Micarelli Alessandro, Arena Martina, Di Benedetto Adriano, Scarpa Fabio, Micarelli Riccardo Xavier, Alessandrini Marco
Unit of Neuroscience, Rehabilitation and Sensory Organs, UNITER ONLUS, Rome, Italy.
Occupational Therapy Unit, IRCCS Santa Lucia Foundation, Rome, Italy.
Eur Arch Otorhinolaryngol. 2025 Jul 5. doi: 10.1007/s00405-025-09534-2.
To evaluate how tongue tie could impact on neck performance and posturographic testing as well as on subjective consequences on dizziness and jaw functionality, when comparing adult participants with different degrees of ankyloglossia (ANK) according to Kotlow classification with a group of healthy subjects, serving as control group (CG).
ANK and CG participants have been studied by means of quantitative tongue evaluations (including Mouth Opening with Tongue Tip to incisive papilla, MOTTIP, and Maximal Intercisal Mouth Opening, MIO), posturography testing, cervical range of motion (CROM), cervical relocation tests (CRT) and subjective testing (Dizziness Handicap Inventory, DHI, and Jaw Functional Limitations Scale 20, JFLS-20).
96 ANK participants demontrated to have significant (p < 0.01) higher values in length and in area parameters when compared with 98 CG participants. A significant increase in power spectra values was found within the middle-/high-frequency interval ANK when compared to CG. ANK participants demonstrated significant reduced cervical spine mobility and higher values in all CRT positions as well as significant higher values along DHI and JFLS-20 sub-item and total score. Multiple significant (p < 0.05) correlations were found in ANK participants between tongue measures, cervical mobility, postural parameters and subjective testing.
The present study for the first time demonstrated that the tongue tie may actively partecipate in postural derangement possibly mediated by a wide span of anatomical and functional sequelae in the cervical spine, with consequences not only at jaw functional limitations but also at perceived dizziness level.
根据科特洛分类法，比较不同程度舌系带过短（ANK）的成年参与者与作为对照组（CG）的一组健康受试者，评估舌系带过短如何影响颈部功能和姿势描记测试，以及对头晕和下颌功能的主观影响。
通过定量舌评估（包括舌尖至切牙乳头的开口度、MOTTIP，以及最大切牙间开口度、MIO）、姿势描记测试、颈椎活动范围（CROM）、颈椎复位试验（CRT）和主观测试（头晕残障量表、DHI，以及下颌功能受限量表20、JFLS - 20）对ANK和CG参与者进行研究。
与98名CG参与者相比，96名ANK参与者在长度和面积参数方面显示出显著更高的值（p < 0.01）。与CG相比，ANK在中/高频区间的功率谱值显著增加。ANK参与者的颈椎活动度显著降低，在所有CRT位置的值更高，以及在DHI和JFLS - 20子项和总分方面的值也显著更高。在ANK参与者中，舌测量、颈椎活动度、姿势参数和主观测试之间发现了多个显著相关性（p < 0.05）。
本研究首次表明，舌系带过短可能通过颈椎广泛的解剖和功能后遗症积极参与姿势紊乱，不仅会导致下颌功能受限，还会导致头晕感。
