Effects of lingual exercises on oral muscle strength and salivary flow rate in elderly adults: a randomized clinical trial
Effects of lingual exercises on oral muscle strength and salivary flow rate in elderly adults: a randomized clinical trial
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DOI：
10.1111/ggi.13944
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发表时间：
2020-06-02
影响因子：
3.3
通讯作者：
Choi, Yoon-Young
中科院分区：
文献类型：
--
作者：
Lee, Kyeong-Hee;Jung, Eun-Seo;Choi, Yoon-Young
目的探讨握舌吞咽训练和抗舌压训练对老年人口腔肌力、唾液流量和口腔健康的影响。方法将74名65岁以上老年人随机分为3组：握舌吞咽训练组、舌压抗阻训练组和对照组。每组都参加了8周的适当处方干预。分别于治疗前和治疗8周后测量舌前部强度、舌后部强度、嘴唇强度、唾液流率和口腔健康评定量表-14评分。采用配对样本t检验观察干预前后的差异。结果握舌吞咽组的前后舌力均有不同程度的提高，而抗压训练组仅前舌力有显著提高。握舌吞咽训练组和舌压抗力训练组唾液分泌量均有增加，其中舌压抗力训练组唾液分泌量更高。但干预前后主观口腔健康评分差异无统计学意义。结论两种语言训练方式强化了舌肌的某些方面，提高了唾液流率，舌压抗拒训练组的唾液分泌量明显多于握舌吞咽训练组。没有发现任何证据表明语言练习能够增强主观口腔健康。Geriatr Gerontol Int 2020；中心点中心点：中心点中心点-中心点中心点。
Aim The present study investigated the effects of two types of lingual exercise (tongue-hold swallowing and tongue-pressure resistance training) on oral muscle strength, salivary flow rate and subjective oral health of the elderly.Methods We randomly assigned 74 elderly adults (>= 65 years) to three groups (tongue-hold swallowing, tongue-pressure resistance training and control groups). Each group participated in 8 weeks of their appropriately prescribed intervention. We measured anterior tongue strength, posterior tongue strength, lip strength, salivary flow rate and Oral Health Impact Profile-14 score before and after 8 weeks. Differences before and after intervention were observed with a paired sample t-test. Moreover, analyses of covariance and variance were performed to determine the differences in the measured values between the groups.Results The tongue-hold swallowing group showed improvement in both anterior and posterior tongue strength, while the tongue-pressure resistance training group showed a significant increase in only anterior tongue strength. Both the tongue-hold swallowing and tongue-pressure resistance training groups showed increased salivary secretion, with the tongue-pressure resistance training group showing a higher level of salivary secretion. However, the difference in the subjective oral health scores before and after the intervention was not significant.Conclusions The two lingual exercises strengthened some aspects of tongue muscles and increased the salivary flow rate, with more salivary secretion in the tongue-pressure resistance training group than in the tongue-hold swallowing group. Any evidence of the lingual exercises being able to enhance subjective oral health could not be found. Geriatr Gerontol Int 2020; center dot center dot: center dot center dot-center dot center dot.