• Therapeutic Science for Rehabilitation
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• v.11 no.3
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• pp.7-22
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• 2022

Objectives : This study was a systematic review of tongue movements in stroke patients with dysphagia. This study aimed to provide a basis for verifying the effects of tongue movement and identifying the tendency of tongue movement. Methods : A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist and flow chart. PubMed, MEDLINE, CINAHL, RISS, and e-articles databases were searched. A total of six documents were investigated, and the PEDro scale was used to evaluate the quality of the papers. Results : Three intervention methods were included in the six papers analyzed. Regarding the type of tongue exercise, three TPRT (Tongue to Palate Resistance Trainings) and two TSAT (Tongue Strength and Accuracy Training) were mediated through the IOPI (Iowa Oral Performance Instrument), and only one study applied TSE (Tongue Stretching Exercise). The treatment effects for each intervention implemented in the literature were confirmed to be effective. However, generalizability of findings is difficult because of the small sample size. Further, no significant difference was found between the experimental and control groups. Conclusions : This study can help occupational therapists provide efficient swallowing rehabilitation treatment by applying tongue exercises to stroke patients with dysphagia. More research should be conducted to determine the effects of tongue exercise.

• Therapeutic Science for Rehabilitation
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• v.7 no.4
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• pp.43-55
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• 2018

Objective: This study aims to discover how tongue self-resistance exercise affects the swallowing function of patients with stroke. Method: The subjects of this study were two patients who were treated at the Y hospital in Gyeonggido. Data were gathered by VFSS regarding the degree of swallowing disability and oral intake before and after intervention. This study analyzed case studies of two patients. One patient's intervention was applied in September 2012 for three weeks. The other's intervention was applied in February 2014 for three weeks. At the first session, the VFSS examination was administered. Then, intervention began after the patients gave their consent for participation. Each session was practiced 10 times per set, but one session had 3 sets. Intervention frequency consisted of five sessions per week, and it was conducted for three weeks. Tongue self-resistance exercise included tongue protrusion, tongue lateralization, and tongue elevation on the hard palate. Results: The first tongue self-resistance exercise had a positive effect on swallowing function because of the decrease in VFS score. The second tongue self-resistance exercise showed improved oral intake based on FOIS scores. Conclusion: This study's results suggest that there are many benefits of tongue self-resistance exercise on the swallowing function when it is applied to patients with stroke.

• The Journal of the Korea Contents Association
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• v.17 no.11
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• pp.156-166
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• 2017

The purpose of this study was to evaluate the effect of the tongue's maximum resistance training program on the accuracy of the tongue training program using the Iowa Oral Performance Instrument (IOPI) and to compare the effects of tongue muscle strength and spoken language function on objective function. The experiment was diagnosed with stroke hemiplegia divided into tongue pressure strength and accuracy training therapy group and the oromotor exercise therapy group Anterior Tongue Pressure(ATP), Posterior Tongue Pressure (PTP), and Posterior Tongue Pressure (PTP) were measured before and after the intervention to evaluate changes in tongue strength and verbal ability. Maximum Phonation Time (MPT). The results of this study are as follows. There was no significant difference in tongue strength and verbal function between training group and oral facial exercise group. There was no significant difference between tongue strength training and oral facial exercise group. Therefore, it was shown that the tongue pressure strength and accuracy training therapy group was not effective to improve tongue muscle strength and spoken language ability than the oromotor exercise therapy group.

• Therapeutic Science for Rehabilitation
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• v.11 no.4
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• pp.55-68
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• 2022

Objective : This review aimed to provide information for clinical application by confirming the principles and characteristics of the tool through a review of tongue movement and measurement tools for patients with swallowing disorders. Results : We identified 15 tools used as tongue exercises and measurement tools in the field of dysphagia. According to principle, the tools were classified as either a bulb sensor, resistive sensor sheet, mouthpiece with sensor, or other techniques. The bulb sensor was easy to use but had limitations in fixing the position when measuring tongue pressure. The resistive sensor sheet could be measured at a more stable position than the bulb sensor. A mouthpiece with a sensor could be used in an individual's oral cavity such that the position was fixed when measuring the tongue pressure. Other techniques had the advantage of being wireless and capable of sensing light. Conclusion : Based on this literature review, it is necessary to facilitate the selection of the best tool for quantitative tongue measurement in dysphagia. The review can also be used to develop a Korean tongue movement tool model that can be used in hospitals and community centers.

• The Journal of the Korea institute of electronic communication sciences
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• v.11 no.10
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• pp.995-1002
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• 2016

The aim of this study was investigated the effect of orofacial exercise program using smart phone on swallowing function and tongue strength in acute stroke patients with dysphagia. This study participated in sixteen acute stroke patients with dysphagia. All subjects allocated that randomized each eight patients in experimental and control groups. Subjects of both group received to conventional dysphagia therapy during 30 min/day, 5 times per week, for 4 weeks. Experimental group performed additionally that orofacial exercise program using smart phone, supervised under caregivers, during 30 min/day. The outcome measures were the IOPI(: Iowa Oral Performance Instrument), VR(: Vellecula Residue), PSR(: Pyriform Sinuses Residue), MIP(: Maximum Isometric Pressures). In results of study. Both group showed significant improvements after intervention in all assessments(p<.05). In comparison of change score between two groups, experimental group showed significant improvements than control group in PSR and MIP(p<.05). Orofacial exercise program using smart phone suggested that expected to positive effects the reduction of residue in pharynx and improvements of tongue strength in acute stroke patients with dysphagia.

• Journal of Veterinary Clinics
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• v.33 no.1
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• pp.30-33
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• 2016

It is difficult to detect and diagnose a mass at the tongue base, particularly if the mass is located under normal appearing mucosa. Computed tomography (CT), particularly post-contrast images, is useful to evaluate a tongue mass and adjacent structures including cervical lymph nodes. Nevertheless, a definitive diagnosis of a mass is obtained by histopathological examination. In this case, we describe a mass arising from the tongue body to the root in a dog. The patient was referred with ptyalism and an eating disorder. An oral examination was performed, and decreased tongue motility was observed. CT scanning was performed, and a lingual mass was detected. A lingual mass sample was collected by biopsy at the postmortem 2 months later. A histopathological examination was performed, and the lingual mass was diagnosed as squamous cell carcinoma.

• Journal of Dental Rehabilitation and Applied Science
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• v.34 no.3
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• pp.239-245
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• 2018

If complication arises after glossectomy which leads to trouble in forming food bolus or transfer of the food, it is possible that either food bolus may block the airway or dysphagia may occur as the food bolus goes down into the airway. To solve the issue, palatal augmentation prosthesis could be used. In this case, the patient with an oral cancer is having difficulties swallowing food after glossectomy. Through taking impressions of polishing surface of his denture referring his tongue movement, the complete denture for the upper jaw was created using the concept of palatal augmentation prosthesis. This new upper denture increases the palatal-tongue contact pressure, allowing the patient to perform better swallowing and better pronunciation.

• Proceedings of the KSLP Conference
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• 1997.11a
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• pp.262-262
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• 1997

말더듬(stuttering)이란 언어-운동조절의 장애를 일으키는 운동장애(movement disorder)의 일종으로 혀, 입술, 후두를 이루는 근육과 호흡근육 등의 시간적인 부조화(inappropriate timing)로 특징지어지는 유창성장애(fluency disorder)의 하나로 인식되어 왔다. 여태까지 행동치료(behavioral treatment), 정신과적인 치료(psychiatric modalities)등이 치료의 방법으로 이용되어왔으며, 초기에는 비교적 좋은 반응을 보이나 지속적인 효과에 대해서는 회의적인 경우가 많았다. (중략)

• Proceedings of the KSLP Conference
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• 1999.11a
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• pp.176-176
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• 1999

배경 : trill은 혀의 첨부가 호기에 따라 진동하면서 경구개 전방에 부딪혀 나는 소리로 주로 "르" 발음으로 들린다. trill은 성악가들에게는 발성전에 후두의 준비운동으로 사용되고, 성대수술 반흔에 의한 애성환자나 노인성 음성장애환자의 음성치료에도 이용되고 있다. 목적 : trill을 실시할 때 전기성문파 측정법상에서 나타난 성대점막의 움직임을 조사하고 효과적인 trill 기법을 찾아보고자 하였다. (중략)

• Proceedings of the KSLP Conference
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• 1995.11a
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• pp.63-78
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• 1995

음성의 생성기전은 폐의 호기에 의하여 성대가 진동하여 원음이 발생하고, 원음이 하인두, 구인두, 비인두, 구강 등의 성도를 통과하면서 공명이 일어나며, 혀와 입술의 운동에 의하여 조음이 일어나서 결국은 음성이 생성되게 된다. 저자는 음성을 생성하는 후두 및 성도의 음성외과학적 구조 및 생리에 대하여 주로 언급하고, 성도에 발생하는 다양한 질환중 음성에 영향을 주는 질환만을 선택하여 간략히 설명하고자 한다. (중략)