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Scientific article
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English

Oral tactile sensitivity and masticatory performance are impaired in stroke patients

Contributors

Schimmel, Martin; Voegeli, G; Duvernay, E; Leemann, Béatrice; Muller, Frauke

Published in

Journal of Oral Rehabilitation, vol. 44, no. 3, p. 163-171

Publication date

2017

Abstract

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 contra-lesionally, 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.

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

SCHIMMEL, Martin et al. Oral tactile sensitivity and masticatory performance are impaired in stroke patients. In: Journal of Oral Rehabilitation, 2017, vol. 44, n° 3, p. 163–171. doi: 10.1111/joor.12482

Main files (1)

Article (Accepted version)

Identifiers

Journal ISSN

0305-182X
515views
1197downloads

Technical informations

Creation

24/10/2017 17:06:00

First validation

24/10/2017 17:06:00

Update

13/10/2025 19:31:33

Status update

15/03/2023 02:30:04

Last indexation

27/02/2026 14:41:01
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