Gum Chewing Exercise Synchronised With Neuromuscular Electrical Stimulation is Better Than Gum Chewing Exercise Alone for Improving Masticatory Function and Mucosal Moisture in Older Adults With Sarcopenic Dysphagia.
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引用次数: 0
Abstract
Background: Gum chewing exercise (GCE) is widely used to improve masticatory function in older adults. Nevertheless, it is necessary to develop new therapeutic methods that exert synergistic effects with GCE.
Objective: This study aimed to examine the effects of GCE synchronised with neuromuscular electrical stimulation (NMES) on masticatory function and mucosal moisture in older adults with sarcopenic dysphagia.
Methods: This study enrolled 40 older adults with sarcopenic dysphagia. The participants were randomly assigned to the GCE and GCE plus NMES groups. The GCE group underwent GCE using xylitol gum for 30 min/day, 5 days/week for 4 weeks. The GCE plus NMES group performed GCE with NMES on the upper border of the masseter muscle, below the zygomatic bone in the facial area for 30 min/day, 5 days/week, for 4 weeks. The primary outcome measures were the maximum bite force and masseter muscle thickness. The secondary outcome measure was mucosal moisture on the dorsum of the tongue.
Results: The GCE plus NMES group showed a significant increase in the maximum bite force, masseter muscle thickness, and saliva secretion compared with the GCE group (p < 0.05, all).
Conclusion: This study demonstrated that NMES synchronised with GCE was more effective than GCE alone in improving masticatory function and mucosal moisture in older adults with sarcopenic dysphagia.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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