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Erschienen in: Dysphagia 2/2013

01.06.2013 | Original Article

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

verfasst von: Jan Vanderwegen, Cindy Guns, Gwen Van Nuffelen, Rik Elen, Marc De Bodt

Erschienen in: Dysphagia | Ausgabe 2/2013

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Abstract

This study collected data on the maximum anterior and posterior tongue strength and endurance in 420 healthy Belgians across the adult life span to explore the influence of age, sex, bulb position, visual feedback, and order of testing. Measures were obtained using the Iowa Oral Performance Instrument (IOPI). Older participants (more than 70 years old) demonstrated significantly lower strength than younger persons at the anterior and the posterior tongue. Endurance remains stable throughout the major part of life. Gender influence remains significant but minor throughout life, with males showing higher pressures and longer endurance. The anterior part of the tongue has both higher strength and longer endurance than the posterior part. Mean maximum tongue pressures in this European population seem to be lower than American values and are closer to Asian results. The normative data can be used for objective assessment of tongue weakness and subsequent therapy planning of dysphagic patients.
Literatur
1.
Zurück zum Zitat McConnel FM. Analysis of pressure generation and bolus transit during pharyngeal swallowing. Laryngoscope. 1988;98(1):71–8.PubMedCrossRef McConnel FM. Analysis of pressure generation and bolus transit during pharyngeal swallowing. Laryngoscope. 1988;98(1):71–8.PubMedCrossRef
2.
Zurück zum Zitat Stierwalt JA, Youmans SR. Tongue measures in individuals with normal and impaired swallowing. Am J Speech Lang Pathol. 2007;16(2):148–56.PubMedCrossRef Stierwalt JA, Youmans SR. Tongue measures in individuals with normal and impaired swallowing. Am J Speech Lang Pathol. 2007;16(2):148–56.PubMedCrossRef
3.
Zurück zum Zitat Clark HM, Henson PA, Barber WD, Stierwalt JA, Sherrill M. Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments. Am J Speech Lang Pathol. 2003;12(1):40–50.PubMedCrossRef Clark HM, Henson PA, Barber WD, Stierwalt JA, Sherrill M. Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments. Am J Speech Lang Pathol. 2003;12(1):40–50.PubMedCrossRef
4.
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(5):M257–62.PubMedCrossRef 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(5):M257–62.PubMedCrossRef
5.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
6.
Zurück zum Zitat Youmans SR, Stierwalt JA. Measures of tongue function related to normal swallowing. Dysphagia. 2006;21(2):102–11.PubMedCrossRef Youmans SR, Stierwalt JA. Measures of tongue function related to normal swallowing. Dysphagia. 2006;21(2):102–11.PubMedCrossRef
7.
Zurück zum Zitat Youmans SR, Youmans GL, Stierwalt JA. Differences in tongue strength across age and gender: is there a diminished strength reserve? Dysphagia. 2009;24(1):57–65.PubMedCrossRef Youmans SR, Youmans GL, Stierwalt JA. Differences in tongue strength across age and gender: is there a diminished strength reserve? Dysphagia. 2009;24(1):57–65.PubMedCrossRef
8.
Zurück zum Zitat Crow HC, Ship JA. Tongue strength and endurance in different aged individuals. J Gerontol A Biol Sci Med Sci. 1996;51(5):M247–50.PubMedCrossRef Crow HC, Ship JA. Tongue strength and endurance in different aged individuals. J Gerontol A Biol Sci Med Sci. 1996;51(5):M247–50.PubMedCrossRef
9.
Zurück zum Zitat Nicosia MA, Hind JA, Roecker EB, Carnes M, Doyle J, Dengel GA, et al. Age effects on the temporal evolution of isometric and swallowing pressure. J Gerontol A Biol Sci Med Sci. 2000;55(11):M634–40.PubMedCrossRef Nicosia MA, Hind JA, Roecker EB, Carnes M, Doyle J, Dengel GA, et al. Age effects on the temporal evolution of isometric and swallowing pressure. J Gerontol A Biol Sci Med Sci. 2000;55(11):M634–40.PubMedCrossRef
10.
Zurück zum Zitat Lazarus CL, Logemann JA, Pauloski BR, Rademaker AW, Larson CR, Mittal BB, et al. Swallowing and tongue function following treatment for oral and oropharyngeal cancer. J Speech Lang Hear Res. 2000;43(4):1011–23.PubMed Lazarus CL, Logemann JA, Pauloski BR, Rademaker AW, Larson CR, Mittal BB, et al. Swallowing and tongue function following treatment for oral and oropharyngeal cancer. J Speech Lang Hear Res. 2000;43(4):1011–23.PubMed
11.
Zurück zum Zitat Robin DA, Goel A, Somodi LB, Luschei ES. Tongue strength and endurance: relation to highly skilled movements. J Speech Hear Res. 1992;35(6):1239–45.PubMed Robin DA, Goel A, Somodi LB, Luschei ES. Tongue strength and endurance: relation to highly skilled movements. J Speech Hear Res. 1992;35(6):1239–45.PubMed
12.
Zurück zum Zitat Kays SA, Hind JA, Gangnon RE, Robbins J. Effects of dining on tongue endurance and swallowing-related outcomes. J Speech Lang Hear Res. 2010;53(4):898–907.PubMedCrossRef Kays SA, Hind JA, Gangnon RE, Robbins J. Effects of dining on tongue endurance and swallowing-related outcomes. J Speech Lang Hear Res. 2010;53(4):898–907.PubMedCrossRef
13.
Zurück zum Zitat Albert SM, Alam M, Nizamuddin M. Comparative study of functional limitation and disability in old age: Delhi and New York City. J Cross Cult Gerontol. 2005;20(3):231–41.PubMedCrossRef Albert SM, Alam M, Nizamuddin M. Comparative study of functional limitation and disability in old age: Delhi and New York City. J Cross Cult Gerontol. 2005;20(3):231–41.PubMedCrossRef
14.
Zurück zum Zitat Rantanen T, Guralnik JM, Leveille S, Izmirlian G, Hirsch R, Simonsick E, et al. Racial differences in muscle strength in disabled older women. J Gerontol A Biol Sci Med Sci. 1998;53(5):B355–61.PubMedCrossRef Rantanen T, Guralnik JM, Leveille S, Izmirlian G, Hirsch R, Simonsick E, et al. Racial differences in muscle strength in disabled older women. J Gerontol A Biol Sci Med Sci. 1998;53(5):B355–61.PubMedCrossRef
15.
Zurück zum Zitat Newman AB, Haggerty CL, Goodpaster B, Harris T, Kritchevsky S, Nevitt M, et al. Strength and muscle quality in a well-functioning cohort of older adults: the health, aging and body composition study. J Am Geriatr Soc. 2003;51(3):323–30.PubMedCrossRef Newman AB, Haggerty CL, Goodpaster B, Harris T, Kritchevsky S, Nevitt M, et al. Strength and muscle quality in a well-functioning cohort of older adults: the health, aging and body composition study. J Am Geriatr Soc. 2003;51(3):323–30.PubMedCrossRef
16.
Zurück zum Zitat Andersen-Ranberg K, Petersen I, Frederiksen H, Mackenbach JP, Christensen K. Cross-national differences in grip strength among 50+ year-old Europeans: results from the SHARE study. Eur J Ageing. 2009;6(3):227–36.CrossRef Andersen-Ranberg K, Petersen I, Frederiksen H, Mackenbach JP, Christensen K. Cross-national differences in grip strength among 50+ year-old Europeans: results from the SHARE study. Eur J Ageing. 2009;6(3):227–36.CrossRef
17.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
18.
Zurück zum Zitat 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.PubMedCrossRef 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.PubMedCrossRef
19.
Zurück zum Zitat Clark HM, Solomon NP. Age and sex differences in orofacial strength. Dysphagia. 2012;27(1):2–9.PubMedCrossRef Clark HM, Solomon NP. Age and sex differences in orofacial strength. Dysphagia. 2012;27(1):2–9.PubMedCrossRef
20.
Zurück zum Zitat Solomon NP, Munson B. The effect of jaw position on measures of tongue strength and endurance. J Speech Lang Hear Res. 2004;47(3):584–94.PubMedCrossRef Solomon NP, Munson B. The effect of jaw position on measures of tongue strength and endurance. J Speech Lang Hear Res. 2004;47(3):584–94.PubMedCrossRef
21.
Zurück zum Zitat Utanohara Y, Hayashi R, Yoshikawa M, Yoshida M, Tsuga K, Akagawa Y. Standard values of maximum tongue pressure taken using newly developed disposable tongue pressure measurement device. Dysphagia. 2008;23(3):286–90.PubMedCrossRef Utanohara Y, Hayashi R, Yoshikawa M, Yoshida M, Tsuga K, Akagawa Y. Standard values of maximum tongue pressure taken using newly developed disposable tongue pressure measurement device. Dysphagia. 2008;23(3):286–90.PubMedCrossRef
22.
Zurück zum Zitat Solomon NP, Robin DA, Luschei ES. Strength, endurance, and stability of the tongue and hand in Parkinson disease. J Speech Lang Hear Res. 2000;43(1):256–67.PubMed Solomon NP, Robin DA, Luschei ES. Strength, endurance, and stability of the tongue and hand in Parkinson disease. J Speech Lang Hear Res. 2000;43(1):256–67.PubMed
23.
Zurück zum Zitat Solomon NP. Assessment of tongue weakness and fatigue. Int J Orofacial Myology. 2004;30:8–19.PubMed Solomon NP. Assessment of tongue weakness and fatigue. Int J Orofacial Myology. 2004;30:8–19.PubMed
24.
Zurück zum Zitat Palmer PM, Neel AT, Sprouls G, Morrison L. Swallow characteristics in patients with oculopharyngeal muscular dystrophy. J Speech Lang Hear Res. 2010;53(6):1567–78.PubMedCrossRef Palmer PM, Neel AT, Sprouls G, Morrison L. Swallow characteristics in patients with oculopharyngeal muscular dystrophy. J Speech Lang Hear Res. 2010;53(6):1567–78.PubMedCrossRef
25.
Zurück zum Zitat Robbins J, Hamilton JW, Lof GL, Kempster GB. Oropharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;103(3):823–9.PubMed Robbins J, Hamilton JW, Lof GL, Kempster GB. Oropharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;103(3):823–9.PubMed
26.
Zurück zum Zitat Butler SG, Stuart A, Leng X, Wilhelm E, Rees C, Williamson J, et al. The relationship of aspiration status with tongue and handgrip strength in healthy older adults. J Gerontol A Biol Sci Med Sci. 2011;66(4):452–8.PubMedCrossRef Butler SG, Stuart A, Leng X, Wilhelm E, Rees C, Williamson J, et al. The relationship of aspiration status with tongue and handgrip strength in healthy older adults. J Gerontol A Biol Sci Med Sci. 2011;66(4):452–8.PubMedCrossRef
Metadaten
Titel
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
verfasst von
Jan Vanderwegen
Cindy Guns
Gwen Van Nuffelen
Rik Elen
Marc De Bodt
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
Dysphagia / Ausgabe 2/2013
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-012-9425-x

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