ArticleJournal of medical Internet research2019
Face-to-Face Versus Video Assessment of Facial Paralysis: Implications for Telemedicine.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06707831 (Investigation of the Feasibility of the Trunk and Upper Extremity Assessments Used in the Scope of the ICF for Tele-Assessment in Children with Hemiplegic Cerebral Palsy), which is not on this map. Cited by 12 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Investigation of the Feasibility of the Trunk and Upper Extremity Assessments Used in the Scope of the ICF for Tele-Assessment in Children with Hemiplegic Cerebral Palsy
Who cites it
12 citing papers in PubMed, 40 citations in OpenAlex.
- Telerehabilitation for peripheral facial palsy: A scoping review.Journal of telemedicine and telecare · 2026Article
- Emotional Training via Telerehabilitation After Surgical Treatment for Facial Palsy: Prospective, Assessor-Blinded, 2-Arm Pilot Cohort Study.JMIR rehabilitation and assistive technologies · 2026Article
- The Potential for Smart Glasses to Transform Facial Palsy Therapy Globally: UK Budget Analysis, Delphi Outcomes Valuation Exercise, and Economic Modeling of Cost-Effectiveness.Journal of medical Internet research · 2025Article
- Proprioceptive Neuromuscular Facilitation and/or Electrical Stimulation in Patients with Peripheral Facial Paralysis: A Systematic Review.Neurology international · 2025Review
- Article
- Post-parotidectomy facial nerve function: comparison between original and modified Sunnybrook Facial Grading Systems.Arquivos de neuro-psiquiatria · 2023Article
- Mathematical Validation of the Modified Sunnybrook Facial Grading System Using Four-dimensional Imaging.Journal of plastic and reconstructive surgery · 2023Article
- A Telerehabilitation Approach to Chronic Facial Paralysis in the COVID-19 Pandemic Scenario: What Role for Electromyography Assessment?Journal of personalized medicine · 2022Article
- Automated Computer Vision Assessment of Hypomimia in Parkinson Disease: Proof-of-Principle Pilot Study.Journal of medical Internet research · 2021Article
- Raising the Digital Profile of Facial Palsy: National Surveys of Patients' and Clinicians' Experiences of Changing UK Treatment Pathways and Views on the Future Role of Digital Technology.Journal of medical Internet research · 2020Article
- Telemedicine for ENT: Effect on quality of care during Covid-19 pandemic.European annals of otorhinolaryngology, head and neck diseases · 2020Article
- Navigating telemedicine for facial trauma during the COVID-19 pandemic.Laryngoscope investigative otolaryngology · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with facial nerve paralysis (FNP) experience challenges in accessing health care that could potentially be overcome by telemedicine. However, the reliability of telemedicine has yet to be established in this field.
objectiveThis study aimed to investigate the consistency between face-to-face and video assessments of patients with FNP by experienced clinicians.
methodsA repeated-measures design was used. A total of 7 clinicians assessed the FNP of 28 patients in a face-to-face clinic using standardized grading systems (the House-Brackmann, Sydney, and Sunnybrook facial grading systems). After 3 months, the same grading systems were used to assess facial palsy in video recordings of the same patients.
resultsThe House-Brackmann system in video assessment had excellent reliability and agreement (intraclass correlation coefficient [ICC]=0.780; principal component analysis [PCA]=87.5%), similar to face-to-face assessment (ICC=0.686; PCA=79.2%). Reliability of the Sydney system was good to excellent, with excellent agreement face-to-face (ICC=0.633 to 0.834; PCA=81.0%-95.2%). However, video assessment of the cervical branch and synkinesis had fair reliability and good agreement (ICC=0.437 to 0.597; PCA=71.4%), whereas that of other branches had good to excellent reliability and excellent agreement (ICC=0.625 to 0.862; PCA=85.7%-100.0%). Reliability of the Sunnybrook system was poor to fair for resting symmetry (ICC=0.195 to 0.498; PCA=91.3%-100.0%) and synkinesis (ICC=-0.037 to 0.637; PCA=69.6%-87.0%) but was good to excellent for voluntary movement (ICC=0.601 to 0.906; PCA=56.5%-91.3%) in face-to-face and video assessments. Bland-Altman plots indicated normal limits of agreement within ±1 between face-to-face and video-assessed scores only for the temporal and buccal branches of the Sydney system and for resting symmetry in the Sunnybrook system.
conclusionsVideo assessment of FNP with the House-Brackmann and Sunnybrook systems was as reliable as face-to-face but with insufficient agreement, especially in the assessment of synkinesis. However, video assessment does not account for the impact of real-time interactions that occur during tele-assessment sessions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.