Speech and Communicative Participation in Patients With Facial Paralysis

Kim, James H.; Fisher, Laurel M.; Reder, Lindsay; Hapner, Edie R.; Pepper, Jon‐Paul

doi:10.1001/jamaoto.2018.0649

Cited by 28 publications

(24 citation statements)

References 29 publications

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“…Our prior research explored correlations between communicative participation in facial paralysis patients and disease-specific quality of life. 8 This study takes that work a step further, by correlating restrictions in communicative participation with widely used objective measures of facial paralysis and their respective subdomains.…”

Section: Discussionmentioning

confidence: 99%

“…Our prior work has highlighted significant deficits in communicative participation in self-identified patients with facial paralysis, showing significant correlations between facial paralysis-specific quality of life and patient-reported communication restrictions. 8 This research utilized the Communicative Participation Item Bank (CPIB) Short Form, a versatile tool for quantifying communication restriction and comparing study populations to other groups. Based on this work, we hypothesize significant correlations exist between patient-reported restrictions in communicative participation and clinician-assessed severity of facial paralysis.…”

Section: Introductionmentioning

confidence: 99%

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Facial Paralysis and Communicative Participation: The Importance of Facial Symmetry at Rest

Ayoub

Abdelwahab

Zhang

et al. 2020

Ann Otol Rhinol Laryngol

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Objective: There is a paucity of research devoted to understanding the communication restrictions encountered by facial paralysis patients. We aim to explore the relationship between patient-reported restrictions in communicative participation and objective facial paralysis severity using validated scales of facial movement. Methods: We performed a pilot retrospective study using a consecutive series of adult patients with a diagnosis of unilateral facial paralysis. In addition to baseline demographics, subjects were evaluated using the Communicative Item Participation Bank Short Form (CPIB), Electronic Facial Assessment by Computer Evaluation (eFACE), and Sunnybrook Facial Grading System (SFGS). Results: Twenty patients were included, 10 (50%) of whom were female with a mean age of 61 ± 13 years and mean duration of facial paralysis of 53 ± 82 months. The mean CPIB score was 14.6 ± 10.0 (range 0-29) and was comparable to scores of patients with conditions known to cause significant communicative disability. The mean eFACE scores were 67.4 ± 29.2, 44.2 ± 30.1, and 73.8 ± 30.0 for the static, dynamic, and synkinesis domains, respectively, with a composite smile score of 58.5 ± 16.9. After adjusting for age, gender, and duration of facial paralysis, significant moderate correlations were observed between the CPIB and the static eFACE domain ( r = –0.51, P = .03) and smile composite score ( r = 0.48, P = 0.0049), in addition to between the CPIB and SFGS synkinesis domain ( r = 0.48, P = 0.04). Conclusions: Patients with unilateral facial paralysis experience significant limitations in communicative participation. These restrictions demonstrate moderate to strong correlations with objective assessments of facial paralysis and quality of life measures. Communicative participation may be a helpful means of tracking response to treatment. Level of Evidence: IV

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Facial Paralysis and Communicative Participation: The Importance of Facial Symmetry at Rest

Ayoub

Abdelwahab

Zhang

et al. 2020

Ann Otol Rhinol Laryngol

Self Cite

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“…Individuals with diabetes can suffer unusual consequences, such as hearing loss [6,18]. Permanent speech difficulties [19] and an association with temporomandibular disorders have also been described [16].…”

Section: Introductionmentioning

confidence: 99%

Complete and Fast Recovery from Idiopathic Facial Paralysis Using Laser-Photobiomodulation

Tanganeli

Oliveira

Silva

et al. 2020

Case Reports in Dentistry

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Idiopathic facial paralysis, also known as Bell’s palsy, exerts a negative effect on the quality of life. Although the prognosis is good in the majority of cases, a significant percentage of affected individuals may have sequelae that can negatively affect their lives. The use of therapeutic measures as early as possible can improve the prognosis. This article describes the successful use of laser-photobiomodulation as a single therapy in a patient with Bell’s palsy and confirms the possibility of using this therapeutic modality as a good choice, since it is a therapy that is painless, comfortable, and without systemic side effects. The findings demonstrate that the adequate use of laser-photobiomodulation can be an effective therapeutic option for patients with Bell’s palsy, regardless of the age, shortening the recovery time obtained with conventional therapies and avoiding sequelae. Further studies are needed for the establishment of adequate protocols.

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“…Facial palsy results in functional and social problems related to the inability to control the muscles of facial expression [1][2][3][4]. Additionally, the altered facial function and appearance of the face may increase feelings of depression and anxiety, and may negatively influence selfimage and quality of life [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in facial palsy: translation and validation of the Dutch version Facial Disability Index

Veen

Bruins

Artan

et al. 2020

Health Qual Life Outcomes

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Purpose: Patient-reported outcome measures are essential in the evaluation of facial palsy. Aim of this study was to translate and validate the Facial Disability Index (FDI) for use in the Netherlands. Methods: The FDI was translated into Dutch according to a forward-backward method. Construct validity was assessed by formulating 22 hypotheses regarding associations of FDI scores with the Facial Clinimetric Evaluation scale, the Synkinesis Assessment Questionnaire, the Short Form-12 and the Sunnybrook Facial Grading System. Validity was considered adequate if at least 75% (i.e. 17 out of 22) of the hypotheses were confirmed. Additionally, confirmatory factor analysis was performed. Cronbach's α was calculated as a measure of internal consistency. Participants were asked to fill out the FDI a second time after 2 weeks to analyse test-retest reliability. Lastly, smallest detectable change was calculated. Results: In total, 19 hypotheses (86.4%) were confirmed. Confirmatory factor analysis showed acceptable fit for the two factor structure of the original FDI (root mean square error of approximation = 0.064, standardized root mean square residual = 0.081, comparative fit index = 0.925, Chi-square = 50.22 with 34 degrees of freedom). Internal consistency for the FDI physical function scale was good (α > 0.720). Internal consistency for the FDI social/wellbeing scale was slightly less (α > 0.574). Test-retest reliability for both scales was good (intraclass correlation coefficients > 0.786). Smallest detectable change at the level of the individual was 17.6 points for the physical function and 17.7 points for the social/well-being function, and at group level 1.9 points for both scales. Conclusion: The Dutch version FDI shows good psychometric properties. The relatively large values for individual smallest detectable change may limit clinical use. The translation and widespread use of the FDI in multiple languages can help to compare treatment results internationally.

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Speech and Communicative Participation in Patients With Facial Paralysis

Cited by 28 publications

References 29 publications

Facial Paralysis and Communicative Participation: The Importance of Facial Symmetry at Rest

Facial Paralysis and Communicative Participation: The Importance of Facial Symmetry at Rest

Complete and Fast Recovery from Idiopathic Facial Paralysis Using Laser-Photobiomodulation

Health-related quality of life in facial palsy: translation and validation of the Dutch version Facial Disability Index

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