Audiology - Communication Research
https://www.audiolcommres.org.br/article/doi/10.1590/2317-6431-2024-2916pt
Audiology - Communication Research
Original Article

Pressão de língua em crianças e adolescentes com osteogênese imperfeita

Tongue pressure in children and adolescents with osteogenesis imperfecta

Andressa Colares da Costa Otavio; Monalise Costa Batista Berbert; Hilton Justino da Silva; Erissandra Gomes; Têmis Maria Félix

Downloads: 0
Views: 70

Resumo

Objetivo: Investigar e correlacionar a pressão lingual da região anterior e posterior em contração isométrica e durante deglutição de saliva de indivíduos com osteogênese imperfeita.

Métodos: Estudo transversal observacional, do qual participaram 22 sujeitos, com média de idade de 12,09 anos, divididos em osteogênese imperfeita leve (tipo 1) (n=15) e osteogênese imperfeita moderada-grave (tipos 3, 4 e 5) (n=7). O Iowa Oral Pressure Instrument foi utilizado e foi aferida a pressão em isometria de língua da região anterior, da região posterior e durante deglutição. As análises estatísticas foram realizadas no programa SPSS, por meio dos testes Mann Whitney, correlação de Spearman e modelo de regressão linear simples. O nível de significância de p<0,05 foi utilizado.

Resultados: A pressão em isometria de língua foi maior na região anterior do que na região posterior na amostra total e no grupo com osteogênese imperfeita moderada-grave. A pressão da região anterior durante deglutição de saliva foi maior no grupo com osteogênese imperfeita leve. Também foi observada maior pressão de língua da região posterior nesse grupo.

Conclusão: Maior pressão da região anterior de língua correlaciona-se à maior pressão da região posterior de língua, porém, não há correlação significativa entre a capacidade isométrica de língua e a pressão de língua durante a função de deglutição de saliva.

Palavras-chave

Fonoaudiologia; Sistema estomatognático; Língua; Osteogênese imperfeita; Criança; Adolescente

Abstract

Purpose: To investigate and correlate the lingual pressure of the anterior and posterior region in isometric contraction and during saliva swallowing of individuals with Osteogenesis Imperfecta (OI).

Methods: This was an observational cross-sectional study, 22 subjects participated, with an average age of 12.09 years, divided into mild OI (OIL) (type 1) (n=15) and moderate/severe OI (OIMG) (types 3, 4 and 5) (n=7). The Iowa Oral Pressure Instrument (IOPI) was used and tongue isometry pressure was measured in the anterior region, posterior region and during swallowing. Statistical analyses was done with the SPSS program using the Mann Whitney test, Spearman correlation and simple linear regression model. The significance level of p<0.05 was used.

Results: Pressure in tongue isometry was greater in the anterior region than in the posterior region in the total sample and in the OIMG group. The pressure of the anterior region during saliva swallowing was higher in the OIL group. Greater tongue pressure was also observed in the posterior region in the OIL group.

Conclusion: Greater pressure in the anterior region of the tongue is correlated with greater pressure in the posterior region of the tongue, but there is no significant correlation between the isometric tongue capacity and the tongue pressure during the saliva swallowing function.

Keywords

Speech-language pathology; Stomatognathic system; Tongue; Osteogenesis imperfecta; Child; Adolescent

References

1 Sillence DO, Senn A, Danks DM. Genetic heterogeneity in osteogenesis imperfecta. J Med Genet. 1979;16(2):101-16. http://doi.org/10.1136/jmg.16.2.101. PMid:458828.

2 Bregou Bourgeois A, Aubry-Rozier B, Bonafé L, Laurent-Applegate L, Pioletti DP, Zambelli PY. Osteogenesis imperfecta: from diagnosis and multidisciplinary treatment to future perspectives. Swiss Med Wkly. 2016;146:w14322. http://doi.org/10.4414/smw.2016.14322. PMid:27346233.

3 van Dijk FS, Sillence DO. Osteogenesis imperfecta: clinical diagnosis, nomenclature and severity assessment. Am J Med Genet A. 2014;164(6):1470-81. http://doi.org/10.1002/ajmg.a.36545. PMid:24715559.

4 Lim J, Grafe I, Alexander S, Lee B. Genetic causes and mechanisms of Osteogenesis Imperfecta. Bone. 2017;102:40-9. http://doi.org/10.1016/j.bone.2017.02.004. PMid:28232077.

5 Veilleux LN, Trejo P, Rauch F. Muscle abnormalities in osteogenesis imperfecta. J Musculoskelet Neuronal Interact. 2017;17(2):1-7. PMid:28574406.

6 Smoląg D, Kulesa-Mrowiecka M, Sułko J. Evaluation of stomatognathic problems in children with osteogenesis imperfecta (osteogenesis imperfecta - oi) - preliminary study. Dev Period Med. 2017;21(2):144-53. http://doi.org/10.34763/devperiodmed.20172102.144153. PMid:28796986.

7 Arponen H, Bachour A, Bäck L, Valta H, Mäkitie A, Waltimo-Sirén J, et al. Is sleep apnea underdiagnosed in adult patients with osteogenesis imperfecta? -a single-center cross-sectional study. Orphanet J Rare Dis. 2018;13(1):231. http://doi.org/10.1186/s13023-018-0971-7. PMid:30594215.

8 Małgorzata KM, Małgorzata P, Kinga S, Jerzy S. Temporomandibular joint and cervical spine mobility assessment in the prevention of temporomandibular disorders in children with osteogenesis imperfecta: a pilot study. Int J Environ Res Public Health. 2021;18(3):1076. http://doi.org/10.3390/ijerph18031076. PMid:33530378.

9 Waltimo-Sirén J, Kolkka M, Pynnönen S, Kuurila K, Kaitila I, Kovero O. Craniofacial features in osteogenesis imperfecta: a cephalometric study. Am J Med Genet A. 2005;133A(2):142-50. http://doi.org/10.1002/ajmg.a.30523. PMid:15666304.

10 Sanders I, Mu L. A three-dimensional atlas of human tongue muscles. Anat Rec. 2013;296(7):1102-14. http://doi.org/10.1002/ar.22711. PMid:23650264.

11 Sanders I, Mu L, Amirali A, Su H, Sobotka S. The human tongue slows down to speak: muscle fibers of the human tongue. Anat Rec. 2013;296(10):1615-27. http://doi.org/10.1002/ar.22755. PMid:23929762.

12 Trawitizki LVV, Borges CGP, Grechi T. Fonoaudiologia em casos de cirurgia ortognática. In: Berretin-Felix G, editor. Interfaces e tecnologias em motricidade orofacial. São José dos Campos: Pulso; 2016. p. 59-70.

13 Menezes LF, Rocha AM No, Paulino CEB, Laureano JR Fo, Studart-Pereira LM. Tongue pressure and endurance in patients with Class II and Class III malocclusion. Rev CEFAC. 2018;20(2):166-74. http://doi.org/10.1590/1982-0216201820210917.

14 Magalhães HV Jr, Tavares JC, Magalhães AAB, Galvão HC, Ferreira MAF. Characterization of tongue pressure in the elderly. Audiol Commun Res. 2014;19(4):375-9. http://doi.org/10.1590/S2317-64312014000400001401.

15 Prandini EL, Totta T, Bueno M, Rosa RR, Giglio LD, Trawitzki LV, et al. Análise da pressão da língua em indivíduos adultos jovens brasileiros. CoDAS. 2015;27(5):478-82. http://doi.org/10.1590/2317-1782/20152014225. PMid:26648220.

16 Clark MH, Solomon NP. Age and sex differences in orofacial strength. Dysphagia. 2012;27(1):2-9. http://doi.org/10.1007/s00455-011-9328-2 PMid:21350818.

17 Iowa Oral Performance Instrument. Iowa oral performance instrument: user’s manual [Internet]. Woodinville, WA: IOPI Medical; 2011 [citado em 2021 Maio 21]. Disponível em: https://iopimedical.com/normal-values/

18 Regalo S, Lima Lucas B, Díaz-Serrano KV, Frota N, Regalo IH, Nassar M, et al. Analysis of the stomatognathic system of children according orthodontic treatment needs. J Orofac Orthop. 2018;79(1):39-47. http://doi.org/10.1007/s00056-017-0117-x. PMid:29330612.

19 Reis VS, Araújo TG, Furlan RMMM, Motta AR. Correlation between tongue pressure and electrical activity of the suprahyoid muscles. Rev CEFAC. 2017;19(6):792-800. http://doi.org/10.1590/1982-021620171968617.

20 Lin WY, Chen YM, Wu KM, Chen PK, Hwu YJ. Age and sex-related differences in the tongue pressure generated during maximum isometric and swallowing tasks by healthy Chinese adults. Int J Environ Res Public Health. 2021;18(10):5452. http://doi.org/10.3390/ijerph18105452. PMid:34065170.

21 Potter NL, Short R. Maximal tongue strength in typically developing children and adolescents. Dysphagia. 2009;24(4):391-7. http://doi.org/10.1007/s00455-009-9215-2. PMid:19390891.

22 Santos V, Vieira A, Silva HE. Atividade elétrica dos músculos masseter e supra-hióideo durante a deglutição do paciente com esclerose múltipla. CoDAS. 2019;31(6):e20180207. http://doi.org/10.1590/2317-1782/20192018207. PMid:31800879.

23 Rosa RR, Bueno M, Migliorucci RR, Brasolotto AG, Genaro KF, Berretin-Felix G. Tongue function and swallowing in individuals with temporomandibular disorders. J Appl Oral Sci. 2020;28:e20190355. http://doi.org/10.1590/1678-7757-2019-0355. PMid:32267377.

24 Lee YS, Ryu J, Baek SH, Lim WH, Yang IH, Kim TW, et al. Comparative analysis of the differences in dentofacial morphology according to the tongue and lip pressure. Diagnostics. 2021;11(3):503. http://doi.org/10.3390/diagnostics11030503. PMid:33809088.

25 Phillips CL, Jeong Y. Osteogenesis imperfecta: muscle-bone interactions when bi-directionally compromised. Curr Osteoporos Rep. 2018;16(4):478-89. http://doi.org/10.1007/s11914-018-0456-6. PMid:29909596.

26 Yano J, Yamamoto-Shimizu S, Yokoyama T, Kumakura I, Hanayama K, Tsubahara A. Effects of anterior tongue strengthening exercises on posterior tongue strength in healthy young adults. Arch Oral Biol. 2019;98:238-42. http://doi.org/10.1016/j.archoralbio.2018.11.028. PMid:30522043.

27 Peladeau-Pigeon M, Steele CM. Age-related variability in tongue pressure patterns for maximum isometric and saliva swallowing tasks. J Speech Lang Hear Res. 2017;60(11):3177-84. http://doi.org/10.1044/2017_JSLHR-S-16-0356. PMid:29114767.

28 Wu SJ, Wang CC, Lin FY, Tseng KY, Hwu YJ. Analysis of labial and lingual strength among healthy Chinese adults in Taiwan. Int J Environ Res Public Health. 2020;17(21):7904. http://doi.org/10.3390/ijerph17217904. PMid:33126580.
 


Submitted date:
03/05/2024

Accepted date:
06/25/2024

69a0dce4a9539573a0155cb3 acr Articles
Links & Downloads

Audiol. Commun. Res.

Share this page
Page Sections