Problems synkinesis mimics muscles in peripheral facial nerve paresis

The bachelor thesis entitled "Problems of mimetic muscle synkinesis in peripheral facial nerve palsy" aims to provide a comprehensive view and describe peripheral facial nerve palsy, as well as to describe the possibilities of physiotherapy to prevent synkinesis. Peripheral palsy of the facial nerve has recently become a very common neurological disease. With our faces, we express both our emotions and mood, either consciously or unconsciously, so it can have a big impact on the mental state. It is most often manifested by paralysis of mimic muscles, when wrinkles on the forehead are smoothed out. The eyelid is weakened, lagophthalmos can occur, the nasolabial furrow and sagging mouth are smoothed out, and the patient has difficulty inflating the cheeks and whistling. This differs from the central palsy, which affects only the lower branch and manifests itself mainly in the fallen mouth. The theoretical part includes a comprehensive view of Cranial nerve VII, its branching and anatomy, division of mimic muscles, it further addresses the difference between peripheral and central palsy, examination options, therapeutic treatment of polio and a description of synkinesis. In the practical part, the method of qualitative research in the form of 3 case studies has been used. All patients have undergone an entrance and exit examination, where I have examined the patient using aspection, palpation, I have examined the motor function of the mimic muscles and everything has been recorded in the table according to Pietruski. The therapy included the application of physical therapy such as solux or laser, facial massage, exercises according to the Kenny method, the use of biofeedback with visual inspection in the mirror. We have achieved positive results of therapy and there have been no pathological interactions. For this diagnosis, treatment is individual and long-term. The patient should be patient and not give up. Every visible improvement leads to patient motivation. Autotherapy is also important, where the patient works with himself / herself