Assessment of the Effectiveness of Facial Expression Exercises Stimulation Using Mirror Media in Increasing Facial Muscle Strength in Hemiparetic Stroke Patients

Authors

  • Martono Martono Nursing Program, Politeknik Kesehatan Kemenkes, Surakarta, Indonesia https://orcid.org/0000-0003-3123-1533
  • Aulia Isnaeni Nursing Program, Politeknik Kesehatan Kemenkes, Surakarta, Indonesia
  • Hartono Hartono Nursing Program, Politeknik Kesehatan Kemenkes, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.10267

Keywords:

Facial expression, Muscle Strength, Stroke Rehabilitation

Abstract

BACKGROUND: Stroke can cause facial muscle weakness that can affect mobility, limitations in daily activities, and quality of life. One alternative solution that is non-invasive to restore facial muscle paralysis in post-stroke patients is facial expression exercises using mirror media.

AIM: This study aimed to assess the effectiveness of facial muscle expression exercises stimulation using mirror media and without a mirror as media in increasing facial muscle strength in hemiparetic stroke patients.

METHODS: This study used an experimental quantitative design, in which two groups of subjects who met the inclusion criteria were randomly assigned. The number of subjects who participated in this research was 60 samples divided into the intervention group (n = 30) with a mirror for facial muscle expression exercises and the control group (n = 30) without a mirror for five weeks. The research data were collected using the Fisch Facial Grading System sheet. The statistical analysis procedure of the data consisted of One-Way ANOVA, paired-samples T-test, and N-Gain score test with 95% significance.

RESULTS: The difference in facial muscle strength increase was significantly greater in the intervention group (mean difference 19.4; p = 0.000). The intervention group was more effective in increasing facial muscle strength than the control group (N-Gain score 56.31%).

CONCLUSION: The facial muscle expression exercise procedure using a mirror was more effective in increasing muscle strength than the group without a mirror.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Katan M, Luft A. Global Burden of Stroke. Semin Neurol. 2018;38(2):208-11. https://doi.org/10.1055/s-0038-1649503 PMid:29791947 DOI: https://doi.org/10.1055/s-0038-1649503

American Hearth Association. 2021 Heart Disease and Stroke Statistical Update Fact Sheet Global Burden of Disease. Dallas: American Hearth Association; 2021. P. 1-3.

Ministry of Health Republic of Indonesia. National Report on Basic Health Research (Riskesdas) 2018. Balibangkes Republic of Indonesia; 2019.

Hatem SM, Saussez G, Faille MD, Prist V, Zhang X, Dispa D, et al. Rehabilitation of motor function after stroke: A multiple systematic review focused on techniques to stimulate upper extremity recovery. Front Hum Neurosci. 2016;10:442. https://doi.org/10.3389/fnhum.2016.00442 PMid:27679565 DOI: https://doi.org/10.3389/fnhum.2016.00442

Palareti G, Legnani C, Cosmi B, Antonucci E, Erba N, Poli D, et al. Comparison between different D-Dimer cutoff values to assess the individual risk of recurrent venous thromboembolism: Analysis of results obtained in the DULCIS study. Int J Lab Hematol. 2016;38(1):42-9. https://doi.org/10.1111/ijlh.12426 PMid:26362346 DOI: https://doi.org/10.1111/ijlh.12426

Konecny P, Elfmark M, Urbanek K. Facial paresis after stroke and its impact on patients’ facial movement and mental status. J Rehabil Med. 2011;43(1):73-5. https://doi.org/10.2340/16501977-0645 PMid:21174055 DOI: https://doi.org/10.2340/16501977-0645

Webb BD, Manoli I, Engle EC, Jabs EW. A framework for the evaluation of patients with congenital facial weakness. Orphanet J Rare Dis. 2021;16(1):158. https://doi.org/10.1186/s13023-021-01736-1 PMid:33827624 DOI: https://doi.org/10.1186/s13023-021-01736-1

Giacalone A, Sciarrillo T, Rocco G, Ruberti E. Kabat rehabilitation for facial nerve paralysis : Perspective on neurokinetic recovery and review of clinical evaluation tools. Int J Acad Sci Res. 2018;6(1):38-46.

Sengkey LS, Pandeiroth P. Mirror therapy in stroke rehabilitation. J Biomedik. 2014;6(2):84-90. DOI: https://doi.org/10.35790/jbm.6.2.2014.5548

Setiyawan S, Nurlely PS, Harti AS. The Effect of Mirror Therapy on Extremity Muscle Strength in Stroke Patients at RSUD dr. Moewardi. J Public Heal Cendekia Utama. 2019;6(2):49. DOI: https://doi.org/10.31596/jkm.v6i2.296

Moe KS, Li D, Linder TE, Schmid S, Fisch U. An update on the surgical treatment of temporal bone paraganglioma. Skull Base Surg. 1999;9(3):185-94. https://doi.org/10.1055/s-2008-1058145 PMid:17171088 DOI: https://doi.org/10.1055/s-2008-1058145

Martono M, Sudiro S, Satino S. Deteksi dini derajat kesadaran menggunakan pengukuran nilai kritis mean artery pressure. J NERS. 2016;11(1):73-78. DOI: https://doi.org/10.20473/jn.v11i1.1370

Hayashida I, Tanimoto Y, Takahashi Y, Kusabiraki T, Tamaki J. Correlation between muscle strength and muscle mass, and their association with walking speed, in community-dwelling elderly Japanese individuals. PLoS One. 2014;9(11):e111810. https://doi.org/10.1371/journal.pone.0111810 PMid:25365291 DOI: https://doi.org/10.1371/journal.pone.0111810

Gadelha AB, Neri SG, Bottaro M, Lima RM. The relationship between muscle quality and incidence of falls in older community dwelling women: An 18-month follow-up study. Exp Gerontol. 2018;110:241-6. https://doi.org/10.1016/j.exger.2018.06.018 PMid:29935953 DOI: https://doi.org/10.1016/j.exger.2018.06.018

Robin AM, Cameron-Smith D, Sally, DP. It is not just muscle mass: A review of muscle quality, composition and metabolism during ageing as determinants of muscle function and mobility in later life. Longev Healthspan. 2014;3(1):9. https://doi.org/10.1186/2046-2395-3-9 PMid:25520782 DOI: https://doi.org/10.1186/2046-2395-3-9

Oliveira MD, Silva DR, Cortez BV, Coêlho CK, Silva FM, Oliveira GB, et al. Mirror and vibration therapies effects on the upper limbs of hemiparetic patients after stroke: A pilot study. Rehabil Res Pract. 2018;2018:6183654. https://doi.org/10.1155/2018/6183654 PMid:30519490 DOI: https://doi.org/10.1155/2018/6183654

Tosi G, Romano D, Maravita A. Mirror box training in hemiplegic stroke patients affects body representation. Front Hum Neurosci. 2018;11:617. https://doi.org/10.3389/fnhum.2017.00617 PMid:29354040 DOI: https://doi.org/10.3389/fnhum.2017.00617

Gurbuz N, Afsar SI, Ayaş S, Cosar SN. Effect of mirror therapy on upper extremity motor function in stroke patients: A randomized controlled trial. J Phys Ther Sci. 2016;28(9):2501-6. https://doi.org/10.1589/jpts.28.2501 PMid:27799679 DOI: https://doi.org/10.1589/jpts.28.2501

Thieme H, Morkisch N, Mehrholz J, Pohl M, Behrens J, Borgetto B, et al. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev. 2018;7(7):CD008449. https://doi.org/10.1002/14651858.CD008449.pub3 PMid:29993119 DOI: https://doi.org/10.1002/14651858.CD008449.pub3

Broderick P, Horgan F, Blake C, Ehrensberger M, Simpson D, Monaghan K. Mirror therapy for improving lower limb motor function and mobility after stroke: A systematic review and meta-analysis. Gait Posture. 2018;63:208-20. https://doi.org/10.1016/j.gaitpost.2018.05.017 PMid:29775908 DOI: https://doi.org/10.1016/j.gaitpost.2018.05.017

Gandhi DB, Sterba A, Khatter H, Pandian JD. Mirror therapy in stroke rehabilitation: Current perspectives. Ther Clin Risk Manag. 2020;16:75-85. https://doi.org/10.2147/TCRM.S206883 PMid:32103968 DOI: https://doi.org/10.2147/TCRM.S206883

Downloads

Published

2022-10-23

How to Cite

1.
Martono M, Isnaeni A, Hartono H. Assessment of the Effectiveness of Facial Expression Exercises Stimulation Using Mirror Media in Increasing Facial Muscle Strength in Hemiparetic Stroke Patients. Open Access Maced J Med Sci [Internet]. 2022 Oct. 23 [cited 2024 Apr. 19];10(A):2543-8. Available from: https://oamjms.eu/index.php/mjms/article/view/10267