Facial muscle spasm, also known as facial muscle twitching, manifests as involuntary twitching of one side of the face. The twitching is paroxysmal and irregular, with varying degrees, and can be aggravated by fatigue, mental stress and voluntary movements. The onset of the twitching mostly starts from the orbicularis oculi muscle and then involves the whole face. The disease occurs mostly after middle age and is commonly seen in women. So, how to rehabilitate after facial spasm surgery? Here are the rehabilitation training measures after surgery for facial muscle spasm: a. Self-massage is now introduced along the muscle direction massage methods are as follows: 1, occipital frontal muscle frontal belly patients or others with thumb or finger finger along the occipital frontal muscle frontal belly direction from the arch of the eyebrow to the top of the head and from the top of the head to the arch of the eyebrow direction gently massage. Massage can be gently pushed and pulled from the arch of the eyebrow to the hairline of the head, or slowly rubbed. 2, orbicularis oculi muscle most of the patients showed eye closure dysfunction and tearing. The main reason is that the orbicularis oculi muscle cannot contract effectively, pulling down the orbicularis oculi muscle from above the bulging eye to close it. The patient is first asked to close the eyes before using the fingertips to massage along the upper and lower eyelids or the depression between the infraorbital rims. Gently pushing and pulling from the inside out and then from the outside in on the upper and lower eyelids will help restore upper eyelid function. This method also helps to close the eyes. In general, peripheral facial palsy mainly manifests as upper eyelid closure disorders. In severe lesioned facial palsy, lower eyelid elevation disorders may be present. Individual patients may have mild lower eyelid ectropion, mainly due to the relaxation of the lower eyelid after facial palsy. This can also be treated with the finger push-pull method described above. The patient is asked to close the eyes and use the thumb and the finger of the index finger to gently push and pull along the lower eyelid skin from the inside out and then from the outside in, respectively. In individual patients with incomplete closure of the upper eyelid after most of the facial expression muscles have recovered, massage treatment using this method can avoid or reduce eyelid contracture after recovery. The upper lip muscle, also known as the upper lip square, originates from the upper jaw above the infraorbital foramen and at the infraorbital rim, where it is located deep in the orbicularis oculi. A part of the muscle fibers of the superior labialis muscle goes down into the skin of the lateral upper lip, and other fibers are interwoven with the orbicularis oris muscle fibers. Therefore, massage should be performed on the affected side of the superior orbicularis oris muscle toward the paranasal and zygomatic areas, and then along the nasolabial folds or up the corners of the mouth toward the zygomatic areas. Use the thumb or show finger and middle finger finger to press the cheek or push and pull along the direction of the muscle massage treatment. 4, zygomatic muscle zygomatic muscle is divided into zygomatic major and minor muscles, starting from the cheekbone and ending at the corners of the mouth. It is mainly mentioned in the outward pulling corner of the mouth, can be along the muscle fiber, from the corner of the mouth side to the zygomatic bone direction pushing and pulling or rubbing. 5, orbicularis oris muscle upper orbicularis oris muscle: use the finger of the finger and thumb to massage along the affected side of the corner of the mouth toward the human middle groove, and then along the human middle groove toward the corner of the mouth. Lower orbicularis oris muscle: use the finger and thumb to massage along the affected side of the corner of the mouth in the direction of the center, and then in the direction of the affected side of the corner of the mouth. 6, lower lip square muscle with the thumb finger belly from the lower corner of the mouth to the medial and downward gently massage, push and pull, help the lower lip square muscle, chin muscle, deltoid muscle function recovery. Expression muscle rehabilitation training: After the movement of facial expression muscles appears, effective expression muscle rehabilitation training can significantly improve the treatment effect. The main expression muscles involved in facial palsy are frontalis frontalis, orbicularis oculi, upper lip, zygomaticus, orbicularis orbis and lower lip square. The functional training of these major muscles can promote the normalization of the motor function of the entire facial expression muscles. The following treatment methods should be selected according to the patient’s different symptoms during training, with 2~3 times of training per day and 10~20 times of training for each movement. Specific training methods are as follows: 1. The completion of eyebrow raising training eyebrow raising action mainly relies on the movement of occipital frontal muscle frontal belly. In the disuse type, mild and moderate lesion type facial palsy, the motor function of occipitofrontalis frontalis is the easiest to recover. Patients can be asked to raise the eyebrows on the healthy side and the affected side to help restore the eyebrow raising movement function. 2.The function of closing the eyes mainly depends on the contraction of the orbicularis oculi muscle. When training eye closure, ask the patient to gently close the eyes at the beginning, and close both eyes at the same time for 10-20 times. If the eyelids cannot be completely closed, use the finger belly of the index finger to gently massage along the infraorbital rim when showing white, and then forcefully close the eyes for 10 times to help restore the eyelid closure function. 3, shrugging nasal training shrugging nasal movement mainly relies on the contraction of the upper lip muscles and the nasal pressure muscles to complete. The nasal shrug training can promote the recovery of the motor function of the nasal pressor and upper lip muscles. There are a few patients who can’t shrug their noses, so they should pay attention to the direction of the nose when training. 4, show teeth training show teeth action mainly relies on the contraction of the zygomaticus major and minor muscles, lift the corners of the mouth muscle and smile muscle to complete. The dysfunction of these four muscles is the main reason for the crookedness of the corners of the mouth. The patient is instructed to move the corners of the mouth to both sides at the same time, to avoid only to one side of the force to practice a habitual skewed movement of the corners of the mouth. 5, nuzzles training nuzzles mainly rely on the contraction of the orbicularis oris muscle to complete. When performing the nuzzling training, contract the lips and nuzzle forward with force. After the orbicularis oris muscle is restored, the patient can puff up the cheeks, and the symptoms of brushing teeth or eating drool will disappear. When training the mouth, the motor functions of the upper lip, lower lip and chin muscles are trained at the same time. 6, cheek training cheek training helps the recovery of the motor function of the orbicularis oris muscle and the buccal muscle. When the cheek is leaking, use your hand to squeeze the affected orbicularis oris muscle up and down for cheek puffing training. If the patient can perform cheek puffing, it means that the motor function of orbicularis oris muscle and buccal muscle can be restored to normal, and the symptoms of tooth brushing leakage, drooling and food stagnation will disappear. This method helps to prevent and control the contracture of the upper lip square muscle. The training of each action above is designed for the motor disorders of different muscle groups, so when observing the motor disorders of the patient’s facial expression muscles, the training should be carried out for the involved muscle groups, and if the involved muscle groups cannot be judged effectively, the motor function training can be carried out according to the above procedures, and good rehabilitation results can also be obtained.