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Study on the effects of gum rubbing and oral care in eight elderly cases of masseter reflex Akihiro Sugiyama 1 , Tatsuro Ohno 1,2 , Ken Sato 1,3 1Department of Rehabilitation, Public Interest Incorporated Association Yuurinkouseikai Fuji Hospital 2Department of Orthopedic Surgery, Public Interest Incorporated Association Yuurinkouseikai Fuji Hospital 3Department of Diabetes Internal Medicine, Public Interest Incorporated Association Yuurinkouseikai Fuji Hospital Keyword: ガム・ラビング , 咬反射 , 口腔ケア , gum rubbing , masseter reflex , oral care pp.345-353
Published Date 2017/12/15
DOI https://doi.org/10.11477/mf.6001200147
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 Active oral care by speech-language-hearing therapists is recommended in geriatric medicine. One of the factors that hinders assistance for people who are unable to care for their mouth independently is the masseter reflex. Although gum rubbing is considered to be an effective treatment for reducing the masseter reflex, its effectiveness has not been studied in detail. In this study, the authors conducted gum rubbing for five weeks on eight elderly people with a masseter reflex following their cerebrovascular disorder and then evaluated the effectiveness of the treatment. Evaluation consisted of analyzing the duration of the masseter reflex, the method for keeping the mouth open during oral care, and the plaque control record (PCR). Results revealed that the duration of the masseter reflex decreased in all cases, although it did not completely disappear. The contact pressure stimulation used for gum rubbing may have been too low. Also, it has been suggested that at least four weeks of gum rubbing is needed for any reduction of the masseter reflex. Prior to intervention, it was difficult to keep the mouth open enough for oral care and the average plaque attachment rate was as high as 61%. However, after five weeks of gum rubbing, patients found it easier to keep their mouth open and the plaque attachment rate decreased to 34%.


Copyright © 2017, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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