nl
authors.forename: Carien H G
authors.initials: CH
authors.lastname: Beurskens
authors.forename: Peter G
authors.initials: PG
authors.lastname: Heymans
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D004548:Elasticity; D004644:Emotions; D005081:Exercise Therapy; D005149:Facial Expression; D005158:Facial Paralysis / Q000503:physiopathology* / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008046:Lip / Q000503:physiopathology; D008297:Male; D008405:Massage; D008875:Middle Aged; D026741:Physical Therapy Modalities; D012064:Relaxation Therapy