Card 7 / 22: Watch this short video ( http://openstaxcollege.org/l/facialnerve ) to see an examination of the facial nerve using some simple tests. The facial nerve controls the muscles of facial expression. Severe deficits will be obvious in watching someone use those muscles for normal control. One side of the face might not move like the other side. But directed tests, especially for contraction against resistance, require a formal testing of the muscles. The muscles of the upper and lower face need to be tested. The strength test in this video involves the patient squeezing her eyes shut and the examiner trying to pry her eyes open. Why does the examiner ask her to try a second time?
Answer:
She has just demonstrated voluntary control by closing her eyes, but when he provides the resistance that she needs to hold tight against, she has already relaxed the muscles enough for him to pull them open. She needs to squeeze them tighter to demonstrate the strength she has in the orbicular oculi.
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