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 – 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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