Relationship between maximum tongue pressure and dysphagia in Parkinson's disease patients Shota Saito 1,2 , Tatsuyuki Fukuoka 1 , Sonoko Nozaki 2 , Yuta Nakao 1 , Norihiko Kodama 3 , Kazuhisa Domen 3 1Department of Rehabilitation, Hospital of Hyogo College of Medicine 2Graduate School of Health Science, Hyogo University of Health Sciences 3Department of Rehabilitation Medicine, Hyogo College of Medicine Keyword: パーキンソン病 , 舌圧 , 嚥下障害 , 誤嚥 , Parkinson's disease , tongue pressure , dysphagia , aspiration pp.120-127
Published Date 2016/9/15
DOI https://doi.org/10.11477/mf.6001200091
  • Abstract
  • Look Inside
  • Reference

 The objective of this study was to investigate the relationship between maximum tongue pressure, dysphagia, and motor symptoms in Parkinson's disease (PD) patients. The subjects were 21 PD patients with a mean age of 71.0 years. Maximum tongue pressure was measured using a tongue pressure measuring instrument made by JMS Co. Ltd., Japan. Patients were evaluated according to their Hoehn and Yahr (HY) scale rating, disease duration, clinical symptoms of PD, dysphagia severity scale rating, dysphagia screening test results, and videofluoroscopic examination results. The maximum tongue pressure among these PD patients was 26.1±9.5 kPa, which is lower than normal for this age group. The maximum tongue pressure was significantly less in the aspiration group and pharyngeal residue group. It correlated significantly with the scores on the HY scale (r=−0.49) and modified water swallowing test (r=0.57). This study suggests that maximum tongue pressure reflects the functional status of pharyngeal phase of swallowing, and that measuring tongue pressure is useful in evaluating swallowing of PD patients.

Copyright © 2016, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会