Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of tongue strength training program combined with oral exercises on swallowing disorder, swallowing ability, and tongue pressure in the elderly

입체조를 병행한 혀 근력운동이 노인의 연하장애와 연하력 및 설압에 미치는 효과

  • Nam-Suk Kim (Department of Dental Hygiene, Masan Universit) ;
  • Jung-Hwa Lee (Department of Dental Hygiene, Dong-eui University)
  • Received : 2023.02.08
  • Accepted : 2023.03.31
  • Published : 2023.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study is to verify the usefulness and practicality of the program in the daily life of the elderly by performing a three-dimensional tongue muscle exercise for the elderly to identify the dysphagia, swallowing ability, and tongue pressure. Methods: The subjects of the study were 29 elderly people aged 65 or older living in Busan, divided into a oral exercises group and tongue strength training program combined with oral exercises group, and operated 16 times for 8 weeks twice a week, and the pre and post-program evaluation was conducted in the 1st and 8th weeks. For variable selection, 7 general characteristics, 5 oral health-related characteristics, 5 Likert scale for swallowing disorder, repetitive swallowing ability test for swallowing power measurement, and tongue pressure measurement was used. Data analysis was conducted using SPSS window program 25.0 version (IBM), general characteristics and homogeneity tests, oral health-related characteristics and homogeneity tests were chi-square test, swallowing disorder, swallowing ability, and change in tongue pressure were paired t-test, Wilcoxon signed rank test, t-test, Mann-Whitney U test for swallowing disorder and changes in swallowing ability and tongue pressure, and Spearman's correlation for the relationship between swallowing disorder and swallowing ability and tongue pressure. Results: As a result of tongue strength training program combined with oral exercise, both relieve swallowing disorder and improve low eating and tongue pressure than oral exercise, and the difference in improvement effects of both relieve swallowing disorder, swallowing ability, and tongue pressure is higher. Conclusions: Based on the results of this study, it is believed that simple and practical oral muscle function reinforcement products and practical use are needed, and institutional devices to seek oral health promotion programs for the elderly are needed.

Keywords

References

  1. Jang KA, Hwang IC. Effects of mouth exercise on the improvements of oral function in elderly men. J Dent Hyg Sci 2011;11(3):257-63. 
  2. Kim YK. Geriatric dental hygiene. Seoul: Komoonsa; 2020:559-66. 
  3. Hwang YS, Cho EP. A study on elderly people's satisfaction Level with oral exercise program. J Korean Soc Dent Hyg 2009;9(4):795-807. 
  4. Health Promotion Division of Health Center, KAMIKAMI Oral exercise and oral care. Kochi city, Japan; 2007:1-8. 
  5. Cho EP. Impact of oral function improving exercise on the oral function and quality of life in the elderly[Doctoral dissertation]. Daejeon: Chungnam University, 2013. 
  6. Choi HE, Oh JC. Literature review of the effect of tongue-pressure resistance training using the IOPI on tongue strength and swallowing function in patients with dysphagia. Swallowing Rehabilitation 2021;4(1):1-16. https://doi.org/10.31115/sr.2021.4.1.1 
  7. Youmans SR, Stierwalt JA. Measures of tongue function related to normal swallowing. Dysphagia 2006;21(2):102-11. https://doi.org/10.1007/s00455-006-9013-z 
  8. Moon JH, Kim HJ, Kang MK, Won YS. Effects of tongue strength and accuracy training on tongue strength, swallowing function, and quality of life in chronic stroke patients with dysphagia. J Korea Contents Assoc 2016;16(11):605-13. https://doi.org/10.5392/JKCA.2016.16.11.605 
  9. Yoshikawa M, Fukuoka T, Mori T, Hiraoka A, Higa C, Kuroki A, et al. Comparison of the Iowa oral performance instrument and JMS tongue pressure measurement device. J Dent Sci 2021;16(1):214-19. https://doi.org/10.1016/j.jds.2020.06.005 
  10. Imamura Y, Chebib N, Ohta M, Maria Schulte-Eickhoff R, Mekki M, Schimmel M, et al. Validation of a novel diagnostic tool for decreased tongue pressure. J Oral Rehabil 2021;48(11):1219-25. https://doi.org/10.1111/joor.13232 
  11. Kim BH, Chung EJ. Oropharyngeal dysphagia in the elderly. J KDS 2016;6(2):49-53. https://doi.org/10.34160/jkds.2016.6.2.001 
  12. Humbert IA, Robbins J. Dysphagia in the elderly. Phys Med Rehabil Clin N Am 2008;19(4):853-66. https://doi.org/10.1016/j.pmr.2008.06.002 
  13. Robbins J, Gangnon RE, Theis SM, Kays SA, Hewitt AL, Hind JA. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc 2005;53(9):1483-9. https://doi.org/10.1111/j.1532-5415.2005.53467.x 
  14. Steele CM, Bayley MA, Peladeau-Pigeon M, Stokely SL. Tongue pressure profile training for dysphagia post stroke(TPPT): study protocol for an exploratory randomized controlled trial. Trials 2013;14:126. https://doi.org/10.1186/1745-6215-14-126 
  15. Ibayashi H, Fujino Y, Pham TM, Matsuda S. Intervention study of exercise program for oral function in healthy elderly people. Tohoku J Exp Med 2008;215(3):237-45. https://doi.org/10.1620/tjem.215.237 
  16. Park YR. The effect of an oral and breathing muscle enhancement program on improvement of swallowing and speech motor function in stroke patients[Doctoral dissertation]. Daegu: Daegu University, 2013. 
  17. Kim YS, Shin Kh, Park JR, Chung Sh, Choi HS. The effect of oral function improvement with oral exercise program by elderly people. J Korean Soc Dent Hyg 2016;16(4):559-66. https://doi.org/10.13065/jksdh.2016.16.04.559 
  18. Yano J, Nagami S, Yokoyama T, Nakamura K, Kobayashi M, Odan Y, et al. Effects of tongue-strengthening self-exercises in healthy older adults: a non-randomized controlled trial. Dysphagia 2021;36(5):925-35.https://doi.org/10.1007/s00455-020-10216-w 
  19. Yang JM, Song SE, Heo MH, Kim JH. Association between GOHAI (Geriatric Natural Health Assessment Index) and QOL (Quality of Life). Health and Social Welfare Review 2020;40(4):245-63. https://doi.org/10.15709/hswr.2020.40.4.245 
  20. Yang SO, Jeong GH, Kim SJ, Kim KW, Lee SH, Saung SY, et al. The effects of oral function improving exercise on the UWS, oral function and OHIP in elderly. J Korean Pubilc Health Nurs 2012;26(3):478-90. https://doi.org/10.5932/JKPHN.2012.26.3.478