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Bell's Palsy Evaluation Form
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Bell's Palsy Evaluation Form - March 28, 2006 8:56:00 AM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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Hi...
Just wondering if anyone out there had a form they used when evaluating a pt with Bell's Palsy (or other facial palsy's) that they would be willing to share?
Thanks, Dan, PT.
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Re: Bell's Palsy Evaluation Form - March 28, 2006 2:36:00 PM
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jma
Posts: 2312
Joined: August 24, 2000
From: NY
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This was something mentioned in this article that caught my eye:
Physical Therapy Volume 79, Number 4, April 1999
Case Report
Physical Therapy for Facial Paralysis: A Tailored Treatment Approach
Jennifer S Brach and Jessie M VanSwearingen
There they cited an article that may help you out.
Otolaryngol Head Neck Surg. 1996 Mar;114(3):380-6. Related Articles, Links
Development of a sensitive clinical facial grading system.
Ross BG, Fradet G, Nedzelski JM.
Sunnybrook Health Science Centre Toronto, Ontario, Canada.
Clinicians require a reliable and valid method of evaluating facial function after facial nerve injury. This tool should be clinically relevant and easy to administer, provide a quantitative score for reporting purposes, and be sensitive enough to detect clinically important change over time or with treatment. The proposed facial grading system has all essential information, including precise definitions for each item, presented on one page. The facial grading system is based on the evaluation of resting symmetry, degree of voluntary excursion of facial muscles, and degree of synkinesis associated with specified voluntary movement. Different regions of the face are examined separately with the use of five standard expressions. All items are evaluated on point scales, and a cumulative composite score is tabulated. Construct validity was addressed by comparing the proposed facial grading system to prerehabilitation and postrehabilitation treatment scores of 19 patients with varying degrees of facial nerve injury. All patients had documented change in a controlled study of feedback training. The proposed system reports results in a more continuous manner with a wider response range than the House-Brackmann grades. Each component of the grading system is sensitive to change and individually contributes to a change in the composite score. Tests of interrater reliability are currently near completion.
PMID: 8649870 [PubMed - indexed for MEDLINE]
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Re: Bell's Palsy Evaluation Form - March 28, 2006 6:16:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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That was a very interesting article - thank you for posting. My real issue is that when I am doing my evaluation of a patient having a form that accurate and useful. Anyone have such a form that they use in their practice?
Thanks, Dan, PT.
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Re: Bell's Palsy Evaluation Form - March 28, 2006 6:21:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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Anyone able to access the article in Otolaryngology Head & Neck Surgery?
Thanks, Dan, PT.
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Re: Bell's Palsy Evaluation Form - March 29, 2006 2:54:00 AM
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truthseeker
Posts: 148
Joined: June 23, 2005
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I thought that the standard of care was that Bell's palsy did not respond any better with PT or without PT. In fact, I read an article or maybe it was an editorial, written by a PT who works closely with a group of ENTs that said that at 8 weeks the muscles innervated by the facial nerve did not atrophy and in their experience, it did not matter whether they recieved therapy or not.
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Re: Bell's Palsy Evaluation Form - March 29, 2006 2:44:00 PM
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jma
Posts: 2312
Joined: August 24, 2000
From: NY
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PTDan23, check your email for the article.
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Re: Bell's Palsy Evaluation Form - March 29, 2006 3:51:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
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jma...thank you!!!
Dan, PT.
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Re: Bell's Palsy Evaluation Form - March 29, 2006 4:25:00 PM
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jma
Posts: 2312
Joined: August 24, 2000
From: NY
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No problem. Hope you can use the article and the evaluation they used.
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Re: Bell's Palsy Evaluation Form - April 11, 2006 6:36:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
Status: offline
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The article was helpeful - thank you.
What I was looking for even more was a form - a document that you use when the patient comes into your clinic and you fill in your subjective and objective findings - hence an initial evaluation form. Anyone have such a thing?
If so and you are willing to share it would be greatly appreciated.
Thanks, Dan, PT.
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Re: Bell's Palsy Evaluation Form - November 28, 2006 11:20:00 AM
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scapri
Posts: 1
Joined: November 27, 2006
Status: offline
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Hello Dan, PT,
I too was wondering where I can get the form for the Facial grading system. Were you succesful in acquiring it? If so where can I find it?
Thanks,
Susan
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