OBJECTIVE: To evaluate the reproducibility of selected verbal and nonverbal facial gestures. STUDY DESIGN: Cross-sectional study. SETTING: School of Dentistry, Cardiff University, Cardiff, United Kingdom. SUBJECTS AND METHODS: Twenty-five white subjects were asked to perform four verbal gestures and two nonverbal facial gestures in a normal, relaxed manner. The sequences were captured using a noninvasive, three-dimensional motion analysis scanner (3dMDFace Dynamic System; 3Q Technologies, Atlanta, GA) at an initial time point (T1) and one month later (T2). Principal component analysis was used to analyze the dynamics of lip movement, and dynamic time warping was used to evaluate the reproducibility between T1 and T2 for the individual facial gestures. Statistical analyses were used to compare the reproducibility of the different facial gestures. RESULTS: All four verbal gestures were found to be significantly more reproducible than the nonverbal gestures. The word "puppy" was most reproducible, and the normal smile expression least reproducible. A hierarchy of reproducibility is proposed as "puppy," "baby," "rope," "bob," standardized smile, normal smile. CONCLUSION: Verbal facial gestures, in particular the words "puppy" and "baby," are more appropriate for use in the assessment of lip movement when compared with smile expressions because of their high level of reproducibility over a one-month period. Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
OBJECTIVE: To evaluate the reproducibility of selected verbal and nonverbal facial gestures. STUDY DESIGN: Cross-sectional study. SETTING: School of Dentistry, Cardiff University, Cardiff, United Kingdom. SUBJECTS AND METHODS: Twenty-five white subjects were asked to perform four verbal gestures and two nonverbal facial gestures in a normal, relaxed manner. The sequences were captured using a noninvasive, three-dimensional motion analysis scanner (3dMDFace Dynamic System; 3Q Technologies, Atlanta, GA) at an initial time point (T1) and one month later (T2). Principal component analysis was used to analyze the dynamics of lip movement, and dynamic time warping was used to evaluate the reproducibility between T1 and T2 for the individual facial gestures. Statistical analyses were used to compare the reproducibility of the different facial gestures. RESULTS: All four verbal gestures were found to be significantly more reproducible than the nonverbal gestures. The word "puppy" was most reproducible, and the normal smile expression least reproducible. A hierarchy of reproducibility is proposed as "puppy," "baby," "rope," "bob," standardized smile, normal smile. CONCLUSION: Verbal facial gestures, in particular the words "puppy" and "baby," are more appropriate for use in the assessment of lip movement when compared with smile expressions because of their high level of reproducibility over a one-month period. Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.