{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T06:12:20Z","timestamp":1757311940408},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,9,25]],"date-time":"2022-09-25T00:00:00Z","timestamp":1664064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To characterize orofacial myofunctional structures of elders with Parkinson's disease (PD) and examine the relationship with the stages of PD, pharmacotherapy, and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PD Group with 45 elders and a control group (CG) of 10 healthy elders of both sexes were included (60\u201386 years). Structured interviews, medical records, and clinical examination gathered information on health aspects such as the use of drugs, Hoehn &amp; Yahr stages 1\u20134, and oral health status. The Mini\u2010Mental State Examination, Parkinson's Disease Questionnaire, and Orofacial Myofunctional Evaluation with Scores for Elders were applied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Better oral health status was found in participants diagnosed as Hoehn &amp; Yahr stage 1 compared to the later stages. OMES\u2010Elders scores for appearance\/posture, mobility, breathing, and speech functions were different between groups, and decreased overall OMES\u2010Elders was observed across the Hoehn &amp; Yahr stages. A higher number of masticatory cycles was required for chewing and ingestion of the test food in the PD group compared to CG (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). Significant differences were found in the mobility and daily living activities domains and an overall score of QoL between the Hoehn &amp; Yahr stages 1 and 4, and worst orofacial functioning was accompanied by the worst self\u2010perception of QoL in the communication domain (rho\u00a0=\u00a0\u22120.32; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.034). The use of xerogenic drugs did not affect the OMES\u2010Elders swallowing domain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Worse dental condition and performance of orofacial functions was observed in the elders with PD as the disease progresses, and poorer orofacial performance negatively affects their perception of communication skills.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12787","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T02:03:46Z","timestamp":1664157826000},"page":"425-434","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Orofacial myofunctional assessment and quality of life of individuals with Parkinson's disease"],"prefix":"10.1111","volume":"43","author":[{"given":"S\u00edlvia Regina Siqueira","family":"de Ara\u00fajo","sequence":"first","affiliation":[{"name":"Department of Speech Therapy Universidade Federal de S\u00e3o 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