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Гимнастика при неврите лицевого нерва

Дата публикации: 08.04.2019

Дата проверки статьи: 07.05.2020

Гимнастика при неврите лицевого нерва

Неврит лицевого нерва — воспалительное поражение седьмой пары черепно-мозговых нервов. В состав лицевого нерва входят двигательные ветви, иннервирующие мимические мышцы, и промежуточный нерв, ответственный за иннервацию стременной мышцы, слёзной железы, вкусовую чувствительность двух передних третей языка. Типичные симптомы неврита — боль позади уха, слабость, приводящая к снижению или полному отсутствию мимических движений, асимметрия лица, слезотечение, сухость глаз, расстройства вкуса. Другие признаки зависят от причин и места поражения лицевого нерва.

Для благоприятного течения болезни, восстановления функций мимических мышц необходима длительная терапия, сочетающая фармакологические и нефармакологические методы. Обязательная составная часть комплексного лечения неврита лицевого нерва — гимнастика. В статье ниже обсудим: плюсы и минусы занятий, особенности, нужна ли подготовка перед гимнастикой, рассмотрим некоторые упражнения. 

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Польза и вред гимнастики для лица при неврите лицевого нерва

Лечебная гимнастика направлена на восстановление поражённого нервного ствола путём нормализации его кровоснабжения, наращивание мышечной силы, уменьшение пареза лицевой мускулатуры, расслабление мышц на здоровой стороне. Необходима при невритах, возникших вследствие травм, воспаления, ущемления лицевого нерва разного происхождения. Упражнения подбирает специалист восстановительной медицины или невролог индивидуально, учитывая остроту процесса, место поражения лицевого нерва, тяжесть симптомов, наличие других лечебно-реабилитационных мероприятий.

Существуют противопоказания, когда гимнастика может ухудшить течение основного или сопутствующего заболевания. Занятия не назначают в остром периоде, людям с раковыми образованиями, при туннельном синдроме.

Особенности гимнастики

Гимнастику для лица можно выполнять с первых дней заболевания. На раннем этапе занятия проходят под руководством специалиста, который контролирует технику упражнений, прикладываемые усилия. В дальнейшем возможные самостоятельные тренировки. Гимнастику проводят дважды в день по 5-15 минут до полного выздоровления. 

Во время выполнения упражнений важно сосредоточиться, задействовать только нужную группу мышц, избегая содружественных мимических движений, работать на качество, а не количество. Здоровую сторону лица можно придерживать руками, чтобы мышцы находились в расслабленном состоянии.

Сущность лечебной гимнастики заключается в дозированном напряжении/расслаблении отдельных мышц или мышечных групп, ответственных за мимику, произношение некоторых губных звуков. В программу занятий включают упражнения для мимических мышц, языка, губ, глаз, улучшения артикуляции. С целью выздоровления за более короткие сроки гимнастику дополняют точечным массажем лица, шейно-воротниковой зоны, тейпированием, аппликациями из озокерита, парафина, другими физиотерапевтическими процедурами.

Подготовка к процедуре

Специалисты советуют перед началом гимнастики выполнять массаж лица или тепловые процедуры. Под действием тепла усиливается лимфо-и кровообращение, улучшается тканевой обмен, происходит расслабление мышц, что повышает эффективность занятий. Массаж делает специалист или самостоятельно, сидя/стоя перед зеркалом. Круговыми движениями пальцев без усилий массируют лоб, глазницы от внутреннего уголка глаз к внешнему, далее околоушную зону, нос, область вокруг рта, подбородок, переднюю поверхность шеи. Завершают гимнастику наклонами головы вперёд, назад, в стороны, круговыми вращениями головы.

В некоторых случаях для улучшения проводимости лицевого нерва на пораженной стороне предварительно выполняют лечебное воздействие электрическим током с постоянной силой и небольшим напряжением. 

Важное значение имеет дыхательная гимнастика, особенно для больных, у которых нарушена речь. Она благотворно воздействует на весь организм, приводит в норму лимфоснабжение и кровоснабжение, способствует рассасыванию воспаления, восстанавливает нервные регуляции, повышает тонус организма. Наиболее часто используют дыхательную гимнастику Стрельниковой, Бутейко, Лобановой-Поповой.

Комплекс упражнений

Упражнения для мимических мышц:

  1. Сморщить лоб.
  2. Закрыть глаза.
  3. Нахмурить брови.
  4. Раздуть ноздри.
  5. Надуть/втянуть щёки.
  6. Улыбнуться уголками рта.
  7. Втянуть носом воздух.
  8. Поочерёдно закрывать глаза.
  9. Полоскать рот воздухом.
  10. Вытянуть губы вперёд “трубочкой”.
  11. Двигать языком вправо-влево с открытым ртом.
  12. Перемещать воздух с одной половины рта на другую.
  13. Свистеть.
  14. Опустить верхнюю губу на нижнюю.
  15. Погасить спичку.
  16. При закрытом рте водить по дёснам кончиком языка.
  17. Высунуть язык, и сложить его “трубочкой”.
  18. Полоскать рот водой.

Упражнения для глаз:

  1. Зажмурить глаза.
  2. Прищурить взгляд.
  3. Поочерёдно подмигивать правым и левым глазом.
  4. Вращать глазами справа налево.
  5. Вытянуть вперед руку, указательным пальцем коснуться носа. Повторить по 5 раз с каждой рукой.
  6. Указательным, средним и безымянным пальцем надавить на закрытое веко без усилий. Повторить 5 раз.
  7. Удерживая указательным пальцем кожу в зоне надбровных дуг, медленно закрывать глаза, создавая сопротивление. Количество упражнений — 10 раз.
  8. Вращать глазными яблоками с закрытыми веками.

Упражнения для языка:

  1. Поднять язык к верхней губе, положить на нижнюю губу.
  2. Открыть рот, кончик языка упирается в щёку, и делает движения вверх-вниз.
  3. Открыть рот, язык поднять вверх, кончикам языка водить по нёбу от верхних зубов до горла, и обратно.
  4. Облизать губы языком, сначала по часовой стрелке, потом против.
  5. Открыть рот, кончиком языка почистить за верхними зубами, потом за нижними.
  6. Улыбнуться, открыть рот, кончик языка поднять вверх, с силой ударять за верхними зубами, произнося звук “д-д-д”. Выполнять 10-20 секунд.
  7. Открыть рот, язык поднять к верхней губе, загнуть вверх, двигать вперёд-назад, произнося “была-была-была”.

Упражнения для артикуляционного аппарата:

  1. Произносить гласные буквы: “о”, “у”, “и”.
  2. Произносить согласные буквы: “ф”, “п”, “б”, “м”, “х”, “ц”.
  3. Произносить слова по слогам с перечисленными буквами.

Источники

  1. “Восстановление функциональных и трофических нарушений при невропатии лицевого нерва”, ГН Хованская, ЛА Пирогова, ТА Новицкая, НВ Юрчевская, материалы Республиканской научно-практической конференции с международным участием, 20 октября 2017 г.
  2. “Реабилитация в неврологии”, АВ Епифанов, ГЭОТАР-Медиа, 2013 г. - 416 с.
  3. “Невропатия лицевого нерва”, НА Игрунова, ВА Куташов, “Центральный научный вестник”, том 1, номер 2.

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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


    [~PREVIEW_TEXT] => 

	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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Сергей Шнуров

Российский рок-музыкант, киноактёр, телеведущий и художник.

Ц. М. Р. Т. «Петроградский» спасибо!

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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.

Открыть скан отзыва 
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Русанова

Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.

Открыть скан отзыва 
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!

Открыть скан отзыва 
Array
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    [~ID] => 113
    [CODE] => 
    [~CODE] => 
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    [~XML_ID] => 113
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Кузнецов В.А.

Очень отзывчивый администратор. Вежливая, культурная, добрая.

Открыть скан отзыва 
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Храброва В.Е.

Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.

Открыть скан отзыва 
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.

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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.

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)

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Москва
  • ВДНХ

    ул. Касаткина, 3

    +7 495 640-36-09

    8:00–22:00 без выходных

    Автомобиль можно оставить на бесплатной городской парковке в кармане напротив центра

  • Дубровка

    ул. Шарикоподшипниковская, 1

    +7 495 640-36-09

    8:00–22:00 без выходных

  • Сокольники

    ул. Стромынка, 11

    +7 495 640-36-09

    8:00–22:00 без выходных

    Автомобиль можно оставить на бесплатной городской парковке на ул. Малая Остроумовская 1Г, около 200 метров до входа в центр

  • Новослободская

    ул. Палиха, 10, стр. 10

    +7 495 640-36-09

    8:00–22:00 без выходных

    Автомобиль можно оставить на парковке центра, въезд с ул. Сущевская между домами 23 и 27. Для въезда закажите пропуск у оператора при записи.

Санкт-Петербург
  • Чернышевская

    ул. Захарьевская, д. 14

    +7 812 640-36-03

    8:00–23:00 без выходных

    Автомобиль можно оставить возле центра на улице Захарьевской

  • Нарвская

    ул. Ивана Черных, д. 29

    +7 812 640-36-03

    8:00–23:00 без выходных

    Автомобиль можно оставить возле центра в Молодёжном переулке или на улице Метростроевцев

  • Озерки

    Выборгское ш., д. 40

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить в парковочном кармане возле центра. Или возле дома 48, в 200 метрах от центра

  • Ладожская

    ул. Ленская, д. 19, корп. 1

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно поставить на улице Ленской. Или во дворе дома 19, корп. 1

  • Петроградская

    ул. Рентгена, д. 5

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить возле центра на улице Рентгена

  • Московская

    ул. Типанова, д. 12А

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить на улице Типанова. Или во дворе рядом с центром

  • Старая деревня

    ул. Дибуновская, д. 45

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить на Дибуновской улице возле центра. Или во дворах домов 51 и 39

Великий Новгород
Ленинградская обл.
  • Колпино

    бул. Трудящихся, д. 18, корп. 1

    8:00–22:00 без выходных

    Автомобиль можно оставить на бульваре Трудящихся или во дворе дома 22

  • Кингисепп

    ул. Воровского, д. 20

    пн, ср, пт, сб, вс — 9:00–22:00 вт, чт — 7:00–00:00

    Автомобиль можно оставить на стоянке возле центра

  • Выборг

    ул. Куйбышева, д. 10

    8:00–22:00 без выходных

    Автомобиль можно оставить возле центра на улице Куйбышева. Или на улицах Ильинская и Акулова

  • Девяткино

    ул. Тихая, д. 14

    8:00–23:00 без выходных