How can facial muscle exercises be performed in patients with facial palsy and facial muscle spasm?

  1.Nu mouth training mainly relies on the contraction of the orbicularis oris muscle to complete. To perform the mouth 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 drooling will disappear. When training the mouth, the motor function of the upper lip, lower lip and chin muscles are trained at the same time.  2.Nasal shrug training can promote the recovery of the motor function of the nasal pressure muscle and the upper lip lift muscle. A few patients do not know how to shrug their nose, so they should pay attention to the direction of the nose when training.  3.Eyebrow raising training The completion of 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 motor function.  4.Cheek puffing training Cheek puffing training helps to recover the motor function of orbicularis oris muscle and 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 is able to perform cheek puffing, 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.  5.Eye Closure Training The function of eye closure mainly depends on the contraction of 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 of the index finger to gently massage along the infraorbital rim when the lids are exposed, and then forcefully close the eyes for 10 times to help restore the eyelid closure function.