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Functional and Social Limitations After Facial Palsy: Expanded and Independent Validation of the Italian Version of the Facial Disability Index

Chiara Pavese, Miriam Cecini, Nora Camerino, Annalisa De Silvestri, Carmine Tinelli, Maurizio Bejor, Elena Dalla Toffola
DOI: 10.2522/ptj.20130254 Published 1 September 2014
Chiara Pavese
C. Pavese, MD, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
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Miriam Cecini
M. Cecini, MD, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia.
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Nora Camerino
N. Camerino, MD, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia.
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Annalisa De Silvestri
A. De Silvestri, MSc, Biometric Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
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Carmine Tinelli
C. Tinelli, MD, Biometric Unit, Fondazione IRCCS Policlinico San Matteo.
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Maurizio Bejor
M. Bejor, MD, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, and Don Carlo Gnocchi ONLUS Foundation, Milan, Italy.
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Elena Dalla Toffola
E. Dalla Toffola, MD, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, and Rehabilitation Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. Mailing address: Rehabilitation Unit, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, 27100 Pavia, Italy.
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Figures

Figure 1.
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Figure 1.

Inclusion criteria and samples used for validation of the Italian version of the Facial Disability Index (IT-FDI). SFGS=Sunnybrook Facial Grading System, SF-12=12-Item Short Form Health Survey.

Figure 2.
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Figure 2.

Changes in the scores on the Italian version of the Facial Disability Index (IT-FDI) and the Sunnybrook Facial Grading System (SFGS) after treatment. (A) Correlations between the change in the IT-FDI physical function subscale score and the change in the SFGS composite score (n=41). (B) Correlations between the change in the IT-FDI social/well-being function subscale score and the change in the SFGS composite score (n=41). Change was evaluated as the difference between the second visit and the first visit.

Appendix.
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Appendix.

Italian Version of the Facial Disability Index.

Tables

Table 2.
Table 2.

Test-Retest Reliability of Individual Item and Total Scores on the IT-FDI (n=37)a

  • ↵a IT-FDI=Italian version of the Facial Disability Index, ICC=intraclass correlation coefficient, CI=confidence interval, P=physical function subscale, S=social/well-being function subscale.

Table 3.
Table 3.

Construct Validity (N=100)a

  • ↵a Reported as the Spearman coefficients of correlation (r) of the physical function subscale and the social/well-being function subscale of the Italian version of the Facial Disability Index (IT-FDI) with the Sunnybrook Facial Grading System (SFGS) and the 12-Item Short Form Health Survey (SF-12). PCS=physical component summary, MCS=mental component summary.

Table 4.
Table 4.

Correlations of Items Related to Mouth Function in the IT-FDI and the SFGS (N=100)a

  • ↵a Reported as the Spearman coefficients of correlation (r). IT-FDI=Italian version of the Facial Disability Index, SFGS=Sunnybrook Facial Grading System.

  • b Levator labii superioris alaeque nasi muscle.

  • c Zygomaticus-risorius muscle.

  • d Orbicularis oris muscle.

Table 1.
Table 1.

Demographic and Clinical Characteristics of Participantsa

  • ↵a SFGS=Sunnybrook Facial Grading System, IT-FDI=Italian version of the Facial Disability Index, SF-12=12-Item Short Form Health Survey, PCS=physical component summary, MCS=mental component summary.

  • b The complete sample was used to assess internal consistency, construct validity, and floor and ceiling effects.

  • c The samples used to assess test-retest reliability (n=37) and responsiveness (n=41) were subsets of the complete sample (N=100).

Supplementary Data

eTable

Files in this Data Supplement:

  • eTable (PDF) (16 KB) - This PDF contains the following eTable:
    • eTable. Principal Components Factor Analysis for the Assessment of Theta Coefficients
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Vol 94 Issue 9 Table of Contents
Physical Therapy: 94 (9)

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  • Functional and Social Limitations After Facial Palsy: Expanded and Independent Validation of the Italian Version of the Facial Disability Index
  • Build Better Bones With Exercise: Protocol for a Feasibility Study of a Multicenter Randomized Controlled Trial of 12 Months of Home Exercise in Women With a Vertebral Fracture
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Functional and Social Limitations After Facial Palsy: Expanded and Independent Validation of the Italian Version of the Facial Disability Index
Chiara Pavese, Miriam Cecini, Nora Camerino, Annalisa De Silvestri, Carmine Tinelli, Maurizio Bejor, Elena Dalla Toffola
Physical Therapy Sep 2014, 94 (9) 1327-1336; DOI: 10.2522/ptj.20130254

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Functional and Social Limitations After Facial Palsy: Expanded and Independent Validation of the Italian Version of the Facial Disability Index
Chiara Pavese, Miriam Cecini, Nora Camerino, Annalisa De Silvestri, Carmine Tinelli, Maurizio Bejor, Elena Dalla Toffola
Physical Therapy Sep 2014, 94 (9) 1327-1336; DOI: 10.2522/ptj.20130254
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