Otavio Andressa Colares da Costa, Fernandes Arthur Cherem Netto, Andrade Maria Eduarda Pollachinni, Dias Brenda Barros, Gomes Erissandra, Vaz Marco Aurélio
Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.
Programa de Pós-graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.
Codas. 2025 Jan 20;37(1):e20240089. doi: 10.1590/2317-1782/e20240089en. eCollection 2025.
To analyze the different therapeutic strategies prescribed in orofunctional rehabilitation of the tongue musculature.
Regional Portal of the Virtual Health Library for Latin America and the Caribbean, Embase, PubMed/MEDLINE, Scientific Electronic Library Online, SciVerse Scopus and Cochrane databases were consulted, with the descriptors "exercise therapy" OR "physiology" OR "musculoskeletal physiological phenomena" OR "digestive system and oral physiological phenomena" AND "speech therapy" OR "myofunctional therapy" OR "speech language pathology" AND "tongue". Studies indexed until October 5, 2023, were included.
Studies with an interventionist design with exercises for tongue musculature were included.
Three reviewers selected, extracted and tabulated the information from the studies. The PEDro scale was used to measure the studies' methodological quality.
1.036 studies were found, and 18 were included in this review. The samples varied between 16 and 148 subjects, aged between 4 and 95 years. Only seven studies clearly described the exercises execution, and the number of sets, repetitions, and contraction duration. Fourteen studies clearly defined the exercises' objectives. The average score of the PEDro Scale analysis was 6.9, and 56.25% of the studies scored ≥7.
There is a lack of a clear description of the exercises' goals and their clinical indications, which can lead to confusion and inadequate prescription. Future studies will need to provide a clear description of the outcomes, in order that we can define, according to the exercises and training program specificity, what the effects of different training methodological parameters in this musculature are.
分析舌肌功能康复中所采用的不同治疗策略。
查阅了拉丁美洲和加勒比地区虚拟健康图书馆区域门户、Embase、PubMed/MEDLINE、科学电子图书馆在线、SciVerse Scopus和Cochrane数据库，使用的描述词为“运动疗法”或“生理学”或“肌肉骨骼生理现象”或“消化系统和口腔生理现象”以及“言语治疗”或“肌功能治疗”或“言语语言病理学”和“舌”。纳入截至2023年10月5日索引的研究。
纳入采用干预性设计并针对舌肌进行锻炼的研究。
三名评审员从研究中选择、提取并将信息制成表格。使用PEDro量表来衡量研究的方法学质量。
共检索到1036项研究，本综述纳入了18项。样本量在16至148名受试者之间，年龄在4至95岁之间。只有七项研究清楚地描述了锻炼的执行情况、组数、重复次数和收缩持续时间。十四项研究明确界定了锻炼的目标。PEDro量表分析的平均得分为6.9，56.25%的研究得分≥7分。
缺乏对锻炼目标及其临床适应症的清晰描述，这可能导致混淆和处方不当。未来的研究需要对结果进行清晰描述，以便我们能够根据锻炼和训练计划的特异性，确定不同训练方法参数对该肌肉组织的影响。
