Utanohara Yuri, Hayashi Ryo, Yoshikawa Mineka, Yoshida Mitsuyoshi, Tsuga Kazuhiro, Akagawa Yasumasa
Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, 734-8553, Japan.
Dysphagia. 2008 Sep;23(3):286-90. doi: 10.1007/s00455-007-9142-z. Epub 2008 Jun 24.
It is clinically important to evaluate tongue function in terms of rehabilitation of swallowing and eating ability. We have developed a disposable tongue pressure measurement device designed for clinical use. In this study we used this device to determine standard values of maximum tongue pressure in adult Japanese. Eight hundred fifty-three subjects (408 male, 445 female; 20-79 years) were selected for this study. All participants had no history of dysphagia and maintained occlusal contact in the premolar and molar regions with their own teeth. A balloon-type disposable oral probe was used to measure tongue pressure by asking subjects to compress it onto the palate for 7 s with maximum voluntary effort. Values were recorded three times for each subject, and the mean values were defined as maximum tongue pressure. Although maximum tongue pressure was higher for males than for females in the 20-49-year age groups, there was no significant difference between males and females in the 50-79-year age groups. The maximum tongue pressure of the seventies age group was significantly lower than that of the twenties to fifties age groups. It may be concluded that maximum tongue pressures were reduced with primary aging. Males may become weaker with age at a faster rate than females; however, further decreases in strength were in parallel for male and female subjects.
从吞咽和进食能力的康复角度评估舌功能具有重要的临床意义。我们开发了一种专为临床使用设计的一次性舌压测量装置。在本研究中,我们使用该装置来确定成年日本人的最大舌压标准值。本研究选取了853名受试者(男性408名,女性445名;年龄20 - 79岁)。所有参与者均无吞咽困难病史,且前磨牙和磨牙区域保持自身牙齿的咬合接触。使用一种气球型一次性口腔探头,要求受试者用最大自主努力将其压在上颚7秒来测量舌压。每个受试者记录三次数值,平均值被定义为最大舌压。在20 - 49岁年龄组中,男性的最大舌压高于女性,但在50 - 79岁年龄组中,男性和女性之间没有显著差异。七十岁年龄组的最大舌压显著低于二十岁至五十岁年龄组。可以得出结论,最大舌压会随着自然衰老而降低。男性可能比女性衰老得更快,但男性和女性受试者力量的进一步下降是平行的。