基于肌力分级法构建个性化周围性面神经炎治疗模式OACSTPCD

Objective:To observe the therapeutic effect of personalized diagnosis and treatment model based on manual muscle testing on motor function of peripheral facial neuritis.Methods:A total of 90 patients with peripheral facial neuritis who received treatment in the Rehabilitation Center of Shengjing Hospital Affiliated to China Medical University from January 2020 to December 2021 were selected and divided into control group and experimental group by a random number table method,with 45 cases in each group.The control group received facial exercise training,and the experimental group received personalized rehabilitation therapy based on manual muscle testing,20 min/time,once/day,5 days/week,continuous treatment for 4 weeks.Both groups received the same symptomatic thera-py(neurotrophic,anti-inflammatory,and antiviral)and physical therapy(ultra-short wave and ultraviolet light).House-Brackmann facial nerve grading criteria and Sunnybrook Score scale were used to evaluate the therapeutic effect before treatment and in the first,second,third and fourth weeks after treatment,respectively.The cure rate of the two groups was evaluated after 4 weeks of treatment,and the incidence of associated exercise was evaluated at 6 months of follow-up.Results:Compared with baseline,H-B rating scale scores of the two groups decreased signif-icantly from the third week,and Sunnybrook Facial Nerve Rating Scale scores increased significantly from the sec-ond week,with statistical significance(P＜0.001).Compared with the control group,the H-B rating scale score of the experimental group decreased significantly and the Sunnybrook Facial nerve Rating Scale score increased signifi-cantly in the third and fourth weeks,with a higher cure rate and a lower incidence of associated movement,with sta-tistical significance(P＜0.05).Conclusion:The personalized diagnosis and treatment model based on manual muscle testing can effectively improve the facial motor function of patients with peripheral facial neuritis,increase the cure rate,and reduce the incidence of associated motor,which is worthy of widespread application and promotion in clini-cal practice.