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- The contribution of facilitation techniques to proximal head control as an influencing factor of postural control in a Peripheral Vestibular injury: a case reportPublication . Felício, João Carlos MartinsThe Vestibular injury associated with the Peripheral Nervous System is a pathology that causes various alterations in individuals by the absence of afferent information. It mainly affects the orientation of the head and its relationship to the trunk of the body, influencing the individual’s stability by a deficit in balance and coordination. In this context a 69-year-old female subject who had undergone surgery to remove a Schwannoma from the right VIII cranial nerve or Vestibular Schwannoma, with changes in head position and postural control in seated and bipedal positions and also in gait pattern, was evaluated. After a 10-week intervention program (1-hour sessions 2 to 3 times a week) which facilitation techniques based on the Bobath Concept were used, there was a considerable improvement in the subject’s motor and functional status. The subject acquired the cervical rectification strategies necessary for better head alignment, better postural control, and a consequently greater autonomy in walking and daily activities.
- The intervention of Physiotherapy in the improvement of facial mimicry in a Peripheral Facial Palsy associated with a Preg-nancy: A case reportPublication . Felício, João Carlos MartinsPeripheral Facial Palsy is a peripheral paralysis of the facial nerve that results in muscle weakness on one side of the face. Patients develop unilateral facial paralysis within one to three days with involvement of the facial musculature associated or not with neurological alterations, the best-known being Bell's Palsy. Symptoms usually peak in the first week and then gradually subside over three weeks to three months. In this context, a female patient with the clinical Diagnosis of Peripheral Facial Paralysis, was subjected to an intervention plan in Physiotherapy lasting 4 months (sessions of 45 minutes at a frequency of 3 times a week), with the particularity of be 28 weeks pregnant at the start of the sessions. After the end of the sessions, there was a considerable improve ment in facial movements, translating into considerable functional changes. The patient acquired greater motor recruitment in flaccid muscles, greater facial symmetry, and consequently greater autonomy in eating, chewing, containing liquids and intraoral sensibility.