입체조를 병행한 혀 근력운동이 노인의 연하장애와 연하력 및 설압에 미치는 효과
Effects of tongue strength training program combined with oral exercises on swallowing disorder, swallowing ability, and tongue pressure in the elderly
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Objectives: The purpose of this study is to verify the usefulness and practicality of the program in the daily life of the elderly by performing a three-dimensional tongue muscle exercise for the elderly to identify the dysphagia, swallowing ability, and tongue pressure. Methods: The subjects of the study were 29 elderly people aged 65 or older living in Busan, divided into a oral exercises group and tongue strength training program combined with oral exercises group, and operated 16 times for 8 weeks twice a week, and the pre and post-program evaluation was conducted in the 1st and 8th weeks. For variable selection, 7 general characteristics, 5 oral health-related characteristics, 5 Likert scale for swallowing disorder, repetitive swallowing ability test for swallowing power measurement, and tongue pressure measurement was used. Data analysis was conducted using SPSS window program 25.0 version (IBM), general characteristics and homogeneity tests, oral health-related characteristics and homogeneity tests were chi-square test, swallowing disorder, swallowing ability, and change in tongue pressure were paired t-test, Wilcoxon signed rank test, t-test, Mann-Whitney U test for swallowing disorder and changes in swallowing ability and tongue pressure, and Spearman’s correlation for the relationship between swallowing disorder and swallowing ability and tongue pressure. Results: As a result of tongue strength training program combined with oral exercise, both relieve swallowing disorder and improve low eating and tongue pressure than oral exercise, and the difference in improvement effects of both relieve swallowing disorder, swallowing ability, and tongue pressure is higher. Conclusions: Based on the results of this study, it is believed that simple and practical oral muscle function reinforcement products and practical use are needed, and institutional devices to seek oral health promotion programs for the elderly are needed.
Abstract
Objectives: The purpose of this study is to verify the usefulness and practicality of the program in the daily life of the elderly by performing a three-dimensional tongue muscle exercise for the elderly to identify the dysphagia, swallowing ability, and tongue pressure. Methods: The subjects of the study were 29 elderly people aged 65 or older living in Busan, divided into a oral exercises group and tongue strength training program combined with oral exercises group, and operated 16 times for 8 weeks twice a week, and the pre and post-program evaluation was conducted in the 1st and 8th weeks. For variable selection, 7 general characteristics, 5 oral health-related characteristics, 5 Likert scale for swallowing disorder, repetitive swallowing ability test for swallowing power measurement, and tongue pressure measurement was used. Data analysis was conducted using SPSS window program 25.0 version (IBM), general characteristics and homogeneity tests, oral health-related characteristics and homogeneity tests were chi-square test, swallowing disorder, swallowing ability, and change in tongue pressure were paired t-test, Wilcoxon signed rank test, t-test, Mann-Whitney U test for swallowing disorder and changes in swallowing ability and tongue pressure, and Spearman’s correlation for the relationship between swallowing disorder and swallowing ability and tongue pressure. Results: As a result of tongue strength training program combined with oral exercise, both relieve swallowing disorder and improve low eating and tongue pressure than oral exercise, and the difference in improvement effects of both relieve swallowing disorder, swallowing ability, and tongue pressure is higher. Conclusions: Based on the results of this study, it is believed that simple and practical oral muscle function reinforcement products and practical use are needed, and institutional devices to seek oral health promotion programs for the elderly are needed.
참고문헌 (20)
- 장경애, "노인의 구강기능 향상에 미치는 구강운동의 효과", 치위생과학회지, 11(3), pp.257~263 (2011), 한국치위생과학회
- Kim YK, "Geriatric dental hygiene", pp.559~566 (2020), Komoonsa
- 황윤숙, "입 체조 프로그램에 참가한 노인의 만족도에 관한 조사연구", 한국치위생학회지, 9(4), pp.795~807 (2009), 한국치위생학회
- Health Promotion Division of Health Center, "KAMIKAMI Oral exercise and oral care", Kochi city, 1~8 (2007)
- Cho EP, "Impact of oral function improving exercise on the oral function and quality of life in the elderly", Doctoral, pp.2013
- Hae-Eun Choi, "Literature Review of the Effect of Tongue-pressure Resistance Training Using the IOPI on Tongue Strength and Swallowing Function in Patients with Dysphagia", Swallowing Rehabilitation, 4(1), pp.1~16 (2021), Korean Academy of Dysphagia Rehabilitation[DOI]
- Scott R. Youmans, "Measures of Tongue Function Related to Normal Swallowing", Dysphagia, 21(2), pp.102~111 (2006), Springer Science and Business Media LLC[DOI]
- 문종훈, "혀 근력 및 정확도 훈련이 삼킴장애가 있는 만성 뇌졸중 환자의 혀 근력, 삼킴기능, 삶의 질에 미치는 효과", 한국콘텐츠학회 논문지, 16(11), pp.605~613 (2016), 한국콘텐츠학회[DOI]
- Mineka Yoshikawa, "Comparison of the Iowa Oral Performance Instrument and JMS tongue pressure measurement device", Journal of Dental Sciences, 16(1), pp.214~219 (2021), Elsevier BV[DOI]
- Yoshiki Imamura, "Validation of a novel diagnostic tool for decreased tongue pressure", Journal of Oral Rehabilitation, 48(11), pp.1219~1225 (2021), Wiley[DOI]
- 김보해, "노인에서의 구강인두 연하장애", 대한연하장애학회지, 6(2), pp.49~53 (2016), 대한연하장애학회[DOI]
- Ianessa A. Humbert, "Dysphagia in the Elderly", Physical Medicine and Rehabilitation Clinics of North America, 19(4), pp.853~866 (2008), Elsevier BV[DOI]
- JoAnne Robbins, "The Effects of Lingual Exercise on Swallowing in Older Adults", Journal of the American Geriatrics Society, 53(9), pp.1483~1489 (2005), Wiley[DOI]
- Catriona M Steele, "Tongue pressure profile training for dysphagia post stroke (TPPT): study protocol for an exploratory randomized controlled trial", Trials, 14(1), pp.126~ (2013), Springer Science and Business Media LLC[DOI]
- Haruhisa Ibayashi, "Intervention Study of Exercise Program for Oral Function in Healthy Elderly People", The Tohoku Journal of Experimental Medicine, 215(3), pp.237~245 (2008), Tohoku University Medical Press[DOI]
- Park YR, "The effect of an oral and breathing muscle enhancement program on improvement of swallowing and speech motor function in stroke patients", Doctoral, pp.2013
- 김영순, "노인의 입체조 운동이 구강기능 향상에 미치는 효과", 한국치위생학회지, 16(4), pp.559~566 (2016), 한국치위생학회[DOI]
- Jitsuro Yano, "Effects of Tongue-Strengthening Self-Exercises in Healthy Older Adults: A Non-Randomized Controlled Trial", Dysphagia, 36(5), pp.925~935 (2020), Springer Science and Business Media LLC[DOI]
- 양정민, "노인 구강건강평가지수와 삶의 질의 연관성 분석", 보건사회연구, 40(4), pp.245~263 (2020), 한국보건사회연구원[DOI]
- 양순옥, "재가 노인의 타액분비량, 구강기능과 삶의 질 향상을 위한 구강기능향상운동의 효과", 한국보건간호학회지, 26(3), pp.478~490 (2012), 한국보건간호학회