초등학교 어린이의 평균 구순폐쇄력과 이에 영향을 미치는 요소
Lip Closing Force and the Related Factors in Elementary School Children
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
성장기 어린이에게서 나타나는 구순폐쇄 부전은 구강기능 및 구강 주위 조직의 구조적 발달 이상을 초래하게 되며, 이는 구강안면근기능 이상으로 발전된다. 이처럼 입술을 다무는 것은 필수적이고 중요한 행동이므로, 입술을 다무는 힘을 측정하는 것은 구강 감각및 운동 이상이 있는 환자를 평가함에 있어서 매우 유용할 수 있다. 이 연구의 목적은 학령기 어린이의 연령, 성별에 따른 평균 구순폐쇄력을 측정하고, 이에 영향을 주는 요인들과의 상관성을 분석하는 것이다. 전주시에 소재한 초등학교 5곳의 7 – 12 세 어린이 765명을 대상으로, 교합상태, 구순폐쇄 여부에 대한 임상 검사와 구순폐쇄력 측정을 시행하였다. 구순폐쇄력은 3회 측정하였고, 측정값의 평균을 대상자의 구순폐쇄력으로 활용하였다. Angle 분류법 및 안정시 구순폐쇄 여부는 구순폐쇄력 고저군 분포와 통계적으로 유의한 상관관계를 나타냈다(p = 0.016, 0.004). 완전 구순폐쇄 군에서는 높은 구순폐쇄력 군의 비율이 높았던 반면, 불완전 구순폐쇄 군에서는 낮은 구순폐쇄력 군의 비율이 더 높게 나타났다.
Abstract
Abnormal orofacial functions such as lip incompetency in the period of growth and development can cause morphological anomalies of the craniofacial complex. Therefore, it is crucial to make an early diagnosis based on the evaluation of the myofunctional conditions, and to make appropriate treatment plans. The objectives of this study were to quantitatively evaluate the standard lip closing force (LCF) of each age in the elementary school children, and to evaluate the relationships between LCF and affecting factors. The sample consisted of 765 children who were 7 - 12 years old in Jeonju city. Clinical examination about occlusal conditions and lip competency, and LCF measurement were performed by a single examiner. LCF was measured three times for each children with the LCF measuring device. The LCF was correlated positively with age in both sexes. The distribution of LCF groups was correlated significantly with Angle’s classes and lip competency (p = 0.016, 0.004). The proportion of children with high LCFs was greater in the “competent lip” group, whereas the proportion of those with low LCFs was greater in the “incompetent lip” group.
참고문헌 (38)
- Knösel M, "Coordination of tongue activity during swallowing in mouth-breathing children", Dysphagia, 27, pp.401~407 (2012)
- Chigira A, "Lip closing pressure in disabled children : a comparison with normal children", Dysphagia, 9, pp.193~198 (1994)
- Rubin RM, "Mode of respiration and facial growth", Am J Orthod, 78, pp.504~510 (1980)
- Clark HM, "Age and sex differences in orofacial strength", Dysphagia, 27, pp.2~9 (2012)
- 조나영, "학령 전 어린이의 교합력과 구순 폐쇄력", 대한소아치과학회지, 42(3), pp.233~241 (2015), 대한소아치과학회[DOI]
- Ono T, "The force of lip closure in children(2)the relationship between the force of lip closure and occlusion", Shoni Shikagaku Zasshi, 42, pp.441~446 (2004)
- Korean Academy of Pediatric Dentistry, "Dentistry for the child and adolescent", pp.566~ (2015), Yenang INC
- Drevenšek M, "The influence of incompetent lip seal on the growth and development of craniofacial complex", Coll Antropol, 29, pp.429~434 (2005)
- Ibrahim F, "Assessment of facial muscle exercise using oral cavity rehabilitative device", IFMBE Proceedings, 5, pp.2988~2990 (2006)
- van Lieshout PH, "Physiological effects of an 8-week mechanically aided resistance facial exercise program", Int J Orofacial Myology, 28, pp.49~73 (2002)
- Stranc MF, "Lip function : a study of oral continence", Br J Plast Surg, 37, pp.550~557 (1984)
- Tosello DO, "EMG activity of the orbicularis oris and mentalis muscles in children with malocclusion, incompetent lips and atypical swallowing-part II", J Oral Rehabil, 26, pp.644~649 (1999)
- van Boxtel A, "Changes in electromyogram power spectra of facial and jaw-elevator muscles during fatigue", J Appl Physiol Respir Environ Exerc Physiol, 54, pp.51~58 (1983)
- Ibrahim F, "Effect of orofacial myofunctional exercise using an oral rehabilitation tool on labial closure strength, tongue elevation strength and skin elasticity", J Phys Ther Sci, 25, pp.11~14 (2013)
- Fränkel R, "Orofacial orthopedics with the function regulator" (1989), S Karger Ag
- Reinicke C, "The palatal shape of upper removable appliances. Influence on the tongue position in swallowing", J Orofac Orthop, 59, pp.202~207 (1998)
- Machado AJ Jr, "Cephalometric evaluation of the oropharyngeal space in children with atypical deglutition", Braz J Otorhinolaryngol, 78, pp.120~125 (2012)
- Stahl F, "Relationship between occlusal findings and orofacial myofunctional status in primary and mixed dentition. Part II: Prevalence of orofacial dysfunctions", J Orofac Orthop, 68, pp.74~90 (2007)
- Barlow SM, "Ramp-and-hold force control in the upper and lower lips : developing new neuromotor assessment applications in traumatically brain injured adults", J Speech Hear Res, 33, pp.660~675 (1990)
- Wood LM, "Reliability of labial closure force measurements in normal subjects and patients with CNS disorders", J Speech Hear Res, 35, pp.252~258 (1992)
- Jung MH, "Effects of upper lip closing force on craniofacial structures", Am J Orthod Dentofacial Orthop, 123, pp.58~63 (2003)
- Hägg M, "Reliable lip force measurement in healthy controls and in patients with stroke : a methodologic study", Dysphagia, 23, pp.291~296 (2008)
- Horn H, "Maximalkraftmessungen des Lippen-und Zungendrucks und ihre Bedeuntung für die klinische Diagnostik orofazialer Dyskinesien", Fortschr Kieferorthop, 56, pp.187~193 (1995)
- Lambrechts H, "Lip and tongue pressure in orthodontic patient", Eur J Orthod, 32, pp.466~471 (2010)
- Nakatsuka K, "Reliability of novel multidirectional lip-closing force measurement system", J Oral Rehabil, 38, pp.18~26 (2011)
- Schievano D, "Influence of myofunctional therapy on the perioral muscles. Clinical and electromyographic evaluations", J Oral Rehabil, 26, pp.564~569 (1999)
- Chigira A, "Lip closing pressure in disabled children : a comparison with normal children", Dysphagia, 9, pp.193~198 (1994)
- Ono T, "Recent advances in sensing oropharyngeal swallowing function in Japan", Sensors, 10, pp.176~202 (2010)
- Thüer U, "Pressure from the lips on the teeth and malocclusion", Am J Orthod Dentofacial Orthop, 90, pp.234~242 (1986)
- Yata R, "A lip seal study of Japanese children with malocclusion", Bull Tokyo Dent Coll, 42, pp.73~78 (2001)
- Brodie AG, "Considerations of musculature in diagnosis, treatment and retention", Am J Orthod, 38, pp.823~835 (1952)
- Proffit WR, "Equilibrium theory revisited : factors influencing position of the teeth", Angle Orthod, 48, pp.175~186 (1978)
- Trotman CA, "Association of lip posture and the dimensions of the tonsils and sagittal airway with facial morphology", Angle Orthod, 67, pp.425~432 (1997)
- Rubin RM, "Mode of respiration and facial growth", Am J Orthod, 78, pp.504~510 (1980)
- Moss ML, "The primary role of functional matrices in facial growth", Am J Orthod, 55, pp.566~577 (1969)
- Kusumoto O, "Changes with Time in myofunction through Lip Exercise", J Kyushu Dent Sci, 46, pp.355~372 (1992)
- Yawaka Y, "Measurement of upper lip Pressure in the course of myofunctional therapy:The relationship between values of upper lip pressures and electromyogram of m. Orbicuralis Oris in swallowing condition", Jpn J Ped Den, 30, pp.893~903 (1992)
- Fränkel R, "Lip seal training in the treatment of skeletal open bite", Eur J Orthod, 2, pp.219~228 (1980)