Establishing a reliable protocol to measure tongue sensation
Establishing a reliable protocol to measure tongue sensation
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DOI：
10.1111/j.1365-2842.2007.01735.x
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发表时间：
2007-06-01
影响因子：
2.9
通讯作者：
Amundsen, K.
中科院分区：
文献类型：
--
作者：
Boliek, C. A.;Rieger, J. M.;Amundsen, K.
舌头的感觉和舌头的功能之间的关系说话，咀嚼和吞咽是越来越多的领域感兴趣的康复专业人士。为了确定感觉对功能的潜在影响，首先必须建立可靠和有效的舌头感觉测量方法。本研究的目的是开发一种测试舌头感觉的方案，包括两点识别、轻触识别、热感觉、纹理识别、口腔立体识别和味觉识别。在每个领域内测试的材料分别包括：(i) MacKinnon-Dellon Disk-criminator，回形针和卡尺；（ii） Semmes-Weinstein单丝和棉丝；（iii）牙镜和玻璃试管；（iv）在棒上的有纹理的丙烯酸树脂球体；(v)在棒上形成不同形状的丙烯酸树脂；（vi）咸、甜、酸、苦和中性溶液。研究人员对40名年龄在20岁至55岁之间的健康受试者进行了材料测试。这项研究的结果表明，热感、质感和味觉在准确性和辨别性方面表现得很好。两点辨别和轻触似乎受到舌头上刺激位置和施加的力的影响，而立体感知则受到刺激复杂性的影响。本研究结果表明，临床医生可能会选择像回形针和试管一样实用的仪器来分别测试两点辨别和热感觉。对于其他感觉，可能重要的是使用更复杂的仪器来控制力的变量，刺激的表面积和分级步骤评估感觉。
The relationship between tongue sensation and tongue function for speech, mastication and deglutition are growing areas of interest among rehabilitative professionals. To determine the potential effect that sensation has on function, it is imperative that, first, reliable and valid measures of tongue sensation be established. The aim of this study was to develop a protocol to test tongue sensation across a spectrum of sensory functions that included two-point discrimination, light-touch discrimination, thermal sensation, texture recognition, oral stereognosis and taste recognition. Materials tested within each domain respectively included: (i) the MacKinnon-Dellon Disk-criminator, paperclip and caliper; (ii) the Semmes-Weinstein monofilament and cotton wisp; (iii) dental mirrors and glass test tubes; (iv) spheres of textured acrylic resin on rods; (v) acrylic resin forms with differing shapes on rods and (vi) salty, sweet, sour, bitter and neutral solutions. Materials were tested on 40 healthy subjects between the ages of 20 and 55. The results from this study indicated that thermal, texture and taste sensations appear robust for accuracy and discrimination. Two-point discrimination and light touch seem to be influenced by location of stimulation on the tongue and force applied, whereas stereognosis was influenced by stimulus complexity. The results of this study indicate that clinicians may choose instruments as practical as paperclips and test tubes for testing two-point discrimination and thermal sensation, respectively. For the other sensations, it may be important to use more sophisticated instrumentation to control variables of force, surface area stimulated and assessing sensations in graded steps.