Oral strength comparisons across age and sex in healthy volunteers

Main Article Content

Scott R. Youmans

Abstract

Background: 

Devices designed to objectively measure strength have allowed us to better understand oral musculature.  More data are needed to determine the variability of normal oral strength.  The study aimed at determining the differences in the strength of the tongue, lips, and cheeks across adult age groups and between the sexes.

Methods:

One-hundred-thirty-two participants were equally distributed amongst younger, middle and older age groups, half of which were comprised of each sex.  Strength measurements using the IOPI were made for the lips, cheeks, and tongue in different directions.

Results:

All dependent measurements were positively correlated.  A significant difference between the younger and older groups was observed for anterior tongue strength exerted superiorly and tongue protrusion.  Males were significantly stronger than females for anterior tongue strength exerted superiorly and laterally and cheek strength.    

Conclusions: 

This study served to improve our understanding of normal oral strength by increasing the data available for normal healthy individuals of different ages and sexes.  Results supported some previous findings and conflicted with others.  Additional study is required to establish a better idea of the range of normal versus abnormal strength measurements and their impact on swallowing physiology.  This study represents a necessary step to that end.

Article Details

How to Cite
YOUMANS, Scott R.. Oral strength comparisons across age and sex in healthy volunteers. Medical Research Archives, [S.l.], v. 2, n. 2, aug. 2015. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/311>. Date accessed: 22 dec. 2024.
Keywords
oral strength; swallowing; deglutition; aging; tongue
Section
Research Articles

References

Adams, V., Mathisen, B., Bains, S., Lazarus, C., & Callister, R. (2013). A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia, 28, 350-369.

Clark, H. C., Henson, P. A., Barber, W. D., Stierwalt, J. A. G., & Sherrill, M. (2003). Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments. American Journal of Speech-Language Pathology, 12, 40-50.

Clark, H.M., & Solomon, N.P. (2012. )Age and sex differences in orofacial strength. Dysphagia, 27, 2-9.

Crow, H.C., & Ship, J.A. (1996). Tongue strength and endurance in different aged individuals. Journal of Gerontology, 51A(5), M247-M250.

Ekberg, O., Hamdy, S., Woisard, V., Wuttge-Hannig, A., & Ortega, P. (2002). Social and psychological burden of dysphagia: Its impact on diagnosis and treatment. Dysphagia, 17, 139-146.

Gingrich, L.L., Stierwalt, J.A.G., Hageman, C.F., & LaPointe, L.L. (2012). Lingual propulsive pressures across consistencies generated by the anteromedian and posteriomedian tongue by healthy young adults. Journal of Speech-Language, and Hearing Research, 55, 960-72.

Groher M. E., & Crary, M.A. (2010). Dysphagia: clinical management in adults and children. Maryland Heights, MI: Mosby Inc.

Humbert ,I.A., & Robbins, J. (2008). Dysphagia in the elderly. Physical Medicine and Rehabilitation Clinics of North America, 19, 853-866.

IOPI Northwest. (2005). Iowa oral performance instrument: User’s manual. Carnation, WA: IOPI Northwest.

Kays, S., Hind, J., Gangnon, R., & Robbins, J. (2010). Effects of dining on tongue endurance and swallowing related outcomes. Journal of Speech-Language, and Hearing Research, 53, 898-907.

Kendall, K.A, & Leonard, R.J. (2001). Pharyngeal constriction in elderly dysphagic patients compared with young and elderly nondysphagic controls. Dysphagia, 16, 272-278.

Nicosia, M. A., Hind, J. A., Roecker, E. B., Carnes, M., Doyle, J., Dengel, G. A., & Robbins, J.
(2000). Age effects on the temporal evolution of isometric and swallowing pressure. Journals of Gerontology A: Biological Sciences and Medical Sciences, 55, 634-640.

Neel, A.T., & Palmer, P.M. (2011). Is tongue strength an important influence on rate of articulation in diadochokinetic and reading tasks? Journal of Speech-Language, and Hearing Research, 55, 235-46.

Palmer, P.M., Jaffe, D.M., McCulloch, T.M., Finnegan, E.M., Van Daele, D.J., & Luschei, E.S. (2008). Quantitative contributions of the muscles of the tongue, floor-of-mouth, jaw, and velum to tongue-to-palate pressure generation. Journal of Speech-Language, and Hearing Research, 51, 828-35.

Robbins, J., Levine, R., Wood, J., Roecker, E.B., & Luschei, E. (1995). Age effects on lingual pressure generation as a risk factor for dysphagia. Journal of Gerontology, 50A(5), M257-M262.

Robin, D. A., Goel, A., Somodi, L.B., & Luschei, E.S. (1992). Tongue strength and endurance: Relation to highly skilled movements. Journal of Speech and Hearing Research, 35, 1239-1245.

Solomon, N.P., Drager, K.D.R. &, Luschei, E.S. (2002). Sustaining a constant effort by the tongue and hand: effects of acute fatigue. Journal of Speech-Language, and Hearing Research 45, 613-24.

Solomon, N.P., & Munson, B. (2004). The effect of jaw position on measures of tongue strength and endurance. Journal of Speech-Language, and Hearing Research, 47, 584-94.

Solomon, N.P., Robin, D.A., Mitchinson, S.I., Van Daele, D.I., & Luschei, E.S. (1996). Sense of effort and the effects of fatigue in the tongue and hand. Journal of Speech-Language, and Hearing Research, 39, 114-25.

Stierwalt, J.A.G., & Youmans, S.R. (2007). Tongue measures in individuals with normal and impaired swallowing. American Journal of Speech-Lang Pathology, 16, 148-156.

Visser, M. (2009). Towards a definition of sarcopenia – results from epidemiologic studies. Journal of Nutrition, Health, and Aging, 13, 713-716.

Vitrano, J. (2010). Effect of age on tongue strength and endurance scores of healthy Portuguese speakers. International Journal of Speech-Language Pathology, 12, 237-43

Youmans, S.R., & Stierwalt, J.A.G. (2006). Measures of tongue function related to normal swallowing. Dysphagia, 21, 102-111.

Youmans S.R., Youmans G, & Stierwalt, J.A.G. (2008). Differences in tongue strength across age and gender: is there a diminished strength reserve? Dysphagia, 24, 57-63.