{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:07:10Z","timestamp":1792670830627,"version":"4.5.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,6,19]],"date-time":"2022-06-19T00:00:00Z","timestamp":1655596800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015667","name":"R\u00e9seau Provincial de Recherche en Adaptation-R\u00e9adaptation","doi-asserted-by":"publisher","award":["5080"],"award-info":[{"award-number":["5080"]}],"id":[{"id":"10.13039\/501100015667","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec - Sant\u00e9","doi-asserted-by":"publisher","award":["266532"],"award-info":[{"award-number":["266532"]}],"id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec - Sant\u00e9","doi-asserted-by":"publisher","award":["33310"],"award-info":[{"award-number":["33310"]}],"id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To study the effects of the \u201cMirror Effect Plus Protocol\u201d (MEPP) on global facial function in acute and severe Bell's Palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Single blind and randomized controlled trial to compare the effects of basic counseling (control group) versus MEPP (experimental group) over one year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Outpatient clinic following referrals from Emergency or Otorhinolaryngology Departments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>40 patients ( n\u2009=\u200920 per group) with moderately severe to total palsy who received standard medication were recruited within 14 days of onset. Baseline characteristics were comparable between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>The experimental group received the MEPP program (motor imagery\u2009+\u2009manipulations\u2009+\u2009facial mirror therapy) while the control group received basic counseling. Both groups met the clinician monthly until 6 months and at one-year post-onset for assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Facial symmetry, synkinesis, and quality of life were measured using standardized scales. Perceived speech intelligibility was rated before and after therapy by na\u00efve judges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Descriptive statistics demonstrated improvements in favor of the MEPP for each measured variable. Significant differences were found for one facial symmetry score (House-Brackmann 2.0 mean (SD)\u2009=\u20097.40 (3.15) for controls versus 5.1 (1.44) for MEPP), for synkinesis measures ( p\u2009=\u20090.008) and for quality-of-life ratings (mean (SD) score\u2009=\u200983.17% (17.383) for controls versus 98.36% (3.608) for MEPP ( p\u2009=\u20090.002)). No group difference was found for perceived speech intelligibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The MEPP demonstrates promising long-term results when started during the acute phase of moderately severe to total Bell's Palsy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155221107090","type":"journal-article","created":{"date-parts":[[2022,6,19]],"date-time":"2022-06-19T23:41:11Z","timestamp":1655682071000},"page":"1292-1304","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["The \u201cMirror Effect Plus Protocol\u201d for acute Bell's palsy: A randomized controlled trial with 1-year follow-up"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7444-4649","authenticated-orcid":false,"given":"Sarah","family":"Martineau","sequence":"first","affiliation":[{"name":"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\u2019\u00eele-de-Montr\u00e9al, H\u00f4pital du Sacr\u00e9-C\u0153ur de Montr\u00e9al, Montr\u00e9al, Qu\u00e9bec, Canada"},{"name":"D\u00e9partement d'oto-rhino-laryngologie, Centre Int\u00e9gr\u00e9 Universitaire de Sant\u00e9 et Services Sociaux de l'Est-de-l'\u00cele de Montr\u00e9al, H\u00f4pital Maisonneuve-Rosemont, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"Rahal","sequence":"additional","affiliation":[{"name":"H\u00f4pital Maisonneuve-Rosemont, Montr\u00e9al, Qu\u00e9bec, Canada"},{"name":"D\u00e9partement 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