Oral hygiene in stroke survivors undergoing rehabilitation: does upper extremity motor function matters?

Lawal, Isa Usman; Ibrahim, Rasha El Sayed; Ramphoma, K.J.

doi:10.1080/10749357.2020.1845013

Cited by 4 publications

(10 citation statements)

References 18 publications

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“…Five studies were monocentric cross-sectional studies [ 22 , 23 , 24 , 25 , 26 ], one had an observational design with 6 months follow-up [ 27 ], and two studies were randomized clinical trials [ 28 , 29 ]. The time since stroke varied between immediately after stroke and more than 10 years after stroke onset across studies.…”

Section: Resultsmentioning

confidence: 99%

“…Quality appraisal according to ARHQ criteria revealed that the majority of studies, i.e., six investigations, were of high quality [ 22 , 24 , 25 , 27 , 28 , 29 ]. The two other studies included in this systematic review were of moderate quality [ 23 , 26 ] ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies reported on the OHIP 14 for OHRQoL, showing means between 2.87 and 33.0 points in sum score [ 23 , 25 , 26 , 28 , 29 ]. Three studies applied GOHAI, with sum scores between 45.6 and 55.0 points [ 22 , 27 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Only three studies reported on mean values for the different subscales/dimensions of OHRQoL measurement [ 24 , 25 , 26 ] ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

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Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Schmalz

Ziebolz

2022

JCM

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Objectives: Aim of this systematic review was to assess oral health-related quality of life (OHRQoL) of patients after stroke. Methods: The systematic literature search was performed on December 2021 based on PubMed, Medline, Web of Science, and Scopus, with the search terms: “oral health-related quality of life” AND stroke OR apoplexy OR ischemic stroke OR apoplectic insult. Articles exclusively examining patients after stroke and reporting a well-documented and valid OHRQoL measurement were included. Results: Out of 68 findings, 8 studies were included. The number of patients ranged between 31 and 549 individuals, mean age between 55.7 and 73.9 years, and 49–72% of individuals were male. Two studies included a healthy control group. Oral health parameters were rarely reported across studies. Five studies reported on the Oral Health Impact Profile (OHIP) 14 for OHRQoL, showing means between 2.87 and 33.0 in sum score. Three studies applied Geriatric Oral Assessment Index (GOHAI), with sum scores between 45.6 and 55.0. Only one study found worse OHRQoL in stroke patients compared to healthy controls. Two studies reported on an association between OHRQoL and general quality of life. Three studies found OHRQoL to be associated with different oral health parameters. Only one study found OHRQoL to be associated with stroke-related parameters. Conclusions: Patients after stroke show a reduced OHRQoL. Medical staff and caregivers should support oral hygiene and dental visits, to foster patients’ oral health and OHRQoL.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Only three studies reported on mean values for the different subscales/dimensions of OHRQoL measurement [ 24 , 25 , 26 ] ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

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Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Schmalz

Ziebolz

2022

JCM

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“…Various studies have reported mean OHIP-14 total scores between 2.87 and 33 regarding the oral health profiles of stroke patients [ 41 – 45 ]. Studies have shown that patients’ ADL levels, stroke disability, and recovery time affect OHRQoL [ 41 , 43 , 45 ]. In the present study, stroke inpatients were selected as participants, but most of them were mildly dependent or fully independent (43.8% and 42.3%, respectively), and more than half of them had their first stroke within 1 month (58.4%), so their oral health was at a better level relative to other studies, and no correlation was found with OHRQoL.…”

Section: Discussionmentioning

confidence: 99%

Oral health knowledge, attitudes, and practices and oral health-related quality of life among stroke inpatients: a cross-sectional study

Huang

Liu

et al. 2022

BMC Oral Health

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Background Stroke patients have poor oral hygiene, experience oral dysfunction due to disease factors, and have impaired oral health-related quality of life (OHRQoL). This study aimed to determine the oral health knowledge, attitudes, and practices of stroke inpatients, assess the OHRQoL of these patients, and identify their correlates. Methods In this cross-sectional study, 281 stroke inpatients aged between 22 and 88 years (57.94 ± 10.94) were conveniently selected from three hospitals in Guangzhou, China. OHRQoL was measured among these stroke patients using a Chinese version of the Oral Health Impact Profile-14 (OHIP-14). SPSS 26.0 was used for statistical analysis. Mean scores, standard deviations, and frequency distributions were obtained. The Mann–Whitney U test, Kruskal‒Wallis H test, Spearman's correlation, and multiple linear regression were used in the analysis. Results The mean score of the patients' OHRQoL was 8.37 ± 6.67, with the highest score in the pain or discomfort of the mouth dimension (3.11 ± 2.13) and pain being the most common negative effect (13.5%). In multiple linear regression analysis, significant differences were found between patients only in age (P = 0.008), toothache (P < 0.001), self-rated oral health (P < 0.001), time since last dentist visit (P = 0.037) and reason for not having visited a dentist in the past year (P < 0.001). Conclusion The OHRQoL of patients hospitalised with stroke was moderate, and oral conditions still need to be improved. Increasing age, toothache, a longer time since the last dental visit and the reason for not visiting a dentist in the past year had a negative effect on OHRQoL, and better self-rated oral health had a positive effect. Therefore, in clinical work, greater attention should be given to elderly stroke patients, patients with poor oral status and poor oral health behaviours, timely assessment of patients’ swallowing function, nutritional function, and self-care ability, and early and targeted oral health interventions and guidance.

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Influencing factors associated with oral health among older hospitalized patients with ischemic stroke: A cross-sectional survey

Huang

Wang

et al. 2023

International Journal of Nursing Sciences

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Oral hygiene in stroke survivors undergoing rehabilitation: does upper extremity motor function matters?

Cited by 4 publications

References 18 publications

Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Oral health knowledge, attitudes, and practices and oral health-related quality of life among stroke inpatients: a cross-sectional study

Influencing factors associated with oral health among older hospitalized patients with ischemic stroke: A cross-sectional survey

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