EFFECT OF EXPIRATORY MUSCLE TRAINING ON STOMATOGNATHIC SYSTEM IN PATIENTS WITH STROKE
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: The aim of this study was to assess the effect of expiratory muscle training on the stomatognathic system in patients with stroke. Method: A total of 31 patients with stroke were included in the study: 16 patients with stroke (age=66.63±8.38, height=166.38±8.59, BMI=28.09±4.81) as the control group and 15 patients with stroke (age=65.60±7.62, height=168.20±8.78, BMI=28.95±6.92) as the study group. Temporomandibular joint range of motion and dysfunction, pressure pain threshold of masticatory muscles, facial asymmetry existence, head posture, oral hygiene, oral hygiene habit, masticatory performance, intraoral pH, deglutition, and deep neck flexor muscle endurance of the patients with stroke were assessed. Assessment methods were in order by digital caliper, the Fonseca Questionnaire, algometry, labial commissure and craniocervical angle measurement, general oral health assessment index, and questionnaire, sieve test, digital pH gauge, repetitive saliva swallow test, Eating Assessment Tool, and deep neck flexor endurance test. Patients with stroke in the study group were enrolled in an expiratory muscle training program consisting of 5 sets of 10 repetitions daily for three weeks in addition to conventional physiotherapy; the control group enrolled in the conventional physiotherapy program. Patients with stroke in the study group were called twice a week to assess their compliance with the expiratory muscle training. Results: In intragroup comparison significant increase was found in the inferior portion of the left masseter, mandibular protrusion, and a decrease in labial commissure angle and Fonseca Questionnaire score of the control group (p<0.05). In the study group a significant increase was observed in mandibular depression (p<0.05). In intragroup comparison, both groups had similar intraoral pH, masticatory performance, craniocervical angle and neck flexor muscle endurance (p>0.05). While significant difference was found in lateral deviation, eating assessment inventory and labial commissure angle in intergroup comparison (p<0.05), other parameters were similar (p>0.05). Improvement in labial commissure angle was in favor of the control group (p<0.05). Conclusion: Expiratory muscle training might be preferred to increase mandibular lateral deviation and improve deglutition in subacute or chronic-stage patients with stroke.
Açıklama
Anahtar Kelimeler
Kaynak
Karya Journal of Health Science
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
3
