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Parkinson's Disease Facial Masking: What You Need to Know

  • nyssachennelldutto
  • Jun 23
  • 2 min read

What is Facial Masking?

Facial masking (hypomimia) also referred to as a "flat affect", is a common Parkinson's symptom where people experience:

  • Reduced facial expressions

  • Less frequent blinking

  • Diminished reactive facial expressions like smiling or frowning

  • Appearing less animated during conversations


Important: This change in facial expression does not accurately reflect the person’s emotional state. It also does not mean the person’s personality or interests have changed. Just like walking and limb movement can be slowed/impacted, so too can facial movement!


Why It Matters

Facial expressions are crucial for communication and relationships. When they're reduced, others may misinterpret this as:

  • Disinterest or boredom

  • Sadness or depression

  • Anger or frustration

This can strain relationships and lead to social isolation for people with PD, even though the person's internal emotions haven't changed.


Treatment Options

Medication: Parkinson's medications that help with movement may also improve facial expressions.

Speech Therapy: Specialised therapists can provide crucial tips for improving communication strategies and may even prescribe relevant facial and voice exercises.

Family Education: Help loved ones understand that reduced expression doesn't mean reduced interest or emotion! Discussing this openly with your friends, family or support network to increase understanding and reduce potential strain.


When to Seek Help

Contact your healthcare provider if:

  • You notice significant changes in facial expressiveness

  • Family comments on reduced expressions

  • Social interactions become challenging


Key Takeaway

Reduced facial expression does not equal reduced emotion or interest!

Understanding this symptom helps maintain relationships and quality of life for everyone involved.

Communicating with friends or family can increase understanding
Communicating with friends or family can increase understanding

 

(Bianchini et al., 2024)

 

Bianchini, E., Rinaldi, D., Alborghetti, M., Simonelli, M., D'Audino, F., Onelli, C., Pegolo, E., & Pontieri, F. E. (2024). The Story behind the Mask: A Narrative Review on Hypomimia in Parkinson's Disease. Brain Sci, 14(1). https://doi.org/10.3390/brainsci14010109

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