Decrease in stereognostic ability of the tongue with age
Decrease in stereognostic ability of the tongue with age
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DOI：
10.1111/j.1365-2842.2009.02005.x
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发表时间：
2009-12-01
影响因子：
2.9
通讯作者：
Masumi, S.
中科院分区：
文献类型：
--
作者：
Kawagishi, S.;Kou, F.;Masumi, S.
从生活质量的角度来看，饮食和吞咽功能的康复不仅要恢复身体功能，还要恢复感觉功能。由于食物的大小和形状为进食和吞咽提供了重要的口腔感觉信息，我们研究了269名年轻人（平均年龄：24岁）和60名老年人（平均年龄：80岁）的舌头立体感知能力；所有人都没有进食或吞咽方面的不适。立体识别能力的评估包括识别放置在口腔中的20个不同形状的测试片。青壮年对不同形状题的正确率显著高于老年人（平均正确率分别为16个中心点5和10个中心点1，P < 0中心点001）。性别和腭盖的存在对立体认知能力无显著影响。这些试件根据形状被分为六组。当年轻人认错了一件作品时，他们通常会选择同一组中的另一件作品，几乎从不选择另一组中的作品。然而，高年级学生从不同的组中选择了测试件。此外，为了确定是否可以通过训练来提高立体认知，我们对4名80多岁的老年受试者进行了训练，他们正确识别了10个或更少的碎片。训练后，正确率显著提高（P < 0中心点05）。这些发现表明，与年轻人相比，老年人的舌头立体感知能力有所下降，并表明使用我们的训练方法可以恢复这种能力。
P>Rehabilitation of eating and swallowing functions from the viewpoint of quality of life should attempt to restore not only the physical, but also sensory function. As the size and shape of the intra-oral bolus of food provides oral sensory information important for eating and swallowing, we investigated the stereognostic ability of the tongue in 269 young adults (mean age: 24 center dot 5 years) and 60 seniors (mean age: 80 center dot 5 years); all of whom had no eating or swallowing complaints. Assessment of the stereognostic ability involved identifying 20 differently shaped test pieces placed in the oral cavity. The young adults identified a significantly higher number of differently shaped test pieces than the seniors (mean correct number of responses: 16 center dot 5 and 10 center dot 1 respectively; P < 0 center dot 001). Gender and the presence of palatal covers did not have any significant effect on stereognostic ability. The test pieces were categorized into six groups based on the shape. When the young adults misidentified a piece, they often selected another piece within the same group, almost never selecting a piece from another group. The seniors, however, chose test pieces from different groups. Moreover, to determine whether stereognosis could be improved through training, we conducted training involving four senior subjects in their 80s, who correctly identified 10 or fewer pieces. After the training, the number of correct answers increased significantly (P < 0 center dot 05). These findings indicate that seniors show decreased stereognostic ability of the tongue compared with young adults and suggest the possibility of recovering the ability using our training method.