{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:02:28Z","timestamp":1790128948498,"version":"4.0.1"},"reference-count":30,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,2,23]],"date-time":"2022-02-23T00:00:00Z","timestamp":1645574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Temporary facial nerve palsy after parotid tumor surgery ranges from 14 to 65%, depending on surgery, tumor type, and subsite. The study aimed to evaluate the role of Kabat physical rehabilitation in the outcomes of patients affected by severe facial nerve palsy following parotid gland surgery. The results and clinical data of two groups, Kabat and non-Kabat (control), were statistically compared. Descriptive statistics, the multiple linear regression model, difference in difference approach, and the generalized linear model were used. F-Test, Chi-square test, McFadden R-squared, and adjusted R-squared were used to assess the significance. The results showed that the House\u2013Brackmann (HB) stage of patients who had physiotherapy performed were lower than the control group. The decrease of HB staging in the Kabat group at 3 months was \u22120.71 on average, thus the probability of having a high HB stage decreased by about 13% using Kabat therapy. The results are statistically significant, and indicated that when the Kabat rehabilitation protocol is performed, mainly in the cases of a high-grade HB score, the patients showed a better and faster improvement in postoperative facial nerve palsy.<\/jats:p>","DOI":"10.3390\/diagnostics12030565","type":"journal-article","created":{"date-parts":[[2022,2,23]],"date-time":"2022-02-23T09:34:38Z","timestamp":1645608878000},"page":"565","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Kabat Rehabilitation in Facial Nerve Palsy after Parotid Gland Tumor Surgery: A Case-Control Study"],"prefix":"10.3390","volume":"12","author":[{"given":"Ciro Emiliano","family":"Boschetti","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania \u201cLuigi Vanvitelli\u201d, Via Luigi de Crecchio, 6, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9944-1073","authenticated-orcid":false,"given":"Giorgio","family":"Lo Giudice","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples \u201cFederico II\u201d, Via Pansini, 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Spuntarelli","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania \u201cLuigi Vanvitelli\u201d, Via Luigi de Crecchio, 6, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmine","family":"Apice","sequence":"additional","affiliation":[{"name":"EY\u2014AI & RPA Center of Excellence, Via Meravigli 12\/14, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4497-3563","authenticated-orcid":false,"given":"Raffaele","family":"Rauso","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania \u201cLuigi Vanvitelli\u201d, Via Luigi de Crecchio, 6, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Santagata","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania \u201cLuigi Vanvitelli\u201d, Via Luigi de Crecchio, 6, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianpaolo","family":"Tartaro","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania \u201cLuigi Vanvitelli\u201d, Via Luigi de Crecchio, 6, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4197-9617","authenticated-orcid":false,"given":"Giuseppe","family":"Colella","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania \u201cLuigi Vanvitelli\u201d, Via Luigi de Crecchio, 6, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1001\/jamaoto.2019.1041","article-title":"Assessment of Intraoperative Nerve Monitoring Parameters Associated With Facial Nerve Outcome in Parotidectomy for Benign Disease","volume":"145","author":"Haring","year":"2019","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/SCS.0000000000003186","article-title":"How Deleterious Is Facial Nerve Dissection for the Facial Nerve in Parotid Surgery: An Electrophysiological Evaluation","volume":"28","author":"Eren","year":"2017","journal-title":"J. Craniofac. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Jin, H., Kim, B.Y., Kim, H., Lee, E., Park, W., Choi, S., Chung, M.K., Son, Y.I., Baek, C.H., and Jeong, H.S. (2019). Incidence of postoperative facial weakness in parotid tumor surgery: A tumor subsite analysis of 794 parotidectomies. BMC Surg., 19.","DOI":"10.1186\/s12893-019-0666-6"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1037\/hea0000838","article-title":"Socioemotional functioning with facial paralysis: Is there a congenital or acquired advantage?","volume":"39","author":"Bogart","year":"2020","journal-title":"Health Psychol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1177\/019459988509300202","article-title":"Facial nerve grading system","volume":"93","author":"House","year":"1985","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1097\/00129492-200411000-00027","article-title":"Agreement between the Sunnybrook, House-Brackmann, and Yanagihara Facial Nerve Grading Systems in Bell\u2019s Palsy","volume":"25","author":"Berg","year":"2004","journal-title":"Otol. Neurotol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1002\/lary.26356","article-title":"Quality of life before and after different treatment modalities in peripheral facial palsy: A systematic review","volume":"127","author":"Luijmes","year":"2017","journal-title":"Laryngoscope"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1016\/j.otc.2018.07.004","article-title":"Medical Management of Acute Facial Paralysis","volume":"51","year":"2018","journal-title":"Otolaryngol. Clin. N. Am."},{"key":"ref_9","first-page":"CD001869","article-title":"Antiviral treatment for Bell\u2019s palsy (idiopathic facial paralysis)","volume":"9","author":"Gagyor","year":"2019","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e245","DOI":"10.3346\/jkms.2020.35.e245","article-title":"Acute Peripheral Facial Palsy: Recent Guidelines and a Systematic Review of the Literature","volume":"35","author":"Kim","year":"2020","journal-title":"J. Korean Med. Sci."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"180","DOI":"10.12998\/wjcc.v3.i2.180","article-title":"Use of steroids for facial nerve paralysis after parotidectomy: A systematic review","volume":"3","author":"Varadharajan","year":"2015","journal-title":"World J. Clin. Cases"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1177\/0269215515617309","article-title":"Effectiveness of facial exercise therapy for facial nerve dysfunction after superficial parotidectomy: A randomized controlled trial","volume":"30","year":"2016","journal-title":"Clin. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1080\/00016489.2016.1262553","article-title":"Kabat rehabilitation for Bell\u2019s palsy in the elderly","volume":"137","author":"Monini","year":"2017","journal-title":"Acta Otolaryngol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1007\/s00405-020-06193-3","article-title":"Facial taping as biofeedback to improve the outcomes of physical rehab in Bell\u2019s palsy: Preliminary results of a randomized case-control study","volume":"278","author":"Gambacorta","year":"2021","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1007\/s10103-020-02996-2","article-title":"Efficacy of low-level laser therapy on management of Bell\u2019s palsy: A systematic review","volume":"35","author":"Javaherian","year":"2020","journal-title":"Lasers Med. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1007\/s00296-010-1382-9","article-title":"The rehabilitation of facial involvement in systemic sclerosis: Efficacy of the combination of connective tissue massage, Kabat\u2019s technique and kinesitherapy: A randomized controlled trial","volume":"31","author":"Landi","year":"2011","journal-title":"Rheumatol. Int."},{"key":"ref_17","first-page":"81","article-title":"Early versus delayed rehabilitation treatment in hemiplegic patients with ischemic stroke: Proprioceptive or cognitive approach?","volume":"52","author":"Morreale","year":"2016","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e016739","DOI":"10.1136\/bmjopen-2017-016739","article-title":"The Efficacy of the proprioceptive neuromuscular facilitation (PNF) approach in stroke rehabilitation to improve basic activities of daily living and quality of life: A systematic review and meta-analysis protocol","volume":"7","author":"Urrutia","year":"2017","journal-title":"BMJ Open"},{"key":"ref_19","first-page":"482","article-title":"Proprioceptive neuromuscular facilitation techniques in adhesive capsulitis: A systematic review and meta-analysis","volume":"19","author":"Tedla","year":"2019","journal-title":"J. Musculoskelet. Neuronal Interact."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/j.apmr.2018.11.020","article-title":"Effectiveness of the Proprioceptive Neuromuscular Facilitation Method on Gait Parameters in Patients With Stroke: A Systematic Review","volume":"100","author":"Gunning","year":"2019","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_21","first-page":"171","article-title":"Proprioceptive facilitation therapy for paralysis","volume":"40","author":"Kabat","year":"1954","journal-title":"Physiotherapy"},{"key":"ref_22","first-page":"38","article-title":"Kabat rehabilitation for facial nerve paralysis: Perspective on neurokinetic recovery and review of clinical evaluation tools","volume":"6","author":"Giacalone","year":"2018","journal-title":"Int. J. Acad. Sci. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1016\/j.otc.2018.07.011","article-title":"Facial Rehabilitation: Evaluation and Treatment Strategies for the Patient with Facial Palsy","volume":"51","author":"Robinson","year":"2018","journal-title":"Otolaryngol. Clin. N. Am."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1002\/lary.21764","article-title":"What faces reveal: Impaired affect display in facial paralysis","volume":"121","author":"Ishii","year":"2011","journal-title":"Laryngoscope"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1080\/01973533.2014.917973","article-title":"Communicating without the Face: Holistic Perception of Emotions of People with Facial Paralysis","volume":"36","author":"Bogart","year":"2014","journal-title":"Basic Appl. Soc. Psych."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.math.2009.12.004","article-title":"Barriers to treatment adherence in physiotherapy outpatient clinics: A systematic review","volume":"15","author":"Jack","year":"2010","journal-title":"Man Ther."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Lonsdale, C., Hall, A.M., Williams, G.C., McDonough, S.M., Ntoumanis, N., Murray, A., and Hurley, D.A. (2012). Communication style and exercise compliance in physiotherapy (CONNECT). A cluster randomized controlled trial to test a theory-based intervention to increase chronic low back pain patients\u2019 adherence to physiotherapists\u2019 recommendations: Study rationale, design, and methods. BMC Musculoskelet. Disord., 13.","DOI":"10.1186\/1471-2474-13-104"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"491e","DOI":"10.1097\/PRS.0000000000002954","article-title":"Worldwide Testing of the eFACE Facial Nerve Clinician-Graded Scale","volume":"139","author":"Banks","year":"2017","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.otohns.2008.12.031","article-title":"Facial Nerve Grading System 2.0","volume":"140","author":"Vrabec","year":"2009","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1097\/PRS.0000000000000905","article-title":"Facial nerve grading instruments: Systematic review of the literature and suggestion for uniformity","volume":"135","author":"Fattah","year":"2015","journal-title":"Plast. Reconstr. Surg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/3\/565\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:25:27Z","timestamp":1760135127000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/3\/565"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,23]]},"references-count":30,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3]]}},"alternative-id":["diagnostics12030565"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics12030565","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,23]]}}}