Strong motions in other parts of the body will reinforce the facial muscles. You should only use it if you do not increase the asymmetry of the face, increase the tonus in the non-involved side or increase synkinesis. This occurs in our everyday lives. For example, when trying with effort to open a jar, you will unconsciously contract your facial muscles. Functionally, the facial muscles must work against gravity; this must be considered when choosing a position for treatment. A mirror can help patients control their facial movements (o Fig. 13.2).
O Fig. 13.2. a A mirror can help patients control their facial movements; b Bimanual facilitation: preventing a synkinesis of mouth with facilitation of looking sad b
O Fig. 13.2. a A mirror can help patients control their facial movements; b Bimanual facilitation: preventing a synkinesis of mouth with facilitation of looking sad a
1. M. Epicranius (Frontalis) (O Fig. 13.3) Command. "Lift your eyebrows up, look surprised, wrinkle your forehead."
Apply resistance to the forehead, pushing cau-dally and medially.
This motion works with eye opening. It is reinforced with neck extension.
Command. "Frown. Look sad. Pull your eyebrows down."
Give resistance just above the eyebrows diagonally in a cranial and lateral direction. This motion works with eye closing.
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