La fuerza lingual como una característica clínica de la salud oral en pacientes neurológicos: Una Revisión Sistemática

Autores/as

Resumen

Objetivo: La evaluación actual de la salud bucal tiene una visión integral de la relación entre los tejidos duros y blandos de la boca según se observa en práctica de la ortodoncia y la prostodoncia en la población sana. Apesar de conocer la influencia que tiene esta relación en resultados funcionales como la deglución y la masticación, la evaluación motora de los tejidos blandos como la lengua es aún escasa. Esta falta de conocimiento es aún mayor en personas con una condición neurológica. En este sentido, la medición de la fuerza lingual ha sido abordada por algunas investigaciones como un elemento clave que acompaña a la rehabilitación oral en población sana. Reconociendo la importancia de la fuerza lingual en la biomecánica bucal,  el Iowa Oral Performance Instrument (IOPI) se ha convertido en un instrumento estándar de medición. El propósito de este artículo fue buscar estudios científicos sobre la fuerza lingual en pacientes neurológicos utilizando el IOPI como herramienta de investigación, para conocer su inclusión en la intervención clínica y rehabilitación integral de la salud bucal en esta población. Material y Métodos: Se realizó una búsqueda sistemática en cinco grandes bases de datos basada en el Protocolo PRISMA. Las búsquedas fueron realizadas en las bases PubMed, Medline and Lilacs, Web of Science y MedCarib incluyendo artículos desde 2007 al 2020. Para generar la búsqueda en cada base de datos, se desarrollaron tres constructos: (1) "tongue Strength IOPI"; (2) "Swallowing Disorders"; (3) "Neurological Diseases". Resultados: Se  identificaron 152 estudios, 14 se incluyeron en la revisión final. La escala PEDro se evidenció gran heterogeneidad en el nivel de evidencia entre los estudios  con sólo 5 RCT y únicamente dos de ellos sobre entrenamiento de fuerza lingual. El IOPI se utilizó principalmente para medir la fuerza lingual y sólo en un 36% como dispositivo de entrenamiento clínico, lo cual pudiese contribuir a mejorar la salud oral. Conclusion: El ACV fue el más representado (79%). Se necesita adicionar evidencia sobre el entrenamiento de la fuerza lingual en individuos con afecciones neurológicas como la enfermedad de Parkinson dada la creciente prevalencia reportada por la literatura científica.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

[1]. Kharade P, Dholam K, Bachher G. Appraisal of Function After Rehabilitation With Tongue Prosthesis. J Craniofac Surg. 2018;29(1):41-44.

[2]. Mendell DA, Logemann JA. Temporal sequences of swallow events during the oropharyngeal swallow. J Speech, Lang Hear Res. 2007;50(5):1256–71.

[3]. Robbins J, Hamilton JW, Lof GL, Kempster GB. Oro-pharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;103(3):823–9.

[4]. Morita K, Tsuka H, Kato K, Mori T, Nishimura R, Yoshida M, Tsuga K. Factors related to masticatory performance in healthy elderly individuals. J Prosthodont Res. 2018;62(4):432-5.

[5]. Luchesi KF, Kitamura S, Mourão LF. Dysphagia progression and swallowing management in Parkinson’s disease: An obser-vational study. Braz J Otorhinolaryngol. 2015;81(1):24–30.

[6]. Nakazawa Y, Kikutani T, Igarashi K, Yajima Y, Tamura F. Associations between tongue strength and skeletal muscle mass under dysphagia rehabilitation for geriatric out patients. J Prosthodont Res. 2020;64(2):188–92.

[7]. 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;28:350–69.

[8]. Murakami K, Hori K, Minagi Y, Uehara F, Salazar SE, Ishihara S, et al. Coordination of tongue pressure production, hyoid movement, and suprahyoid muscle activity during squeezing of gels. Arch Oral Biol. 2020;111:104631.

[9]. Obana M, Furuya J, Matsubara C, Tohara H, Inaji M, Miki K, Numasawa Y, Minakuchi S, Maehara T. Effect of a collaborative transdisciplinary team approach on oral health status in acute stroke patients. J Oral Rehabil. 2019;46(12):1170-6.

[10]. Yajima Y, Kikutani T, Tamura F, Yoshida M. Relationship between tongue strength and 1-year life expectancy in elderly people needing nursing care. Odontology. 2017;105(4):477–83.

[11]. Robbins JA, Levine R, Wood J, Roecker EB, Luschei E. Age effects on lingual pressure generation as a risk factor for dysphagia. Journals Gerontol - Ser A Biol Sci Med Sci. 1995;50A(5):257–62.

[12]. Ma D, Shuler JM, Kumar A, Stanford QR, Tungtur S, Nishimune H, Stanford JA. Effects of Tongue Force Training on Bulbar Motor Function in the Female SOD1-G93A Rat Model of Amyotrophic Lateral Sclerosis. Neurorehabil Neural Repair. 2017;31(2):147-56.

[13]. ?wider K, Matys J. Complete dentures for a patient after a stroke by means of orofacial myofunctional therapy: A clinical report. J Prosthet Dent. 2018;120(2):177–80.

[14]. Hirota N, Konaka K, Ono T, Tamine K, Kondo J, Hori K, Yoshimuta Y, Maeda Y, Sakoda S, Naritomi H. Reduced tongue pressure against the hard palate on the paralyzed side during swallowing predicts Dysphagia in patients with acute stroke. Stroke. 2010;41(12):2982-4.

[15]. Park HS, Oh DH, Yoon T, Park JS. Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double-blind, randomized controlled trial. Int J Lang Commun Disord. 2019;54(3):479–84.

[16]. Furuya J, Suzuki H, Tamada Y, Onodera S, Nomura T, Hidaka R, Minakuchi S, Kondo H. Food intake and oral health status of inpatients with dysphagia in acute care settings. J Oral Rehabil. 2020;47(6):736-742.

[17]. Yoon WL, Khoo JKP, Rickard Liow SJ. Chin tuck against resistance (CTAR): New method for enhancing suprahyoid muscle activity using a shaker-type exercise. Dysphagia. 2014;29(2):243–8.

[18]. Steele CM, Bayley MT, Peladeau-Pigeon M, Nagy A, Namasivayam AM, Stokely SL, Wolkin T. A Randomized Trial Comparing Two Tongue-Pressure Resistance Training Protocols for Post-Stroke Dysphagia. Dysphagia. 2016;31(3):452-61

[19]. Hewitt A, Hind J, Kays S, Nicosia M, Doyle J, Tompkins W, Gangnon R, Robbins J. Standardized instrument for lingual pressure measurement. Dysphagia. 2008;23(1):16-25.

[20]. Kim JH, Choi JW, Lee SH, Cho YS. Difference in tongue strength using visual feedback in healthy adults. J Phys Ther Sci. 2017;29(12):2075–6.

[21]. Chen H, Burton EA, Ross GW, Huang X, Savica R, Abbott RD, Ascherio A, Caviness JN, Gao X, Gray KA, Hong JS, Kamel F, Jennings D, Kirshner A, Lawler C, Liu R, Miller GW, Nussbaum R, Peddada SD, Rick AC, Ritz B, Siderowf AD, Tanner CM, Tröster AI, Zhang J. Research on the premotor symptoms of Parkinson's disease: clinical and etiological implications. Environ Health Perspect. 2013;121(11-12):1245-52.

[22]. Braak H, Del Tredici K, Rüb U, De Vos RAI, Jansen Steur ENH, Braak E. Staging of brain pathology related to sporadic Parkinson’s disease. Neurobiol Aging. 2003; 24(2):197–211.

[23]. Kanna SV, Bhanu K. A simple bedside test to assess the swallowing dysfunction in Parkinson’s disease. Ann Indian Acad Neurol. 2014;17(1):62–5.

[24]. Clarke CE, Gullaksen E, Macdonald S, Lowe F. Referral criteria for speech and language therapy assessment of dysphagia caused by idiopathic Parkinson’s disease. Acta Neurol Scand. 2009;97(1):27–35.

[25]. Takizawa C, Gemmell E, Kenworthy J, Speyer R. A Systematic Review of the Prevalence of Oropharyngeal Dysphagia in Stroke, Parkinson’s Disease, Alzheimer’s Disease, Head Injury, and Pneumonia. Dysphagia. 2016;31(3):434–41.

[26]. Chan V, Zagorski B, Parsons D, Colantonio A. Older adults with acquired brain injury: A population based study. BMC Geriatr. 2013;13(1):1.

[27]. Feigin VL, Barker-Collo S, Krishnamurthi R, Theadom A, Starkey N. Epidemiology of ischaemic stroke and traumatic brain injury. Best Pract Res Clin Anaesthesiol. 2010;24(4):485–94.

[28]. De Medeiros Correia S, Morillo LS, Filho WJ, Mansur LL. A deglutição nas fases moderada e grave da doença de Alzheimer. Arq Neuropsiquiatr. 2010;68(6):855–61.

[29]. Sato E, Hirano H, Watanabe Y, Edahiro A, Sato K, Yamane G, Katakura A. Detecting signs of dysphagia in patients with Alzheimer's disease with oral feeding in daily life. Geriatr Gerontol Int. 2014;14(3):549-55.

[30]. Zhang TM, Yu SY, Guo P, Du Y, Hu Y, Piao YS, et al. Nonmotor symptoms in patients with Parkinson disease: A cross-sectional observational study. Med (United States). 2016;95(50):e5400.

[31]. Panebianco M, Marchese-Ragona R, Masiero S, Restivo DA. Dysphagia in neurological diseases: a literature review. Neurol Sci. 2020 Nov;41(11):3067-3073.

[32]. González-Garza MT, Martínez HR, Caro-Osorio E, Cruz-Vega DE, Hernández-Torre M, Moreno-Cuevas JE. Differentiation of CD133 + Stem Cells From Amyotrophic Lateral Sclerosis Patients Into Preneuron Cells. Stem Cells Transl Med. 2013;2(2):129–35.

[33]. Sandstedt P, Littorin S, Johansson S, Gottberg K, Ytterberg C, Kierkegaard M. Disability and contextual factors in patients with amyotrophic lateral sclerosis - A three-year observational study. J Neuromuscul Dis. 2018;5(4):439–49.

[34]. DePaul R, Brooks BR. Multiple orofacial indices in amyotrophic lateral sclerosis. J Speech Hear Res. 1993;36(6):1158–67.

[35]. Marrie RA, Cohen J, Stuve O, Trojano M, Sørensen PS, Reingold S, Cutter G, Reider N. A systematic review of the incidence and prevalence of comorbidity in multiple sclerosis: overview. Mult Scler. 2015;21(3):263-81.

Holtbernd F, Deppe M, Bachmann R, Mohammadi S, Ringelstein EB, Reilmann R. Deficits in tongue motor control are linked to microstructural brain damage in multiple sclerosis: A pilot study. BMC Neurol. 2015;15(1):190.

[37]. Arakawa I, Igarash, K, Imamura Y, Müller F, Abou-Ayash S, Schimmel M. Variability in tongue pressure among elderly and young healthy cohorts: A systematic review and meta-analysis. J Oral Rehabil, 2021;48(4): 430-48

[38]. Gingrich LL, Stierwalt JAG, Hageman CF, Lapointe LL, Lieshout V, Falls C. Generated by the Anteromedian and Posteromedian Tongue by Healthy Young Adults. 2012;4388:960–73.

[39]. Yamanashi H, Shimizu Y, Higashi M, Koyamatsu J, Sato S, Nagayoshi M, et al. Validity of maximum isometric tongue pressure as a screening test for physical frailty: Cross-sectional study of Japanese community-dwelling older adults. Geriatr Gerontol Int. 2018;18(2):240–9.

[40]. Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA; PRISMA-P Group. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015 2;350:g7647.

[41]. Hirota N, Konaka K, Ono T, Tamine K, Kondo J, Hori K, et al. Reduced tongue pressure against the hard palate on the paralyzed side during swallowing predicts dysphagia in patients with acute stroke. Stroke. 2010;41(12):2982–4.

[42]. Stierwalt JAG, Youmans SR. Tongue measures in individuals with normal and impaired swallowing. Am J Speech-Language Pathol. 2007;16(2):148–56.

[43]. 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;88(2):150-8.

[44]. Yeates EM, Molfenter SM, Steele CM. Improvements in tongue strength and pressure-generation precision following a tongue-pressure training protocol in older individuals with dysphagia: Three case reports. Clin Interv Aging. 2008;3(4):735–47.

[45]. Easterling C, Antinoja J, Cashin S, Barkhaus PE. Changes in tongue pressure, pulmonary function, and salivary flow in patients with amyotrophic lateral sclerosis. Dysphagia. 2013;28(2):217–25.

[46]. Steele CM, Bailey GL, Polacco RE, Hori SF, Molfenter SM, Oshalla M, Yeates EM. Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury. Int J Speech Lang Pathol. 2013;15(5):492-502.

[47]. Park JS, Kim HJ, Oh DH. Effect of tongue strength training using the iowa oral performance instrument in stroke patients with dysphagia. J Phys Ther Sci. 2015;27(12):3631–4.

[48]. Kim HD, Choi JB, Yoo SJ, Chang MY, Lee SW, Park JS. Tongue-to-palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia. J Oral Rehabil. 2017;44(1):59–64.

[49]. Easterling C. Management and Treatment of Patients with Dysphagia. Curr Phys Med Rehabil Reports. 2018;29(6):213–219.

[50]. Byeon H. Effect of orofacial myofunctional exercise on the improvement of dysphagia patients’ orofacial muscle strength and diadochokinetic rate. J Phys Ther Sci. 2016;28(9):2611–4.

[51]. Lee JH, Kim HS, Yun DH, Chon J, Han YJ, Yoo SD, Kim DH, Lee SA, Joo HI, Park JS, Kim JC, Soh Y. The Relationship Between Tongue Pressure and Oral Dysphagia in Stroke Patients. Ann Rehabil Med. 2016;40(4):620-8.

[52]. Oliveira GD de, Valentim AF, Vicente LCC, Motta AR. Fatores associados à pressão de língua em pacientes pós-acidente vascular cerebral. Audiol - Commun Res. 2017;22(0):1870–1.

[53]. Oh DH, Park JS, Kim WJ. Effect of neuromuscular electrical stimulation on lip strength and closure function in patients with dysphagia after stroke. J Phys Ther Sci. 2017;29(11):1974–5.

[54]. Robbins JA, Gangnon RE, Theis SM, Kays SA, Hewitt AL, Hind JA. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc. 2005;53(9):1483–9.

[55]. Pitts LL, Morales S, Stierwalt JAG. Lingual pressure as a clinical indicator of swallowing function in Parkinson’s disease. J Speech, Lang Hear Res. 2018 ;61(2):257–65.

[56]. Clark HM, Solomon NP. Age and sex differences in orofacial strength. Dysphagia. 2012;27(1):2–9.

[57]. Moon JH, Hong DG, Kim KH, Park YA, Hahm SC, Kim SJ, Won YS, Cho HY. Effects of lingual strength training on lingual strength and articulator function in stroke patients with dysarthria. J Phys Ther Sci. 2017;29(7):1201-4.

[58]. Cashin AG, McAuley JH. Clinimetrics: Physiotherapy Evidence Database (PEDro) Scale. J Physiother. 2020:66(1): 59.

[59]. Watanabe D, Yoshida T, Yokoyama K, Yoshinaka Y, Watanabe Y, Kikutani T, Yoshida M, Yamada Y, Kimura M, Kyoto-Kameoka Study Group. Association between Mixing Ability of Masticatory Functions Measured Using Color-Changing Chewing Gum and Frailty among Japanese Older Adults: The Kyoto-Kameoka Study. Int J Environ Res Public Health. 2020;17(12):4555.

[60]. Smaoui S, Langridge A, Steele CM. The Effect of Lingual Resistance Training Interventions on Adult Swallow Function: A Systematic Review. Dysphagia. 2020;35(5):745-61.

[61]. Dorsey ER, Sherer T, Okun MS, Bloem BR. The Emerging Evidence of the Parkinson Pandemic. J Parkinsons. Dis.2018;8:S3–S8.

[62]. 2016 Global, regional, and national burden of Parkinson’s disease, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. Neurol. 2018; 17:939–953

Publicado

2021-08-31

Cómo citar

1.
Plaza-Taucare E, Dornelles-Bilheri D, Mancopes R, Busanello-Stella AR. La fuerza lingual como una característica clínica de la salud oral en pacientes neurológicos: Una Revisión Sistemática. J Oral Res [Internet]. 31 de agosto de 2021 [citado 3 de diciembre de 2024];10(4):1-14. Disponible en: https://revistas.udec.cl/index.php/journal_of_oral_research/article/view/7591

Artículos más leídos del mismo autor/a