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A Comparison of Lingual Pressure Generation Measures Using Two Devices in Community-Dwelling, Typically Aging Adults: An Important Clinical Implication.
Drulia, Teresa; Szynkiewicz, Sarah; Griffin, Lindsay; Mulheren, Rachel; Murray, Kelsey; Kamarunas, Erin.
Afiliación
  • Drulia T; Davies School of Communication Sciences & Disorders, Texas Christian University, Fort Worth.
  • Szynkiewicz S; Department of Communication Sciences & Disorders, Samford University, Birmingham, AL.
  • Griffin L; Department of Communication Sciences and Disorders, Emerson College, Boston, MA.
  • Mulheren R; Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH.
  • Murray K; Department of Communication Sciences & Disorders, James Madison University, Harrisonburg, VA.
  • Kamarunas E; Department of Communication Sciences & Disorders, James Madison University, Harrisonburg, VA.
J Speech Lang Hear Res ; 67(2): 429-439, 2024 02 12.
Article en En | MEDLINE | ID: mdl-38262037
ABSTRACT

DESIGN:

A multisite, prospective, and randomized within-subject design study.

SETTING:

Five university settings in varied geographical areas in the United States.

PURPOSE:

The purpose of this study was to compare lingual pressure generation using the Tongueometer (TO) and the Iowa Oral Performance Instrument (IOPI) in typically aging, community-dwelling adults during three measurement tasks maximum isometric pressure (MIP), regular effort saliva swallow (RESS) pressure, and effortful saliva swallow pressure (ESP).

PARTICIPANTS:

Eighty-seven typically aging, community-dwelling adults (aged 55 years and over) with no self-reported history of swallowing or neurological disorders were recruited to complete this study.

RESULTS:

Strong positive associations were found between the lingual pressure generation measures from the TO and IOPI in all tasks in typically aging adults, with Pearson correlations ranging from r = .780 to .874, p < .001. Agreement between the devices (Lin's concordance correlation coefficient) ranged from moderate for the MIP (ρc = .78) and ESP (ρc = .61) tasks to weak agreement for the RESS task (ρc = .47). MIP, RESS pressure, and ESP were lower when measured by the TO compared with the IOPI, p < .001.

CONCLUSIONS:

The TO measures lingual pressure generation similarly to the IOPI but pressures register lower when using the TO than the IOPI in typically aging persons. This supports the need for developing normative values specific to the TO device or development of a valid and reliable conversion formula from TO to IOPI normative values. At this time, the clinical use of reference values from the TO should not be generalized to IOPI normative values.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Deglución / Vida Independiente Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: J Speech Lang Hear Res Asunto de la revista: AUDIOLOGIA / PATOLOGIA DA FALA E LINGUAGEM Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Deglución / Vida Independiente Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: J Speech Lang Hear Res Asunto de la revista: AUDIOLOGIA / PATOLOGIA DA FALA E LINGUAGEM Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos