Emotional Perception and Production in Facial Palsy: Respiratory, Vocal and Facial Markers.

NCT03619720 | Completed

• 1 other identifier: 2018-A01043-52
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Respiratory function, phonation and facial expressivity are related to emotional reaction through neurophysiological process. Specific emotional respiratory, vocal and facial patterns had been described in literature. Respiratory cycles variation is modulated by stimulus arousal. Furthermore, inspiratory-to-expiratory time ratio in abdominal area is modulated by emotional valence. Inextricably linked to respiration, vocal production depends on emotional arousal and valence too. According to embodied cognition, the effector pattern of an emotion initiates the corresponding subjective activation. Facial recognition is influenced by automatic mimicry and facial feedback. Most facial feedback studies included patients with diplegia but few studies dealt with emotional perception in Bell's palsy. The aim of the present study is to understand production and perception of emotion in Bell's palsy with respiratory, vocal and facial markers. What impact lack of mimicry have on physiological emotional reaction in Bell's palsy? To this end, prospective monocentric study will be conducted with 60 patients with Bell's Palsy from grade II to grade VI of House \& Brackmann's scale. During production and perception of vocal and facial expression, respiratory rate and thoraco-abdominal movements will be analyzed. The investigators hypothesize that severity of facial deficit is negatively correlated with variation of respiratory cycles, lower segmental and suprasegmental changes during vocal expression, and lower facial perception (congruency and arousal).

Conditions

Facial Palsy

Keywords

Emotions, Respiratory Rate, Phonation

Outcome Measures

Primary Outcomes (1)

• Effects of facial impairment on the respiratory rate

  Facial impairment assesed with Sunnybrook Facial Grading Scale Composite Score in %. Respiratory rate is measured with chest and abdominal belt (breaths per minute).

  1hour

Secondary Outcomes (2)

• Effects of facial impairment on pitch variation (Hz) during emotional vocal production.

  1hour

• Effects of facial impairment on perception of emotional facial displays.

  1hour

Study Arms (1)

Participants

EXPERIMENTAL

Other: Records

Interventions

Records OTHER

Respiratory records, Vocal records Video records Questionnaires

Participants

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients affiliated to the health care system
• Patients must have been diagnosed with unilateral peripheral facial palsy stage III to VI, according to House and Brackmann international classification.
• To be able to read, understand and sign a consent
• To be able to understand French spoken and written

You may not qualify if:

• Diplegia or facial graft
• Visual disorders, non corrected
• Respiratory or vocal disorders
• Psychiatric history
• Facial surgery

Sponsors & Collaborators

• Association pour le Développement et l'Organisation de la Recherche en Pneumologie et sur le Sommeil: lead

Study Sites (1)

Laboratoire de Physiopathologie Respiratoire du Service de Pneumologie et de Réanimation

Paris, 75013, France

Location

MeSH Terms

Conditions

Facial Paralysis

Interventions

Records

Condition Hierarchy (Ancestors)

Mouth Diseases; Stomatognathic Diseases; Paralysis; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Organization and Administration; Health Services Administration; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Peggy Gatignol

  Laboratoire de physiopathologie respiratoire, UMR_S 1158 INSERM/UPMC " Neurophysiologie Respiratoire Expérimentale et Clinique "

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 21, 2018
• First Posted: August 8, 2018
• Study Start: August 11, 2018
• Primary Completion: September 25, 2019
• Study Completion: April 10, 2020
• Last Updated: August 14, 2020

Record last verified: 2020-07

Locations

FR (1)