Biofeedback training of nasal muscles using internal and external surface electromyography of the nose

The purpose of this paper is to describe the outcome of biofeedback training of nasal muscles in cases of nasal valve stenosis and collapse. The present study was performed to investigate the best way of using surface electromyography (sEMG) in biofeedback training of muscles involved in nasal valve...

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Veröffentlicht in:American journal of otolaryngology 2005-09, Vol.26 (5), p.302-307
Hauptverfasser: Vaiman, Michael, Shlamkovich, Nathan, Kessler, Alex, Eviatar, Ephraim, Segal, Samuel
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container_end_page 307
container_issue 5
container_start_page 302
container_title American journal of otolaryngology
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creator Vaiman, Michael
Shlamkovich, Nathan
Kessler, Alex
Eviatar, Ephraim
Segal, Samuel
description The purpose of this paper is to describe the outcome of biofeedback training of nasal muscles in cases of nasal valve stenosis and collapse. The present study was performed to investigate the best way of using surface electromyography (sEMG) in biofeedback training of muscles involved in nasal valve function. In the present study, we present the way of biofeedback training of these muscles introducing the intranasal placement of sEMG electrodes and a home exercise program. A nonrandomized pilot study of patients presenting with symptoms of obstructed nasal breathing was conducted. All selected patients (n = 15) demonstrated nasal valve stenosis with a positive Cottle maneuver and clinically evident nasal valve collapse. Follow-up ranged from 9 to 12 months. Treatment included surface and intranasal EMG biofeedback-assisted specific strategies for nasal muscle education and a home exercise program of specific nasal movements. All patients exhibited variable subjective improvement. In 86.66% (n = 13), the improvement was proved objectively and there was no need for operation. In 13.33% (n = 2), an endonasal operation was recommended. Relieve of obstructed nasal breathing after nasal valve stenosis and/or collapse can be achieved with biofeedback training of nasal muscles and a home exercise program as described. It helps a significant cohort of patients with symptoms of obstructed nasal breathing to avoid surgical intervention.
doi_str_mv 10.1016/j.amjoto.2005.02.004
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Electric activity recording</topic><topic>Electromyography</topic><topic>Endoscopy</topic><topic>Exercise Therapy</topic><topic>Facial Muscles - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nasal Obstruction - physiopathology</topic><topic>Nasal Obstruction - therapy</topic><topic>Nervous system</topic><topic>Nose</topic><topic>Nose - physiopathology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pilot Projects</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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subjects Adolescent
Adult
Bell's palsy
Biofeedback
Biofeedback, Psychology
Biological and medical sciences
Electrodiagnosis. Electric activity recording
Electromyography
Endoscopy
Exercise Therapy
Facial Muscles - physiopathology
Female
Follow-Up Studies
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Miscellaneous
Nasal Obstruction - physiopathology
Nasal Obstruction - therapy
Nervous system
Nose
Nose - physiopathology
Otorhinolaryngology. Stomatology
Pilot Projects
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rhinomanometry
Rhinometry, Acoustic
Stroke
Studies
Treatment Outcome
title Biofeedback training of nasal muscles using internal and external surface electromyography of the nose
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