• 제목/요약/키워드: tongue

검색결과 1,528건 처리시간 0.03초

입체조를 병행한 혀 근력운동이 노인의 연하장애와 연하력 및 설압에 미치는 효과 (Effects of tongue strength training program combined with oral exercises on swallowing disorder, swallowing ability, and tongue pressure in the elderly)

  • 김남숙;이정화
    • 한국치위생학회지
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    • 제23권2호
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    • pp.105-113
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    • 2023
  • Objectives: The purpose of this study is to verify the usefulness and practicality of the program in the daily life of the elderly by performing a three-dimensional tongue muscle exercise for the elderly to identify the dysphagia, swallowing ability, and tongue pressure. Methods: The subjects of the study were 29 elderly people aged 65 or older living in Busan, divided into a oral exercises group and tongue strength training program combined with oral exercises group, and operated 16 times for 8 weeks twice a week, and the pre and post-program evaluation was conducted in the 1st and 8th weeks. For variable selection, 7 general characteristics, 5 oral health-related characteristics, 5 Likert scale for swallowing disorder, repetitive swallowing ability test for swallowing power measurement, and tongue pressure measurement was used. Data analysis was conducted using SPSS window program 25.0 version (IBM), general characteristics and homogeneity tests, oral health-related characteristics and homogeneity tests were chi-square test, swallowing disorder, swallowing ability, and change in tongue pressure were paired t-test, Wilcoxon signed rank test, t-test, Mann-Whitney U test for swallowing disorder and changes in swallowing ability and tongue pressure, and Spearman's correlation for the relationship between swallowing disorder and swallowing ability and tongue pressure. Results: As a result of tongue strength training program combined with oral exercise, both relieve swallowing disorder and improve low eating and tongue pressure than oral exercise, and the difference in improvement effects of both relieve swallowing disorder, swallowing ability, and tongue pressure is higher. Conclusions: Based on the results of this study, it is believed that simple and practical oral muscle function reinforcement products and practical use are needed, and institutional devices to seek oral health promotion programs for the elderly are needed.

혀 저항정확도훈련이 만성 뇌졸중 환자의 혀 근력과 구어기능에 미치는 영향 (The Effects of Tongue Pressure Strength and Accuracy Training on Tongue Strength and Speech Function of Chronic Stroke Patients)

  • 김보중;마성룡
    • 한국콘텐츠학회논문지
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    • 제17권11호
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    • pp.156-166
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    • 2017
  • 본 연구는 만성 뇌졸중 환자들을 대상으로, 혀의 객관적인 수치로 측정할 수 있는 기계(Iowa Oral Performance Instrument, IOPI)를 사용하여 혀의 최대 저항 훈련프로그램을 수정하고, 혀 정확도 훈련을 추가한 프로그램을 적용하여 혀 근력과 구어기능에 미치는 효과를 비교하고자 실시하였다. 뇌졸중으로 진단받은 입원 및 외래환자를 각각 20명씩 실험군인 혀 저항정확도훈련 치료군과 대조군인 구강안면운동 치료군으로 나누어 각 치료를 대상자들에게 총 4주간 30분씩, 주 5회 실시하였고, 혀 근력과 구어기능 능력을 변화를 알아보기 위해 중재 전, 후에 혀 전방거상 압력(Anterior Tongue Pressure; ATP), 혀 후방거상 압력(Posterior Tongue Pressure; PTP), 최대발성시간(Maximum Phonation Time; MPT)을 측정하였다. 본 연구의 결과 중재 전 후 혀 저항정확도훈련 치료군과 구강안면운동 치료군의 혀 근력과 구어기능은 유의하게 향상하였으나, 두 군 사이의 비교에서 혀 저항정확도훈련 치료군과 구강안면운동 치료군 간의 혀 근력과 구어기능의 변화량은 유의한 차이가 없었다. 따라서 혀 저항정확도훈련이 기존 구강안면운동 치료보다 혀 근력 및 구어기능 향상에 효과적이지는 않은 것으로 나타났다.

p53 Expression Helps Identify High Risk Oral Tongue Premalignant Lesions and Correlates with Patterns of Invasive Tumour Front and Tumour Depth in Oral Tongue Squamous Cell Carcinoma Cases

  • Viveka, Thangaraj Soundara;Shyamsundar, Vidyarani;Krishnamurthy, Arvind;Ramani, Pratibha;Ramshankar, Vijayalakshmi
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.189-195
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    • 2016
  • Oral tongue squamous cell carcinoma (OTSCC) is the most common oral cancer subtype with a maximum propensity for regional spread. Our objective was to study if p53 expression might have any correlation with aggressive patterns of invasion within oral tongue cancers as well as with the histologically identified degree of oral tongue dysplasia. p53 immunoexpression was studied using immunohistochemistry in early staged OTSCCs (n=155), oral tongue dysplasias, (n=29) and oral tongue normal specimens (n=10) and evaluated for correlations with histological and clinicopathological parameters. Our study (n=194) showed a pattern of p53 expression increasing with different grades of tongue dysplasia to different grades of invasive OTSCC (p=0.000). Among the OTSCC tumours, positive p53 expression was seen in 43.2% (67/155) and a higher p53 labelling index was significantly associated with increased Bryne's grade of the tumour invasive front (p=0.039) and increased tumour depth (p=0.018). Among the OTSCC patients with tobacco habits, (n=91), a higher p53 labelling index was significantly associated with increased risk of local recurrence (p=0.025) and with lymphovascular space involvement (p=0.014). Evaluation of p53 through varying degrees of dysplasia to oral tongue cancer indicates that p53 expression is linked to aggressive features of oral tongue cancers and tongue precancers entailing a closer monitoring in positive cases. Among the OTSCCs, p53 expression is associated with tumour aggressiveness correlating with increased grading of invasive tumour front and tumour depth.

Treatment and retention of relapsed anterior open-bite with low tongue posture and tongue-tie: A 10-year follow-up

  • Seo, Yu-Jin;Kim, Su-Jung;Munkhshur, Janchivdorj;Chung, Kyu-Rhim;Ngan, Peter;Kim, Seong-Hun
    • 대한치과교정학회지
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    • 제44권4호
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    • pp.203-216
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    • 2014
  • The purpose of the current report is to present 6-year long-term stability and 10-year follow-up data for an adult patient who was treated with a tongue elevator for relapsed anterior open-bite. The 19-year-old male patient presented with the chief complaint of difficulty in chewing his food. Collectively, clinical and radiographic examinations revealed an anterior open-bite, low tongue posture, and tongue-tie. The patient opted for orthodontic treatment alone, without any surgical procedure. A lingual frenectomy was recommended to avoid the risk of relapse, but the patient declined because he was not experiencing tongue discomfort. Initial treatment of the anterior open-bite with molar intrusion and tongue exercises was successful, but relapse occurred during the retention period. A tongue elevator was used for retreatment, because the approach was minimally invasive and suited the patient's requirements regarding discomfort, cost, and time. The appliance changed the tongue posture and generated an altered tongue force, which ultimately resulted in intrusive dentoalveolar effects, and a subsequent counterclockwise rotation of the mandible. The results showed long-term stability and were maintained for six years through continual use of the tongue elevator. The results of this case indicated that a tongue elevator could be used not only as an alternative treatment for open-bite, but also as an active retainer.

설침요법(舌鍼療法)에 대한 문헌적(文獻的) 고찰(考察) (Bibliographic Study on the Tongue-Acupunccture Therapy)

  • 이준호;김기현
    • 혜화의학회지
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    • 제1권1호
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    • pp.255-278
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    • 1992
  • Based on recent 27 document, reported in Huang Ti Nei Ching, the following results concering the tongue and Tongue-acupuncture were obtained: 1. It was observed that the tongue has direct or indirect connection with the Heart meridian, the Liver meridian, the Spleen meridian, the Kidney meridian, the Triple energizer meridian and the Stomach meridian. 2. The Tongue-acupunccture, needlingon tongue, is one of new acupunctures treating general disorder and 31 acu-points have been found; 17 points on the upper part and 14 points on the lower part of the tongue. 3. The Tongue-acupuncture is employed by dividing the tongue into threeregions; Sangcho area(下焦穴), Jungcho area(中焦穴) and Hacho area(下焦穴). Each region cures its own corresponding symptoms. 4. The upper part of the tongue is divided into 4 regions by the sidelines along with Chuy Cheon(聚泉), So Jang Hyul(小腸穴) and Dae Jang Hyul(大腸穴). Sangcho area(上焦穴) includes Sim Hyul(心穴), Pye Hyul(肺穴), Sang Gi Hyul(上肢穴) and Jungcho area(中焦穴) includes Ui Hyul(胃穴), Bi Hyul(脾穴), Dam Hyul(膽穴) and Hacho area(下焦穴) includes Gan Hyul(肝穴), Bang Kwang Hyul(膀胱), Sin Hyul(腎穴) and the inner region includes Yim Hyul(陰穴), Ha Gi Hyul(下肢穴), on The lower part of the tongue, there are aec Hyul(額穴), Mok Hyul(目穴), Bi Hyul(鼻穴), I Hyul(耳穴), In Hu Hyul(咽喉穴) in contrast with the face above the center of the tongue as well as Gi Maek Hyul(支脈穴), Hae Chun Hyul(海泉), Gyum Gin Ok Aek(金津玉液), Seol Ha Hyul(舌下穴), Seol Gu(舌柱), Joa Chun Hyul(佐泉穴), Sin Gyun Hyul(神根穴), Jung Gu(中矩), Aek Bang Hyul(液旁穴). 5. The Tongue-acupuncture can be applied to the disease internal medicine, surgery, ophthalmology, otorhinolaryngology, gynecology, musculoskeletal system, symptomatology.

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LED 광원을 이용한 디지털 혀 영상 촬영장치의 기구설계와 개발 (Mechanical Design and Development of a Digital Tongue Imaging System Equipped with LEDs)

  • 남동현;김지혜;이상석
    • 대한한의진단학회지
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    • 제16권3호
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    • pp.41-48
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    • 2012
  • Objectives: The aims of this study are to design a optimized mechanical structure of digital tongue imaging system (DTIS) equipped with LEDs in aspects of object distance and camera angle of coverage. Methods and Results: We tried to find optimized object distance while recording a rectangular object of common tongue size. In case object distance is 22 cm or less, edge of the rectangle was not taken beyond the shooting range. In contrast, if object distance is 40 cm or more, the rectangle image was too small. Therefore when considering the variation of subjects, we selected distance of 35-40 cm as appropriate object distance for the DTIS. We also tried to find optimized angle between camera view axis and horizontal line. We photographed from the side of the face of 7 adults with exposed tongue. We drew an exposed tongue lines to connect the tongue tip points and the tongue root points by using the photos acquired from the side faces. And then we calculated the tongue exposure angles between the vertical line and the exposed tongue lines. Mean tongue exposure angle was $28.3^{\circ}$ when tongue was lightly exposed and $13.3^{\circ}$ when maximally. So we determined $73^{\circ}$ as appropriate slope angle of part in contact with face of the DTIS and by considering that the standard variation was great, we designed control gears to adjust the slope of the camera view axis and to regulate the object distance. Conclusions: We designed a optimized mechanical structure in object distance and slope angle of part in contact with face of the DTIS.

표리한열의 설 특성에 관한 정량적 연구 (Quantitative Study on Tongue Images according to Exterior, Interior, Cold and Heat Patterns)

  • 어윤혜;김제균;유화승;김종열;박경모
    • 대한한의학회지
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    • 제27권2호
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    • pp.134-144
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    • 2006
  • Tongue diagnosis is an important diagnostic method in traditional Oriental medicine. It has been especially accepted that quantitative analysis of tongue images allows the accurate diagnosis of the exterior-interior and cold-heat patterns of a patient. However, to ensure stable and reliable results, the color reproduction of such images must first be error-tree. Moreover, tongue diagnosis is much influenced by the surrounding illumination and subjective color recognition, so it has to be performed objectively and quantitatively using a digital diagnostic machine. In this study, 457 tongue images of outpatients were collected using the Digital Tongue Inspection System. Through statistical analysis, the result shows that the heat and cold patterns can be distinguished clearly based on the hue value of the tongue images. The average hue value (1.00) of the tongue's image in the cold pattern is higher than that in the heat pattern (0.99).

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마비말장애 환자의 혀의 강도.운동범위와 말명료도에 관한 연구 (Tongue Strength, Range of Motion, and Speech Intelligibility in Dysarthric Speakers)

  • 이경하;심현섭;김향희
    • 음성과학
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    • 제12권2호
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    • pp.89-99
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    • 2005
  • The purpose of the present study were (1) to assess differences in tongue performances and speech intelligibility between normal and dysarthric speakers; and (2) to analyze the possible interrelationships between tongue strength, range of motion, and speech intelligibility in dysarthric patients. In order to measure maximum strength of anterior and lateral tongue strength, a force transducer has been designed. And a ruler was used for guaging range of motion. 'Word intelligibility test' was administered to each group. The results were analyzed by a quantitative statistical method(t test, Pearson product- moment correlation, and one-way ANOVA). The results were as follows; (1) dysarthric speakers showed significantly poorer performance than the normal in the tongue strength, range of motion, and speech intelligibility tasks; (2) the correlation between speech intelligibility and instrumental tongue performance was high in the dysarthric group; and (3) instrumental assessment was coincide with perceptual judgement of dysarthric tongue performance. The present investigation demonstrated that tongue weakness is causally related to articulation deficits in dysarthric. The clinical use of the force transducer would help a speech pathologist to quantify the degree of tongue weakness.

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골격성 하악전돌자의 혀와 구강용적의 상관관계에 대한 연구 (A STUDY OF THE CORRELATIONS BETWEEN THE TONGUE AND ORAL CAVITY VOLUME IN THE SKELETAL MANDIBULAR PROGNATHISM)

  • 최양숙;손우성
    • 대한치과교정학회지
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    • 제23권2호
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    • pp.275-282
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    • 1993
  • When mandibular prognathic patients are operated orthognathic surgery which reduce the oral cavity volume, tongue volume should be harmonized with oral cavity volume to be changed because prevent the relapse of malocclusion. To decide the need for tongue resection, the author measured the tongue volume and oral cavity volume with stone model which were taken by impression method and study the difference between the ratio of tongue and oral cavity volume in mandibular prognathic group and normal group. The samples were consisted of four groups, the 40 subjects of the control group, 40 subjects of the experimental group. Each group was subdivided into male and female group respectively. The results were as follows : 1. The tongue volume and oral cavity volume measurements are $20.7cm^3,\;32.7cm^3$ in the control group respectively, and $24.9cm^3,\;42.9cm^3$ in the experimental group respectively. 2. There is no difference in the ratio of the tongue volume to oral cavity volume in control group and experimental group. 3. Correlation coefficients between the tongue volume and oral cavity volume are 0.11, 0.29 in experimental group and control group respectively, and 0.43 in gross total group. 4. The tongue volume of male is larger than female(p<0.05).

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설진에 대한 국내의 연구동향 (Research Trends for Tongue Diagnosis in Korea)

  • 김빛나라;국길호;양동민;이규원;오민석
    • 혜화의학회지
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    • 제21권1호
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    • pp.143-150
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    • 2012
  • Objectives : This study was aimed to review the trend of tongue diagnosis studies in Korean Medicine on various aspect and to suggest better studies. Method : We collected papers on tongue diagnosis studies in the internet site 'nanet, riss, dbpia, society' using the keyword 'tongue diagnosis' between 2002 and 2012. Then we analyzed them. Results : There were 33 study papers that related in tongue diagnosis between 2002 and 2012. Conclusions : To make a reproducibility and a objectivity of tongue diagnosis, it needs to have a unification of the system. So it is is necessary that having a discussion about the standard of tongue diagnosis.