How to improve the loss of facial expression?
Facial expression matters. Research has shown that quality of life is better in people with Parkinson’s who have undergone regular facial exercise and therapy to improve facial control than those who have not. It is not a secret that people with Parkinson’s usually develop reduced facial tone and movements of facial expressions. While not everyone will experience masking with their Parkinson’s, those who do may realise that they are blinking often and their stares are blank. Weakness in facial muscles may also cause motor problems like difficulty in swallowing and drooling of saliva.
There are facial exercises which, when practiced regularly, can help better control these symptoms. It’s best to perform these facial exercises in front of a mirror. Because a person with Parkinson’s can’t always accurately feel how big or exaggerate a movement they are making, using a mirror helps them to see the movement for themselves.
These simple exercises include:
By holding a broad smile on your face, this exercise works on your Zygomaticusmuscles at the side of your face, helping you express positive emotions better. Try doing this 20 times a day, holding the smile for 5 seconds each time. You can adjust the number of repetitions to your capabilities; it is important to ensure that you are not overdoing it and over-tiring your face.
2. The closing of eyes
The orbicularis oculi muscle is one of the two major components that form the core of the eyelid, the other being the tarsal plate. The orbicularis oculi muscle is composed of skeletal muscle fibres and receives nerves from the facial nerve. It is an important muscle in facial expression. Make your Orbicularis Oculi muscles work by shutting your eyes as tightly as possible. Do this 20 times a day for 1-2 seconds each time. By practicing and using these muscles in thes eyes, you can help keep masking at bay.
3. Raising of eyebrows
The occipitofrontalis muscle (epicranius muscle) is a muscle which covers parts of the skull. It consists of two parts or bellies: The occipital belly, near the occipital bone, and the frontal belly, near the frontal bone. The occipitofrontalis muscle is innervated by the facial nerve.
Raise your eyebrows and make creases on your forehead to perform this exercise. It works on your Occipitofrontalis Muscles to promote good blood supply from several arteries. Repeat at least 10 times.
4. Flaring of nostrils
Dilate your nose and push it upwards, relax your face in between attempts. Repeat this process 10 times to stretch your Nasalis muscles.
5. Tongue movements in mouth
Open your mouth and move your tongue within the mouth around the teeth. This exercise can help you manipulate food with the tongue and detect remains that are stuck in the cheeks after swallowing.
6. Lips pouting
This exercise works on the Orbicularis Oris muscles and helps you maintain facial harmony. Protrude your lips and hold the position. Retain the position as you count until 5. Repeat 10 times.
7. Jaw dropping
Jaw dropping strengthens Pterygoids muscles that help in chewing. To perform the exercise, drop your jaw to open your mouth and make a small “O” with your lips. Keep repeating small “O” or big “O” as per your competency. It’s recommended to repeat it for 10 times.
Choir singing or voice amplification have been proven in helping to control specific facial muscle more effectively in Parkinson’s.
The Lee Silverman voice treatment (LSVT) technique is also used by some to help people with Parkinson’s speak louder and clearer. It employs articulation exercises that are similar to stage acting techniques in which a person is taught to projects and enact “speaking behaviour“.
Parkinson’s Care and Support UK provide free speech and sound therapy, which can be very useful for strengthening the various facial muscles.