{"id":3737,"date":"2025-03-06T13:57:18","date_gmt":"2025-03-06T13:57:18","guid":{"rendered":"https:\/\/integrativa.pt\/?p=3737"},"modified":"2026-02-26T19:13:53","modified_gmt":"2026-02-26T19:13:53","slug":"synkinesis-after-facial-paralysis-warning-signs-mechanisms-and-prevention","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/sincinesias-apos-a-paralisia-facial-sinais-de-alerta-mecanismos-e-prevencao\/","title":{"rendered":"Synkinesias after facial paralysis: warning signs, mechanisms and prevention"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><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>Facial paralysis occurs due to an injury to the facial nerve (VII cranial nerve), resulting in partial or total loss of facial movements. During the process of nerve regeneration, when it takes place in a disorganised way, synkinesias may appear, characterised by involuntary movements associated with voluntary actions. These changes can interfere with facial expression, speech and other essential day-to-day functions.<\/p>\n<p>Early recognition of synkinesias and monitoring by a specialised physiotherapist are key to reducing their functional impact. In this article, we explore what synkinesias are, why they occur, what the warning signs are and how they can be prevented.<\/p>\n<h4>What are synkinesias?<\/h4>\n<p>Syncinesia is a common sequela of facial paralysis. The term derives from the Greek \u201csyn\u201d (together) and \u201ckinesis\u201d (movement), referring to movements that occur simultaneously.<\/p>\n<p>Simply put, this is an involuntary movement that accompanies a voluntary movement. In other words, when you intentionally contract a facial muscle, you simultaneously activate another muscle that shouldn't be involved in this action.<\/p>\n<p>The classification of synkinesias is based on the muscle groups involved. The first term corresponds to the muscle group activated voluntarily and the second to the group that moves involuntarily. For example:<\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\">Oculo-oral synkinesia<\/span> - when a voluntary contraction of the eye muscles, such as closing the eye, causes an involuntary movement of the mouth<\/li>\n<li><span style=\"text-decoration: underline;\">Oral-ocular synkinesia<\/span> - when a voluntary movement of the mouth, such as smiling or pursing the lips, triggers an involuntary eye movement<\/li>\n<\/ul>\n<h4>Why do synkinesias occur?<\/h4>\n<p>Involuntary movements or mass movements result from disorganised regeneration of the facial nerve after compression or injury. Several mechanisms may be involved:<\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\">Aberrant regeneration<\/span> (<em>miss-wiring<\/em>) - axons regenerate in a disorganised way, establishing connections with muscles other than those they originally innervated<\/li>\n<li><span style=\"text-decoration: underline;\">Ephatic transmission<\/span> (<em>cross-talk<\/em> electrical between nerve branches) - due to the loss of the myelin sheath, electrical impulses can propagate between adjacent branches of the facial nerve, activating muscles improperly<\/li>\n<li><span style=\"text-decoration: underline;\">Nuclear hyperexcitability<\/span> - the cells of the facial nerve nucleus become more sensitive after axonal degeneration, reacting to stimuli from neighbouring nerves<\/li>\n<li><span style=\"text-decoration: underline;\">Maladaptive cortical plasticity<\/span> - alterations in the motor cortex can lead to abnormal muscle activation patterns<\/li>\n<\/ul>\n<p>It is likely that, in most cases, synkinesias result from a combination of these mechanisms.<\/p>\n<p>Recent studies indicate that, clinically, they tend to manifest from the fifth or sixth month after the onset of paralysis, and can appear as early as the third month and intensify up to around two years.<\/p>\n<h4>How can synkinesis be detected early?<\/h4>\n<p>Early identification makes it possible to adjust the approach and reduce its progression. Some warning signs include:<\/p>\n<ul>\n<li>Involuntary movements during voluntary actions, such as closing the eyes when smiling or moving the mouth when blinking<\/li>\n<li>Increased muscle tension at rest, with a feeling of stiffness or constant contraction<\/li>\n<li>Progressive asymmetry over time, with accentuation of the nasolabial fold or apparent reduction in the size of the eye<\/li>\n<li>Difficulty isolating movements, with exaggerated activation of adjacent muscles<\/li>\n<li>Facial fatigue when speaking, chewing or making expressions<\/li>\n<li>Decreased ability to relax the face<\/li>\n<li>Intensification of involuntary contractions after repetitive or excessive exercise<\/li>\n<\/ul>\n<p>These signs warrant assessment by a physiotherapist specialising in facial paralysis.<\/p>\n<h4>How can synkinesis be prevented?<\/h4>\n<p>Prevention is based on a structured and individualised approach. Some fundamental guidelines include:<\/p>\n<ul>\n<li>Perform gentle, controlled movements, guided by a specialised physiotherapist<\/li>\n<li>Favour movement quality over strength, as the facial muscles require coordination and selectivity.<\/li>\n<li>Avoid facial mimicry exercises performed without guidance<\/li>\n<li>Do not use aggressive massages or electrical stimulation, which can reinforce inappropriate motor patterns.<\/li>\n<li>Integrate relaxation techniques, light stretching and gentle mobilisation to reduce muscle tension<\/li>\n<\/ul>\n<p>Each person has a different recovery process, so neuromuscular re-education must be tailored to individual needs.<\/p>\n<p>The appearance of synkinesis is not just an aesthetic alteration. It can compromise essential functions such as emotional expression, communication, chewing, speech and blinking, with a significant impact on quality of life and psychological well-being.<\/p>\n<h4>Understanding synkinesis from an integrative perspective<\/h4>\n<p>Recovery after facial paralysis requires a specialised approach focused on neuromuscular reorganisation and quality of movement. Specialised physiotherapy aims to support the re-education of motor patterns, reduce involuntary movements and promote greater facial symmetry and functionality.<\/p>\n<p>At Integrativa <a href=\"https:\/\/integrativa.pt\/en\/specialities\/physiotherapy\/physiotherapy-specialising-in-facial-paralysis\/\">physiotherapy specialising in facial paralysis<\/a> is based on a rigorous clinical assessment of mobility, symmetry, muscle strength, coordination, compensatory patterns and functional impact. Based on this analysis, an individualised neuromuscular re-education approach is designed, adjusted to the stage of evolution and the specific characteristics of each person.<\/p>\n<p>Specialised intervention helps support the balance of facial movements, contributing to a more natural expression and better functional integration in everyday life.<\/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 vc_custom_1676836891191\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_border_width_1 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\"   style=\"width: 100%;\"><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Blog Articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" 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.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-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 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\/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-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 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-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><article class=\"post post-2966 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 de Bell: o papel da Fisioterapia especializada na recupera\u00e7\u00e3o da fun\u00e7\u00e3o facial\" data-date=\"2024-02-03T09:44:44+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-de-bell-o-papel-da-fisioterapia-especializada-na-recuperacao-da-funcao-facial\/\" 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\/2026\/02\/Fisioterapia-Paralisia-Facial-Belem-Lisboa-2-768x512.avif\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/02\/Fisioterapia-Paralisia-Facial-Belem-Lisboa-2-768x512.avif 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2026\/02\/Fisioterapia-Paralisia-Facial-Belem-Lisboa-2-1152x768.avif 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Physiotherapy Facial Palsy Belem Lisbon\" 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-de-bell-o-papel-da-fisioterapia-especializada-na-recuperacao-da-funcao-facial\/\" title=\"Bell&#039;s palsy: the role of specialised physiotherapy in restoring facial function\" rel=\"bookmark\">Bell's palsy: the role of specialised physiotherapy in restoring facial function<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-de-bell-o-papel-da-fisioterapia-especializada-na-recuperacao-da-funcao-facial\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Bell&#039;s palsy: the role of specialised physiotherapy in restoring facial function\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-2996 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=\"Fisioterapia especializada em paralisia facial em Lisboa: avalia\u00e7\u00e3o, reeduca\u00e7\u00e3o neuromuscular e recupera\u00e7\u00e3o funcional\" data-date=\"2024-02-11T11:45:40+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\/fisioterapia-especializada-em-paralisia-facial-em-lisboa-avaliacao-reeducacao-neuromuscular-e-recuperacao-funcional\/\" 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\/02\/Fisioterapia-Paralisia-Facia-Integrativa-Lisboa-768x512.avif\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/02\/Fisioterapia-Paralisia-Facia-Integrativa-Lisboa-768x512.avif 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/02\/Fisioterapia-Paralisia-Facia-Integrativa-Lisboa-1152x768.avif 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Paralysis Physiotherapy Lisbon\" 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\/fisioterapia-especializada-em-paralisia-facial-em-lisboa-avaliacao-reeducacao-neuromuscular-e-recuperacao-funcional\/\" title=\"Physiotherapy specialising in facial paralysis in Lisbon: assessment, neuromuscular re-education and functional recovery\" rel=\"bookmark\">Physiotherapy specialising in facial paralysis in Lisbon: assessment, neuromuscular re-education and functional recovery<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/fisioterapia-especializada-em-paralisia-facial-em-lisboa-avaliacao-reeducacao-neuromuscular-e-recuperacao-funcional\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Physiotherapy specialising in facial paralysis in Lisbon: assessment, neuromuscular re-education and functional recovery\">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><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Facial paralysis occurs due to an injury to the facial nerve (VII cranial nerve), resulting in partial or total loss of facial movements. During the process of nerve regeneration, when it takes place in a disorganised way, synkinesias may appear, characterised by involuntary movements associated with voluntary actions. These changes can interfere with facial expression,...<\/p>","protected":false},"author":1,"featured_media":4769,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[39],"tags":[4,27,8],"class_list":["post-3737","post","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"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/3737","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=3737"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/3737\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4769"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=3737"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=3737"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=3737"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}