Facial Assessment Scales: Defining Selective Movement

  • R. Balliet
  • J. Diels
  • T. J. Balliet
Conference paper


Gross facial grading systems, such as the commonly used House grading system [1], do not provide the detailed functional information that is required by the surgeon who is performing a procedure affecting a specific area or areas of the face or by the therapist who must be concerned with selective motor retraining. The present functional assessment scales (FAS) have been developed over the past 15 years by the first author to regionally assess retraining of postsurgical and other types of facial paralysis patients (e.g., cancer, trauma, acoustic neuroma, Bell’s palsy, herpes zoster, congenital defects). The FAS have been used with up to 23 movements and gestures on hundreds of facial retraining patients. The methodology of facial retraining has been published elsewhere [2, 3].


Herpes Zoster Acoustic Neuroma Facial Movement Facial Paralysis Functional Movement 
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  1. 1.
    House JW (1983) Facial nerve grading systems. Laryngoscope 93: 1056–1069PubMedCrossRefGoogle Scholar
  2. 2.
    Balliet R, Schinn J, Bach-Y-Rita P (1982) Facial paralysis rehabilitation: retraining selective motor control. Int Rehabil Med 4: 67–74PubMedGoogle Scholar
  3. 3.
    Balliet R (1989) Facial paralysis and other neuromuscular dysfunction of the peripheral nervous system. In: Payton O (ed) Manual of physical therapy. Churchill Livingston, New York, pp 175–213Google Scholar
  4. 4.
    Kendal FP, McCreary EK (1991) Muscle testing and function. Williams and Wilkins, BaltimoreGoogle Scholar
  5. 5.
    Balliet R, Diels J, Bednarek C. Refining a model for the retraining of facial paralysis (in preparation)Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • R. Balliet
  • J. Diels
  • T. J. Balliet

There are no affiliations available

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