DOI QR코드

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Effect of Masticating Chewing Gum on the Balance of Stroke Patients

  • Gim, Mina (Department of Physical Therapy, Wonkwang Health Science University) ;
  • Choi, Junghyun (Department of Physical Therapy, Namseoul University)
  • 투고 : 2021.04.25
  • 심사 : 2021.05.30
  • 발행 : 2021.06.30

초록

Background: Masticating is an activity that is free from temporal or spatial constraints, with an advantage that it can be combined easily with other treatment methods. While several studies have reported a positive effect of the intervention of chewing using the jaw on postural stability, only a few studies were conducted on stroke patients. Objectives: To investigated the effects of masticating chewing gum on the static and dynamic balancing of stroke patients. Design: Randomized cross-over study design. Methods: Nineteen stroke patients were randomly assigned to the chewing group or control group. BT4 was used to measure the static and dynamic balancing abilities. Pre-test measurements were taken before mastication of chewing gum, and post-test measurements were taken after 2 days. The stroke patients in the chewing group were guided to sit on a chair and chew gum for 3 min, and their balancing abilities were simultaneously measured. The balancing abilities of the control group patients were measured while they sat at rest without masticating chewing gum. Results: The chewing group showed significant increases in the measures of static balance (i.e., C90 area, trace length, X mean, and Y mean). In the between-group comparison, the measures of static balance were significantly higher in the chewing group than in the control group. Conclusion: These findings suggest that masticating chewing gum enhanced the static balancing ability of stroke patients. Thus, gum chewing should be considered a viable clinical intervention to control posture in stroke patients.

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참고문헌

  1. Hochstenbach J, Donders R, Mulder T, Van Limbeek J, Schoonderwaldt H. Long-term outcome after stroke: a disability-orientated approach. Int J Rehabil Res. 1996;19(3):189-200. https://doi.org/10.1097/00004356-199609000-00001
  2. A Shumway-Cook A, Woollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000;55(1):M10-16.
  3. Mackintosh SF, Hill KD, Dodd KJ, Goldie PA, Culham EG. Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation. Arch Phys Med Rehabil. 2006;87(12):1583-1589. https://doi.org/10.1016/j.apmr.2006.09.004
  4. Bonan IV, Marquer A, Eskiizmirliler S, Yelnik AP, Vidal P-P. Sensory reweighting in controls and stroke patients. Clin Neurophysiol. 2013;124(4):713-722. https://doi.org/10.1016/j.clinph.2012.09.019
  5. Kushiro K, Goto F. Effect of masticating chewing gum on postural stability during upright standing. Neurosci Lett. 2011;487(2):196-198. https://doi.org/10.1016/j.neulet.2010.10.021
  6. Goto F, Kushiro K, Tsutsumi T. Effect of chewing gum on static posturography in patients with balance disorders. Acta Otolaryngol. 2011;131(11):1187-1192. https://doi.org/10.3109/00016489.2011.607846
  7. Hellmann D, Stein T, Potthast W, Rammelsberg P, Schindler HJ, Ringhof S. The effect of force-controlled biting on human posture control. Hum Mov Sci. 2015;43:125-137. https://doi.org/10.1016/j.humov.2015.08.009
  8. Gim MN, Lee SB, Yoo KT, Bae JY, Kim MK, Choi JH. The effect of olfactory stimuli on the balance ability of stroke patients. J Phys Ther Sci. 2015;27(1):109-113. https://doi.org/10.1589/jpts.27.109
  9. Kim MJ, Hong JY, Lee GH, et al. Effects of chewing exercises on the occlusal force and masseter muscle thickness in community-dwelling Koreans aged 65 years and older: A randomised assessor-blind trial. J Oral Rehabil. 2020;47(9):1103-1109. https://doi.org/10.1111/joor.13036
  10. Horak FB, Henry SM, Shumway-Cook A. Postural perturbations: new insights for treatment of balance disorders. Phys Ther. 1997;77(5):517-33. https://doi.org/10.1093/ptj/77.5.517
  11. Takada Y, Miyahara T, Tanaka T, Ohyama T, Nakamura Y. Modulation of H reflex of pretibial muscles and reciprocal Ia inhibition of soleus muscle during voluntary teeth clenching in humans. J Neurophysiol. 2000;83(4):2063-2070. https://doi.org/10.1152/jn.2000.83.4.2063
  12. Buisseret-Delmas C, Compoint C, Delfini C, Buisseret P. Organisation of reciprocal connections between trigeminal and vestibular nuclei in the rat. J Comp Neurol. 1999;409:153-168. https://doi.org/10.1002/(SICI)1096-9861(19990621)409:1<153::AID-CNE11>3.0.CO;2-#
  13. Cuccurazzu B, Deriu F, Tolu E, Yates BJ, Billig I. A monosynaptic pathway links the vestibular nuclei and masseter muscle motoneurons in rats. Exp Brain Res. 2007;176:665-671. https://doi.org/10.1007/s00221-006-0834-7
  14. Park SH, Kim HJ, Kim JS, et al. Mastication-induced vertigo and nystagmus. J Neurol. 2014;261:480-489. https://doi.org/10.1007/s00415-013-7221-7
  15. Boroojerdi B, Battaglia F, Muellbacher W, Cohen LG. Voluntary teeth clenching facilitates human motor system excitability. Clin Neurophysiol. 2000;111(6):988-993. https://doi.org/10.1016/S1388-2457(00)00279-0
  16. Miyahara T, Hagiya N, Ohyama T, Nakamura Y. Modulation of human soleus H reflex in association with voluntary clenching of the teeth. J Neurophysiol. 1996;76(3):2033-2041. https://doi.org/10.1152/jn.1996.76.3.2033