본문 바로가기
KERD
논문KCI 등재

음식물의 부피, 질감, 맛에 따른 혀의 압력 비교

Comparison of Effects of the Volume, Texture and Taste of Food on Tongue Pressure

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류재활의학

초록

Objective: This study examined how changes in the volume, texture, and taste of food affect the variation oftongue pressure during the swallowing of food in healthy adults. Methods: Fifty-four healthy subjects participated in this study. The tongue pressure was measured using an IowaOral. Performance Instrument (IOPI) during swallowing of food in 54 healthy adults. The food bolus with modifiedvolumes (3, 5, 10, and 15 ml), textures (water, puree, and cracker), and tastes (pure water, sour taste, sweet taste,and salty taste) were provided and the variation of the tongue pressure was traced during the swallowing of food. Results: The tongue pressure changed significantly when the volume of food chunks increased. When the texture offood was modified, the tongue pressure was significantly different when swallowing a cracker than when swallowingwater and puree. In addition, the tongue pressure was increased more by a sour taste liquid than pure water or sweettaste liquid. Conclusion: When swallowing food, the tongue pressure at the appropriate level is essential for safe swallowing. Because modification of the volume, texture, and taste of food can induce the variation of tongue pressure, it can berecommended as an effective therapeutic method that can move food in the mouth.

Abstract

Objective: This study examined how changes in the volume, texture, and taste of food affect the variation oftongue pressure during the swallowing of food in healthy adults. Methods: Fifty-four healthy subjects participated in this study. The tongue pressure was measured using an IowaOral. Performance Instrument (IOPI) during swallowing of food in 54 healthy adults. The food bolus with modifiedvolumes (3, 5, 10, and 15 ml), textures (water, puree, and cracker), and tastes (pure water, sour taste, sweet taste,and salty taste) were provided and the variation of the tongue pressure was traced during the swallowing of food. Results: The tongue pressure changed significantly when the volume of food chunks increased. When the texture offood was modified, the tongue pressure was significantly different when swallowing a cracker than when swallowingwater and puree. In addition, the tongue pressure was increased more by a sour taste liquid than pure water or sweettaste liquid. Conclusion: When swallowing food, the tongue pressure at the appropriate level is essential for safe swallowing. Because modification of the volume, texture, and taste of food can induce the variation of tongue pressure, it can berecommended as an effective therapeutic method that can move food in the mouth.

참고문헌 (31)

  1. Jean A., "Brain stem control of swallowing: neuronal network and cellular mechanisms", Physiol Rev, 81, pp.929~969 (2001)
  2. Martin RE, "Functional properties of neurons in the primate tongue primary motor cortex during swallowing", J Neurophysiol, 78, pp.1516~1530 (1997)
  3. Jones B., "Normal and abnormal swallowing: imaging in diagnosis and therapy" (2003), Springer-Verlag
  4. Dodds WJ, "Physiology and radiology of the normal oral and pharyngeal phases of swallowing", AJR Am J Roentgenol, 154, pp.953~963 (1990)
  5. Lee JH, "Oral physiology" (1983), Sinkwang publish
  6. Youmans SR, "Measures of tongue function related to normal swallowing", Dysphagia, 21, pp.102~111 (2006)
  7. Reimers-Neils L, "Viscosity effects on EMG activity in normal swallow", Dysphagia, 9, pp.101~106 (1994)
  8. Dantas RO, "Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing", Am J Physiol, 258(5 Pt 1), pp.G675~G681 (1990)
  9. Sugita K, "Effects of food consistency on tongue pressure during swallowing", J Oral Biosci, 48, pp.278~285 (2006)
  10. Krival K, "Effects of club soda and ginger brew on linguapalatal pressures in healthy swallowing", Dysphagia, 27, pp.228~239 (2012)
  11. Clark HM, "Age and sex differences in orofacial strength", Dysphagia, 27, pp.2~9 (2012)
  12. Clark HM, "Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments", Am J Speech Lang Pathol, 12, pp.40~50 (2003)
  13. Lazarus CL, "Swallowing and tongue function following treatment for oral and oropharyngeal cancer", J Speech Lang Hear Res, 43, pp.1011~1023 (2000)
  14. Robin DA, "Tongue strength and endurance: relation to highly skilled movements", J Speech Hear Res, 35, pp.1239~1245 (1992)
  15. Steele CM, "Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury", Int J Speech Lang Pathol, 15, pp.492~502 (2013)
  16. Gingrich LL, "Lingual propulsive pressures across consistencies generated by the anteromedian and posteromedian tongue by healthy young adults", J Speech Lang Hear Res, 55, pp.960~972 (2012)
  17. Gomes DC, "Acidic and neutral liquid in gestion in patients with gastroesophageal reflux disease", Arq Gastroenterol, 51, pp.217~220 (2014)
  18. Todd JT, "Main taste effects on swallowing apnea duration in healthy adults", Otolaryngol Head Neck Surg, 147, pp.678~683 (2012)
  19. Teismann IK, "Functional oropharyngeal sensory disruption interferes with the cortical control of swallowing", BMC Neurosci, 8, pp.62~ (2007)
  20. Kahrilas PJ, "Deglutitive tongue action: volume accommodation and bolus propulsion", Gastroenterology, 104, pp.152~162 (1993)
  21. Marik PE, "Aspiration pneumonia and dysphagia in the elderly", Chest, 124, pp.328~336 (2003)
  22. Pouderoux P, "Deglutitive tongue force modulation by volition, volume, and viscosity in humans", Gastroenterology, 108, pp.1418~1426 (1995)
  23. Ertekin C, "Effects of bolus volume on oropharyngeal swallowing: an electrophysiologic study in man", Am J Gastroenterol, 92, pp.2049~2053 (1997)
  24. Hori K, "Influence of chin-down posture on tongue pressure during dry swallow and bolus swallows in healthy subjects", Dysphagia, 26, pp.238~245 (2011)
  25. Dietitians Association of Australia, "Texture-modified foods and thickened fluids as used for individuals with dysphagia:Australian standardised labels and definitions", Nutr Diet, 64(Suppl2), pp.S53~S76 (2007)
  26. National Dysphagia Diet Task Force, "National diet dysphagia diet: standardization for optimal care" (2002), American Dietetic Association
  27. Steele CM, "The influence of food texture and liquid consistency modification on swallowing physiology and function: a systematic review", Dysphagia, 30, pp.2~26 (2015)
  28. Nagy A, "The effect of bolus consistency on hyoid velocity in healthy swallowing", Dysphagia, 30, pp.445~451 (2015)
  29. Taniguchi H, "Correspondence between food consistency and suprahyoid muscle activity, tongue pressure, and bolus transit times during the oropharyngeal phase of swallowing", J Appl Physiol, 105, pp.791~799 (2008)
  30. Pelletier CA, "The effect of taste and palatability on lingual swallowing pressure", Dysphagia, 21, pp.121~128 (2006)
  31. Nagy A, "Differences in swallowing between high and low concentration taste stimuli", Biomed Res Int, 2014, pp.813084~ (2014)

관련 논문AI추천

이 간행물의 다른 논문 (6건)