Oral tactile sensitivity and masticatory performance are impaired in stroke patients

被引:50
作者
Schimmel, M. [1 ,2 ]
Voegeli, G. [2 ]
Duvernay, E. [2 ]
Leemann, B. [3 ,4 ]
Mueller, F. [2 ,5 ]
机构
[1] Univ Bern, Sch Dent Med, Div Gerodontol, Bern, Switzerland
[2] Univ Geneva, Univ Clin Dent Med, Div Gerodontol & Removable Prosthodont, Geneva, Switzerland
[3] Univ Hosp Geneva, Dept Clin Neurosci, Div Neurorehabil, Geneva, Switzerland
[4] Univ Geneva, Geneva, Switzerland
[5] Univ Hosp Geneva, Dept Internal Med Rehabil & Geriatr, Geneva, Switzerland
基金
瑞士国家科学基金会;
关键词
mastication; stroke; symptom assessment; chewing gum; dysphagia; tactile perception; BRAIN-STEM; DYSPHAGIA; GENERATION; FACE; FOOD;
D O I
10.1111/joor.12482
中图分类号
R78 [口腔科学];
学科分类号
100302 [口腔临床医学];
摘要
Oro-facial impairment following stroke frequently involves reduced chewing performance, that is oral phase dysphagia. The aim was to investigate the sensitivity of oral tissues following stroke and its potential impact on masticatory function. Therefore, hospitalised post-stroke patients were recruited and compared to healthy controls. Outcome measures comprised masticatory performance employing a colour-mixing ability, that is a bolus-kneading test, maximum lip-and bite force and the one-point and two-point tactile thresholds. Food hoarding and prevalence of dry mouth were evaluated with ordinal scales. Twenty-seven stroke patients (age 64.3 +/- 14.1 years) and 27 healthy controls (age 60.8 +/- 14.3 years, P = 0.254) participated in this study. The groups had similar numbers of occluding units. Stroke patients reported more frequently dry mouth sensations and food hoarding. The intra-oral tactile sensitivity on the contra-lesional side was significantly lower in stroke patients compared to controls 0.0001 < P < 0.0002), and significant intra-group side differences were found only in the stroke group (0.0001 < P < 0.0010). For the lip, both sides were less sensitive in the stroke group compared with controls. The experiments confirmed lower masticatory performance and lip force in the stroke group, but the bite force was similar compared to healthy controls. Oral sensitivity was correlated with masticatory performance when a global correlation model was applied. A stroke may affect the sensitivity of the intra-oral tissues contralesionally, thus potentially affecting chewing function. Rehabilitation should therefore not only focus on motor impairment, but equally stimulate the sensitivity of the oral tissues, employing dry ice application or similar specific treatments.
引用
收藏
页码:163 / 171
页数:9
相关论文
共 35 条
[1]
TACTILE SENSITIVITY and CAPABILITY OF SOFT-SOLID TEXTURE DISCRIMINATION [J].
Aktar, Tugba ;
Chen, Jianshe ;
Ettelaie, Rammile ;
Holmes, Melvin .
JOURNAL OF TEXTURE STUDIES, 2015, 46 (06) :429-439
[2]
Supraglottic and pharyngeal sensory abnormalities in stroke patients with dysphagia [J].
Aviv, JE ;
Martin, JH ;
Sacco, RL ;
Zagar, D ;
Diamond, B ;
Keen, MS ;
Blitzer, A .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1996, 105 (02) :92-97
[3]
AXELSSON K, 1989, J AM DIET ASSOC, V89, P1092
[4]
Task-dependent control of human masseter muscles from ipsilateral and contralateral motor cortex [J].
Butler, SL ;
Miles, TS ;
Thompson, PD ;
Nordstrom, MA .
EXPERIMENTAL BRAIN RESEARCH, 2001, 137 (01) :65-70
[5]
Relationship between oral sensitivity and masticatory performance [J].
Engelen, L ;
van der Bilt, A ;
Bosman, F .
JOURNAL OF DENTAL RESEARCH, 2004, 83 (05) :388-392
[6]
von Frey hairs: new materials for a new design [J].
Fruhstorfer, H ;
Gross, W ;
Selbmann, O .
EUROPEAN JOURNAL OF PAIN-LONDON, 2001, 5 (03) :341-342
[7]
Lip muscle training in stroke patients with dysphagia [J].
Hagg, Mary ;
Anniko, Matti .
ACTA OTO-LARYNGOLOGICA, 2008, 128 (09) :1027-1033
[8]
Oral somatosensory awareness [J].
Haggard, Patrick ;
de Boer, Lieke .
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS, 2014, 47 :469-484
[9]
Novel software for quantitative evaluation and graphical representation of masticatory efficiency [J].
Halazonetis, D. J. ;
Schimmel, M. ;
Antonarakis, G. S. ;
Christou, P. .
JOURNAL OF ORAL REHABILITATION, 2013, 40 (05) :329-335
[10]
Predictors of in-hospital mortality and attributable risks of death after ischemic stroken - The German Stroke Registers Study Group [J].
Heuschmann, PU ;
Kolominsky-Rabas, PL ;
Misselwitz, B ;
Hermanek, P ;
Leffmann, C ;
Janzen, RWC ;
Rother, J ;
Buecker-Nott, H ;
Berger, K .
ARCHIVES OF INTERNAL MEDICINE, 2004, 164 (16) :1761-1768