Abstract

This paper analyzes the case of a 46-year-old woman who suffered a subarachnoid hemorrhage to the left hemisphere of the brain with penetration into the ventricular system from a ruptured aneurysm of the left middle cerebral artery (cardiac arrest, critical condition, GCS 4), followed by subsequent paralysis of the lower and upper right limbs and aphasia. Data collected during a 2-year therapy process were analyzed, including examinations of the stomatognathic system, analysis of the axes and planes of the facial cranium in relation to the joint structures of the movement system, observations of the interactions of tissue structures as well as mandibular-hyoid and lingual structures, analysis of Angle’s classifications, analysis of imaging studies of the orofacial zone and neck muscle tension, results of periodic functional tests, including manual functional analysis of the masticatory system movement. A vision analysis of the material was performed using ShapeCare.Physio equipment with Blaze Pose software based on a model for detecting the skeleton of a moving person. It was found that treatment including myofunctional therapy of the masticatory system movement contributed to the improvement of the patient’s motor efficiency after suffering a subarachnoid hemorrhage to the left hemisphere of the brain and after a frontotemporo-parietal craniotomy.

Key words:

orofacial sphere, masticatory system movement, occlusion, Angle’s classifications, vision analysis