PDF(Pubmed)
Abstract：
This review aims to reveal the effectiveness of myofunctional speech therapy on facial rejuvenation and/or improvement of orofacial function. A systematic review of four medical electronic databases (Medline, Google Scholar, SciELO, and LILACS) was conducted between January and March 2023. The research question was defined using the PICO model: Population (P): adult subjects with signs of physiological aging of facial skin. Intervention (I): aesthetic speech therapy (facial exercises and/or myofunctional therapy). Control (C): absence of treatment. Outcome (O): facial rejuvenation. Through the search process, a total of 472 potentially relevant articles were identified. A total of 21 studies were included in the review. Most of the studies required the participants to perform exercises learned during the weekly session on a daily basis. The subjects underwent an integrated treatment with facial exercises and worked on the stomatognathic functions for different durations. Many differences were found in the evaluation tools used to investigate the starting situation and the effects obtained following the treatment. At the diagnostic level, there was no concordance in the choice of the most appropriate scales and assessment tools, but great heterogeneity was observed. Indeed, forty-eight percent of the studies collected objective data through the use of various instruments (oral devices, electromyographs, cutometers, muscle ultrasound scans, and laser scans of the face). The observed improvements included not only a reduction in wrinkles and frown lines but also decreased muscle tension and slackness, enhanced facial symmetry and lip competence, improved skin elasticity, and restored stomatognathic function. These changes led to myofunctional restoration and facial rejuvenation, resulting in increased satisfaction with self-image and proprioception.
摘要：
这篇综述旨在揭示肌功能言语疗法对面部年轻化和/或口面部功能改善的有效性。对四个医学电子数据库的系统评价(Medline，谷歌学者，SciELO,和LILACS)在2023年1月至3月之间进行。使用PICO模型定义研究问题：人口（P）：具有面部皮肤生理老化迹象的成年受试者。干预（I）：美学言语治疗（面部锻炼和/或肌功能治疗）。对照(C):不存在治疗。结果（O）：面部年轻化。通过搜索过程,共鉴定出472篇潜在相关文章.共有21项研究纳入审查。大多数研究要求参与者每天进行每周一次的练习。受试者接受了面部锻炼的综合治疗，并在不同的持续时间内研究了口颌功能。在用于调查开始情况和治疗后获得的效果的评估工具中发现了许多差异。在诊断层面,在选择最合适的量表和评估工具方面没有一致性，但观察到很大的异质性。的确,48%的研究通过使用各种仪器(口腔设备，肌电图,切刀,肌肉超声扫描，和面部的激光扫描)。观察到的改善不仅包括皱纹和皱眉线的减少，而且还减少了肌肉紧张和松弛，增强面部对称性和嘴唇能力，改善皮肤弹性，并恢复了口颌功能。这些变化导致了肌肉功能恢复和面部恢复，导致对自我形象和本体感受的满意度增加。
