Characterization of tongue strength via objective measures
Caracterização da força da língua por meio de medidas objetivas
Andréa Rodrigues Motta; Estevam Barbosa de Las Casas; Cibele Comini César; Silvana Bommarito; Brasília Maria Chiari
Abstract
Purpose: to analyze axial tongue strength and related parameters by using the Forling.
Methods: data regarding 92 participants, including men and women with a mean age of 23.3 ± 7.7 years, were analyzed.
Results: the mean value of the mean tongue strength was 13.0 N, and the maximum strength value was 18.3 N. The mean and maximum tongue strengths showed positive correlation and highly significant association (p < 0.001). The energy accumulated by the tongue was 131.1 N/s. The mean time required for the maximum tongue strength to be reached was 3.8 s, and the decrease in time (p < 0.001) from the first to the third measurements indicates an effect of training.
Conclusion: the instrument proved to be capable of measuring parameters that are important to the speech-language pathologist, indicating that it can be a promising complementary tool for clinical evaluation.
Keywords
Resumo
Objetivo: analisar a força axial da língua e parâmetros relacionados por meio do FORLING.
Método: foram analisados os dados de 92 participantes, entre homens e mulheres, com média de 23,3±7,7 anos.
Resultados: no parâmetro força média da língua, identificaram-se valores médios de 13,0 N, já para a força máxima observou-se valor médio de 18,3 N. A força média e a máxima da língua apresentaram correlação positiva e associação altamente significante (p<0,001). A energia acumulada pela língua indicou valores de 131,1 N/s. O tempo médio gasto para que se alcance a força máxima da língua foi de 3,8 segundos, indicando um efeito do treinamento ao se comparar a 1ª à 3ª medida, com redução dos valores (p<0,001).
Conclusão: o instrumento demonstrou ser capaz de mensurar parâmetros importantes para o fonoaudiólogo, indicando ser uma promissora ferramenta complementar à avaliação clínica fonoaudiológica.
Palavras-chave
Referencias
1. Zemlin WR. Princípios de Anatomia e Fisiologia em Fonoaudiologia. Porto Alegre: Artes Médicas Sul; 2000.
2. Proffit WR. Equilibrium theory revisited: factors influencing position of the teeth. Angle Orthod. 1978;48(3):175-86.
3. Adams V, Mathisen B, Baines S, Lazarus C, Callister R. A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia. 2013;28(3):350-69.
4. Motta AR, Perim JV, Perilo TVC, Las Casas EB, Costa CG, Magalhães FE, et al. Método objetivo para a medição de forças axiais da língua. Rev CEFAC. 2004;6(2):164-9.
5. Barroso MFS, Costa CG, Saffar JME, Las Casas EB, Motta AR, Perilo TVC, et al. Desenvolvimento de um sistema protótipo para medição objetiva das forças linguais em humanos. SBA Controle & Automação. 2009;20(2):156-63.
6. Furlan RM, Valentim AF, Perilo TV, da Costa CG, Barroso MF, de Las Casas EB et al. Quantitative evaluation of tongue protrusion force. Int J Orofacial Myology. 2010;36:33-43.
7. Furlan RM, Motta AR, Valentim AF, Barroso MF, Costa CG, Casas EB. Protrusive tongue strength in people with severely weak tongues. Int J Speech Lang Pathol. 2013;15(5):503-10.
8. Berbert MC, Brito VG, Furlan RM, Perilo TV, Valentim AF, Barroso MF et al. Maximum protrusive tongue force in healthy young adults. Int J Orofacial Myology. 2014;40:56-63.
9. Pittman LJ, Bailey EF. Genioglossus and intrinsic electromyographic activities in impeded and unimpeded protrusion tasks. J Neurophysiol. 2009;101(1):276-82.
10. Kanezaki M, Ogawa T, Izumi T. Tongue protrusion strength in arousal state is predictive of the airway patency in obstructive sleep apnea. Tohoku J Exp Med. 2015;236(4):241-5.
11. Youmans SR, Stierwalt JA. Measures of tongue function related to normal swallowing. Dysphagia. 2006;21(2):102-11.
12. Potter NL, Short R. Maximal tongue strength in typically developing children and adolescents. Dysphagia. 2009;24(4):391-7.
13. Fei T, Polacco RC, Hori SE, Molfenter SM, Peladeau-Pigeon M, Tsang C, Steele CM. Age-related differences in tongue-palate pressures for strength and swallowing tasks. Dysphagia. 2013;28(4):575-81.
14. Robinovitch SN, Hershler C, Romilly DP. A tongue force measurement system for the assessment of oral-phase swallowing disorders. Arch Phys Med Rehabil. 1991;72:38-42.
15. Bu Sha BF, England SJ, Parisi RA, Strobel RJ. Force production of the genioglossus as a function of muscle length in normal humans. J Appl Physiol. 2000;88:1678-84.
16. Solomon NP, Munson B. The effect of jaw position on measures of tongue strength and endurance. J Speech Lang Hear Res. 2004;(3)47:584-94.
17. Vanderwegen J, Guns C, Van Nuffelen G, Elen R, De Bodt M. The influence of age, sex, bulb position, visual feedback, and the order of testing on maximum anterior and posterior tongue strength and endurance in healthy belgian adults. Dysphagia. 2013;28(2):159-66.
18. Dworkin JP, Aronson AE. Tongue strength and alternative motion rates in normal and dysarthric subjects. J Commun Disord. 1986;19(2):115-32.
19. Mortimore IL, Douglas NJ. Relationship of genioglossus muscle electromyographic activity to force. Am J Respir Crit Care Med. 1996;153:A690.
20. Mortimore IL, Fiddes P, Stephens S, Douglas NJ. Tongue protrusion force and fatiguability in male and female subjects. J Sleep Res. 1999;14(1):191-5.
21. Mortimore IL, Bennett SP, Douglas NJ. Tongue protrusion strength and fatiguability: relationship to apnoea/hypopnoea index and age. J Sleep Res. 2000;9(4):389-93.
22. Ulrich Sommer J, Birk R, Hörmann K, Stuck BA. Evaluation of the maximum isometric tongue force of healthy volunteers. Eur Arch Otorhinolaryngol. 2014;271(11):3077-84.
23. Clark HM, Henson PA, Barber WD, Stierwalt JAG, Sherrill M. Relationships among subjective and objective measures of the tongue strength and oral phase swallowing impairments. Am J Speech Lang Pathol. 2003;12(1):40-50.
24. Lazarus C, Logemann JA, Huang CF, Rademaker AW. Effects of two types of tongue strengthening exercises in young normals. Folia Phoniatr Logop. 2003;55(4):199-205.
25. Robbins JA, Gangnon RE, Theis SM, Kays SA, Hewitt AL, Hind JA. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc. 2005;53(9):1483-9.
26. Robbins JA, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR et al. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007;88(2):150-8.
27. Clark HM, O'Brien K, Calleja A, Corrie SN. Effects of directional exercise on lingual strength. J Speech Lang Hear Res. 2009;52(4):1034-47.
28. Clark HM. Specificity of training in the lingual musculature. J Speech Lang Hear Res. 2012;55(2):657-67.
29. Oh JC. Effects of tongue strength training and detraining on tongue pressures in healthy adults. Dysphagia. 2015;30(3):315-20.
30. Van Dyck C, Dekeyser A, Vantricht E, Manders E, Goeleven A, Fieuws S, Willems G. The effect of orofacial myofunctional treatment in children with anterior open bite and tongue dysfunction: a pilot study. Eur J Orthod. 2016;38(3):227-34.
31. Steele CM, Van Lieshout P. Tongue movements during water swallowing in healthy young and older adults. J Speech Lang Hear Res. 2009;52(5):1255-67.
32. Steele CM, Bayley M, Pigeon M, Stokely S. Tongue pressure profile training for dysphagia post stroke (TPPT): study protocol for an exploratory randomized controlled trial. Trials. 2013;14:126.
33. Kim HD, Choi JB, Yoo SJ, Chang MY, Lee SW, Park JS. Tongue-to-palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia. J Oral Rehabil. 2017;44(1):59-64.
34. Hewitt A, Hind J, Kays S, Nicosia M, Doyle J, Tompkins W, Gangnon R, et al. Standardized instrument for lingual pressure measurement. Dysphagia. 2008;23(1):16-25.
Submitted date:
14/07/2016
Accepted date:
12/10/2016
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