House-Brackman Scale facial nerve palsy The House-Brackmann scale ranges between I normal and VI no movement. Grade I Normal symmetrical function. The House–Brackmann score is a score to grade the degree of nerve damage in a facial nerve A modification of the original House–Brackmann score, called the “Facial Nerve Grading Scale ” (FNGS) was proposed in scale and, four appraisers felt that training is important for the House necessário treinamento prévio; na escala de House & Brackmann.

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House–Brackmann score

When refering to evidence in academic writing, you should always try to reference the primary original source. That is usually the journal article where the information was first stated.

In most cases Bracjmann articles are a secondary source and so should not be used as references. Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.


If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. House and Dr Derald E. Brackmann, otolaryngologists in Los Angeles.

House–Brackmann score – Wikipedia

The scale is used to determine the severity of facial nerve dysfunction in people with facial palsy. For both the eyebrow and oral commisure movement, 1 point is assigned for every 0. 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. For objectivity, measurements should be made on both the normal and the affected side. The House-Brackmann grading system has been found to be of high reliability, however examination of brackmabn grades revealed wide variations between trained observers.

The H-B grading system has marked limitations: 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.

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Description of House-Brackmann grades. The content on or accessible through Physiopedia is for informational purposes only.

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