ȸ Ȱġÿ
Ư õؾ ϹǷ Ư Ȥ Ű
ٶ ϴ. Դٰ Űջ ȯڿԴ ̷
ܿ ϰ Ǿ ʿ
Ͼ ϰ ִ.
ٶ ǿ
ũ
ÿ(open mouth widely) - masseter
muscle ϴ Ͼ Ѵ.
ƷԼ ¿ ̽ÿ(move lower lip side
to side)
Ʒ, ¿ ̽ÿ(move eyes up,
down, right and left) : Ʒø
Ͼ.
ũ ÿ(broad laugh) - Űջ ȯڿ
Ͼ ִ.
ٹ ä ϰ Ͻÿ(puff out cheeks,
mouth closed) : п
Լ ̸ ÿ(upper lip against
upper incisors)
ÿ(close eye tightly)
|
O'Dwyer
: hook-wire Ͽ 6 9 ȸٿ
ġ Ȱ Ѵٰ Ǵ 9
ǥ Ű鼭 (EMG amplitudes)
м.
9 ȸ : Levator Labii Superioris,
Zygomaticus minor/major, Buccinator,
Risorius, Orbicularis Oris Superioris,
Orbicularis Oris Inferioris, Depressor
Anguli Oris, Depressor Labii Inferioris,
Mentalis
9 ǥ :
- Unilateral Snarl( Լ
ø),
- Broad Laugh(ũ ),
- Puff out Cheeks mouth closed(
ٹ ä ϰ ϱ),
- Board Smile, mouth closed(
ٹ ä ũ ),
- Upper lib against upper
incisors(Լ մ ),
- Lower lip against lower
incisors(ƷԼ Ʒմ )
- Depress corners of mouth(
),
- Depress lower lip jaw closed(
ٹ ä ƷԼ ),
- Raise evert lower lip wrinkling
chin(ƷԼ ÷ ο ָ )
|
: Levator Labii Superioris
ϴ Unilateral Snarl( Լ ø),
Depressor Anguli Oris ϴ Depress
corners of mouth( )
ۿ ߰ߵǾ. , ̵
ϴ ܿ ߿ и
ٴ ̴.
|
Balliet
: ǥÿ ȿ Ƿ
и ų ִ ǥø Ͽ߸
ִ.
Ű漶 Endoneurial
sheath ջȯ, 3 ջȯ, Bell's palsy, йڼջ,
Ű湮(anastomosis) ȯ 7 Ű ջ
Ƿ ū ǥ (cross-wiring)
ִ.
ٽ Űջ ȯ ߽Ű迡
ؾ߸ ϴµ, ٱ Ȱġ
ų ִ ȸ Ƿ (synkinesis)
(dyskinesis) ҽų ִ.
, 强 (tonic muscle control) ϴ
Ȱġ
ȸ ڵ̸ ݻ ǥ poor control
Ǹ Ƿο ΰϴ. Ƿ ȸ ÿ ϸ
slow twitch, tonic muscle activity Ͼ
ִ (nonemotional movement) ð
̷ Ѵ.
̷ õ ȯڰ õõ ʰ
, ȸ ۵ ϰ ּ Ƿη
ϸ ϰ Ѵ.
̻
Ȱġ
ȸ鵿ۿ EMG μ
Ÿ.
̷ cocontraction̳ mass action,
synkinesis 籸ϰ ȴ.
slow
tonic control μ A, B, S ҵ
ִ.
maxium contractionĿ relaxation
Ȱġ Ⱓ Ÿ ִ.
A : ſ 强 .
muscle contraction ӵ ӿ
ؼ Ͼ ϴ ʱ ƷñⰣ̳ ̾
Ѵ. ʱ ƷñⰣ ȿ ̳
ุ Ͼ ؾ Ѵ.
B :
innervation
slow tonic ̳
ְ Ǹ ټ
Ȱ Ͽ Ͼ ϰ ϴ
ų ִ. ̶ ̳ ,
Ƿΰ Ÿ ũ⸦ ̰ų ߴѴ. ֳϸ
Ʒõ ֱ ̴.
S
: ̳̿ stop innervation
|
A, B Ҹ
۽ ִ ̿ϿҰ Ǿ Ѵ.
S Ҵ motor neuron
ȴ.
̰ ȭ ڿ ۿ ݵǾ Ͼ ̱
ȯ (feeling) ߴ ſ ߿ϴ.
Ұ Ͼ ̹Ƿ motor neuron
߽Ű Ͽ Ӹ ƴ϶ Ʒõ ʿϴ.
, ̿ ̿ ſ ߿ϸ,
Ͼ ؼ õϴ ȯڿ ߴ
ؾ Ѵ.
ȭ(normalization) -
ӻ ȸ鸶 ȯڴ innervation
Ͽ normal ƴ 찡 .
̴ ȯڰ disability ұϰ
ʾҰų ̷ ȯڿ ſ ϴ.
̷ ȸ ؼ ݱ̴.
ұϰ Բ ۽Ű ߽Űκ ұյ
innervation ̷ ᱹ ȸ ұ ȭ
ִ.
, Ųٴ Ű
ϾǷ ұ Ŀ ȴٴ ̴.
Ƿ, ġ ÿ ִ Ȱ Űų
̾ Ͼ ϴ ȯڸ Ȱġؾ Ѵ |