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Article

Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?

1
Private Dental Practice, 57 Kasztelanska Street, 60-316 Poznan, Poland
2
Postgraduate Studies in Scientific Research Methodology, Poznan University of Medical Sciences, 10 Fredry Street, 60-701 Poznan, Poland
3
Department of Risk Group Dentistry, Chair of Pediatric Dentistry, Poznan University of Medical Sciences, 70 Bukowska Street, 60-812 Poznan, Poland
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Department of Hygiene, Epidemiology and Ergonomics, Medical University of Bialystok, 2C Adama Mic kiewicza Street, 15-022 Bialystok, Poland
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Experimental Dentistry Laboratory, Medical University of Bialystok, 24A Marii Sklodowskiej-Curie Street, 15-276 Bialystok, Poland
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Department of Occupational Therapy, Poznan University of Medical Sciences, 6 Swiecickiego Street, 60-781 Poznan, Poland
7
Department of Rehabilitation, Greater Poland Cancer Centre, 15 Garbary Street, 61-866 Poznan, Poland
*
Author to whom correspondence should be addressed.
Academic Editors: Stefano Paolucci, Giovanni Morone and Marco Iosa
Brain Sci. 2021, 11(3), 338; https://doi.org/10.3390/brainsci11030338
Received: 27 December 2020 / Revised: 2 March 2021 / Accepted: 4 March 2021 / Published: 7 March 2021
The study’s aim was a clinical observation concerning the influence of oral health on functional status in stroke patients undergoing neurorehabilitation. This pilot cross-sectional clinical study was performed in 60 subacute phase stroke patients during 12 weeks of treatment. The program was patient-specific and consisted of neurodevelopmental treatment by a comprehensive rehabilitation team. The functional assessment was performed using the Barthel index (BI), Berg balance scale (BBS), functional independence measure (FIM), and Addenbrooke’s cognitive examination III (ACE III) scales. Oral health was assessed according to World Health Organization (WHO) criteria, and it was presented using DMFT, DMFS, gingival index (GI), and plaque index (PlI). Significant improvement in many functional scales was noticed. However, important differences in most dental parameters without relevant changes in GI and PlI after the study were not observed. Reverse interdependence (p < 0.05) was shown between physical functioning (BI, FIM, or BBS) with GI and PlI results, and most dental parameters correlated with ACE III. Using multivariate regression analysis, we showed that ACE III and BI are predictive variables for DMFT, just as FIM is for DS (p < 0.05). The present research revealed that poor oral health status in patients after stroke might be associated with inpatient rehabilitation results. View Full-Text
Keywords: oral health; exercises; brain; teeth health; clinical assessment; neurology oral health; exercises; brain; teeth health; clinical assessment; neurology
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MDPI and ACS Style

Gerreth, P.; Gerreth, K.; Maciejczyk, M.; Zalewska, A.; Hojan, K. Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment? Brain Sci. 2021, 11, 338. https://doi.org/10.3390/brainsci11030338

AMA Style

Gerreth P, Gerreth K, Maciejczyk M, Zalewska A, Hojan K. Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment? Brain Sciences. 2021; 11(3):338. https://doi.org/10.3390/brainsci11030338

Chicago/Turabian Style

Gerreth, Piotr, Karolina Gerreth, Mateusz Maciejczyk, Anna Zalewska, and Katarzyna Hojan. 2021. "Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?" Brain Sciences 11, no. 3: 338. https://doi.org/10.3390/brainsci11030338

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