Comparison of the Tongue-Palate Pressure Patterns According to the Tongue Pressure in Community-Dwelling Older Adults
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초록
Background: Oral frailty has garnered considerable interest following its identification as a risk factor for physical frailty. The Korean oral frailty diagnosis criteria have emphasized the need for extensive research on oral frailty diagnostic items and interventions. Our study performed an in-depth analysis of the tongue-palate pressure patterns in healthy community-dwelling older adults. Methods: Of the 217 older adults aged ≥60 years who visited a senior center in Wonju, 205 participants who completed tongue pressure measurement were included in the final analysis. Pressure changes over time were recorded by instructing the participants to press their tongue against the hard palate with for 7 seconds per cycle. The participants were divided into the normal and abnormal tongue pressure (NTP and ATP, respectively) groups based on whether they achieved the target tongue pressure at least once; tongue pressure patterns were compared between the groups. Furthermore, the average time taken to achieve the standard tongue pressure value was calculated for the participants in the NTP group and used to evaluate the decrease in tongue pressure in the ATP group. Results: Among the 205 participants, 40.5% had ATP. The tongue pressure graph revealed a gentle and consistent incline that was maintained even after achieving standard tongue pressure in the NTP group. The graph was more extreme in the ATP group, and the changes in the pressure type varied across individuals; the tongue pressure was only 48.4%, 40.7%, 31.9%, and 22.6% of the NTP in the participants in their 60s, 70s, 80s, and ≥90s, respectively (p＜0.05). Conclusion: Tongue pressure weakness was observed in 40.5% of the healthy community-dwelling older adults. Furthermore, ATP graphs were observed in the patients with tongue pressure weakness. Thus, activities improving the oral function in community-dwelling older adults and systematic oral rehabilitation programs should be devised to promote normal swallowing.
Abstract
Background: Oral frailty has garnered considerable interest following its identification as a risk factor for physical frailty. The Korean oral frailty diagnosis criteria have emphasized the need for extensive research on oral frailty diagnostic items and interventions. Our study performed an in-depth analysis of the tongue-palate pressure patterns in healthy community-dwelling older adults. Methods: Of the 217 older adults aged ≥60 years who visited a senior center in Wonju, 205 participants who completed tongue pressure measurement were included in the final analysis. Pressure changes over time were recorded by instructing the participants to press their tongue against the hard palate with for 7 seconds per cycle. The participants were divided into the normal and abnormal tongue pressure (NTP and ATP, respectively) groups based on whether they achieved the target tongue pressure at least once; tongue pressure patterns were compared between the groups. Furthermore, the average time taken to achieve the standard tongue pressure value was calculated for the participants in the NTP group and used to evaluate the decrease in tongue pressure in the ATP group. Results: Among the 205 participants, 40.5% had ATP. The tongue pressure graph revealed a gentle and consistent incline that was maintained even after achieving standard tongue pressure in the NTP group. The graph was more extreme in the ATP group, and the changes in the pressure type varied across individuals; the tongue pressure was only 48.4%, 40.7%, 31.9%, and 22.6% of the NTP in the participants in their 60s, 70s, 80s, and ≥90s, respectively (p＜0.05). Conclusion: Tongue pressure weakness was observed in 40.5% of the healthy community-dwelling older adults. Furthermore, ATP graphs were observed in the patients with tongue pressure weakness. Thus, activities improving the oral function in community-dwelling older adults and systematic oral rehabilitation programs should be devised to promote normal swallowing.
참고문헌 (31)
- "2022 Elderly statistics" (2022)[URL]
- Fried LP, "Untangling the concepts of disability, frailty, and comorbidity : implications for improved targeting and care", J Gerontol A Biol Sci Med Sci, 59, pp.255~263 (2004)[DOI]
- Tanaka T, "Oral frailty five-item checklist to predict adverse health outcomes in communitydwelling older adults : a Kashiwa cohort study", Geriatr Gerontol Int, 23, pp.651~659 (2023)[DOI]
- Tanaka T, "Oral frailty as a risk factor for physical frailty and mortality in communitydwelling elderly", J Gerontol A Biol Sci Med Sci, 73, pp.1661~1667 (2018)[DOI]
- 정은주, "일부 노인의 노쇠와 구강건강의 관련성", 한국치위생학회지, 20(3), pp.347~357 (2020), 한국치위생학회[DOI]
- 박진우, "노화에 따른 연하기능의 변화", 대한연하장애학회지, 3(1), pp.17~19 (2013), 대한연하장애학회[DOI]
- Kawashima K, "Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening", Dysphagia, 19, pp.266~271 (2004)[DOI]
- Aslam M, "Vaezi MF : Dysphagia in the elderly", Gastroenterol Hepatol (N Y), 9, pp.784~795 (2013)
- Na-Yeon Tak, "The Review of Interventions to Improve the Swallowing Function in the Elderly", 치위생과학회지, 23(2), pp.69~87 (2023), 한국치위생과학회
- 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]
- Fei T, "Age-related differences in tongue-palate pressures for strength and swallowing tasks", Dysphagia, 28, pp.575~581 (2013)[DOI]
- 이종하, "The Relationship Between Tongue Pressure and Oral Dysphagia in Stroke Patients", Annals of Rehabilitation Medicine, 40(4), pp.620~628 (2016), 대한재활의학회
- 최성희, "삼킴 과제에 따른 한국 노년층의 혀압력 특성", Audiology and Speech Research, 14(3), pp.194~203 (2018), 한국청각언어재활학회
- 정동민, "Maximal strength and endurance scores of the tongue, lip, and cheek in healthy, normal Koreans", 대한구강악안면외과학회지, 43(4), pp.221~228 (2017), 대한구강악안면외과학회
- 박지수, "성별, 연령에 따른 구강안면근력의 변화: 국내 건강한 성인을 대상으로", 대한작업치료학회지, 21(2), pp.103~116 (2013), 대한작업치료학회
- "A healthy lifestyle-WHO recommendations" (2010)[URL]
- "Decade of healthy ageing: baseline report" (2021)[URL]
- 최용금, "노인 주·야간보호기관 종사자의 구강관련 인식 및 구강기능재활운동 프로그램 수요도 조사", 한국치위생학회지, 23(3), pp.147~156 (2023), 한국치위생학회[DOI]
- Park JS, "Effect of tongue strength training using the Iowa Oral Performance Instrument in stroke patients with dysphagia", J Phys Ther Sci, 27, pp.3631~3634 (2015)[DOI]
- Park JS, "Tongue strengthening exercise is effective in improving the oropharyngeal muscles associated with swallowing in community-dwelling older adults in South Korea: a randomized trial", Medicine (Baltimore), 98, pp.e17304~ (2019)
- Lin CH, "Effect of tongueto-palate resistance training on tongue strength in healthy adults", Auris Nasus Larynx, 48, pp.116~123 (2021)[DOI]
- Lee KH, "Effects of lingual exercises on oral muscle strength and salivary flow rate in elderly adults : a randomized clinical trial", Geriatr Gerontol Int, 20, pp.697~703 (2020)[DOI]
- Lee JH, "Criteria to assess tongue strength for predicting penetration and aspiration in patients with stroke having dysphagia", Eur J Phys Rehabil Med, 56, pp.375~385 (2020)[DOI]
- Yano J, "Effects of tongue-strengthening exercise on the geniohyoid muscle in young healthy adults", Dysphagia, 35, pp.110~116 (2020)[DOI]
- Park JS, "Effects of lingual strength training on oropharyngeal muscles in South Korean adults", J Oral Rehabil, 46, pp.1036~1041 (2019)[DOI]
- Park HS, "Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia : a double-blind, randomized controlled trial", Int J Lang Commun Disord, 54, pp.479~484 (2019)[DOI]
- Vanderwegen J, "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", Dysphagia, 28, pp.159~166 (2013)[DOI]
- 윤화영, "노화에 따른 구강기 연하 장애 환자의 식사 조절", 대한연하장애학회지, 6(1), pp.20~25 (2016), 대한연하장애학회[DOI]
- 이청기, "뇌졸증 환자에서 뇌 병변 위치에 따른 연하곤란의 양상", Annals of Rehabilitation Medicine, 25(2), pp.193~201 (2001), 대한재활의학회
- Park HS, "Comparison of orbicularis oris muscle strength and endurance in young and elderly adults", J Phys Ther Sci, 30, pp.1477~1478 (2018)[DOI]
- VanRavenhorst-Bell HA, "Tongue strength and endurance : comparison in active and non-active young and older adults", Int J Speech Lang Pathol, 19, pp.77~86 (2017)[DOI]