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健康个体的唇舌压力和口腔结构功能。

Lip and tongue pressure and the functionality of oro-facial structures in healthy individuals.

机构信息

Department of Speech and Language Pathology, Faculdade de Ceilândia, University of Brasilia - UnB, Brasilia, Brazil.

Department of Orthodontics, University Center of the Hermínio Ometto Foundation - FHO, Araras, Brazil.

出版信息

J Oral Rehabil. 2023 Oct;50(10):991-1001. doi: 10.1111/joor.13531. Epub 2023 Jun 19.

Abstract

BACKGROUND

With the ageing process changes in the musculature of oro-facial structures take place, consequently there is a reduction in the strength and mobility of the lips, tongue and cheeks.

OBJECTIVE

The aim of this study was to correlate oro-facial structures and chewing and swallowing functions among a group of senior citizens and young adults and check the influence of lip and tongue pressure of these functions.

METHODS

This is an observational, cross-sectional and analytical study. Thirty seniors with an average age of 67.13 years and 30 young adults with an average age of 22.03 years participated in the study. The Oro-facial Myofunctional Assessment Protocol with Scores for the Elderly and the Oro-facial Myofunctional Assessment Protocol with Expanded Scores were also used. The evaluation of the force of pressure of the lips and tip and dorsum of the tongue was carried out using the Biofeedback device Pró-Fono: Lip and Tongue Pressure.

RESULTS

Young adults had a higher evaluation score for the aspect/posture of the face, cheeks, lips, mentalis muscle, tongue, mobility of lips, tongue, jaw and cheeks, chewing and swallowing functions, total time and chewing strokes, and tip pressure and dorsum of tongue. According to the Structural Equation Modelling, a direct relationship was found between the tongue dorsum pressure force and the swallowing function.

CONCLUSION

With healthy ageing changes occurring in the appearance, posture and mobility of the lips, tongue, jaw and cheeks, with the seniors and reduced performance of chewing and swallowing functions.

摘要

背景

随着年龄的增长,口面结构的肌肉会发生变化,嘴唇、舌头和脸颊的力量和灵活性会随之降低。

目的

本研究旨在比较老年人群和年轻成人的口面结构与咀嚼和吞咽功能,并检查唇舌压力对这些功能的影响。

方法

这是一项观察性、横断面和分析性研究。共有 30 名平均年龄为 67.13 岁的老年人和 30 名平均年龄为 22.03 岁的年轻人参与了这项研究。使用了老年人口面肌功能评估方案和扩展评分以及口面肌功能评估方案。使用 Biofeedback 设备 Pró-Fono:Lip and Tongue Pressure 评估唇和舌的压力。

结果

年轻人在面部、脸颊、嘴唇、颏肌、舌头、嘴唇、舌头、下巴和脸颊的活动度、咀嚼和吞咽功能、总时间和咀嚼次数、舌尖压力和舌背压力方面的评估得分较高。根据结构方程模型,发现舌背压力与吞咽功能之间存在直接关系。

结论

随着年龄的健康增长,嘴唇、舌头、下巴和脸颊的外观、姿势和活动度会发生变化,老年人的咀嚼和吞咽功能也会下降。

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