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Effect of oral IQoro(R) and palatal plate training in post-stroke, four-quadrant facial dysfunction and dysphagia: A comparison study
Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care. Hudiksvall, Uppsala University/County Council of Gävleborg, Gävle, Uppsala, Sweden.
Hudiksvall, Uppsala University/County Council of Gävleborg, Gävle, Uppsala, Sweden.
2015 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 135, no 9, 962-968 p.Article in journal (Refereed) Published
Abstract [en]

Conclusion: Training with either a palatal plate (PP) or an oral IQoro(R) screen (IQS) in patients with longstanding facial dysfunction and dysphagia after stroke can significantly improve facial activity (FA) in all four facial quadrants as well as swallowing capacity (SC). Improvements remained at late follow-up. The training modalities did not significantly differ in ameliorating facial dysfunction and dysphagia in these patients. However, IQS training has practical and economic advantages over PP training. Objectives: This study compared PP and oral IQS training in terms of (i) effect on four-quadrant facial dysfunction and dysphagia after a first-ever stroke, and (ii) whether the training effect persisted at late follow-up. Methods: Patients were included during two periods; 13 patients in 2005-2008 trained with a PP, while 18 patients in 2009-2012 trained with an IQS. Four-quadrant facial dysfunction was assessed with an FA test and swallowing dysfunction with a SC test: before and after a 3-month training period and at late follow-up. FA and SC significantly improved (p less than 0.001) in both groups. FA test scores after training and at late follow-up did not differ significantly between the groups, irrespective of whether the interval between stroke incidence and the start of training was long or short.

Place, publisher, year, edition, pages
TAYLOR and FRANCIS LTD , 2015. Vol. 135, no 9, 962-968 p.
Keyword [en]
Facial paralysis; stroke; dysphagia; facial dysfunction; facial activity test; oral screen; palatal plate; training
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-121918DOI: 10.3109/00016489.2015.1042043ISI: 000361288800017PubMedID: 25947252OAI: oai:DiVA.org:liu-121918DiVA: diva2:860726
Note

Funding Agencies|Centre for Research and Development, Uppsala University, Uppsala, Sweden; Gavleborg County Council, Sweden; Council for Regional Research in the Uppsala and Orebro region, Sweden

Available from: 2015-10-13 Created: 2015-10-12 Last updated: 2015-10-20

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Department of Otorhinolaryngology in LinköpingResearch & Development Unit in Local Health Care
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Acta Oto-Laryngologica
Surgery

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