Facial paralysis  exercises should be done in front of a mirror. Thus, visual feedback is provided for the accuracy of the movements made.

Massage

Massage is the first physical therapy method that can be started from an early period when facial paralysis develops. With your fingers, stretch the skin in a circle from the corner of the mouth up to your ear and then down along the jawbone. Do the same circular stretching motion for the chin and forehead. Using your hand toothbrush (or an electric toothbrush) gently brush your forehead upwards towards the hairline several times. Do the same on your cheek. Gently tapping the skin with fingertips is also a form of massage.

Exercises

To be able to perform active exercises, there must be visible movement or contraction of the facial muscles. Concentrate on which muscle you want to move by standing in front of the mirror. If the movements are excessive on the unaffected side during the exercise, take a break and try again with smaller movements. Do the exercises for short periods of time, 2-3 sessions a day. Doing the exercises right is more important than doing too many repetitions.

Mimic Exercises

  1. Sit comfortably in front of a mirror.
  2. Gently raise your eyebrows. You can assist movement with your fingers.
  3. Bring your eyebrows together (frown).
  4. Wrinkle your nose.
  5. Take a deep breath with your nose, try to widen your nostrils.
  6. Slowly move the corner of your lips outward.
  7. Try to keep the movement even on both halves of your face.
  8. You can help with your fingers. When it’s in the right position, pull your fingers and try to keep your smile.
  9. Lift one corner of your mouth up.
  10. Then try with the other corner.

 

Eyelid Exercises

  1. See below.
  2. Help close the eyelid with the back of your index finger.
  3. With the other hand, gently lift your eyebrow and stretch it upwards. This helps relax your eyelid.
  4. Close your eyelids together.
  5. Squint your eyes as if looking at the sun.

 

Other Facial Paralysis Exercises

  • Smile as if to say “Well”.
  • Open your mouth as wide as possible as if to say “aaa”.
  • Purse your lips as if to say “ooo”.
  • Repeat the “oooo”, “eee” and “oo” gestures a few times.
  • Smile without showing your teeth first, and then showing your teeth.
  • Inflate your cheeks with air. Try to hold the air for 3-5 seconds by closing your lips.
  • Close your lips tightly.
  • Practice reading and speaking aloud. Try to pronounce the words as accurately as possible.

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