Evidence map›Paper›PMID 36279766›Full record

SynthesisBrazilian journal of physical therapy

Effect of proprioceptive neuromuscular facilitation in the treatment of dysfunctions in facial paralysis: a systematic literature review.

Michelly Cardoso Silva, Mayara Tavares Oliveira, Isabela Freire Azevedo-Santos, Josimari Melo DeSantana

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Telerehabilitation for peripheral facial palsy: A scoping review.Journal of telemedicine and telecare · 2026
    Article
  3. Article
  4. Influence of medicinal treatment on the course of nonspecific acute low back pain in older adults: generalized estimating equation using data from the BACE Study - Brazil.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Observational
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Michelly Cardoso SilvaPhysiology Science Graduate Program, Universidade Federal de Sergipe, São Cristóvão, Sergipe, Brazil.
Mayara Tavares OliveiraHealth Science Graduate Program, Universidade Federal de Sergipe, São Cristóvão, Sergipe, Brazil.
Isabela Freire Azevedo-SantosDepartment of Physical Therapy, Universidade Federal de Sergipe, Campus Lagarto, Lagarto, Sergipe, Brazil.
Josimari Melo DeSantanaPhysiology Science Graduate Program, Universidade Federal de Sergipe, São Cristóvão, Sergipe, Brazil; Health Science Graduate Program, Universidade Federal de Sergipe, São Cristóvão, Sergipe, Brazil; Department of Physical Therapy, Universidade Federal de Sergipe, São Cristóvão, Sergipe, Brazil. Electronic address: josimelo@academico.ufs.br.
Universidade Federal de Sergipe · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFacial palsy (FP) is defined as an injury of the seventh cranial nerve pair, partial or total, which can be classified as central or peripheral. Proprioceptive neuromuscular facilitation (PNF) is primarily used in the functional recovery of upper and lower limb conditions, however the technique has also been used for FP.

objectiveTo analyze the effect of PNF in the treatment of dysfunctions in FP.

methodsTen databases including BVS, CENTRAL Cochrane, CINAHL, PEDro, PubMed, Scielo, ScienceDirect, SCOPUS, Web of Science, and Google Scholar were comprehensively searched for dates prior to April 2021. Randomized controlled trials of PNF in individuals with dysfunctions caused by facial paralysis were eligible. Outcomes measures were recovery rate and clinical recovery, both measured by using the House Brackmann Scale. Recovery time was measured in days and synkinesis assessed with the Synkinesis Assessment Questionnaire.

resultsA total of 184 patients were included. In general, the included studies have low methodological quality. None of the five studies used PNF as the sole intervention. In all of the included studies PNF was used in combination with other interventions. Our findings show very low evidence that PNF is more effective than minimal intervention for treating FP.

conclusionWe conclude that given the limited number of studies included and the low methodological quality presented, recommendations based on these studies should be interpreted with caution. The effects of PNF on facial paralysis are not clear.

Indexed as

Facial ParalysisMuscle Stretching ExercisesSynkinesisHumansRecovery of FunctionFacial paralysisKabatPNFProprioceptive neuromuscular facilitation

Identifiers

PMID36279766
PMCPMC9597113
OpenAlexW4306410351

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.