Most experts that treat patients with facial paralysis use a scoring system to grade severity of synkinesis. The most comprehensive scoring system is the Sunnybrook Facial Grading System which allows for an assessment of facial range of movement, and has a section dedicated to rating the presence of synkinesis.  Another helpful tool is the Synkinesis Assessment Questionnaire (SAQ). The SAQ can provide a reliable measurement of synkinesis and how it affects the patient.  Many clinicians may also use digital photography and video to score a patients facial paralysis and synkinesis. The EFACE scoring system is used to assess patients at rest, with dynamic facial movement and to also assess severity of synkinesis.   Together these tools provide the information your clinicians need to properly evaluate and treat synkinesis.