PURPOSE: To examine the effect of a home orofacial exercise program on increasing oral aperture among adults with systemic sclerosis (SSc). METHOD:Forty-eight adults with SSc were assigned randomly to the multifaceted oral-health intervention or usual dental care control group. Participants with an oral aperture of <40 mm in the intervention group received anorofacial exercise program, which included daily manual mouth-stretching and oral-augmentation exercises twice a day with a total of 6 minutes for 6 months. The outcome measure was oral aperture which was measured at baseline, 3-months, and 6-months intervals. RESULTS: A significantly larger increase in oral aperture for participants received the orofacial exercise program was found when compared to those in the usual care at 3 months (P = 0.01), but not at 6-months evaluation. Participants' adherence rate to the exercise program was low (48.9%). CONCLUSIONS: The orofacial exercise program intervention for adults with SSc and microstomia did not show significant improvement at 6 months. In addition to the low exercise adherence rate, insufficient frequencies, repetitions, and durations of the orofacial exercises may contribute to these results.
RCT Entities:
PURPOSE: To examine the effect of a home orofacial exercise program on increasing oral aperture among adults with systemic sclerosis (SSc). METHOD: Forty-eight adults with SSc were assigned randomly to the multifaceted oral-health intervention or usual dental care control group. Participants with an oral aperture of <40 mm in the intervention group received an orofacial exercise program, which included daily manual mouth-stretching and oral-augmentation exercises twice a day with a total of 6 minutes for 6 months. The outcome measure was oral aperture which was measured at baseline, 3-months, and 6-months intervals. RESULTS: A significantly larger increase in oral aperture for participants received the orofacial exercise program was found when compared to those in the usual care at 3 months (P = 0.01), but not at 6-months evaluation. Participants' adherence rate to the exercise program was low (48.9%). CONCLUSIONS: The orofacial exercise program intervention for adults with SSc and microstomia did not show significant improvement at 6 months. In addition to the low exercise adherence rate, insufficient frequencies, repetitions, and durations of the orofacial exercises may contribute to these results.
Authors: J D Reveille; M Fischbach; T McNearney; A W Friedman; M B Aguilar; J Lisse; M J Fritzler; C Ahn; F C Arnett Journal: Semin Arthritis Rheum Date: 2001-04 Impact factor: 5.532
Authors: Susan L Murphy; Janet L Poole; Yen T Chen; Alain Lescoat; Dinesh Khanna Journal: Arthritis Care Res (Hoboken) Date: 2021-12-22 Impact factor: 5.178