title: Central facial paresis and its impact on mimicry, psyche and quality of life in patients after stroke.
abstract: OBJECTIVE
  Using functional scales and face video analysis, changes in central facial paresis are monitored in patients with stroke after orofacial therapy and correlations between changes in mimicry, mental function and overall quality of life of patients after stroke are made.
  
  
  METHODS
  A prospective randomized study of patients after stroke with facial paresis. The functional status of the experimental group of 50 cases with orofacial regulation therapy and 49 control cases without mimicry therapy is observed after four weeks of rehabilitation.
  
  
  RESULTS
  Changes in mimicry functions evaluated by the House-Brackmann Grading System (HBGS) clinical range and using 2D video analysis of the distance between the paretic corner of the mouth and earlobe at rest and during smiling were statistically better in the experimental group than in controls. Changes in mental function - depression using Beck Depression Inventory and changes in the quality of life using Bartle index and modified Rankin score (scale) were significantly greater in the experimental group. There was a very close relationship between the changes in mimicry, mental state and overall quality of life according to the Spearman correlative coefficient.
  
  
  CONCLUSIONS
  Orofacial rehabilitation therapy for patients with paresis after stroke has a significant influence on the adjustment of mimicry, mental functions and overall quality of life after 4 weeks of treatment.
authors.affiliation: Department of Rehabilitation and Exercise Medicine, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech Republic.
authors.forename: Petr
authors.initials: P
authors.lastname: Konecny
authors.forename: Milan
authors.initials: M
authors.lastname: Elfmark
authors.forename: Stanislav
authors.initials: S
authors.lastname: Horak
authors.forename: Dalibor
authors.initials: D
authors.lastname: Pastucha
authors.forename: Alois
authors.initials: A
authors.lastname: Krobot
authors.forename: Karel
authors.initials: K
authors.lastname: Urbanek
authors.forename: Petr
authors.initials: P
authors.lastname: Kanovsky
mesh_terms: D005149:Facial Expression; D005152:Facial Muscles / Q000503:physiopathology; D005158:Facial Paralysis / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009068:Movement / Q000502:physiology; D020247:Myofunctional Therapy; D011446:Prospective Studies; D011788:Quality of Life; D020521:Stroke / Q000150:complications / Q000503:physiopathology; D014741:Video Recording