Measurement of maximum tongue protrusion force (MTPF) in healthy young adults

We propose that tongue protrusive strength and tone may be related to upper airway patency, and when protrusive strength is reduced, individuals are at higher risk of developing sleep apnea, or speech/swallow disorders. The goal of the current study was to determine normative values of maximum tongue protrusion force (MTPF) in healthy young adults, using a unique newly developed device. We hypothesized that MTPF would be greater in males than in females. One hundred and one healthy young adults (mean age: 22.99 years; male: 23, female: 78) participated in this study. The subjects pushed their tongue forward against the device's piston (protrusion) as hard as possible for 2-5 sec and MTPF was recorded in Newtons (N). A minimum of 5 MTPF measurements were obtained with 1-2 min rest between measurements. The average MTPF for all subjects was 15.4 N (SD: +/- 3.8), with a range of 8-29. The male average MTPF was higher than female (17.8 N, SD: +/- 3.7 vs. 14.7 N, SD: +/- 3.5; P = 0.001). There was no significant difference for age between males and females; males had significantly greater height and weight. The results demonstrate our novel device can effectively measure tongue protrusive force in healthy young adults. This study provides normative values for MTPF, and identified significant tongue protrusion strength differences between males and females.