Orofacial and cervical myofunctional intervention programmes for older adults: A scoping review

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2023-10-17 DOI:10.1111/ger.12719

Allya Francisca Marques Borges, Karinna Veríssimo Meira Taveira, Jade Yohana Mesquita Eduardo, Renata Veiga Andersen Cavalcanti

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Abstract

Introduction

Senescent stomatognathic systems undergo anatomical changes that are not always compensated by physiology due to associated factors such as poorly fitted dentures, dental changes, and clinical conditions that trigger sarcopenia. When these conditions are not properly addressed, they can lead to nutritional deficiencies. Hence, this study aimed to map orofacial and cervical myofunctional intervention programmes for older adults, evaluate the current research in this area, and formulate suggestions for further investigation.

Methods

Scoping review is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist. The EMBASE, LILACS, PubMed/Medline, Scopus, Web of Science, and grey literature databases were systematically searched. Studies addressing therapeutic programmes, myofunctional exercises, and their influence on the stomatognathic system of older adults were included. Studies with populations younger than 60 years, residing in long-term care facilities, homes, or hospital care, and with associated comorbidities were excluded, as well as secondary studies.

Results

A total of 3098 studies were retrieved. After applying the eligibility criteria, nine studies were eligible for this review. The nine studies were published in English between 2008 and 2021 in the United States, Japan, and South Korea. The participants' mean ages ranged from 64 to 81 years, with a preponderance of females. Six of the studies divided the sample into intervention and control groups. Two studies referred to programmes to promote oral function through facial expression and tongue muscle exercises, salivary gland massage, and swallowing biomechanics. Seven studies report the positive influence of myofunctional exercises on the stomatognathic system.

Conclusion

The mapping concluded that therapeutic programmes, including educational actions, help prevent orofacial myofunctional disorders, and improve the functionality of the stomatognathic system.

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老年人的口面部和颈部肌功能干预方案：范围界定综述。

引言：由于相关因素，如假牙安装不良、牙齿变化和引发少肌症的临床条件，衰老的口腔颌系统会发生解剖变化，但这些变化并不总是由生理学来补偿。如果这些情况得不到妥善解决，就会导致营养缺乏。因此，本研究旨在为老年人制定口面部和颈部肌功能干预计划，评估该领域的当前研究，并为进一步调查提出建议。方法：范围界定审查基于系统审查的首选报告项目和范围界定审查的荟萃分析扩展清单。系统检索EMBASE、LILACS、PubMed/Medline、Scopus、Web of Science和灰色文献数据库。研究涉及治疗方案、肌功能锻炼及其对老年人口腔颌面系统的影响。针对60岁以下人群的研究年，居住在长期护理机构、家庭或医院护理，并伴有相关合并症，以及二级研究均被排除在外。结果：共检索到3098项研究。在应用资格标准后，有9项研究符合本次审查的资格。这九项研究于2008年至2021年间在美国、日本和韩国以英文发表。参与者的平均年龄从64岁到81岁不等年，女性占多数。其中6项研究将样本分为干预组和对照组。两项研究提到了通过面部表情和舌头肌肉锻炼、唾液腺按摩和吞咽生物力学来促进口腔功能的计划。七项研究报告了肌功能锻炼对口腔颌面系统的积极影响。结论：绘图得出的结论是，包括教育行动在内的治疗方案有助于预防口面肌功能紊乱，并改善口腔颌系统的功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.