Correlation between tongue pressure and electrical activity of the suprahyoid muscles
Correlação entre pressão de língua e atividade elétrica da musculatura supra-hióidea
Vanessa Santiago dos Reis; Taynara Gomes de Araújo; Renata Maria Moreira Moraes Furlan; Andréa Rodrigues Motta
Abstract
Objective: to investigate the correlation between the tongue pressure and the electrical activity of the suprahyoid muscles. Methods: a across-sectional, observational and analytical study conducted with 15 men and 22 women. Each participant underwent simultaneous assessment of maximal tongue pressure through the Iowa Oral Performance Instrument (IOPI) and the surface electromyography of the suprahyoid muscles. They were asked to press the tongue against the hard palate in the anterior and posterior region, with and without IOPI. The adopted significance level of the performed analyses was 5%. Results: there was a moderate and significant correlation only between suprahyoid electrical activity and tongue pressure in the posterior region. It was verified that the measured electrical potentials, when using the IOPI, were greater in the tasks of anterior pressure than in the tasks of the posterior one, bilaterally. Without using the IOPI, the electrical potentials were greater in the posterior pressure than in the anterior one, bilaterally. Finally, the values of lingual pressure were compared with the bulb positioned in the anterior and posterior parts, and the anterior tongue pressure was higher. Conclusion: there was a moderate correlation between tongue pressure and electrical potential of the suprahyoid muscles, researched by the surface electromyography, only when performing activities with the posterior portion of the tongue.
Keywords
Resumo
Objetivo: investigar a correlação entre as medidas de pressão de língua e a atividade elétrica da musculatura supra-hióidea. Métodos: estudo transversal observacional analítico realizado com 15 homens e 22 mulheres. Cada participante foi submetido simultaneamente à avaliação da pressão lingual máxima por meio do Iowa Oral Performance Instrument (IOPI) e da eletromiografia de superfície dos músculos supra-hióideos. Foi solicitado realizar pressão da língua contra o palato duro em região anterior e posterior, com e sem IOPI. Foi adotado o nível de significância de 5% nas análises realizadas. Resultados: verificou-se correlação moderada e significante apenas entre atividade elétrica supra-hióidea e pressão de língua em região posterior. Verificou-se que os potenciais elétricos medidos quando do uso do IOPI, foram maiores nas tarefas de pressão anterior do que posterior, bilateralmente. Já sem o uso do IOPI a pressão posterior gerou maiores potenciais elétricos do que a anterior bilateralmente. Por fim, foram comparados os valores da pressão lingual com o bulbo posicionado na parte anterior e posterior, tendo sido a pressão de língua anterior maior. Conclusão: houve correlação moderada entre pressão de língua e potencial elétrico dos músculos supra-hióideos pesquisado pela eletromiografia de superfície, apenas quando realizadas atividades com a porção posterior da língua.
Palavras-chave
Referências
1. Zemlin WR. Princípios de Anatomia e Fisiologia em Fonoaudiologia. Porto Alegre: Artes Médicas Sul; 2000.
2. Yoshida M, Kikutani T, Tsuga K, Utanohara Y, Hayashi R, Akagawa Y. Decreased tongue pressure reflects symptom of dysphagia. Dysphagia. 2006;21(1):61-5.
3. Dworkin JP, Aronson AE, Mulder DW. Tongue force in normals and in dysarthric patients with amyotrophic lateral sclerosis. J Speech and Hearing Research. 1980;23(4):828-37.
4. Proffit WR, Fields JR HW, Sarver DM. Ortodontia Contemporânea. Rio de Janeiro: Elsevier; 2007.
5. Furlan RMMM, Valentim AF, Motta AR, Barroso MFS, Costa CG, Las Casas EB. Quantitative methods for assessing tongue force. Rev. CEFAC. 2012;14(6):1215-25.
6. Perilo TVC, Motta AR, Las Casas EB, Saffar JME, Costa CG. Avaliação objetiva das forças axiais produzidas pela língua de crianças respiradoras orais. Rev Soc Bras Fonoaudiol. 2007;12(3):184-90.
7. Adams V, Mathisen B, Baines S, Lazarus C, Callister R. Reliability of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument with healthy adults. Dysphagia. 2014;29(1):83-95.
8. Vitorino J. Effect of age on tongue strength and endurance scores of healthy Portuguese speakers. Int J Speech Lang Pathol. 2010;12(3):237-43.
9. Potter NL, Short R. Maximal tongue strength in typically developing children and adolescents. Dysphagia. 2009;24(4):391-7.
10. Steele CM, Bailey GL, Polacco REC, Hori SF, Molfenter SM, Oshalla M et al. Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury. Int J Speech Lang Pathol. 2013;15(5):492-502.
11. Van Lierde KM, Bettens K, Luyten A, Plettinck J, Bonte K, Vermeersch H et al. Oral strength in subjects with a unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol. 2014;78(8):1306-10.
12. Felício CM, Dias FVS, Folha GA, Almeida LA, Souza JF, Anselmo-Lima WT et al. Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy. Int J Pediatr Otorhinolaryngol. 2016;90(1):5-11.
13. Lazarus CL, Logemann JA, Pauloski BR, Rademaker AW, Helenowski IB, Vonesh EF et al. Effects of radiotherapy with or without chemotherapy on tongue strength and swallowing in patients with oral cancer. Head Neck. 2007;29(7):632-7.
14. Neel AT, Palmer PM, Sprouls G, Morrison L. Tongue strength and speech intelligibility in oculopharyngeal muscular dystrophy. J Med Speech Lang Pathol. 2006;14(4):273-7.
15. Solomon NP. What is orofacial fatigue and how does it affect function for swallowing and speech? Semin Speech Lang. 2006;27(4):268-82.
16. Yeates EM, Molfenter SM, Steele CM. Improvements in tongue strength and pressure-generation precision following a tongue pressure training protocol in older individuals with dysphagia: three case reports. Clin Interv Aging. 2008;3(4):735-47.
17. Van Dyck C, Dekeyser A, Vantricht E, Manders E, Goeleven A, Fieuws S et al. 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.
18. 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.
19. Robbins J, Kays SA, Gangnon RE, Hind JÁ, 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.
20. Adams V, Mathisen B, Baines S, Lazarus C, Callister R. Reliability of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument with elderly adults. Disabil Rehabil. 2015;37(5):389-95.
21. Watts CR. Measurement of hyolaryngeal muscle activation using surface electromyography for comparison of two rehabilitative dysphagia exercises. Arch Phys Med Rehabil. 2013;94(12):2542-8.
22. Yoshida M, Groher ME, Crary MA, Mann GC, Akagawa Y. Comparison of surface electromyographic (sEMG) activity of submental muscles between the head lift and tongue press exercises as a therapeutic exercise for pharyngeal dysphagia. Gerodontology. 2007;24(2):111-6.
23. Lenius K, Carnaby-Mann G, Crary EM. The relationship between lingual-palatal pressures and submental surface electromyographic signals. J Oral Rehabil. 2009;36(2):118-23.
24. Yoon WL, Khoo JKP, Liow SJR. Chin tuck against resistance (CTAR): new method for enhancing suprahyoid muscle activity using a shaker-type exercise. Dysphagia. 2014;29(2):243-8.
25. Furlan RMMM, Rezende BA, Motta AR. Comparison of the electric activity of the suprahyoid muscles during different lingual exercises. Audiol Commun Res. 2015;20(3):203-9.
26. Palmer PM, Luschei ES, Jaffe D, McCulloch TM. Contributions of individual muscles to the submental surface electromyogram during swallowing. J Speech Lang Hear Res. 1999;42(6):1378-91.
27. Marchesan IQ, Berretin-Félix G, Genaro KF. MBGR protocol of orofacial myofunctional evaluation with scores. Int J Orofacial Myol. 2012;38:38-77.
28. Rahal A, Lopasso FP. Eletromiografia dos músculos masseteres e supra-hióideos em mulheres com oclusão normal e com má oclusão classe I de Angle durante a fase oral da deglutição. Rev CEFAC. 2004;6(4):370-5.
29. De Luca CJ. The use of surface electromyography in biomechanics. J Appl Biomech. 1997;13:135-63.
30. Mukaka MM. A guide to appropriate use of correlation coeficiente in medical research. Malawi Med J. 2012;24(3):69-71.
31. Miller JL, Watkin KL, Chen MF. Muscle, adipose, and connective tissue variations in intrinsic musculature of the adult human tongue. J Speech Lang Hear Res. 2002;45(1):51-65.
32. Gingrich LL, Stierwalt JAG, Hageman CF, LaPointe LL. Lingual propulsive pressures across consistencies generated by the anteromedian and posteromedian tongue by healthy young adults. J Speech Lang Hear Res. 2012;55(3):960.
33. Stal P, Marklund S, Thornell LE, De Paul R, Eriksson PO. Fibre composition of human intrinsic tongue muscles. Cells Tissues Organs. 2003;173(3):147-61.
Submetido em:
27/05/2017
Aceito em:
17/10/2017
Facebook
Twitter
LinkedIn
Mendeley
Email