The distress associated with impairments and disabilities occurring as a result of serious burns to the face and mouth is well-known among victims and clinical practitioners. After a serious burn, the World Health Organization (WHO) recommends measuring the level of functioning (WHO, 2001) and using the International Classification of Functioning, Disability and Health (ICF) (Wasiak J et al. 2011). However, in the scientific literature and in clinical practice, the assessment is limited to an objective measurement of the vertical and horizontal opening of the mouth, with no functional measurement. Severe burns to the face and mouth have a significant impact on functioning, but there is no validated measurement tool that draws a complete and specific portrait of functional limitations.
In collaboration with a researcher and patients, the clinical team at the Villa Medica Rehabilitation Hospital (HRVM) has developed an assessment tool available in English and French: a questionnaire called the “Mouth Impairment Disability Assessment” (MIDA). The MIDA is used to document the following elements:
-The level of functioning for functional activities (e.g., eating an apple, brushing teeth, etc.)
-The level of satisfaction (e.g., with the ability to use the mouth, with the aesthetic outcome of the mouth and face)
-The associated symptoms (e.g., pain, tingling, pins and needles, intolerance to hot or cold)
-The level of participation in outside activities
-Impairments (opening of the mouth)

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