{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:46:39Z","timestamp":1777643199326,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The extent to which the healthy hemiface dynamically contributes to facial synchronization during facial rehabilitation has been largely unstudied. This study compares the synchronization of both hemifaces in severe Bell's palsy patients who either received facial rehabilitation called \u201cMirror Effect Plus Protocol\u201d (MEPP) or basic counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Baseline and 1-year postonset data from 39 patients (19\u2009=\u2009MEPP and 20\u2009=\u2009basic counseling) were retrospectively analyzed using Emotrics+, a software that generates facial metrics with artificial intelligence (AI) algorithms. Paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests were used for intrasubject comparisons of hemifaces, and mixed model analysis were used to compare between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      For voluntary movements, a significant difference in favor of the MEPP group was only found for smiling (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.025*). However, at 1-year postonset, the control group showed significant variability between hemifaces for most synkinesis measurements [nasolabial fold (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.029*); eye area (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.043*); palpebral fissure (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.011*)].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this study, a better synchronization of both hemifaces was found in the MEPP group. Interestingly, motor adaptation in movement amplitude of the healthy hemiface seemed to contribute to this synchronization in MEPP patients. Further studies are needed to standardize the procedure of AI measurements and to adapt it for clinical use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2023.0087","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T12:23:41Z","timestamp":1697027021000},"page":"172-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of Objective Facial Metrics on Both Sides of the Face Among Patients with Severe Bell's Palsy Treated with Mirror Effect Plus Protocol Rehabilitation Versus Controls"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7444-4649","authenticated-orcid":false,"given":"Sarah","family":"Martineau","sequence":"first","affiliation":[{"name":"D\u00e9partement de chirurgie et Direction des Services Multidisciplinaires, H\u00f4pital Maisonneuve-Rosemont, Montr\u00e9al, Qu\u00e9bec, Canada."},{"name":"Centre de recherche du Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et services sociaux du Nord-de-l'\u00eele-de-Montr\u00e9al, H\u00f4pital du Sacr\u00e9-C\u0153ur de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."},{"name":"\u00c9cole d'Orthophonie et d'Audiologie, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucie","family":"Perrin","sequence":"additional","affiliation":[{"name":"D\u00e9partement universitaire d'enseignement et de formation en orthophonie, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Sorbonne, Paris, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Kerleau","sequence":"additional","affiliation":[{"name":"D\u00e9partement universitaire d'enseignement et de formation en orthophonie, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Sorbonne, Paris, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akram","family":"Rahal","sequence":"additional","affiliation":[{"name":"D\u00e9partement de chirurgie et Direction des Services Multidisciplinaires, H\u00f4pital Maisonneuve-Rosemont, Montr\u00e9al, Qu\u00e9bec, Canada."},{"name":"\u00c9cole d'Orthophonie et d'Audiologie, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karine","family":"Marcotte","sequence":"additional","affiliation":[{"name":"Centre de recherche du Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et services sociaux du Nord-de-l'\u00eele-de-Montr\u00e9al, H\u00f4pital du Sacr\u00e9-C\u0153ur de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."},{"name":"\u00c9cole d'Orthophonie et d'Audiologie, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11020427"},{"issue":"2","key":"e_1_3_6_3_2","first-page":"195","article-title":"Peripheral facial weakness (Bell's palsy)","volume":"52","author":"Basi\u0107-Kes V","year":"2013","unstructured":"Basi\u0107-Kes V, , Dobrota VD, , Cesarik M, et al. 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