Decreased tongue pressure reflects symptom of dysphagia

被引:151
作者
Yoshida, Mitsuyoshi
Kikutani, Takeshi
Tsuga, Kazuhiro
Utanohara, Yuri
Hayashi, Ryo
Akagawa, Yasumasa
机构
[1] Hiroshima Univ, Grad Sch Biomed Sci, Dept Adv Prosthodont, Miami Ku, Hiroshima, Japan
[2] Nippon Dent Univ Hosp Tokyo, Clin Rehabil Speech & Swallowing Disorders, Tokyo, Japan
关键词
tongue pressure; dysphagia; swallowing evaluation; deglutition; deglutition disorders;
D O I
10.1007/s00455-005-9011-6
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The tongue plays a key role in oropharyngeal swallowing. It has been reported that maximum isometric tongue pressure decreases with age. The risk for dysphagia resulting from low tongue strength remains unclear. This study was designed to reveal the relationship between tongue pressure and clinical signs of dysphagic tongue movement and cough and to demonstrate the clinical value of tongue pressure measurement in the evaluation of swallowing function. One hundred forty-five institutionalized elderly in five nursing homes participated. Evaluation of physical activity with self-standing up capability and mental condition with Mini Mental Status Examination (MMSE) were recorded. Maximum tongue pressure was determined using a newly developed tongue pressure measurement device. Voluntary tongue movement and signs of dysphagic cough at mealtime were inspected and evaluated by one clinically experienced dentist and speech therapist. The relationship between level of tongue pressure and incidence of cough was evaluated using logistic regression analysis with physical and mental conditions as covariates. Tongue pressure as measured by the newly developed device was significantly related to the voluntary tongue movement and incidence of cough (p < 0.05). The results of this study suggest that tongue pressure measurement reflects clinical signs of dysphagic tongue movement and cough and that measurement of tongue pressure is useful for the bedside evaluation of swallowing.
引用
收藏
页码:61 / 65
页数:5
相关论文
共 24 条
[1]   The shortened dental arch: A review of the literature [J].
Armellini, D ;
von Fraunhofer, JA .
JOURNAL OF PROSTHETIC DENTISTRY, 2004, 92 (06) :531-535
[2]   Tongue strength and endurance in different aged individuals [J].
Crow, HC ;
Ship, JA .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1996, 51 (05) :M247-M250
[3]  
Dodds WJ, 1987, DYSPHAGIA, V5, P171
[4]   WHAT IS SARCOPENIA [J].
EVANS, WJ .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1995, 50 :5-8
[5]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[6]  
Hayashi R, 2002, INT J PROSTHODONT, V15, P385
[8]   McGill Ingestive Skills Assessment (MISA): Development and first field test of an evaluation of functional ingestive skills of elderly persons [J].
Lambert, HC ;
Gisel, EG ;
Groher, ME ;
Wood-Dauphinee, S .
DYSPHAGIA, 2003, 18 (02) :101-113
[9]   Effects of two types of tongue strengthening exercises in young normals [J].
Lazarus, C ;
Logemann, JA ;
Huang, CF ;
Rademaker, AW .
FOLIA PHONIATRICA ET LOGOPAEDICA, 2003, 55 (04) :199-205
[10]   Swallowing and tongue function following treatment for oral and oropharyngeal cancer [J].
Lazarus, CL ;
Logemann, JA ;
Pauloski, BR ;
Rademaker, AW ;
Larson, CR ;
Mittal, BB ;
Pierce, M .
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, 2000, 43 (04) :1011-1023