Facial paralysis can happen due to many factors. Sometimes inflammation develops around the facial nerve as it passes through the skull from the brain. This presses on the nerve and makes it stop functioning. As the nerve stops functioning, so does the muscle it controls.


This is what happens in Bell s palsy, the most common cause of facial paralysis.


Bell s palsy can happen to anyone and its cause is, hold your breath, a viral infection. Herpes zoster, Varicella zoster and HIV viruses can cause Bell s palsy.


Bell's palsy is a common cause of a facial paralysis but there are many others too that affect or damage facial nerve. These include head injury, sarcoidosis, lyme disease, growths in the ear, tumours in the parotid gland, brain tumours and stroke.


The weakness of the face usually one-sided is a symptom of Bell s palsy. The face may droop to one side, chewing food is also tough, drooling, dry eyes and difficulty wrinkling forehead and speech are other symptoms of Bell s palsy, the most common reason for facial paralysis.


Treatment:
The type of therapy you receive for facial paralysis will depend on its cause. It will also develop on how long you ve suffered from facial paralysis and the extent of damage to the facial nerve.


Your physiotherapist can help and so can speech and language therapists to deal with the issue.


In physiotherapy, a treatment called 'facial retraining' with facial exercises helps with facial palsy. It is important that you seek help from a therapist who specialises in facial rehabilitation only.


This is what you can expect from facial rehabilitation therapy-
Exercises for eye care
Exercises for dry mouth management
Exercises to make drinking and eating easier
Speech therapy
Your physiotherapist will educate you on how the facial nerve works and how it recovers. This is important to make you recover. A home therapy programme plays an important role too. It includes massages to keep face muscles mobile and healthy, stretches to lengthen muscles, exercises to help re-learn balanced facial movements and relaxation of your facial nerve and muscles.


The physiotherapist will work on your facial movement to make muscles fit. The basic idea is to slowly rewire the brain-to-nerve-to-muscle pathway. The physiotherapist s first step is to retrain you to do correct movements voluntarily, while mentally focusing on the movement.


Physiotherapy may take months but keep at it to recover completely, especially the home exercises.


Injections of botulinum toxin or Botox also help especially if you suffer from spasms in facial muscles. Surgery is also an option for chronic cases.


Remember that exercises should be done gently as well as daily to reap benefits. Always do these exercises with the help of a therapist only. Doing exercises by yourself can be counter- productive.


Facial Paralysis - How Can Physiotherapy Help You Get Better?

Paralysis can be concluded as the state when the muscles lose functioning in any part of the body. Any kind of disruption in our nerve system can be responsible enough to cause paralysis. Our central nervous system and peripheral nervous system communicate and control our senses of movement. But interruption in nerve impulses can cause weakness in muscles which leads to muscle paralysis.

Symptoms
A paralysed patient will encounter symptoms like:

Decreasing the motor power
Decreasing vasomotor control
Loss of sensation
Decreasing bowel and bladder control
When it comes to treating a paralysis patient, physiotherapy is proven to be the best remedy. Physiotherapy has thoroughly helped patients with paralysis in getting to feel confident and independent. Physiotherapy includes various exercises and techniques which are developed with time in order to provide a complete rehabilitation to the patients.

Types of paralysis:
There are mainly four types of paralysis

Monoplegia: when one limb gets paralysed
Hemiplegia: when arm and leg of a single side get paralysed
Paraplegia: when legs get paralysed
Quadriplegia: when both sides get paralysed
Treating paralysis with physiotherapy

Physiotherapy is advised to patients with any type of paralysis. It should be started soon in order to improve blood circulation in the muscles. It also helps in relaxing the stiff muscles. This treatment improves the overall health condition of the patient.
Physiotherapy is also responsible for reducing any kind of swelling which takes place due to external brain injury.
Physiotherapy is helpful in making the patient stable and independent.
It also helps in maintaining the blood pressure.
It helps to improve the respiratory system.
Physiotherapy maintains the affected muscles and nerves. It provides strength to the affected muscles and works to prevent the limbs from getting deformed.
One major symptom of paralysis is a loss of bladder and bowel function. Physiotherapy helps in managing the paralysed bowel and bladder.
Physiotherapy involves different techniques which can be learnt from a physiotherapist in order to transfer a paralysed patient.
Othorsis, canes, braces, splints are the equipment that is advised to the patient by a professional physiotherapist.
Physiotherapy helps in resolving problems such as anxiety, anger, depression, a denial which takes place after post-paralysis mental trauma.
A physiotherapist provides safeguarding tips to the patient and his or her family in order to avoid accidents.
Physiotherapy has a big role in creating motivation in the patient's mind.
These are the benefits of physiotherapy which help the paralyzed limbs getting stronger and better. But it is always advised to be done under a professional physiotherapist.
 In case you have a concern or query you can always consult a specialist & get answers to your questions!

Paralysis - Can Physiotherapy Help You?

A stroke or paralysis can occur when the blood supply to that part of your brain is curtailed or drastically reduced. Due to this, the brain is deprived of the essential oxygen and the nutrients, and within a few minutes the brain cells can undergo severe damage and die. It is often treated as a medical emergency and can cause complications for life if left unattended.

Symptoms:
With regards to a stroke, a quick and an immediate treatment can be the difference between life and death. It is very much mandatory to note the symptoms of stroke and to impart the treatment accordingly. Some of them can include:

Trouble with speaking: Your speech pattern gets affected, and you may have trouble talking.
Paralysis: When the oxygen is cut off, a part of the body can become numb thus rendering it lifeless.
Headache: A severe headache may occur that can make the body go into spasm. Dizziness and unconsciousness can follow it.
Walking and mobility: You would be unable to walk on your own, or there can be a huge difference in your walk pattern. Most of the times, you might not be having any control over your legs.
Risk Factors
There are many risk factors associated with stroke and paralysis. The most common one is undoubtedly overweight. Physical inactivity, alcohol abuse, and drug abuse can contribute equally to the occurrence of stroke. Cholesterol levels, high blood pressure and old age may also be risk factors. Paralysis can be the biggest drawback of stroke where one part of your body can be lost to movements. You might also lose control of your face or arm, and this can affect your walking steps. This can be a life changing factor and more than medication sometimes physical therapy heals the person to an extent.

Physiotherapy for Paralysis:
You can feel helpless and frustrated, and this can lead to depression. There are many ways by which physiotherapy can help you. The therapies are made in such a way that you can try to lead a normal life without any hindrance, and this depends on the nature of the paralysis you are undergoing. In most of the cases, a person can get back at least 60% to 70% of his/her mobility back though not completely. Also, current medicines have advanced that there is a possibility to get back the movement in the paralyzed areas.

One of the major challenges you will face is to relax as the physical feeling of helplessness can hamper your thoughts in the long run. Stay relaxed and always remember that you are not alone. Take the help of a family member or a friend. Be relaxed all the time and make a determined effort with physiotherapy exercises. Avoid the lifestyle which you had before and embark on a healthier lifestyle and make sure you watch your diet at all times. Try to indulge in your favorite pass time and over a period start your daily chores without the help of an aid. You can undergo the physiotherapy exercises for life as they can be positive even after the condition subsidies.

Paralysis & Stroke - How Physiotherapy Can Help?

What is paralysis?
Paralysis is a loss of muscle power and function of any part of the body. It is seen in the form of weakness of body parts, loss of sensation, and loss of movement of that part.

What is physiotherapy and why it is used?
Physiotherapy includes massage, therapeutic physical activities, scientific procedures, and education. Physiotherapy should be started as soon as possible, and it needs to be regularly followed, on a daily basis to see its best results. If it is not done under the proper guidance, it may worsen the condition of the patients. It is helpful in the following ways:

Helps to improve blood circulation and relax muscles
Slows down the progress of paralysis
Improves muscle tone
Maintains the respiratory function
Prevents pressure sores and contracture in the bedridden patients
Helps to build up strength in the affected muscles which helps to prevent the limbs from becoming deformed
Helps in building up the motivation and morale of the patient
Helps improve balance and coordination of the muscles
What therapies are included in it?
It includes the following therapies:

Aerobic exercises: It encourages a rapid exchange of oxygen to muscle tissues which increases sensory and motor function.
Method of physical conditioning: It is conducted via active or passive ranges of motion which help improve the muscle strength and also help the patient to adapt or learn how to use the paralyzed limb.
Exercises: Exercises, such as hip rotation exercise and its variation, ankle rotation exercises, and toe rotation exercises are advised in lower limb paralysis.
Electric stimulation therapy: It helps restore the motor function in paralyzed patients where electrical stimulation is done via a low-frequency device.
Mobility aids: Mobility aids, such as a wheelchair, help to move from one place to another place.
Hydrotherapy pool: It helps assist patients to overcome conditions where movement is limited because of paralysis and where muscles are weakened.
Massage therapy: Massage therapy helps regain control of muscles and boost the range of motion by improving blood circulation to the affected part.
Hand muscle exercises: It includes exercise with the balls or any other toy to improve hand grip and muscle power.
Speech therapy: In patients with aphasia, speech therapy is given to improve the speech.
Parallel bars: It helps practice walking and balancing when there is impairment.
Physical training: In physical training, various exercises are taught to improve the muscle strength of the affected part.
Use of teaching transformers (wheelchairs, bed, car, or toilet): It helps improve safety and also promotes independence.

Role Of Physiotherapy In Patients With Paralysis!

Physiotherapy can greatly help a patient of paralysis by making him/her independent to the maximum extent. Physiotherapy also plays an important role in negating potential complications after a paralysis. Although the process of rehabilitation can take time, it produces significantly encouraging result for a patient to continue with it until full recovery. The recovery depends on the type of paralysis a person has undergone. Notably, there are four types of paralysis:

Hemiplegia

Quadriplegia

Paraplegia

Monoplegia

Role of Physiotherapy-

The process of physiotherapy should resume as soon as the patient is stabilized. It not only helps in relaxing muscles, but also helps in smooth blood circulation. Long-term therapy can ensure muscle tone and overall well-being of an individual.

In the case of an external injury related to the brain, physiotherapy can speed up the recovery and reduce swelling to a significant extent. Some of the benefits are-

Physiotherapy can help a person regain the highest possible mobility.

Physiotherapy can increase the respiratory function of a person.

It helps the person in bringing down blood pressure and contracture.

A physiotherapist also focuses on unaffected area and works on them to ensure that the unaffected part of the body, in no way, loses mobility and retains the natural strength.

Physiotherapy also helps to manage a paralyzed bladder.

A physiotherapist suggests proper wheelchair, splint, braces, orthosis etc. These help a person to reintegrate quickly after the paralysis.

Physiotherapy lifts the morale and motivation of a patient by addressing post-traumatic experiences such as denial, anxiety, hostility, depression and anger.

It also serves as a perfect guide for the family of the patient.

Exercises that a Physiotherapist Suggests-

Aerobic Exercise: This is a set of physical exercises that lets the muscle tissues exchange oxygen at a rapid rate. The goal is to enhance the function of the motor neuron and the aerobic capacity of a patient. Support straps and gain belts might be required for a patient to stand on feet. A handrail helps to walk during this phase.

Physical Conditioning: Balance, stability, and coordination is the motive of any physical program for a paralyzed individual. Passive or active motion exercises help an individual to regain function of the limbs. Passive exercise also helps to regain strength. A physiotherapist rotates the thumb of a patient in such a way that the back of his hand faces forward.

Leg Rotations: One common exercise that is tried by a physiotherapist is to make the patient lie down on a mat with his/her legs straightened. Supporting the knee joint and the ankle, the right leg is moved outward and pulled backward. This is again repeated with the other leg.

Physiotherapy For Paralysis

As children, you have probably learnt that paralysis is complete inability to move, sense, touch or control other bodily sensations. But little did we know that paralysis comes in many forms depending on the extent to which a person is immobilized. So, what is the difference between partial and total paralysis?

What is Total Paralysis?
Whether temporary or permanent, paralysis is the inability to move part of the body due to nerve damage. However it does not mean that people with total paralysis cannot move any parts of the body   they can still use their faces and necks. The extensive form of paralysis is typically referred to as quadriplegia, which involves diminished or absence of movement in the trunk, arms, legs, hands and feet. Some common symptoms of total paralysis are as follows:

Difficulty swallowing
Unable to control bowels and bladder
Pain anywhere in the body
No sensation below the site of injury
Difficulty breathing
What is partial paralysis?
A smaller portion of the body is affected by partial paralysis. One of the most common types of partial paralysis is Paraplegia that occurs below the waist. If affects both the legs, hips and other functions. Other forms of partial paralysis can be Monoplegia where a single area like one limb gets affected and Hemiplegia where parts of the body on the same side get affected. Some common symptoms of partial paralysis are as follows:

Inability to walk
Difficulty with sexual functioning
Pain below the site of injury
Unable to feel or move your legs or arms
How to Predict the type of paralysis?
The location of the injury or site of nerve damage will usually determine the type of paralysis. Damages in the cervical spinal cord almost inevitably lead to total paralysis associated with quadriplegia. The higher the injury is located, the more extensive the paralysis will be. Lower injuries commonly lead to partial paralysis. The prognosis is generally much better with this type of paralysis. With proper care and therapy, individuals may experience intermittent difficulties with movement and can regain.

Can paralysis be treated?
Whether it is total paralysis or partial paralysis, the positive prognosis is certainly possible, given the condition of the patient and other factors. Physical therapy involves teaching the brain and spinal cord to work around the damage and also aid neuron healing over time. Paralysis can be classified under a number of ways and the most basic classification is that of partial or complete paralysis. Talk to your doctor to understand what type of paralysis you have and adopt a positive outlook to help you towards recovery.

Partial Vs Complete Paralysis - Know The Difference!

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