Facial Disability Index in Adults With Peripheral Facial Palsy: Rasch Analysis and Suggestions for Refinement

Pavese, Chiara; Giordano, Andrea; Toffola, Elena Dalla; Nardone, Antonio; Franchignoni, F

doi:10.1016/j.apmr.2021.10.030

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Based on previous research, scales are the most commonly used for evaluating the e cacy in PFP, such as House-Brackmann (HB) and facial disability index (FDI) scales [14,15]. HB is an index to evaluate the function of facial nerve, which means the higher the score, the more serious the degree of facial nerve injury [16] while FDI is an evaluation of facial neuromuscular system dysfunction [17]. In addition, the electrophysiological analysis of facial nerve is helpful for diagnosis, evaluation of the severity of lesions, and treatment decision making, in which facial nerve EMG and blink re ex (BR) are important auxiliary inspections to predict prognosis of PFP [18,19].…”

Section: Introductionmentioning

confidence: 99%

Different intensities of electroacupuncture for peripheral facial paralysis sequelae: study protocol for a randomized placebo-controlled trial

Huang

Wan

Chen

et al. 2023

Preprint

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Background: Peripheral facial paralysis (PFP) is a common neurological disease. Many patients have obtained benefits from the treatment of PFP sequelae by electroacupuncture (EA). However, there is limited evidence for the efficacy between different EA intensities. Hence, this study presents a new approach based on different EA intensities to verify the effectiveness by combining neurological function scales in the sequelae of PFP. Methods: In this placebo-controlled trial, a total of 66 patients with peripheral facial paralysis sequelae will be randomly divided into sensory threshold stimulation, motor threshold stimulation and sham EA groups. All patients undergo two periods in this study, including the treatment period (56 days) and the follow-up period (30 days). House-Brackmann grade and facial disability index scale will be measured as primary outcome before, 4 weeks treatment, after treatment and follow-up. The secondary outcome measures will be facial nerve electromyography (EMG) and blink reflex (BR) detection before and after treatments. Conclusion: This trial will evaluate the effect of different EA intensities for treating sequelae of PFP compared to sham EA. We hope this trial will provide effective treatment parameters for PFP sequelae. Trial registration: ClinicalTrials.gov Identifier: ChiCTR2200062310. Date: August 1, 2022.

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Section: Introductionmentioning

confidence: 99%

Different intensities of electroacupuncture for peripheral facial paralysis sequelae: study protocol for a randomized placebo-controlled trial

Huang

Wan

Chen

et al. 2023

Preprint

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The psychological and psychosocial effects of facial paralysis: A review

Vargo

Ding

Sacco

et al. 2023

Journal of Plastic, Reconstructive & Aesthetic Surgery

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A prospective study of Acupuncture Combined With Modified Blood and Vessel Expelling Blood Stasis Tang in Treating Poststroke Facial Paralysis With Insomnia

Sun,

Jiang,

Sun

2024

Journal of Craniofacial Surgery

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Objective: This study aimed to assess the clinical efficacy of acupuncture combined with modified Blood and Vessel Expelling Blood Stasis Tang in the treatment of poststroke patients experiencing facial paralysis and insomnia. Methods: A total of 120 patients with poststroke facial paralysis and insomnia were selected from the Department of Acupuncture and Moxibustion at the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine between January 2021 and January 2023. They were randomly assigned to either a control group or a study group, with 60 patients in each group. The control group received conventional treatment, while the study group received acupuncture combined with modified Blood and Vessel Expelling Blood Stasis Tang. The neurological function, facial paralysis, and sleep quality of the patients in both groups were compared. Results: The study group exhibited a significantly higher total effective rate compared with the control group (86.67% versus 66.67%). After treatment, both groups showed a significant reduction in National Institutes of Health Stroke Scale scores, with the study group demonstrating significantly lower scores than the control group. The Functional Disability Index scores for somatic functioning and social life functioning significantly improved in both groups after treatment, with the study group achieving significantly lower scores compared with the control group. The Sleep-Related Symptom Scale and Pittsburgh Sleep Quality Index scores significantly decreased in both groups after treatment, with the study group achieving significantly lower scores than the control group. Conclusions: Acupuncture combined with modified Blood and Vessel Expelling Blood Stasis Tang effectively promotes recovery of neurological function and significantly improves facial paralysis and insomnia in patients with poststroke facial paralysis and insomnia. However, further research is warranted to validate these findings.

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Facial Disability Index in Adults With Peripheral Facial Palsy: Rasch Analysis and Suggestions for Refinement

Cited by 3 publications

References 27 publications

Different intensities of electroacupuncture for peripheral facial paralysis sequelae: study protocol for a randomized placebo-controlled trial

Different intensities of electroacupuncture for peripheral facial paralysis sequelae: study protocol for a randomized placebo-controlled trial

The psychological and psychosocial effects of facial paralysis: A review

A prospective study of Acupuncture Combined With Modified Blood and Vessel Expelling Blood Stasis Tang in Treating Poststroke Facial Paralysis With Insomnia

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