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PHYS THER
Vol. 78, No. 7, July 1998, pp. 678-689

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Research Reports

Validation of a Treatment-Based Classification System for Individuals With Facial Neuromotor Disorders

Jessie M VanSwearingen and Jennifer S Brach

JM VanSwearingen, PhD, PT, is Assistant Professor of Physical Therapy, Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, 6035 Forbes Tower, Pittsburgh, PA 15260 (USA) (jessievs+@pitt.edu), and Director of Rehabilitation, Facial Nerve Center, CORE Network, Limited Liability Corporation, University of Pittsburgh Medical Center.
JS Brach, PT, is Clinical Assistant Professor of Physical Therapy, Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, and Physical Therapist, CORE Network, Limited Liability Corporation, University of Pittsburgh Medical Center.

Background and Purpose. A method for linking treatments to signs and symptoms of facial neuromotor disorders is needed. We describe the construct validation of a treatment-based classification system for facial neuromotor disorders. Subjects and Methods. Based on physical signs and symptoms, 148 patients (mean age=48.9 years, SD=16.1, range=20–93) were assigned to treatment-based categories. The pattern of impairment and disability was compared with clinical expectations. Results. The distribution of impairment and disability scores demonstrated the expected signs and symptoms of the treatment-based categories. Confirmatory principal-components factor analysis indicated 4 factors, corresponding to the treatment-based categories; the factor loadings confirmed the presence of the key sign or symptom characteristic of the categories. Conclusion and Discussion. Classifying facial neuromotor disorders into treatment-based categories appears to be a valid method for categorizing patients with specific impairments or disabilities and may be useful in linking treatments to outcomes.

Key Words: Classification • Facial paralysis • Rehabilitation


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