Role of prosthetic therapy in the rehabilitation of the hemiplegic patientReportar como inadecuado

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Acta stomatologica Croatica, Vol.16 No.2 June 1982. -

The authors evaluate the effect of rehabilitation on the temporal and masseter muscles of the elevator mandible. Parallel studies were conducted on the status of occlusion and dental arch and cephalometric analysis of the physiognomy was performed to evaluate the recovery of the mimical muscles in 31 hemiplegic patients. A significant difference in the EMG activity of the masticatory muscles and in cephalometric values was observed between the healthy and hemiplegic side during rehabilitation. The analysis showed a difference in the stages of recovery of the temporal and masseter muscles even though one would expect the parallel recovery of the elevator mandible and mimical muscles. This means that masticatory muscles recover much slower than mimical muscles. The authors conclude that hemiplegic rehabilitation especially of the masticatory muscles, will be much slower if occlusion is deficient. The authors suggest that for fast recovery of the masticatory muscles, and thus mastication, complete sanation of the teeth and prosthetic rehabilitation should be carried out as soon as possible to obtain optimal conditions for the balance of occlusion and articulation.

hemiplegia; electromyography; cephalometric analysis

Autor: Danko Nikšić - ; Department for Removable Prosthetics, Faculty of Dentistry, Zagreb, Yugoslavia Melita Valentić - ; Department



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