Tongue strength, masticatory and swallowing dysfunction in patients with chronic temporomandibular disorder

Marim, Geise Carolina; Machado, Bárbara Cristina Zanandréa; Trawitzki, Luciana Vitaliano Voi; Felício, Cláudia Maria de

doi:10.1016/j.physbeh.2019.112616

Cited by 34 publications

(52 citation statements)

References 29 publications

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“…Therefore, by providing a new functional scheme for tongue movement, the OMT may have reduced the altered tongue position and increased its strength thus improving tongue protrusion, lateralization, elevation, and stretching. This datum is in accordance with previous reports demonstrating that a higher tongue maximum pressure is related to better masticatory performance [25,30].…”

Section: Tongue Strengthsupporting

confidence: 93%

“…This datum is not surprising since the abnormal tongue position which characterizes patients with tongue thrust is often associated with a reduced contraction of the lower jaw elevator muscles and with an increase activity of the perioral muscle [1]. In addition, altered tongue dynamics may also affect different aspects of mastication such as food transport, bolus formation, coordination with jaw movements, and pressure control against the hard palate [25]. At the end of the OMT, a significant increase in OMES total and subscale scores was demonstrated.…”

Section: Orofacial Motricitymentioning

confidence: 99%

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Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Mozzanica

Pizzorni

Scarponi

et al. 2020

Folia Phoniatr Logop

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Introduction: Tongue thrust is a frequent clinical condition characterized by abnormal patterns of movements and altered tongue posture on the mouth floor. It might contribute to determining alterations in the maxillofacial morphology and in the development of malocclusion. Several therapeutic options are available for treatment. In particular, the orofacial myofunctional therapy (OMT) is frequently adopted even if only few studies have analyzed its efficacy using validated instruments and no information is available regarding the effect of dentition on the results obtained with OMT. Objective: To evaluate the effect of OMT through a validated instrument and explore the role of dentition on its efficacy. Methods: A total of 22 consecutive patients with tongue thrust were enrolled. According to the presence of mixed or complete dentition, the cohort of patients was divided into 2 groups. Each patient underwent OMT according to the Garliner method (10 weekly sessions of 45 min each in hospital and daily exercises at home). The efficacy of OMT was evaluated using the Orofacial Myofunctional Evaluation with Scores (OMES), a validated protocol developed for the assessment of orofacial myofunctional disorders, and the Iowa Oral Performance Instrument (IOPI) to measure the peak isometric pressure exerted by the anterior and posterior part of the tongue. Both OMES and IOPI were administered before and at the end of the treatment. Results: A significant improvement in the OMES scores was demonstrated after OMT. No significant differences between the patients with intermediate and mixed dentition obtained in both the pre- and post-treatment conditions were demonstrated in the OMES scores. Similarly, a significant increase in the peak isometric tongue pressure in both the anterior and posterior parts of the tongue was demonstrated after OMT in the groups. No differences between the two groups in both the pre- and post-treatment conditions were demonstrated in the IOPI scores. Conclusions: OMT improves orofacial motricity and tongue strength in patients with tongue thrust regardless of the type of dentition.

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Section: Tongue Strengthsupporting

confidence: 93%

Section: Orofacial Motricitymentioning

confidence: 99%

Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Mozzanica

Pizzorni

Scarponi

et al. 2020

Folia Phoniatr Logop

View full text Add to dashboard Cite

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“…A few comparative studies investigated patients with OD problems accompanying TMD, by evaluation of correlation within the groups or with a healthy control group [14][15][16][17]. No study could be found in the literature that has investigated the differences between TMD patients with and without OD problems.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of tongue strength and symptoms of oral dysphagia in patients accompanying temporomandibular disorder

Guzel¹,

Tuncer²

2021

areh

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Introduction:The aim of this study was to compare functional restriction of the jaw, swallowing difficulty, tongue strength and endurance, and quality of life in temporomandibular disorder (TMD) patients with and without oral dysphagia (OD) and in healthy individuals. Material and methods: The TMD group with 20 patients with TMD, and the TMD-OD group with 20 TMD patients with Eating Assessment Tool-10 (EAT-10) ≥ 3, and presence of pain and difficulty in swallowing as well as control group comprising 20 healthy volunteers were included in this case-control study. Evaluations were made of pain severity, pain history, maximum mouth opening, Jaw Function Limitation Scale-20 (JFLS-20), and the Swallowing related-Quality of Life questionnaire (Swal-QoL). Additionally, the tongue strength and endurance were measured with the Iowa Oral Performance Instrument (IOPI). Results: The history of pain, JFLS, EAT-10 values were significantly higher, and the Swal-QoL were significantly lower in the TMD-OD group compared to the patients with the TMD group (p 0.05). The IOPI values of the TMD and TMD-OD groups were determined to be significantly lower than those of the healthy group (p<0.05). Conclusions: Functional restriction of the jaw, swallowing difficulty, and Swal-QoL showed a difference in the patients with TMD-OD compared to the patients with TMD only. The tongue strength and endurance values of the patients were different from those of the healthy control group.

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“…Brain representation training‐based interventions such as MI, AO and VMF have been proposed as novel therapeutic tools to facilitate motor cortex activity, with or without the actual exercise, for patients who are unable to perform the movements . In this regard, this type of intervention could have a favourable effect on patients with temporomandibular disorders and those with dysphagia in whom pain sensitivity, tongue weakness or motor and emotional processing could be disrupted and related to the maintenance and appearance of the pathologic condition . The combination of motor control exercises and MI has also shown statistically significant changes in sensorimotor function variables of the craniocervical region and in the subjective perception of fatigue, when compared with exercises performed in isolation .…”

Section: Introductionmentioning

confidence: 99%

Effect of brain training through visual mirror feedback, action observation and motor imagery on orofacial sensorimotor variables: A single‐blind randomized controlled trial

Herranz‐Gómez

Destenay

Gey-Seedorf

et al. 2020

J of Oral Rehabilitation

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Objectives:The main objective was to evaluate the effects of action observation (AO), visual mirror feedback (VMF) and motor imagery (MI), combined with an orofacial exercise programme, on sensorimotor variables in asymptomatic participants. Methods:We designed a randomised, single-blind, controlled trial that included 52 asymptomatic participants who were randomly assigned to 4 groups, 13 to each of the VMF, MI and AO groups and 13 to the control group (CG), which only performed the exercise programme. The primary outcomes were pain pressure sensitivity and tongue muscle strength. The secondary outcomes were maximum mouth opening, tongue length and the ability to generate mental motor images. Each group underwent a 3-session intervention using their respective exercise. Measurements were performed before starting the intervention and after each of the 3 sessions (pre, mid1, mid2 and post).Results: ANOVA revealed significant changes in PPTs in the masseter muscle region in the MI and AO groups in the pre-post and mid1-post changes. ANOVA revealed significant differences in tongue muscle strength in the anterior direction only in the AO group in the pre-mid2 and pre-post changes.Conclusions: AO and MI, in conjunction with exercise, could induce changes in PPTs for the masseter muscle. In addition, only AO produced changes in tongue muscle strength. More research is needed to determine the role of brain representation techniques in the oro-facial region and transferring this exercise to the rehabilitation setting. K E Y W O R D S action observation, motor imagery, oro-facial exercises, pain pressure thresholds, visual mirror feedback | 621 LA TOUCHE ET AL. How to cite this article: La Touche R, Herranz-Gómez A, Destenay L, et al. Effect of brain training through visual mirror feedback, action observation and motor imagery on orofacial sensorimotor variables: A single-blind randomized controlled trial. J Oral Rehabil. 2020;47:620-635. https ://doi.

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Tongue strength, masticatory and swallowing dysfunction in patients with chronic temporomandibular disorder

Cited by 34 publications

References 29 publications

Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Impact of Oral Myofunctional Therapy on Orofacial Myofunctional Status and Tongue Strength in Patients with Tongue Thrust

Evaluation of tongue strength and symptoms of oral dysphagia in patients accompanying temporomandibular disorder

Effect of brain training through visual mirror feedback, action observation and motor imagery on orofacial sensorimotor variables: A single‐blind randomized controlled trial

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