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Neurological Sciences

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13.04.2022 | Review Article

Psychometric properties of the Facial Disability Index in patients with facial palsy: a systematic review and meta-analysis

verfasst von: Fatih Özden, İsmet Tümtürk, Zübeyir Sarı

Erschienen in: Neurological Sciences | Ausgabe 7/2022

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Abstract

Purpose

The aim of the study was to present the systematic review and meta-analysis of the psychometrical analysis of Facial Disability Index (FDI) studies.

Methods

A literature search was conducted in the relevant electronic databases “PubMed, Scopus, Web of Science (WoS), and Cochrane Library.” A total of 621 articles were obtained by searching the relevant keywords (PubMed: 384, Cochrane Library: 14, Web of Science: 132, Scopus: 91). A total of 8 papers were included. The four-point classification and rating-based “COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN)” tools were used to evaluate the bias risk and evidence levels.

Results

Cronbach’s alpha pooling of FDI total score was (ES): 0.803 (95% CI: 0.73–0.86). Heterogeneity for the Facial Disability Index-Physical Function (FDI-PF) and Facial Disability Index-Social Function (FDI-SF) subscore based on intraclass correlation coefficient (ICC) were I² = 84.2% (ICC: 0.88, 95% CI: 0.81–0.92) and I² = 73.7% (ICC: 0.87, 95% CI: 0.81–0.90), respectively. Correlational results between Sunnybrook Facial Grading System (SFGS) with FDI-PF and FDI-SF were 0.38 and 0.22, respectively. The correlations of FDI-PF with Short Form-12 Physical Component Summary (SF-12-PCS) and Short Form-12 Mental Health Component Summary (SF-12-MCS) were 0.43 and 0.28, respectively. Correlation results of FDI-SF with SF-12-PCS and SF-12-MCS were 0.23 and 0.57. The relationship results of Facial Clinimetric Evaluation with FDI-PF and FDI-SF were 0.71 and 0.57, respectively.

Conclusion

FDI is a psychometrically valuable questionnaire, especially for the internal consistency, reliability, and validity. In clinical practice, the use of FDI would be valuable, in addition to clinician-based grading, to see more of patients’ social influences precisely.

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Titel: Psychometric properties of the Facial Disability Index in patients with facial palsy: a systematic review and meta-analysis
verfasst von: Fatih Özden
İsmet Tümtürk
Zübeyir Sarı
Publikationsdatum: 13.04.2022
Verlag: Springer International Publishing
Erschienen in: Neurological Sciences / Ausgabe 7/2022
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-022-06066-z

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