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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
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Hudiksvall Hosp, Speech & Swallowing Ctr, Dept Otorhinolaryngol, SE-82481 Hudiksvall, Sweden..
Linkoping Univ, Dept Otorhinolaryngol, Linkoping, 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 < 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
2015. Vol. 135, no 9, 962-968 p.
Keyword [en]
Facial paralysis, stroke, dysphagia, facial dysfunction, facial activity test, oral screen, palatal plate, training
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URN: urn:nbn:se:uu:diva-264683DOI: 10.3109/00016489.2015.1042043ISI: 000361288800017PubMedID: 25947252OAI: oai:DiVA.org:uu-264683DiVA: diva2:861268
Available from: 2015-10-16 Created: 2015-10-15 Last updated: 2015-10-16Bibliographically approved

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Hägg, Mary
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