Skip to main content
Erschienen in: Dysphagia 3/2008

01.09.2008 | Original Article

Standard Values of Maximum Tongue Pressure Taken Using Newly Developed Disposable Tongue Pressure Measurement Device

verfasst von: Yuri Utanohara, Ryo Hayashi, Mineka Yoshikawa, Mitsuyoshi Yoshida, Kazuhiro Tsuga, Yasumasa Akagawa

Erschienen in: Dysphagia | Ausgabe 3/2008

Einloggen, um Zugang zu erhalten

Abstract

It is clinically important to evaluate tongue function in terms of rehabilitation of swallowing and eating ability. We have developed a disposable tongue pressure measurement device designed for clinical use. In this study we used this device to determine standard values of maximum tongue pressure in adult Japanese. Eight hundred fifty-three subjects (408 male, 445 female; 20–79 years) were selected for this study. All participants had no history of dysphagia and maintained occlusal contact in the premolar and molar regions with their own teeth. A balloon-type disposable oral probe was used to measure tongue pressure by asking subjects to compress it onto the palate for 7 s with maximum voluntary effort. Values were recorded three times for each subject, and the mean values were defined as maximum tongue pressure. Although maximum tongue pressure was higher for males than for females in the 20-49-year age groups, there was no significant difference between males and females in the 50-79-year age groups. The maximum tongue pressure of the seventies age group was significantly lower than that of the twenties to fifties age groups. It may be concluded that maximum tongue pressures were reduced with primary aging. Males may become weaker with age at a faster rate than females; however, further decreases in strength were in parallel for male and female subjects.
Literatur
1.
Zurück zum Zitat Feinberg MJ, Knebl J, Tully J, Segall L. Aspiration and the elderly. Dysphagia 1990;5:61–71.PubMedCrossRef Feinberg MJ, Knebl J, Tully J, Segall L. Aspiration and the elderly. Dysphagia 1990;5:61–71.PubMedCrossRef
2.
Zurück zum Zitat Hudson HM, Daubert CR, Mills RH. The interdependency of protein-energy malnutrition, aging, and dysphagia. Dysphagia 2000;15:31–38.PubMed Hudson HM, Daubert CR, Mills RH. The interdependency of protein-energy malnutrition, aging, and dysphagia. Dysphagia 2000;15:31–38.PubMed
3.
Zurück zum Zitat Marik PK, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest 2003;124:328–336.PubMedCrossRef Marik PK, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest 2003;124:328–336.PubMedCrossRef
4.
Zurück zum Zitat Leopold NA, Kagel MC. Swallowing, ingestion and dysphagia. Arch Phys Med Rehabil 1983;64:371–373.PubMed Leopold NA, Kagel MC. Swallowing, ingestion and dysphagia. Arch Phys Med Rehabil 1983;64:371–373.PubMed
5.
Zurück zum Zitat Robbins J, Levine R, Wood J, Roecker EB, Luschei E. Age effects on lingual pressure generation as a risk factor for dysphagia. J Gerontol A Biol Sci Med Sci 1995;50:M257–M262.PubMed Robbins J, Levine R, Wood J, Roecker EB, Luschei E. Age effects on lingual pressure generation as a risk factor for dysphagia. J Gerontol A Biol Sci Med Sci 1995;50:M257–M262.PubMed
6.
Zurück zum Zitat Ono T, Hori K, Nokubi T. Pattern of tongue pressure on hard palate during swallowing. Dysphagia 2004;19:259–264.PubMed Ono T, Hori K, Nokubi T. Pattern of tongue pressure on hard palate during swallowing. Dysphagia 2004;19:259–264.PubMed
7.
Zurück zum Zitat Yoshida M, Kikutani T, Tsuga K, Utanohara Y, Hayashi R, Akagawa Y. Decreased tongue pressure reflects symptom dysphagia. Dysphagia 2006;21:1–5.CrossRef Yoshida M, Kikutani T, Tsuga K, Utanohara Y, Hayashi R, Akagawa Y. Decreased tongue pressure reflects symptom dysphagia. Dysphagia 2006;21:1–5.CrossRef
8.
Zurück zum Zitat Shaker R, Cook IJS, Dodds WJ, Hogan WJ. Pressure-flow dynamics of the oral phase of swallowing. Dysphagia 1988;3:79–84.PubMedCrossRef Shaker R, Cook IJS, Dodds WJ, Hogan WJ. Pressure-flow dynamics of the oral phase of swallowing. Dysphagia 1988;3:79–84.PubMedCrossRef
9.
Zurück zum Zitat Nagao K, Kitaoka N, Kawano F, Komoda J, Ichikawa T. Influence of changes in occlusal vertical dimension on tongue pressure to palate during swallowing. Prosthodont Res Pract 2002;1:16–23.CrossRef Nagao K, Kitaoka N, Kawano F, Komoda J, Ichikawa T. Influence of changes in occlusal vertical dimension on tongue pressure to palate during swallowing. Prosthodont Res Pract 2002;1:16–23.CrossRef
10.
Zurück zum Zitat Nicosia MA, Hind JA, Roecker EB, Carnes M, Doyle J, Dengel GA, Robbins J. Age effects on the temporal evolution of isometric and swallowing pressure. J Gerontol A Biol Sci Med Sci 2000;55:M634–M640.PubMed Nicosia MA, Hind JA, Roecker EB, Carnes M, Doyle J, Dengel GA, Robbins J. Age effects on the temporal evolution of isometric and swallowing pressure. J Gerontol A Biol Sci Med Sci 2000;55:M634–M640.PubMed
11.
Zurück zum Zitat Hayashi R, Tsuga K, Hosokawa R, Yoshida M, Sato Y, Akagawa Y. Novel handy probe for tongue pressure measuremaent. Int J Prosthodont 2002;15:385–388.PubMed Hayashi R, Tsuga K, Hosokawa R, Yoshida M, Sato Y, Akagawa Y. Novel handy probe for tongue pressure measuremaent. Int J Prosthodont 2002;15:385–388.PubMed
12.
Zurück zum Zitat Yoshikawa M, Yoshida M, Nagasaki T, Tanimoto K, Tsuga K, Akagawa Y, Komatsu T. Aspects of swallowing in healthy dentate elderly persons older than 80 years. J Gerontol A Biol Sci Med Sci 2005;60:M506–M509. Yoshikawa M, Yoshida M, Nagasaki T, Tanimoto K, Tsuga K, Akagawa Y, Komatsu T. Aspects of swallowing in healthy dentate elderly persons older than 80 years. J Gerontol A Biol Sci Med Sci 2005;60:M506–M509.
13.
Zurück zum Zitat Kawashima K, Motohashi Y, Fujishima I. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia 2004;19:266–271.PubMed Kawashima K, Motohashi Y, Fujishima I. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia 2004;19:266–271.PubMed
14.
Zurück zum Zitat Oguchi K, Saitoh E, Mizuno M, Baba M, Okui M, Suzuki M. The repetitive saliva swallowing test (RSST) as a screening test of functional dysphagia (1) normal values of RSST. Jpn J Rehabil Med 2000;37:375–382. Oguchi K, Saitoh E, Mizuno M, Baba M, Okui M, Suzuki M. The repetitive saliva swallowing test (RSST) as a screening test of functional dysphagia (1) normal values of RSST. Jpn J Rehabil Med 2000;37:375–382.
15.
Zurück zum Zitat Tamura F, Mizukami M, Ayano R, Mukai Y. Analysis of feeding function and jaw stability in bedridden elderly. Dysphagia 2002;17:235–241.PubMedCrossRef Tamura F, Mizukami M, Ayano R, Mukai Y. Analysis of feeding function and jaw stability in bedridden elderly. Dysphagia 2002;17:235–241.PubMedCrossRef
16.
Zurück zum Zitat Eichner K. Über eine Gruppeneintelung des Lückengebisses für die Prothetik. Dtsch Zahnärztl Z 1955;10:1831–1834. Eichner K. Über eine Gruppeneintelung des Lückengebisses für die Prothetik. Dtsch Zahnärztl Z 1955;10:1831–1834.
17.
Zurück zum Zitat Palmer JB. Evaluation of swallowing disorders. In: Grabois M, Garrison SJ, Hart KA, Lehmkuhl LD (eds.), Physical Medicine, Rehabilitation: The Complete Approach. Maiden MA: Blackwell, 1999, pp 277–290. Palmer JB. Evaluation of swallowing disorders. In: Grabois M, Garrison SJ, Hart KA, Lehmkuhl LD (eds.), Physical Medicine, Rehabilitation: The Complete Approach. Maiden MA: Blackwell, 1999, pp 277–290.
18.
Zurück zum Zitat Breakthrough. Iowa oral performance instrument: Reference manual. Oakdale IA: Breakthrough, 1992. Breakthrough. Iowa oral performance instrument: Reference manual. Oakdale IA: Breakthrough, 1992.
19.
Zurück zum Zitat Youmans SR, Stierwalt JAG. Measures of tongue function related to normal swallowing. Dysphagia 2006;21:102–111.PubMedCrossRef Youmans SR, Stierwalt JAG. Measures of tongue function related to normal swallowing. Dysphagia 2006;21:102–111.PubMedCrossRef
20.
Zurück zum Zitat Crow HC, Ship JA. Tongue strength and endurance in different aged individuals. J Gerontol Biol Sci Med Sci 1996;51:247–250. Crow HC, Ship JA. Tongue strength and endurance in different aged individuals. J Gerontol Biol Sci Med Sci 1996;51:247–250.
21.
Zurück zum Zitat Doherty TJ. The influence of aging and sex on skeletal muscle mass and strength. Curr Opin Clin Nutr Metab Care 2001;4:503–508.PubMedCrossRef Doherty TJ. The influence of aging and sex on skeletal muscle mass and strength. Curr Opin Clin Nutr Metab Care 2001;4:503–508.PubMedCrossRef
22.
Zurück zum Zitat Hiiemae KM, Palmer JB. Tongue movements in feeding and speech. Crit Rev Oral Biol Med 2003;14:413–429.PubMedCrossRef Hiiemae KM, Palmer JB. Tongue movements in feeding and speech. Crit Rev Oral Biol Med 2003;14:413–429.PubMedCrossRef
Metadaten
Titel
Standard Values of Maximum Tongue Pressure Taken Using Newly Developed Disposable Tongue Pressure Measurement Device
verfasst von
Yuri Utanohara
Ryo Hayashi
Mineka Yoshikawa
Mitsuyoshi Yoshida
Kazuhiro Tsuga
Yasumasa Akagawa
Publikationsdatum
01.09.2008
Verlag
Springer-Verlag
Erschienen in
Dysphagia / Ausgabe 3/2008
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-007-9142-z

Weitere Artikel der Ausgabe 3/2008

Dysphagia 3/2008 Zur Ausgabe

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Eingreifen von Umstehenden rettet vor Erstickungstod

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.