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不同口面肌功能障碍患者口腔肌功能临床评估结果、吞咽时舌压和肌电图活动的相关性。

Correlation between findings of the oral myofunctional clinical assessment, pressure and electromyographic activity of the tongue during swallowing in individuals with different orofacial myofunctional disorders.

机构信息

Divisão de Fonoaudiologia, Hospital das Clínicas - HC, Faculdade de Medicina - FM, Universidade de São Paulo - USP - São Paulo (SP), Brasil.

Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - FM, Universidade de São Paulo - USP - São Paulo (SP), Brasil.

出版信息

Codas. 2023 Oct 9;35(6):e20220053. doi: 10.1590/2317-1782/20232022053pt. eCollection 2023.

Abstract

PURPOSE

To correlate the findings regarding the myofunctional orofacial examination, tongue pressure and surface electromyography (sEMG) of deglutition in individuals with different orofacial myofunctional disorders.

METHODS

44 patients (20 males and 24 females, aged between 17 and 63 years old) with different orofacial myofunctional changes were clinically assessed using the Expanded Protocol of Orofacial Myofunctional Evaluation with Scores (OMES-E). In addition, the range of mandibular movements and facial anthropometry were measured, along with the assessment of the tongue pressure (tip and dorsum) and of the electrical activity of the suprahyoid muscles during deglutition, using surface electromyography (sEMG).

RESULTS

The statistical analysis found weak correlations between tongue dorsum pressure values, suggesting that the greater the measurement of the lower third of the face, the lower the pressure of the tongue dorsum; the greater the measurement of the overlaps (vertical and horizontal), the higher the pressure of the tongue dorsum; the higher the score from the orofacial evaluation and orofacial functions assessment, the higher the pressure of the tongue dorsum; and the higher the pressure of the tongue dorsum, the higher the pressure of the tongue tip.

CONCLUSION

The present study results indicate that the orofacial myofunctional changes found in different groups of patients are more related to the maxillomandibular discrepancies than to the pathologies investigated herein.

摘要

目的

分析不同口颌面部肌肉功能障碍患者的口颌功能检查、舌压和吞咽表面肌电图(sEMG)结果。

方法

对 44 名(20 名男性和 24 名女性,年龄 17 至 63 岁)具有不同口颌面部肌肉功能变化的患者进行临床评估,采用扩展口颌功能评估方案和评分(OMES-E)。此外,还测量了下颌运动范围和面部人体测量学,以及评估吞咽时舌压(舌尖和舌背)和舌骨上肌群的表面肌电图(sEMG)电活动。

结果

统计分析发现舌背压值之间存在弱相关,表明下脸部测量值越大,舌背压越低;重叠(垂直和水平)测量值越大,舌背压越高;口颌功能评估和口颌评估的分数越高,舌背压越高;舌背压越高,舌尖压越高。

结论

本研究结果表明,不同患者组中发现的口颌面部肌肉功能变化与颌骨间差异的关系比与本文研究的病理变化的关系更密切。

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