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

Rena Hidaka, Junichi Furuya, Akira Nishiyama, Hiroyuki Suzuki, Michiyo Aoyagi, Chiaki Matsubara, Yu Yoshizumi, Kanako Yoshimi, Ayako Nakane, Haruka Tohara, Yuji Sato and Shunsuke Minakuchi
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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

IJERPH, 2021, vol. 18, issue 9, 1-9

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.

Keywords: structural equation modeling; tongue function; tongue hygiene; oral health assessment tool; acute stroke (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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