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June 2, 2026British Journal of Neuroscience NursingOpen Access

Commentary on measuring assessment and outcome in peripheral facial palsy management and rehabilitation

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Authors

LPLaura PrettenJHJames Edward Hill

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Overview

Critical appraisal reveals robust reliability for the Sunnybrook Facial Grading System in peripheral facial palsy, highlighting the need for multidisciplinary assessment panels.

Key Points

  • Critically appraise the methodology and findings of a systematic review evaluating diagnostic and assessment tools for peripheral facial paralysis management.
  • Applied an adapted Joanna Briggs Institute critical appraisal checklist to evaluate a systematic review covering 33 studies.
  • Assessed review methodology and study characteristics across samples ranging from 8 to 128 participants.
  • The evaluated systematic review fulfilled five of 11 key methodological criteria, with limitations in search breadth, screening clarity, and data extraction.
  • The Sunnybrook Facial Grading System demonstrated the strongest evidence base, showing good to excellent intra-rater and inter-rater reliability.
  • Evidence indicates that no single tool is sufficient, recommending a multidisciplinary panel of measures incorporating specialist nursing and therapy input.

Cite This Study

Pretten et al. (2026) studied this question.

synapsesocial.com/papers/6aaa40804e082451c833b29bhttps://doi.org/10.12968/bjnn.2025.0015
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