Physiotherapy intervention in otodental syndrome – case study

Abstract

Introduction: Otodental Syndrome (OS) is characterized by dental anomalies, hearing loss and eyes coloboma. Occlusal changes are common and are associated with abnormal face development. Objective: To evaluate the effect of Proprioceptive Neuromuscular Facilitation (PNF) for the facial muscles and Global Postural Reeducation (GPR) in head and neck posture in patient with OS. Methods: A volunteer, ten years old, carrier OS, presenting hearing loss and allergic rhinitis, delayed tooth eruption, difficulty breathing and parafunctional habits participated in this study. We applied a PNF program of exercises for the face, followed by GRP for seven weeks. Results: We observed an improvement of facial expression and muscle tone after treatment. Conclusion: The GRP associated with PNF face promoted improvement in muscle strength of mime and facial expression and improves the posture of the head and neck in carrier OS, suggesting its use as a practice of physical therapy in these cases.