Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Randomized Clinical Trial of Oral Health Promotion Interventions Among Patients Following Stroke (2013) |
Auteurs : | Otto Lam ; Anne McMillan ; Lakshman Samaranayake ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/3, 2013) |
Article en page(s) : | pp. 435-443 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation ; Santé buccodentaire |
Mots-clés: | Oral health ; Stroke |
Résumé : |
Objective To evaluate the effectiveness of oral health promotion interventions on clinical oral health. Design Single-blind randomized controlled trial conducted over 3 weeks of in-hospital rehabilitation. Setting Stroke rehabilitation ward in Hong Kong. Participants Patients with stroke (N=102) admitted to the rehabilitation ward. Interventions Patients were randomly assigned either: (1) oral hygiene instruction, (2) oral hygiene instruction and chlorhexidine mouthrinse, or (3) oral hygiene instruction, chlorhexidine mouthrinse, and assisted brushing. Main Outcome Measures Dental plaque, gingival bleeding, and oral functional status were assessed at baseline and review. Development of infectious complications were also monitored during the clinical trial. Results Poor oral hygiene and an overall neglect of oral hygiene practices were observed at baseline. Reductions in dental plaque were significantly greater in the 2 groups receiving chlorhexidine compared with the group receiving oral hygiene instruction alone (P<.001 reductions in gingival bleeding scores were to greater groups receiving chlorhexidine. no cases of pneumonia observed during the course clinical trial.> Conclusions The oral health condition of patients may be safeguarded after acute stroke with the use of chlorhexidine mouthrinse in conjunction with a standard mechanical plaque removal tool, such as an electric toothbrush. These interventions are acceptable to the majority of patients, and their administration poses a minimal burden to rehabilitation ward staff. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2901082-9/abstract |