{"id":1331,"date":"2022-10-30T22:31:53","date_gmt":"2022-10-30T22:31:53","guid":{"rendered":"https:\/\/integrativa.pt\/?p=1331"},"modified":"2026-03-04T14:23:54","modified_gmt":"2026-03-04T14:23:54","slug":"facial-paralysis-symptoms-and-the-importance-of-early-specialised-physiotherapy","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/paralisia-facial-sintomas-e-importancia-da-fisioterapia-especializada-precoce\/","title":{"rendered":"Facial paralysis: symptoms and the importance of early specialised physiotherapy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p data-start=\"215\" data-end=\"707\">Facial paralysis is a neuromuscular condition that can cause pain in the face, increased tension in the facial muscles, asymmetry of movements, difficulty closing one eye and involuntary muscle contractions. In the event of any of these signs, it is essential to seek medical assessment first and then referral to physiotherapy specialising in facial paralysis, ideally within the first few days, in order to ensure proper guidance from the outset.<\/p>\n<p data-start=\"709\" data-end=\"1088\">From a clinical point of view, facial paralysis corresponds to a weakness of the facial muscles, usually unilateral, resulting from a lesion of the facial nerve, usually associated with oedema or compression along its path. This nerve is responsible for activating the muscles of facial expression; when it is compromised, the mobility of the face is inevitably affected.<\/p>\n<p data-start=\"1090\" data-end=\"1337\">Functional recovery does not depend exclusively on the regeneration of the facial nerve. It is also crucial to promote adequate relaxation of the facial tissues, an essential condition for promoting motor reorganisation and quality of movement.<\/p>\n<h4 data-start=\"1339\" data-end=\"1387\">Most common symptoms of facial paralysis<\/h4>\n<p data-start=\"1389\" data-end=\"1473\">The clinical presentation can vary from person to person, but often includes:<\/p>\n<ul>\n<li data-start=\"1475\" data-end=\"1794\">Facial asymmetry at rest or during movement<\/li>\n<li data-start=\"1475\" data-end=\"1794\">Pain or a feeling of pressure in the face or behind the ear<\/li>\n<li data-start=\"1475\" data-end=\"1794\">Difficulty closing one eye completely<\/li>\n<li data-start=\"1475\" data-end=\"1794\">Changes in facial mimicry<\/li>\n<li data-start=\"1475\" data-end=\"1794\">Increased muscle tension in certain areas<\/li>\n<li data-start=\"1475\" data-end=\"1794\">Involuntary movements associated with voluntary gestures (synkinesia)<\/li>\n<\/ul>\n<h4 data-start=\"1796\" data-end=\"1844\">Why not all exercises are suitable<\/h4>\n<p data-start=\"1846\" data-end=\"2260\">Exercising without specialised guidance is not recommended. According to <em>guidelines<\/em> More recently, frequently suggested practices such as chewing gum, inflating balloons or making faces in front of the mirror show no functional benefit and may, on the contrary, contribute to inadequate reinnervation of the facial nerve and excessive recruitment of the facial muscles.<\/p>\n<p data-start=\"2262\" data-end=\"2691\">This type of stimulus can encourage the appearance of abnormal movement patterns, characterised by mass movements, persistent areas of facial tension or synkinesis, i.e. the involuntary activation of certain muscles during voluntary movements (for example, closing the eye and simultaneously raising the corner of the mouth). These changes can jeopardise fine motor control and the harmony of facial movements.<\/p>\n<p data-start=\"2693\" data-end=\"3006\">The first few days after the onset of symptoms are particularly important. Appropriate clinical guidance at this stage makes it possible to understand what is happening to the face, identify the existing functional potential and learn strategies that promote greater freedom of movement, avoiding early compensations.<\/p>\n<h4 data-start=\"3008\" data-end=\"3078\">The specific nature of facial physiology requires special care<\/h4>\n<p data-start=\"3080\" data-end=\"3448\">In Portugal, facial paralysis is often treated by generalist physiotherapists without specific training in this area. Although these professionals play an important role in other musculoskeletal and neurological conditions, the face has its own physiological and biomechanical characteristics, which require differentiated intervention.<\/p>\n<p data-start=\"3450\" data-end=\"3724\">Applying the same principles used in other regions of the body to the face may be inappropriate. According to the most recent guidelines, certain resources still used in some contexts can negatively interfere with neuromuscular reorganisation:<\/p>\n<ul>\n<li data-start=\"3726\" data-end=\"3940\">Application of ice<\/li>\n<li data-start=\"3726\" data-end=\"3940\">Fast stimuli and sudden movements<\/li>\n<li data-start=\"3726\" data-end=\"3940\">Electro-stimulation<\/li>\n<li data-start=\"3726\" data-end=\"3940\">Mime exercises in front of the mirror<\/li>\n<li data-start=\"3726\" data-end=\"3940\">Home recommendations such as chewing gum or blowing up balloons<\/li>\n<\/ul>\n<p data-start=\"3942\" data-end=\"4265\">These interventions focus mainly on gaining muscle strength, without taking into account the ability of the facial nerve to generate coordinated movement or the importance of relaxation and motor control. This approach can favour compensatory movements and the development of sequelae, including synkinesis.<\/p>\n<h4 data-start=\"4267\" data-end=\"4313\">Facial paralysis from an integrative perspective<\/h4>\n<p data-start=\"4315\" data-end=\"4582\">Facial paralysis involves complex neuromuscular changes that go far beyond loss of strength. Reorganisation of movement, control of facial tension and the quality of muscle activation are determining factors throughout the functional recovery process.<\/p>\n<p data-start=\"4584\" data-end=\"4936\">At Integrativa, the <a href=\"https:\/\/integrativa.pt\/en\/specialities\/physiotherapy\/physiotherapy-specialising-in-facial-paralysis\/\">physiotherapy specialising in facial paralysis<\/a> are based on a rigorous clinical assessment of mobility, symmetry, muscle strength, coordination, compensatory patterns and functional impact, including speech, chewing, swallowing and emotional expression. This assessment allows each case to be understood on an individualised basis.<\/p>\n<p data-start=\"4938\" data-end=\"5218\" data-is-last-node=\"\" data-is-only-node=\"\">Based on this detailed analysis, a progressive physiotherapy approach is outlined, guided by clear clinical objectives, adjusted to the needs of each person and the different stages of evolution, with a focus on facial dynamics and respect for the physiology of the face.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1768304563529\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a href=\"https:\/\/integrativa.pt\/en\/physiotherapist-alexandra-gomes\/\"><strong>Alexandra Gomes <\/strong><\/a>| Physiotherapist specialising in the treatment and recovery of Facial Paralysis<\/p>\n<p style=\"text-align: right;\">member of the <em>Facial Therapy Specialists International<\/em>\u00a0 (FTSI)<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 1459 | Order of Physiotherapists<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1769969575981\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. In all cases, treatments should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_width_100 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\" ><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article {\n  padding-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article:first-of-type {\n  margin-top: 0;\n  padding-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.classic-layout-list.mode-list .post-entry-content {\n  width: calc(100% - );\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.classic-layout-list.mode-list .no-img .post-entry-content {\n  width: 100%;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .filter-bg-decoration .filter-categories a.act {\n  color: #fff;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.mode-masonry) article:first-of-type,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.mode-masonry) article.visible.first:not(.product) {\n  margin-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on:not(.mode-masonry) article {\n  margin-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on:not(.mode-masonry) article:first-of-type,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on:not(.mode-masonry) article.visible.first:not(.product) {\n  margin-top: 0;\n  padding-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-thumbnail-wrap {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.enable-bg-rollover .post-thumbnail-rollover:after {\n  background: -webkit-linear-gradient();\n  background: linear-gradient();\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  width: 44px;\n  height: 44px;\n  line-height: 44px;\n  border-radius: 100px;\n  margin: -22px 0 0 -22px;\n  border-width: 0px;\n  color: #ffffff;\n  background: none;\n}\n.bottom-overlap-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  margin-top: -72px;\n}\n.gradient-overlay-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico,\n.content-rollover-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  margin: 0 0 10px;\n}\n.content-align-center.gradient-overlay-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico,\n.content-align-center.content-rollover-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  margin: 0 auto 10px;\n}\n.dt-icon-bg-on.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  background: rgba(255,255,255,0.3);\n  box-shadow: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico > span,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico:before {\n  font-size: 32px;\n  line-height: 44px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico > span,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-title,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .entry-title {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-meta {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .portfolio-categories {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-excerpt {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.centered-layout-list) .post-entry-content {\n  padding: 15px 20px 20px 20px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.centered-layout-list):not(.content-bg-on):not(.mode-list) .no-img .post-entry-content {\n  padding: 0;\n}\n@media screen and (max-width: ) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 article {\n    -ms-flex-flow: column nowrap;\n    flex-flow: column nowrap;\n    margin-top: 20px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on article {\n    border: none;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.content-bg-on.centered-layout-list article {\n    padding: 0;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.blog-shortcode.dividers-on article,\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article {\n    margin-top: 20px;\n    padding: 0;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.blog-shortcode.dividers-on article:first-of-type,\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article:first-of-type {\n    padding: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-thumbnail-wrap,\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-entry-content {\n    width: 100%;\n    margin: 0;\n    top: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-thumbnail-wrap {\n    padding: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-entry-content:after {\n    display: none;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .project-even .post-thumbnail-wrap,\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.centered-layout-list .post-thumbnail-wrap {\n    -ms-flex-order: 0;\n    order: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.centered-layout-list .post-entry-title-content {\n    -ms-flex-order: 1;\n    order: 1;\n    width: 100%;\n    padding: 20px 20px 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.centered-layout-list .post-entry-content {\n    -ms-flex-order: 2;\n    order: 2;\n    padding-top: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .fancy-categories {\n    top: 10px;\n    left: 10px;\n    bottom: auto;\n    right: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .fancy-date a {\n    top: 10px;\n    right: 10px;\n    left: auto;\n    bottom: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-entry-content {\n    padding: 20px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-title {\n    margin: 3px 0 5px;\n    font-size: 20px;\n    line-height: 26px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-meta {\n    margin: 5px 0 5px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-excerpt {\n    margin: 15px 0 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-details {\n    margin: 5px 0 10px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-details.details-type-link {\n    margin-bottom: 2px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div {\n  width: 36px;\n  height: 36px;\n  border-radius: 500px;\n}\n.dt-arrow-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:not(:hover):before {\n  border-width: 0px;\n}\n.dt-arrow-hover-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:hover:after {\n  border-width: 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-prev {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  left: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-prev i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-next {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  right: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-next i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav i {\n  font-size: 18px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:not(:hover) i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:not(:hover) i:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:hover i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:hover i:before {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .owl-dots {\n  top: calc(100% + 20px);\n  left: 50%;\n  transform: translateX(calc(-50% + 0px));\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .owl-dots {\n    transform: translateX(-50%);\n    margin-left: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .owl-dot {\n  width: 10px;\n  height: 10px;\n  margin: 0 8px;\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-7111 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia-em-paralisia-facial category-psicologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-39 category-18 description-off\" data-name=\"Paralisia Facial: quando o impacto vai al\u00e9m do que \u00e9 vis\u00edvel\" data-date=\"2026-04-06T20:07:46+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Sleep Consultation\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" title=\"Facial Paralysis: when the impact goes beyond what is visible\" rel=\"bookmark\">Facial Paralysis: when the impact goes beyond what is visible<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial Paralysis: when the impact goes beyond what is visible\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3267 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Sincinesias ap\u00f3s paralisia facial: o papel da fisioterapia especializada\" data-date=\"2024-06-07T14:01:28+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Lisbon Alexandra Integrative Physiotherapy Facial Palsy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" title=\"Synkinesias after facial paralysis: the role of specialised physiotherapy\" rel=\"bookmark\">Synkinesias after facial paralysis: the role of specialised physiotherapy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Synkinesis after facial paralysis: the role of specialized physiotherapy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3547 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Prote\u00e7\u00e3o ocular na paralisia facial: cuidados essenciais\" data-date=\"2024-06-25T11:50:01+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy Lisbon Alexandra\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" title=\"Eye protection in facial paralysis: essential care\" rel=\"bookmark\">Eye protection in facial paralysis: essential care<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Eye protection in facial paralysis: essential care\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3688 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"O meu filho tem uma paralisia facial: e agora? Os conselhos da fisioterapia\" data-date=\"2025-01-22T21:19:14+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-768x512.avif\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-768x512.avif 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-1152x768.avif 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Facial paralysis in children Physiotherapy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" title=\"My child has facial paralysis: what now? Physiotherapy advice\" rel=\"bookmark\">My child has facial paralysis: what now? Physiotherapy advice<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" class=\"post-details details-type-link\" aria-label=\"Read more about My son has facial paralysis: what now? Physiotherapy advice\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3638 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Paralisia facial: 10 erros frequentes que podem comprometer a recupera\u00e7\u00e3o\" data-date=\"2025-01-05T12:02:19+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-10-erros-frequentes-que-podem-comprometer-a-recuperacao\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Lisboa-Alexandra-Paralisia-Facial-Integrativa-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Lisboa-Alexandra-Paralisia-Facial-Integrativa-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Lisboa-Alexandra-Paralisia-Facial-Integrativa-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Physiotherapy Lisbon Alexandra Integrative Facial Palsy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-10-erros-frequentes-que-podem-comprometer-a-recuperacao\/\" title=\"Facial paralysis: 10 common mistakes that can jeopardise recovery\" rel=\"bookmark\">Facial paralysis: 10 common mistakes that can jeopardise recovery<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-10-erros-frequentes-que-podem-comprometer-a-recuperacao\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial Paralysis: 10 common mistakes that can jeopardise recovery\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-5296 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-39 description-off\" data-name=\"Paralisia Facial: quanto tempo demora a recupera\u00e7\u00e3o e o papel da fisioterapia especializada\" data-date=\"2025-10-27T08:55:30+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy (10)\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" title=\"Facial paralysis: how long recovery takes and the role of specialised physiotherapy\" rel=\"bookmark\">Facial paralysis: how long recovery takes and the role of specialised physiotherapy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial paralysis: how long recovery takes and the role of specialised physiotherapy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Facial paralysis is a neuromuscular condition that can cause pain in the face, increased tension in the facial muscles, asymmetry of movements, difficulty closing one eye and involuntary muscle contractions. In the event of any of these signs, it is essential to initially seek medical assessment and then be referred to physiotherapy specialising in facial paralysis, ideally...<\/p>","protected":false},"author":1,"featured_media":6947,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[6,39],"tags":[4,27,8],"class_list":["post-1331","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia","category-fisioterapia-em-paralisia-facial","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-6","category-39","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/1331","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=1331"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/1331\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/6947"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=1331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=1331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=1331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}