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Keith C. Keeler, M.D.
JAMA. 1956;162(18):1596-1599. doi:10.1001/jama.1956.02970350012003.
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• The mechanical properties of nerve fibers and the changes they undergo during and after mechanical strains are well understood. This knowledge affords a factual basis for the diagnosis and treatment of peripheral nerve dysfunction, as is illustrated by a detailed description of the physical therapy applied in a case of neuropathy of the facial nerve. The aim is to stimulate the contractile elements of muscle temporarily denervated, retain extensibility of fibrous tissues in and about the muscle, maintain elasticity of the capsule about affected joints, promote increased blood supply, and insure good position and motion of the affected part during the recovery period. Electrical stimulation, passive motion, assistive exercises, and dynamic bracing are important. Electromyography gives valuable information and can be used to motivate the patient. Exercise, to be effective, should be against sufficient resistance and should continue until the parts involved have regained strength in proportion to the demands of the patient's occupation.


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