The Influence of Age and Gender on Tongue Pressure and Swallowing Tongue Pressure

NCT ID: NCT04658316

Last Updated: 2022-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

57 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-12-01

Study Completion Date

2021-04-30

Brief Summary

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The main topic of the research is to investigate the tongue's strength when swallowing. There has been much foreign literature on tongue strength. Iowa Oral Performance Instrument also has norms for reference, but the data are all taken from non-Asian people such as Caucasians. In this case, the credibility of the norms are decreased in domestic, and we also lack norm data of tongue strength when swallowing. Through the research, we can establish normative data belonging to the domestics, provide usable data for domestic researchers and clinical staff, and explore whether there are differences in age and gender in data between Taiwanese and foreigners.

Detailed Description

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Swallowing refers to the process by which food enters the stomach from the mouth. It is the physiological mechanism by which humans take in water and nutrients. It is a vital activity for individual survival. The physiological mechanism of swallowing has four major stages, oral preparation, oral cavity, pharynx, and esophagus. Each stage has its physiological mechanism, which depends on the different nerve and muscle structures. In the oral stage, our tongue plays an important role. Whether in the formation or transition of the food bolus, it must rely on the tongue to perform its normal functions. The main topic of the research is to explore the strength of the tongue when swallowing. The purpose is to discuss the influence of gender and age on swallowing tongue pressure. We expect to recruit 80 subjects and divide them into three groups according to their age: 20 to 39 years old, 40 to 59 years old, and 60 to 79 years old, with 13 to 14 males and females in each group, using Iowa Oral Performance Instrument measures the subject's maximum tongue pressure, average swallowing tongue pressure, and the ratio of the maximum tongue pressure used when swallowing, to explore whether age and gender affect tongue strength when swallowing.

Conditions

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Swallowing Disorder

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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20-39Years-old Male

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure.

Iowa Oral Performance Instrument

Intervention Type BEHAVIORAL

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure

40-59Years-old Male

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure.

Iowa Oral Performance Instrument

Intervention Type BEHAVIORAL

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure

60-79Years-old Male

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure.

Iowa Oral Performance Instrument

Intervention Type BEHAVIORAL

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure

20-39Years-old Female

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure.

Iowa Oral Performance Instrument

Intervention Type BEHAVIORAL

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure

40-59Years-old Female

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure.

Iowa Oral Performance Instrument

Intervention Type BEHAVIORAL

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure

60-79Years-old Female

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure.

Iowa Oral Performance Instrument

Intervention Type BEHAVIORAL

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure

Interventions

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Iowa Oral Performance Instrument

Use Iowa Oral Performance Instrument to measure tongue pressure and swallowing tongue pressure

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Aged twenty and above.

Exclusion Criteria

* Based on self-representation, has the disease of the nervous system, included stroke, brain trauma, Parkinson's disease, dementia, etc.
* Based on self-representation, has head and neck cancers.
* Based on self-representation, had any history of swallowing disorders.
* Based on self-representation, has obvious cognition impairment or language disorder that will affect measure procedure.
Minimum Eligible Age

20 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yu-Chun Chih, Doctoral

Role: STUDY_DIRECTOR

Chung Shan Medical University, Taiwan

Locations

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National Taiwan University hospital

Taipei, , Taiwan

Site Status

Countries

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Taiwan

References

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張家臻, 陳惠櫻, 李蕙蓉, 林宗豪, 謝佩君, 張雁雲, & 邱麗玲. (2018). 國 際吞嚥困難飲食標準中文繁體版本. 亞東學報, (38), 1-18.

Reference Type BACKGROUND

Adams V, Mathisen B, Baines S, Lazarus C, Callister R. A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia. 2013 Sep;28(3):350-69. doi: 10.1007/s00455-013-9451-3. Epub 2013 Mar 7.

Reference Type BACKGROUND
PMID: 23468283 (View on PubMed)

Alsanei, W. A. S. (2015). Tongue Pressure-A Key Limiting Aspect in Bolus Swallowing (Doctoral dissertation, University of Leeds).

Reference Type BACKGROUND

Crow HC, Ship JA. Tongue strength and endurance in different aged individuals. J Gerontol A Biol Sci Med Sci. 1996 Sep;51(5):M247-50. doi: 10.1093/gerona/51a.5.m247.

Reference Type BACKGROUND
PMID: 8808997 (View on PubMed)

Logemann, J. A. (1998). Evaluation and Treatment of Swallowing Disorders (2nd ed.). Austin, TX: Pro-Ed.

Reference Type BACKGROUND

Park JS, You SJ, Kim JY, Yeo SG, Lee JH. Differences in orofacial muscle strength according to age and sex in East Asian healthy adults. Am J Phys Med Rehabil. 2015 Sep;94(9):677-86. doi: 10.1097/PHM.0000000000000230.

Reference Type BACKGROUND
PMID: 25415391 (View on PubMed)

Robinovitch SN, Hershler C, Romilly DP. A tongue force measurement system for the assessment of oral-phase swallowing disorders. Arch Phys Med Rehabil. 1991 Jan;72(1):38-42.

Reference Type BACKGROUND
PMID: 1985622 (View on PubMed)

Robbins J, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR, Taylor AJ. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007 Feb;88(2):150-8. doi: 10.1016/j.apmr.2006.11.002.

Reference Type BACKGROUND
PMID: 17270511 (View on PubMed)

Stierwalt JA, Youmans SR. Tongue measures in individuals with normal and impaired swallowing. Am J Speech Lang Pathol. 2007 May;16(2):148-56. doi: 10.1044/1058-0360(2007/019).

Reference Type BACKGROUND
PMID: 17456893 (View on PubMed)

Vanderwegen J, Guns C, Van Nuffelen G, Elen R, De Bodt M. The influence of age, sex, bulb position, visual feedback, and the order of testing on maximum anterior and posterior tongue strength and endurance in healthy belgian adults. Dysphagia. 2013 Jun;28(2):159-66. doi: 10.1007/s00455-012-9425-x. Epub 2012 Sep 16.

Reference Type BACKGROUND
PMID: 22983359 (View on PubMed)

Vitorino J. Effect of age on tongue strength and endurance scores of healthy Portuguese speakers. Int J Speech Lang Pathol. 2010 Jun;12(3):237-43. doi: 10.3109/17549501003746160.

Reference Type BACKGROUND
PMID: 20433342 (View on PubMed)

Youmans SR, Youmans GL, Stierwalt JA. Differences in tongue strength across age and gender: is there a diminished strength reserve? Dysphagia. 2009 Mar;24(1):57-65. doi: 10.1007/s00455-008-9171-2. Epub 2008 Aug 9.

Reference Type BACKGROUND
PMID: 18690406 (View on PubMed)

Other Identifiers

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202010017RINB

Identifier Type: -

Identifier Source: org_study_id

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