Japanese

Development of a new tongue-palate contact training with a spring scale Tomoki Nanto 1,2 , Takahiro Ono 3 , Kazuhiro Hori 3 , Tatsuyuki Fukuoka 4 , Norihiko Kodama 5 , Kazuhisa Domen 5 1Department of Rehabilitation, Hyogo College of Medicine Hospital 2Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry 3Division of Comprehensive Prosthodontics, Niigata University Graduate School of Medical and Dental Sciences 4Faculty of Rehabilitation, Hiroshima International University 5Department of Physical Medicine and Rehabilitation, Hyogo College of Medicine Keyword: 舌圧 , 嚥下障害 , 筋力 , , トレーニング , tongue pressure , dysphagia , muscle strength , tongue , exercise pp.62-70
Published Date 2018/6/15
DOI https://doi.org/10.11477/mf.6001200170
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 We developed a new method of tongue-palate contact training which requires patients to hold a piece of gauze with their tongue and palate tightly against the pulling force exerted by a spring scale attached to the gauze. The aim of this study was to investigate the effect of different load levels of the pulling force exerted by a spring scale on the patterns of tongue-palate contact in patients with dysphagia. Twenty patients with dysphagia were asked to hold the gauze by tightly pressing their tongue against the hard palate. An investigator then pulled the scale at four different load levels(50 g, 100 g, 200 g, 300 g). Maximum tongue pressure(MTP) and integrated tongue pressure(ITP) at five regions on the hard palate were measured using an ultra-thin sensor sheet under the four load conditions. The results showed that MTP and ITP recorded at the anterior-median and circumferential regions of the hard palate tended to increase with an increase of the pulling force. MTP and ITP recorded at the anterior-median region differed among the four load levels. These results suggested that this new method of training may be effective in improving the anterior tongue-palate contact in patients with dysphagia.


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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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