caa a22 4500 467935521 CHVBK 20180406152956.0 cr unu---uuuuu 170328e20060101xx s 000 0 eng 10.1007/s00455-005-9011-6 doi (NATIONALLICENCE)springer-10.1007/s00455-005-9011-6 Decreased Tongue Pressure Reflects Symptom of Dysphagia [Elektronische Daten] [Mitsuyoshi Yoshida, Takeshi Kikutani, Kazuhiro Tsuga, Yuri Utanohara, Ryo Hayashi, Yasumasa Akagawa] The tongue plays a key role in oropharyngeal swallowing. It has been reported that maximum isometric tongue pressure decreases with age. The risk for dysphagia resulting from low tongue strength remains unclear. This study was designed to reveal the relationship between tongue pressure and clinical signs of dysphagic tongue movement and cough and to demonstrate the clinical value of tongue pressure measurement in the evaluation of swallowing function. One hundred forty-five institutionalized elderly in five nursing homes participated. Evaluation of physical activity with self-standing up capability and mental condition with Mini Mental Status Examination (MMSE) were recorded. Maximum tongue pressure was determined using a newly developed tongue pressure measurement device. Voluntary tongue movement and signs of dysphagic cough at mealtime were inspected and evaluated by one clinically experienced dentist and speech therapist. The relationship between level of tongue pressure and incidence of cough was evaluated using logistic regression analysis with physical and mental conditions as covariates. Tongue pressure as measured by the newly developed device was significantly related to the voluntary tongue movement and incidence of cough (p < 0.05). The results of this study suggest that tongue pressure measurement reflects clinical signs of dysphagic tongue movement and cough and that measurement of tongue pressure is useful for the bedside evaluation of swallowing. Springer Science+Business Media, Inc., 2006 Tongue pressure nationallicence Dysphagia nationallicence Swallowing evaluation nationallicence Deglutition nationallicence Deglutition disorders nationallicence Yoshida Mitsuyoshi Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut Kikutani Takeshi Nippon Dental University Hospital at Tokyo, Clinic of Rehabilitation for Speech and Swallowing Disorders, Tokyo, Japan aut Tsuga Kazuhiro Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut Utanohara Yuri Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut Hayashi Ryo Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut Akagawa Yasumasa Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut Dysphagia Springer-Verlag 21/1(2006-01-01), 61-65 0179-051X 21:1<61 2006 21 455 https://doi.org/10.1007/s00455-005-9011-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00455-005-9011-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yoshida Mitsuyoshi Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Kikutani Takeshi Nippon Dental University Hospital at Tokyo, Clinic of Rehabilitation for Speech and Swallowing Disorders, Tokyo, Japan aut NATIONALLICENCE 700 1- Tsuga Kazuhiro Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Utanohara Yuri Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Hayashi Ryo Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 700 1- Akagawa Yasumasa Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences, Kasumi 1-2-3, Minami-ku, Hiroshima, Japan aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 21/1(2006-01-01), 61-65 0179-051X 21:1<61 2006 21 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer