1.

• Trophic Electrical Stimlation

• Treatment for Facial Palsy Viral Causes

2.

Viral Causes of Facial Paralysis

Bell's Palsy:

• Herpes Simplex

3. 70 -80% neuropraxia

4. 20-30% axonotmesis 5. Facial Nerve only affected

Ramsey Hunt Syndrome:

• Herpes Zoster

6. Higher % axonotmesis

7. Facial Nerve affected 8. Also other nerves involved eg. Auditory Neve 9. Cranial Nerves 10. Bell's Palsy compared to CVA 11. Facial Nerve & Muscle Anatomy 12. Facial Nerve Branches 13. Facial Nerve and Parotid Gland 14. TM - Tympanic Membrane m = Malleus i = Incus C = Cochlea SSCC = Superior Semicircular Canal PSCC = Posterior Semicircular Canal Anatomy of the Facial Nerve Left Superior Oblique Aspect VII - The Facial Nerve G1 - First Genu, at the Geniculate Ganglion G2 - Second Genu CT - Chorda Tympan i 15. Electrical Stimulation 16. Further Reading 17. www.dianafarragher.co.uk/index.html

The Lindens Clinic

Diana is a chartered physiotherapist who recieved an OBE June 2001 for her work with chronic facial paralysis. Diana currently heads an International Trophic Electrical Stimulation Centre of Excellence.She is an expert on muscle physiology and has lectured internationally on the subject for which she received her fellowship from the Chartered Society of Physiotherapists in 1990. 18. References: Diana's Papers FARRAGHER, D. J., KIDD, G. L. & TALLIS, R. (1987) "Eutrophic Electrical Stimulation for Bell's Palsy." Clinical Rehabilitation Vol. 1: pp. 265-71.FARRAGHER, D. J. (1987) "Trophic Electrical Stimulation for Human Muscle in Chronic Traumatic Facial Paralysis." Tenth International Congress of the World Confederation for Physical Therapy. Sydney, Australia. Book 1 pp. 366-70.FARRAGHER, D. J.(1987) "Neuromuscular Plasticity: It's Relevance to Neuromuscular Stimulation." in STRAUSS, G. R. & DE DOMENICO, G (Eds.) Proceedings of the Post Conference Symposium of the Tenth WCPT Conference. pp. 111-14.FARRAGHER, D. J (1987) "Electronic Placebo or Appropriate Efferent Stimulation for Sufferers from Chronic Bell's Palsy?" In Touch Vol. 44 pp. 18. 19. References continued FARRAGHER, D. J. (1988) "Electrical Stimulation: A Method of Treatment for Facial Paralysis." Neuromuscular Use and Disuse: Basic Concepts and Clinical Implications. (Ed.) The Academic Unit of Neuroscience. Charing Cross and Westminster Medical School. Vol. 3 Chap. 28 pp. 303-307.FARRAGHER, D. J (1993) "Trophic Electrical Stimulation for Bell's Palsy." In Touch Autumn Issue No 69 pp 10-11.FARRAGHER, D. J "A Physiological Approach to Neuromuscular Stimulation" The Journal of the Organisation of Chartered Physiotherapists in Private Practice (Incomplete Reference).FARRAGHER, D. J (1987) "Electronic Placebo or Appropriate Efferent Stimulation for Sufferers from Chronic Bell's Palsy?" In Touch Vol. 44 pp. 18.