Saturday, November 10, 2007

Facial massage with Parkinson's

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Anonymous
Posted: Fri Nov 02, 2007 8:22 pm Post subject: facial massage with Parkinson's

I suggest those Parkinson's patient with mask face (poker) to go to facial massage once in two weeks or a month. You would be different. Massage is good as physiotherapy as it helps you to relax your muscles.

TEOKIMHOE
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Fri Nov 02, 2007 8:39 pm Post subject:

I am not sure that there is convincing evidence beyond anectodal reports that facial massage helps with masked face (or lack of facial expression). If it is not a financial hardship to the patient and s/he enjoys it, there is not much harm. But I would not recommend it as a prescription for all patients with masked face. Yours,_________________Hubert H. Fernandez
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Anonymous
Posted: Sat Nov 03, 2007 3:58 am Post subject: Mask face with Parkinson's patients

There are few articles touch on the above subject on how the treatment to help PD patients with Mask face? I understand most PD patients have mask face (poker) that they would not express with a smile. They cover their face with a mask. Kindly elaborate the causes and the treatment? Best regards' TEOKIMHOE
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Sun Nov 04, 2007 3:57 pm Post subject:

The cause, I am assuming is "rigidity of the facial muscles", just like rigidity/stiffness of limbs and other body parts in PD. We have no treatment for masked faces at present. At the University of Florida, we are testing a device/procedure called inpiratory muscle strength training to see if it can improved masked faces. Those who live within driving distance to Gainesville, we are still looking for 20 more patients! I am unaware of any more studies that are looking into masked faces. Yours,_________________Hubert H. Fernandez
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Anonymous
Posted: Tue Nov 06, 2007 1:58 am Post subject:

A friend of mine had some sort of facial acupuncture which was supposed to tighten up the muscles for a more youthful look and SERIOUSLY she looked different! I'm sure it didn't last long but I was thinking something like that might be good for the muscles and I know regular acupuncturists have facial areas they work on. Just a thought. I was thinking of trying it myself as my face is not really bad, I can smile, etc. but it is a lot of work. Also, in the exercise books for PD there are facial exercises and I observed a Lee Silverman voice lesson once and a lot of the exercises were really just about using the muscles of the face and tongue (as well as vocalizing in that case) I would say, free and easy would be to exercise all those muscles every day at home at least and maybe think about the massage (facial massage can be done by oneself!) and the acupuncture. Medicine and science are busy dealing with the big issues and sometimes we forget to use our common sense on the smaller things . . . Peace to all. Hope you don't mind me chiming in!
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Wed Nov 07, 2007 7:08 am Post subject:

Not a problem! My pleasure to post for you. Anecdotal experiences and observations such as these are important...but we need to put it in its place....it should not be a prescription for all, especially those who cannot afford it as easily. If one has limited resources, then it is best to use them in the most proven therapies. If one's resources are unlimited, then yes, every bit helps, as long as they are not harmful. Yours,_________________Hubert H. Fernandez
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Anonymous
Posted: Thu Nov 08, 2007 5:26 am Post subject: Masked face and Parkinson's

I agree with you that Medicine and science are busy dealing with the big issues and sometimes we forget to use our common sense on the smaller things. Sorry for me to disturb you again People with masked faces signal it as neurological conditions and emotions disorder. People with masked faces is expressionless appearance of individuals with the disorder . There are ways to diminish masked faces as follows: 1 MST training (muscle strength training) for people with masked faces to improve respiratory strength and mobility of muscle around the mouth. 2. Blowing air deeply into a balloon help to relax your stiffness and rigidity of muscle around your mouth. 3. Gargle yourself with water in your throat and blow air through it without swallowing it ,by twisting your neck to left and right, up and down to increases your facial muscle strength to relieve and improve people with problems of respiratory and swallowing. Do it 3- 4 times a day and you would feel different.
4. Use your tongue in the mouth to message your muscle around your mouth
three times a day .

Kindly advise

TEOKIMHOE
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