Enhancing surgical outcomes: The effects of speech therapy on a school-aged girl with Moebius Syndrome |
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| Institution: | 1. Hospital Infantil de México Federico Gómez, Dr. Márquez 162, México, D.F. 06720, Mexico;2. Centro de Ciencias Aplicadas y Desarrollo Tecnológico, Universidad Nacional Autónoma de México, Ciudad Universitaria, A.P. 70-186, México, D.F. 04510, Mexico;1. Division of General Medicine, Kanagawa Children''s Medical Center, Kanagawa, Japan;2. Division of Neonatology, Kanagawa Children''s Medical Center, Kanagawa, Japan;3. Division of Medical Genetics, Kanagawa Children''s Medical Center, Kanagawa, Japan;4. Division of Radiology, Kanagawa Children''s Medical Center, Kanagawa, Japan;1. Wellcome Trust Centre for Human Neuroimaging, UCL Institute of Neurology, London, UK;2. UCL Institute of Cognitive Neuroscience, University College London, UK;3. Oxford Centre for Functional MRI of the Brain, University of Oxford, Oxford, UK;4. School of Psychology and Language Sciences, University of Reading, UK;5. Psychiatric University Hospital, University of Zürich, Lenggstrasse 31, 8032, Zürich, Switzerland;6. Neuroscience Center Zürich, University of Zürich and Swiss Federal Institute of Technology, Winterthurerstr. 190, 8057, Zürich, Switzerland;7. Zürich Center for Integrative Human Physiology (ZIHP), University of Zürich, Winterthurerstr. 190, 8057, Zürich, Switzerland;8. Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany;9. Department of Electronic Engineering, NED University of Engineering and Technology, Karachi, Pakistan;10. Department of Radiology and Biomedical Imaging, Yale University, 300 Cedar Street, New Haven, CT, 06519, USA;1. Centre de référence des malformations rares de la face et de la cavité buccale, hôpital Necker–Enfants-Malades, AP–HP, 75743 Paris 15, France;2. Unité de neurophysiologie clinique de l’enfant, hôpital Armand-Trousseau, AP–HP, 75571 Paris 12, France;3. Service de chirurgie maxillo-faciale et chirurgie plastique de l’enfant, hôpital Necker–Enfants-Malades, AP–HP, 75743 Paris 15, France;4. Service d’explorations fonctionnelles, hôpital Necker–Enfants-Malades, AP–HP, 75743 Paris 15, France;5. Faculté de médecine Paris Descartes, université Paris 5, 75743 Paris 15, France |
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| Abstract: | PurposeMoebius Syndrome is a rare congenital neurological condition often characterized by multiple cranial nerve involvement. This case study presents an eight-year old girl with Moebius Syndrome (MC) who received 30 sessions of speech therapy. This occurred after presenting to clinic 11 months after left facial reanimation with gracilis thigh muscle transfer surgery. On examination, only flickers of left facial movement were observed. There was no movement on the right side of the face. As a consequence of the minimal movement, MC presented with drooling and unintelligible speech. The purpose of speech therapy was three fold: minimise the pooling of saliva, improve the placement of the articulators so that articulation of speech sounds would be more accurate, and gain advances in overall intelligibility.MethodsTherapy focussed on speech, facial movement and saliva management using a combination of speech drills, evidence-based articulation therapies, facial exercises with surface electromyography biofeedback, self-awareness training and compensatory saliva management strategies.ResultsAfter a course of 30 one-hour speech therapy sessions, substantial improvements were seen in speech sound accuracy, overall intelligibility, facial movement and saliva control.ConclusionsThe combination of surgery and speech therapy led to functional gains that surgery alone did not achieve. The impact of speech therapy on surgical outcomes in individuals with Moebius syndrome deserves further investigation. |
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| Keywords: | Speech therapy Moebius Syndrome Drooling Articulation Speech intelligibility Facial palsy Surface electromyography sEMG"} {"#name":"keyword" "$":{"id":"kwrd0050"} "$$":[{"#name":"text" "_":"surface electromyography |
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