Evidence map›Paper›PMID 42726659›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Facial palsy reveals the sensorimotor contribution to facial-emotion recognition.

Paola Sessa, Arianna Schiano Lomoriello, Thomas Quettier, Antonio Maffei, Sara Costa, Marta Nichele, Pier Francesco Ferrari

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Facial palsy reveals the sensorimotor contribution to facial-emotion recognition.Proceedings of the National Academy of Sciences of the United States of America · 2026
    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

7 authors.

Paola SessaDepartment of Developmental Psychology and Socialisation, University of Padova, Padova 35131, Italy.ORCID 0000-0002-8748-2633
Arianna Schiano Lomoriello *Department of Developmental Psychology and Socialisation, University of Padova, Padova 35131, Italy.ORCID 0000-0003-4521-0450
Thomas Quettier *Department of Developmental Psychology and Socialisation, University of Padova, Padova 35131, Italy.ORCID 0000-0003-4804-7652
Antonio MaffeiDepartment of Developmental Psychology and Socialisation, University of Padova, Padova 35131, Italy.
Sara CostaDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.ORCID 0000-0001-8230-2229
Marta NicheleIndependent Physiotherapist, Padova 35143, Italy.
Pier Francesco FerrariDepartment of Medicine and Surgery, University of Parma, Parma 43126, Italy.ORCID 0000-0003-1987-8748

Funding

Fondazione Cassa di Risparmio di Padova e Rovigo (Foundation Cariparo) "Ricerca Scientifica di Eccellenza" grant (2021)
6 · The paper itself

Abstract

Although recognizing emotions from facial expressions appears effortless, the field is divided between vision-based accounts, which posit matching to learned visual templates, and embodied accounts, which posit recruitment of facial motor circuits. We propose an ambiguity-gated, developmentally calibrated architecture in which the recognition system draws on sensorimotor information primarily when visual evidence is insufficient, with early motor experience proposed to shape the threshold and gain of this contribution. We tested this model across three studies (N = 185) integrating dynamic prototypical and nonprototypical expressions, congenital (Moebius syndrome) and acquired facial palsy, and standardized severity grading (Sunnybrook Facial Grading System; SFGS). Neurotypical adults (N = 117) confirmed a robust prototypicality-dependent cost on recognition. Both congenital (N = 15) and acquired (N = 19) cohorts showed severity-performance coupling for nonprototypical expressions, consistent with shared reliance on sensorimotor information when visual evidence is insufficient; only the Moebius cohort showed this coupling also for prototypical expressions, consistent with undercalibrated visual templates following lifelong atypical facial motor experience. Exploratory electroencephalography (EEG) revealed reduced sensorimotor-face-network functional connectivity in Moebius, consistent with altered cross-route integration. Reanalysis of an independent dataset of ultra-ambiguous static morphs replicated severity-performance coupling and revealed Moebius-control mean differences only under high perceptual demand. Together, the findings provide strong behavioral support for an ambiguity-gated, developmentally calibrated architecture and motivate direct tests of how developmental motor experience shapes when-and how strongly-the recognition system draws on sensorimotor information.

Indexed as

EmotionsFacial ExpressionFacial ParalysisAdultElectroencephalographyFemaleHumansMaleMobius SyndromeYoung Adultembodied cognitionemotion recognitionfacial paralysisMoebius syndromesensorimotor calibration

Identifiers

PMID42726659
PMCPMC13578938

What OpenQuestion holds

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Registered trials

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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.