Department of Otorhinolaryngology, Hospital Universitario Clínico San Cecilio, Granada, Spain.
Department of Otorhinolaryngology, Hospital Quirón Marbella, Marbella, Spain.
PLoS One. 2021 Feb 18;16(2):e0245901. doi: 10.1371/journal.pone.0245901. eCollection 2021.
The study of the muscles of the tongue forms part of a basic evaluation of upper airway function that includes swallowing, speaking and chewing. It is important because the upper airway presents a region of collapse during sleep. Through the action of the dilator muscles, mainly the genioglossus, such collapse can be prevented. In this study, we present a simple tool that can be used to measure the strength of the tongue. This tool may provide an easy way to measure tongue function and allow a simple evaluation of pathologies that affect the tone of the tongue. We have carried out 20 tongue strength measurements using the Tongue Digital Spoon (TDS) in a healthy adult population, using the Iowa Oral Performance Instrument (IOPI) as the gold standard. To validate the procedure, we performed replicate measurements on 20 individuals aged 20-70 years. We found a mean TDS measurement of 115.99 g/cm2 in young subjects, 98.47 g/cm2 in middle-aged subjects and 84.23 g/cm2 in the elderly. There was a significant difference in the measurements between young and elderly participants. There was also a significant correlation between TDS and IOPI measurements (Pearson correlation coefficient, r = 0.69, P < 0.001). We found the TDS to be a useful tool in daily clinical practice for the measurement of the strength of the tongue in the healthy population. It has potential application in oropharyngeal monitoring and rehabilitation.
舌肌的研究是对上气道功能基本评估的一部分,其中包括吞咽、说话和咀嚼。这很重要,因为在上气道在睡眠期间会出现塌陷区域。通过扩张肌的作用,主要是颏舌肌,可以防止这种塌陷。在这项研究中,我们提出了一种简单的工具,可以用来测量舌头的力量。该工具可能提供一种简单的方法来测量舌头功能,并允许对影响舌头音调的病理进行简单评估。我们在健康成年人中使用 Tongue Digital Spoon(TDS)进行了 20 次舌力测量,以 Iowa Oral Performance Instrument(IOPI)作为金标准。为了验证该程序,我们对 20 名 20-70 岁的个体进行了重复测量。我们发现年轻组的 TDS 测量值平均为 115.99 g/cm2,中年组为 98.47 g/cm2,老年组为 84.23 g/cm2。年轻组和老年组之间的测量值存在显著差异。TDS 与 IOPI 测量值之间也存在显著相关性(Pearson 相关系数 r = 0.69,P < 0.001)。我们发现 TDS 是日常临床实践中用于测量健康人群中舌头力量的有用工具。它在口咽监测和康复方面具有潜在应用。