Serveur d'exploration sur le patient édenté

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Validation of video versus electromyography for chewing evaluation of the elderly wearing a complete denture

Identifieur interne : 000200 ( France/Analysis ); précédent : 000199; suivant : 000201

Validation of video versus electromyography for chewing evaluation of the elderly wearing a complete denture

Auteurs : E. Nicolas [France] ; J. L. Veyrune [France] ; C. Lassauzay [France] ; M. A. Peyron [France] ; M. Hennequin [France]

Source :

RBID : ISTEX:64DE6A77787E3CBEE76DCF4CE0428342A50A5F33

English descriptors

Abstract

summary  Chewing efficiency may affect nutritional status in the elderly. Many elderly patients are complete denture wearers, and often present cognitive problems. Those two factors make evaluation of mastication difficult with experimental methods. Analysis of video recording may be a simple way to routinely assess chewing parameters. This study aimed at validating several parameters of video evaluation versus electromyography (EMG), which is considered the ‘gold standard’. The design was a prospective randomized study, carried out at the Faculty of Dentistry, University of Auvergne, Clermont‐Ferrand, France. Twelve complete denture wearers chewed four model foods differing in hardness. Sessions were videotaped and EMG recordings were registered. Mastication time, number of masticatory cycles and cleaning time were recorded simultaneously by video and EMG. Two investigators independently analyzed the videos twice, in random order. Evaluation of criterion validity: a positive video/EMG correlation was found for the parameters ‘chewing time’ (0·89, Pearson) and ‘number of masticatory cycles’ (0·94, Spearman), whereas no statistical difference was found between these two EMG and video variables (t‐test). Inter and intra‐rater reliability gave a positive intraclass coefficient (ICC) for duration of mastication (0·86–0·98), number of masticatory cycles (0·90–0·97) and cleaning time (0·90–0·98). Discriminatory ability was studied using anova (P = 0·01): variation was significant in masticatory duration (F = 10), number of masticatory cycles (F = 10) and cleaning time (F = 4). Video may be a useful assessment tool in prosthetic rehabilitation and can be applied to help choose the type of food (solid, semi‐liquid or liquid) to administer to dependent persons, particularly those suffering from dementia.

Url:
DOI: 10.1111/j.1365-2842.2007.01696.x


Affiliations:


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ISTEX:64DE6A77787E3CBEE76DCF4CE0428342A50A5F33

Le document en format XML

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<term>Cleaning cycles</term>
<term>Cleaning time</term>
<term>Clin nutr</term>
<term>Clinical evaluation</term>
<term>Clinician</term>
<term>Complete denture</term>
<term>Complete denture wearers</term>
<term>Criterion validity</term>
<term>Dentate subjects</term>
<term>Denture</term>
<term>Denture wearers</term>
<term>Digital camera</term>
<term>Discriminatory ability</term>
<term>Elastic model foods</term>
<term>Electromyography</term>
<term>Food hardness</term>
<term>Food texture</term>
<term>Hardness</term>
<term>Kappa test</term>
<term>Mastication</term>
<term>Masticatory</term>
<term>Masticatory cycles</term>
<term>Masticatory duration</term>
<term>Masticatory frequency</term>
<term>Masticatory function</term>
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<term>Masticatory time</term>
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<term>Oral health</term>
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<term>Positive result</term>
<term>Possible increase</term>
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<term>Reliability</term>
<term>Same variables</term>
<term>Second reading</term>
<term>Valid indicators</term>
<term>Validation</term>
<term>Video</term>
<term>Video evaluation</term>
<term>Video method</term>
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<term>Reliability</term>
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<div type="abstract">summary  Chewing efficiency may affect nutritional status in the elderly. Many elderly patients are complete denture wearers, and often present cognitive problems. Those two factors make evaluation of mastication difficult with experimental methods. Analysis of video recording may be a simple way to routinely assess chewing parameters. This study aimed at validating several parameters of video evaluation versus electromyography (EMG), which is considered the ‘gold standard’. The design was a prospective randomized study, carried out at the Faculty of Dentistry, University of Auvergne, Clermont‐Ferrand, France. Twelve complete denture wearers chewed four model foods differing in hardness. Sessions were videotaped and EMG recordings were registered. Mastication time, number of masticatory cycles and cleaning time were recorded simultaneously by video and EMG. Two investigators independently analyzed the videos twice, in random order. Evaluation of criterion validity: a positive video/EMG correlation was found for the parameters ‘chewing time’ (0·89, Pearson) and ‘number of masticatory cycles’ (0·94, Spearman), whereas no statistical difference was found between these two EMG and video variables (t‐test). Inter and intra‐rater reliability gave a positive intraclass coefficient (ICC) for duration of mastication (0·86–0·98), number of masticatory cycles (0·90–0·97) and cleaning time (0·90–0·98). Discriminatory ability was studied using anova (P = 0·01): variation was significant in masticatory duration (F = 10), number of masticatory cycles (F = 10) and cleaning time (F = 4). Video may be a useful assessment tool in prosthetic rehabilitation and can be applied to help choose the type of food (solid, semi‐liquid or liquid) to administer to dependent persons, particularly those suffering from dementia.</div>
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