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Structural Equation Modeling of Tongue Function and Tongue Hygiene in Acute Stroke Patients

Author

Listed:
  • Rena Hidaka

    (Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Junichi Furuya

    (Geriatric Dentistry, Showa University School of Dentistry, Tokyo 145-8510, Japan)

  • Akira Nishiyama

    (Dental Anesthesiology and Orofacial Pain Management, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Hiroyuki Suzuki

    (Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Michiyo Aoyagi

    (Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Chiaki Matsubara

    (Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Yu Yoshizumi

    (Oral Surgery, Saitama Red Cross Hospital, Japanese Red Cross Society, Saitama 330-0081, Japan)

  • Kanako Yoshimi

    (Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Ayako Nakane

    (Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Haruka Tohara

    (Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

  • Yuji Sato

    (Geriatric Dentistry, Showa University School of Dentistry, Tokyo 145-8510, Japan)

  • Shunsuke Minakuchi

    (Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan)

Abstract

In acute stroke patients, it is important to maintain tongue hygiene and tongue function for prognosis management. However, the direct relationship between these factors is unclear, since these are often assessed by multiple observables. In this study, we used structural equation modeling (SEM) analysis, a tool to analyze the relationship between concepts that cannot be measured directly, to analyze the relationship between tongue hygiene and tongue function. The subjects were 73 patients with acute stroke admitted to a university hospital who underwent dental intervention. Age, sex, nutritional intake method, clinical severity classification of dysphagia, number of current teeth, number of functional teeth, oral health, tongue movement, tongue coating, number of microorganisms on the tongue surface, tongue surface moisture level, and tongue pressure were measured at the first visit. SEM analysis showed that the relationship between tongue function and tongue hygiene was 0.05 between tongue function and swallowing function was 0.90, and that between tongue hygiene and swallowing function was 0.09. We found no statistical relationship between tongue function and tongue hygiene in acute stroke patients. However, it was reconfirmed that tongue function is strongly related to feeding and swallowing functions.

Suggested Citation

  • Rena Hidaka & Junichi Furuya & Akira Nishiyama & Hiroyuki Suzuki & Michiyo Aoyagi & Chiaki Matsubara & Yu Yoshizumi & Kanako Yoshimi & Ayako Nakane & Haruka Tohara & Yuji Sato & Shunsuke Minakuchi, 2021. "Structural Equation Modeling of Tongue Function and Tongue Hygiene in Acute Stroke Patients," IJERPH, MDPI, vol. 18(9), pages 1-9, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4567-:d:543381
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    References listed on IDEAS

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    1. Shilpi Ajwani & Sumedh Jayanti & Nadia Burkolter & Craig Anderson & Sameer Bhole & Rhonda Itaoui & Ajesh George, 2017. "Integrated oral health care for stroke patients – a scoping review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 891-901, April.
    2. Kiyomi Iyota & Shinsuke Mizutani & Saori Oku & Misa Asao & Toshiko Futatsuki & Ryosuke Inoue & Yuko Imai & Haruhiko Kashiwazaki, 2020. "A Cross-Sectional Study of Age-Related Changes in Oral Function in Healthy Japanese Individuals," IJERPH, MDPI, vol. 17(4), pages 1-11, February.
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    Cited by:

    1. Yukiko Hatanaka & Junichi Furuya & Yuji Sato & Yoshiki Uchida & Toshiharu Shichita & Noboru Kitagawa & Tokiko Osawa, 2021. "Associations between Oral Hypofunction Tests, Age, and Sex," IJERPH, MDPI, vol. 18(19), pages 1-10, September.

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