Oh Jong-Chi
Department of Occupational Therapy, Doowon Technical University College, 51 Gwaneumdang-gil, Juksan-myeon, Anseong-si, Gyeonggi-do, 456-718, Republic of Korea,
Dysphagia. 2015 Jun;30(3):315-20. doi: 10.1007/s00455-015-9601-x. Epub 2015 Apr 4.
This study examined the effect of tongue strengthening training and long-term detraining on tongue tip pressure, tongue base pressure, and tongue pressure during effortful swallowing. Ten young healthy volunteers (21-35 years) were participated in this study. Participants received 8-week tongue strengthening exercise 3 days a week with each session lasting 30 min. Measurement of tongue pressure and tongue strengthening exercise were administrated using Iowa Oral Performance Instrument (IOPI). Training intensity was applied at 60 and 80% of maximal tongue pressure for the first week and the remainder, respectively. Following completion of 8-week training, 28 weeks of detraining period was continued. Training increased tongue tip pressure, tongue base pressure, and tongue pressure during effortful swallowing above pre-training values (p < 0.05). After 28-week detraining, all tongue variables were significantly lower than after 8-week training (p < 0.05) but remained significantly higher than pre-training levels (p < 0.05). These findings demonstrate that high-intensity tongue strengthening exercise can improve tongue pressures. However, training effects were diminished gradually during detraining period. Thus, maintenance programs after strengthening exercise would be required for prolonging training effects.
本研究考察了舌肌强化训练及长期废用训练对用力吞咽时舌尖压力、舌根压力和舌压力的影响。10名年轻健康志愿者(21 - 35岁)参与了本研究。参与者每周进行3天、为期8周的舌肌强化训练,每次训练持续30分钟。使用爱荷华口腔功能仪器(IOPI)进行舌压力测量和舌肌强化训练。训练强度在第一周和其余时间分别为最大舌压力的60%和80%。8周训练结束后,继续进行28周的废用训练期。训练使用力吞咽时的舌尖压力、舌根压力和舌压力高于训练前水平(p < 0.05)。28周废用训练后,所有舌变量均显著低于8周训练后(p < 0.05),但仍显著高于训练前水平(p < 0.05)。这些结果表明,高强度舌肌强化训练可改善舌压力。然而,在废用训练期间训练效果逐渐减弱。因此,为了延长训练效果,强化训练后需要维持训练计划。