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Effects of a nonsurgical exercise program on the decreased mouth opening in patients with systemic scleroderma.

Identifieur interne : 007D19 ( Main/Exploration ); précédent : 007D18; suivant : 007D20

Effects of a nonsurgical exercise program on the decreased mouth opening in patients with systemic scleroderma.

Auteurs : G. Pizzo [Italie] ; G A Scardina ; P. Messina

Source :

RBID : pubmed:14513305

Descripteurs français

English descriptors

Abstract

The decreased mouth opening (microstomia) represents a frequent finding in patients with systemic scleroderma (SSD), but little information is available about the efficacy of nonsurgical management of this condition. The aim of this study is to assess the effects of a nonsurgical exercise program on the decreased mouth opening in a group of 10 SSD patients with severe microstomia (maximal mouth opening < or =30 mm). The subjects were instructed to perform an exercise program including both mouth-stretching and oral augmentation exercises. The effects of such exercises were assessed after an 18-week period by measuring the maximal mouth opening of each subject. All patients completed the study and no adverse effects occurred, with the exception of transient muscular fatigue. The exercise program improved the mouth opening of all subjects (mean increase: 10.7+/-2.06 mm, P<0.005), without significant differences between dentate and edentulous ones (P>0.1). At the end of the 18-week period, all patients commented that eating, speaking and oral hygiene measures were easier. The edentulous subjects also experienced less difficulty inserting their own dentures. These findings suggest that regular application of the proposed exercise program may be useful in the management of microstomia in SSD patients.

DOI: 10.1007/s00784-003-0216-5
PubMed: 14513305


Affiliations:


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Le document en format XML

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<nlm:affiliation>Department of Oral Sciences, Section of Periodontology, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy. giuseppe.pizzo@inwind.it</nlm:affiliation>
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<term>Adult</term>
<term>Aged</term>
<term>Dentition</term>
<term>Denture, Complete</term>
<term>Eating (physiology)</term>
<term>Exercise Therapy</term>
<term>Facial Muscles (physiopathology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Microstomia (etiology)</term>
<term>Microstomia (therapy)</term>
<term>Middle Aged</term>
<term>Mouth (physiopathology)</term>
<term>Mouth, Edentulous (physiopathology)</term>
<term>Oral Hygiene</term>
<term>Patient Satisfaction</term>
<term>Scleroderma, Systemic (complications)</term>
<term>Speech (physiology)</term>
<term>Statistics, Nonparametric</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bouche (physiopathologie)</term>
<term>Bouche édentée (physiopathologie)</term>
<term>Consommation alimentaire (physiologie)</term>
<term>Denture</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Microstomie ()</term>
<term>Microstomie (étiologie)</term>
<term>Muscles de la face (physiopathologie)</term>
<term>Mâle</term>
<term>Parole (physiologie)</term>
<term>Prothèse dentaire complète</term>
<term>Satisfaction du patient</term>
<term>Sclérodermie systémique ()</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Traitement par les exercices physiques</term>
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<term>Microstomia</term>
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<term>Consommation alimentaire</term>
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<term>Mouth, Edentulous</term>
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<term>Microstomia</term>
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<term>Adult</term>
<term>Aged</term>
<term>Dentition</term>
<term>Denture, Complete</term>
<term>Exercise Therapy</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<term>Middle Aged</term>
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<term>Statistique non paramétrique</term>
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<div type="abstract" xml:lang="en">The decreased mouth opening (microstomia) represents a frequent finding in patients with systemic scleroderma (SSD), but little information is available about the efficacy of nonsurgical management of this condition. The aim of this study is to assess the effects of a nonsurgical exercise program on the decreased mouth opening in a group of 10 SSD patients with severe microstomia (maximal mouth opening < or =30 mm). The subjects were instructed to perform an exercise program including both mouth-stretching and oral augmentation exercises. The effects of such exercises were assessed after an 18-week period by measuring the maximal mouth opening of each subject. All patients completed the study and no adverse effects occurred, with the exception of transient muscular fatigue. The exercise program improved the mouth opening of all subjects (mean increase: 10.7+/-2.06 mm, P<0.005), without significant differences between dentate and edentulous ones (P>0.1). At the end of the 18-week period, all patients commented that eating, speaking and oral hygiene measures were easier. The edentulous subjects also experienced less difficulty inserting their own dentures. These findings suggest that regular application of the proposed exercise program may be useful in the management of microstomia in SSD patients.</div>
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