Orofacial functional impairments among patients following stroke: a systematic review

Orofacial functional impairments among patients following stroke: a systematic review

Objectives The objective of this study was to review orofacial functional impairments among patients following stroke, including objective and subjective assessment. Methods A structured search strategy was applied to three electronic databases (Pubmed, Embase, and Web of Science) to identify effect...

Full description

Saved in:
Bibliographic Details
Published in:Oral diseases Vol. 21; no. 7; pp. 836 - 849
Main Authors: Dai, R, Lam, O LT, Lo, E CM, Li, L SW, Wen, Y, McGrath, C
Format: Journal Article
Language:English
Published: Denmark Blackwell Publishing Ltd 01-10-2015
Wiley Subscription Services, Inc
Subjects:
Bite Force
Dentistry
Face
function
Humans
Lip - physiopathology
Mastication
oral health
Quality of life
Rehabilitation
Salivation
Stereognosis
Stroke
Stroke - complications
Stroke - physiopathology
Systematic review
Tongue - physiopathology
oral health
rehabilitation
systematic review
stroke
function
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives The objective of this study was to review orofacial functional impairments among patients following stroke, including objective and subjective assessment. Methods A structured search strategy was applied to three electronic databases (Pubmed, Embase, and Web of Science) to identify effective papers. Relevant data regarding subjects, method, outcomes, and key findings were extracted from the effective papers and the results were summarized. Results The initial search yielded 5227 papers, and 18 effective papers (Kappa: 0.971) were in accordance with the inclusion criteria. The patients with stroke consistently showed a decreased lip force, salivary flow rate, and chewing performance compared with the healthy controls. Due to equivocal results gained from the effective papers, the qualitative assessments regarding whether there was any change in masticatory force on the affected side and oral health‐related quality of life were inconclusive. Conclusions Existing evidence highlights a number of compromised orofacial functions experienced by patients following stroke. These impairments appear to be sustained, with spontaneous recovery unlikely to occur. While rehabilitative approaches may have the potential to improve orofacial function and quality of life following stroke, there is currently a lack of evidence‐based interventions available to inform the development of comprehensive rehabilitation protocols.
Bibliography:ArticleID:ODI12274
ark:/67375/WNG-V940ND6Q-S
istex:21634F20AC551318D9D0E8157A33A321248EBCF9
Research Grants Council of Hong Kong - No. 774012
SourceType-Scholarly Journals-1
ObjectType-Feature-4
ObjectType-Undefined-1
content type line 23
ObjectType-Review-2
ObjectType-Article-3
ISSN:1354-523X
1601-0825
DOI:10.1111/odi.12274