House–Brackmann Scale: Difference between revisions
Wendy Walker (talk | contribs) No edit summary |
Wendy Walker (talk | contribs) No edit summary |
||
| Line 87: | Line 87: | ||
== Usefulness in assessing results of facial physiotherapy == | == Usefulness in assessing results of facial physiotherapy == | ||
The H-B grading system has marked limitations: it has only 6 possible grades, and it does not provide detailed informations about specific dysfuntional areas in the face. But its main limitation for physiotherapists is that it is not sensitive enough to detect the small changes that occur during a course of rehabilitation.<br> | The H-B grading system has marked limitations: it has only 6 possible grades, and it does not provide detailed informations about specific dysfuntional areas in the face. | ||
There is no specific evaluation of synkinesis (aberrant linking of movements which is a sequelae of moderate to severe facial nerve damage). | |||
But its main limitation for physiotherapists is that it is not sensitive enough to detect the small changes that occur during a course of rehabilitation.<br> | |||
== Links == | == Links == | ||
Revision as of 01:11, 20 February 2017
Original Editor - Oyemi Sillo
Top Contributors - Wendy Walker, Oyemi Sillo, WikiSysop and Kim Jackson
Objective
[edit | edit source]
The House-Brackmann Scale is the most commonly used tool for the clinical evaluation of facial nerve function.[1] The scale is based upon functional impairment, ranging between I (normal) and VI (no movement). This classification system was first described in 1985 by Dr John W. House and Dr Derald E. Brackmann, otolaryngologists in Los Angeles.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
Intended Population
[edit | edit source]
The scale is used to determine the severity of facial nerve dysfunction in people with facial palsy.
It can be used irrespective of the cause of the palsy.
Method of Use[edit | edit source]
The score is determined by measuring:
- the upwards movement of the midportion of the top of the eyebrow, and
- the outwards movement of the oral commissure
For both the eyebrow and oral commisure movement, 1 point is assigned for every 0.25 cm motion up to a maximum of 1cm. The scores for each structure are added together to give the House-Brackmann score. The maximum score obtainable is 8, if both structures move the full 1cm.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
For objectivity, measurements should be made on both the normal and the affected side.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
| Grade | Description | Measurement | Function % | Estimated Function % |
| I | Normal | 8/8 | 100 | 100 |
| II | Slight | 7/8 | 76 - 99 | 80 |
| III | Moderate | 5/8 - 6/8 | 51 - 75 | 60 |
| IV | Moderately Severe | 3/8 - 4/8 | 26 - 50 | 40 |
| V | Severe | 1/8 - 2/8 | 1 - 25 | 20 |
| VI | Total | 0/8 | 0 | 0 |
Evidence[edit | edit source]
The House-Brackmann grading system has been found to be of high reliability, however examination of individual grades revealed wide variations between trained observers.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
Usefulness in assessing results of facial physiotherapy[edit | edit source]
The H-B grading system has marked limitations: it has only 6 possible grades, and it does not provide detailed informations about specific dysfuntional areas in the face.
There is no specific evaluation of synkinesis (aberrant linking of movements which is a sequelae of moderate to severe facial nerve damage).
But its main limitation for physiotherapists is that it is not sensitive enough to detect the small changes that occur during a course of rehabilitation.
Links[edit | edit source]
Description of House-Brackmann grades
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1NMSEswN1p7Sf5_aDTRo73tuzsITdvV9hVxkDZpuVVcI7GZs_Z|charset=UTF-8|short|max=10: Error parsing XML for RSS
References
[edit | edit source]
- ↑ Arne Ernst, Michael Herzog, Rainer Ottis Seidl. Head and Neck Trauma: An Interdisciplinary Approach. Thieme: Germany. 2006
