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Facial Paralysis Evaluation Protocol
Facial Paralysis Evaluation Protocol
paralysis”
FONOHABILITA Foundation
EVALUATION PROTOCOL IN FACIAL PARALYSIS
(J. Hair, P. Moya, J. Muñoz, L. Ortega, C. Roland)
Name: _________________________________________________________________________
Age: ______________ Date of birth.: ___ /___ /___ Assessment: ___ /___ /___
Carer: ________________________________ Relationship: ____________________________
Medical diagnostic: ____________________________________________________________
Speech therapy diagnosis: _____________________________________________________
Previous speech therapy treatment: Yes □ / No□
Do you take any medication for facial paralysis? Yes□ / No □
Which?: ________________________________________________________________________
Eye
W
Eye
Mouth Mouth
Course “Phonokinesic approach to facial
paralysis”
FONOHABILITA Foundation
ATM ①②③④⑤⑥⑦⑧⑨⑩
Mastoid ①②③④⑤⑥⑦⑧⑨⑩
1. Sensitivity:
Right unilateral
Left unilateral
INTRAORAL
Right unilateral
Left unilateral
Sweet taste
LINGUAL
Salty flavor
2
Course “Phonokinesic approach to facial
PHONOHABILI
FOUNDATION paralysis”
TA FONOHABILITA Foundation
REHABILITATION. HEALTH AND MOVEMENT
2. HOW:
Muscles Disturbance
Lip BLF Moves
involved Right. Left Observations
Orbicularis oris, Yes □ Yes □
compressor and No □ \ No□ \
risorium
Pucker and stretch lips
(showing teeth)
Orbicularis oris Yes □ Yes □
and compressor No □ \ No □ \
vibrate lips
Orbicularis oris, Yes □ Yes □
compressor and No □ \ No□ \
risorium
Smile
Orbicularis oris Yes □ Yes □
and compressor No □ \ No □ \
1
soup
Yes □ Yes □ No
msaon 1 Upper : middle No□ □
-lé A • -
fibers of the
MMh
Genioglossus
Tip on upper/lower teeth
and upper
lingual Lower :
Upper fibers of
the Genioglossus
and lower lingual
risorio Yes □ Yes □
No □ \ No □ \
N€ ' 1
Move lip corner to right/left
3
Course “Phonokinesic approach to facial
PHONOHABILI
FOUNDATION paralysis”
TA FONOHABILITA Foundation
REHABILITATION. HEALTH AND MOVEMENT
• •
F
and compressor
lip smack
\ \
Orbicularis oris Yes □ Yes □
and compressor No No
• •
Nibbling upper/lower lip \ \
Muscles Disturbance
BLF facial movements
involved Right. Left Observations
Buccinator, Yeah Yes □
major
zygomaticus and • • No
• •
Raise both eyebrows
Ciliary \ \
Yeah Yeah
• •
Bring your eyebrows
together \ \
4
Course “Phonokinesic approach to facial
PHONOHABILI paralysis”
TA
FOUNDATION FONOHABILITA Foundation
REHABILITATION. HEALTH AND MOVEMENT
Yeah • Yeah •
Orbicularis No • No •
oculi
Disturbance
Lingual BLF movements Muscles involved
Right. Left Observations
Yeah •
Middle fibers of No • Yes □
the genioglossus No
•
stick out your tongue
Yeah • Yeah •
No • No •
Pharynglossus,
Hyoglossus and
upper fibers of
enter the tongue the genioglossus
Styloglossus, Yes □ Yes □
amygdaloglossu No No
• •
s and upper
Tongue cap lingual
Yeah • Yeah •
Transverse of No • No •
the tongue
5
Course “Phonokinesic approach to facial
paralysis”
FONOHABILITA Foundation
3. Swallowing
lip closure
lingual
movements
Pharyngeal
elevation
Suction
Rotary jaw
movements
Oral-facial tone
Oral preparatory
stage
6
Course “Phonokinesic approach to facial
paralysis”
FONOHABILITA Foundation
4. Articulatory sweep
Phonemes b p m F d t yes n l r ř and ņ ĉ k g x
ia ie io iu ua EU ui wowai ouc hey eu I ae year eo eah oa
Diff. vowels hdecreasing hea
growing Diphthongs
pl bl fl gl tl cl Note:
Diff. with L/
Diff. with pr br fr gr tr cr dr
/r/
Trabantes yes l n m r p k
5. Communication impairment:
6. Diagnostic Hypothesis: