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舌肌力量训练对韩国成年人口咽肌肉的影响。

Effects of lingual strength training on oropharyngeal muscles in South Korean adults.

机构信息

Advanced Human Resource Development Project Group for Health Care in Aging Friendly Industry, Dongseo University, Busan, South Korea.

Department of Occupational Therapy, Seoul North Municipal Hospital, Seoul, South Korea.

出版信息

J Oral Rehabil. 2019 Nov;46(11):1036-1041. doi: 10.1111/joor.12835. Epub 2019 Jul 2.

Abstract

BACKGROUND

Lingual strength training (LST) has been reported to positively affect the activation of submental muscles, as well as to increase lingual muscle strength. However, there is little evidence to support its effectiveness.

OBJECTIVES

This study aimed to investigate the effect of LST on the strength and thickness of oropharyngeal muscles in healthy adults.

METHODS

The study included 30 subjects who were assigned to the experimental (n = 15) and the control groups (n = 15). The experimental group performed LST based on tongue-to-palate resistance exercise method. LST was categorised as isometric and isotonic exercise. The intervention was performed five times a week for 6 weeks. The control group did not receive any intervention. The lingual strength was measured using the Iowa Oral Performance Instrument. Changes in the thickness of the mylohyoid and the digastric muscles and the lingual were assessed ultrasonographically.

RESULTS

After the intervention, the thickness of the mylohyoid and the digastric muscles in the experimental group was significantly greater than that in the control group (P = 0.037 and 0.042).

CONCLUSION

This study demonstrated that LST increases the thickness and the strength of oropharyngeal muscles. Therefore, LST is a useful option in patients with dysphagia or in elderly patients prone to swallowing dysfunction.

摘要

背景

舌部力量训练(LST)已被报道可积极影响颏下肌的激活,并增加舌部肌肉力量。然而,几乎没有证据支持其有效性。

目的

本研究旨在调查 LST 对健康成年人口咽肌力量和厚度的影响。

方法

本研究纳入了 30 名受试者,将其分为实验组(n=15)和对照组(n=15)。实验组采用舌抵上颚阻力运动法进行 LST。LST 分为等长运动和等张运动。干预每周进行 5 次,持续 6 周。对照组不进行任何干预。使用爱荷华口腔表现仪器测量舌部力量。超声评估颏舌肌和二腹肌厚度以及舌部的变化。

结果

干预后,实验组颏舌肌和二腹肌的厚度明显大于对照组(P=0.037 和 0.042)。

结论

本研究表明 LST 可增加口咽肌的厚度和力量。因此,LST 是吞咽困难患者或易发生吞咽功能障碍的老年患者的一种有用选择。

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