Relationship between tongue elevating exercises and tongue pressure

• 資料種別: 博士論文
• タイトル: Relationship between tongue elevating exercises and tongue pressure
• 著者・編者: 上村, 優介
• 著者標目: 上村, 優介
• 出版年月日等: 2019-03-08
• 出版年（W3CDTF）: 2019-03-08
• 並列タイトル等: 舌の挙上訓練と舌圧の関連について
• 授与機関名: 大阪歯科大学
• 授与年月日: 2019-03-08
• 授与年月日（W3CDTF）: 2019-03-08
• 報告番号: 甲第847号
• 学位: 博士（歯学）
• 博論授与番号: 甲第847号
• 本文の言語コード: eng
• 件名標目: Tongue pressure; Tongue training; Sustained training; Instantaneous training
• 対象利用者: 一般
• 一般注記: The tongue plays a variety of roles in mastication and swallowing. It takes food into the mouth and mixes it with saliva to form a bolus during the preparation stage. It starts upward movement from its apex, pressing the hard palate from the front to the back and moving the bolus of food to the pharynx during the oral stage. The tongue increases the internal pressure of the pharynx and moves the bolus of food to the esophagus during the pharyngeal stage. Therefore, to enhance the swallowing function, it is important to evaluate the functional movement of the tongue. The methods of tongue muscle training currently available vary in their intensity, duration and frequency. We compared the effectiveness of tongue pressure and tongue control, focusing on the different muscle types (white and red muscle fibers) that are used for instantaneous and sustained exercise.The subjects were nine elderly people, 4 males and 5 females with an average age 85 ± 8 years who were able to understand and practice this training. The subjects were either residents of a special elderly nursing home or attended a daycare center for seniors. They were divided into two groups and asked to perform tongue resistance training with a spoon. One group performed 10 rounds of tongue elevation at maximum tongue pressure (the 10 time group) and the other did one round of tongue elevation for 10 seconds at maximum tongue pressure (the 10 second group). The subjects did three sessions a day, three times a week for 8 weeks, with about a minute break between training sessions. As an evaluation method, tongue pressure and oral diadochokinesis (ODK) were measured every 2 weeks. ODK measured the three sounds [pa], [ta] and [ka] every 10 seconds, and measured the total number of times the subject could articulate these sounds. The subjects were trained and measurements were done in a chair or a wheelchair in an upright sitting position without using a backrest and with the feet placed on the ground.Tongue pressure rose significantly in both groups from the first appointment up until 4 weeks. After that it increased relatively slowly from 4 to 8 weeks. Following 8 weeks of training, the tongue pressure of the 10 second group had increased significantly more than that of the 10 time group, and it was significantly greater at each time point up until 8 weeks. The [pa], [ta] and [ka] sounds of the ODK for the 10 time group did not differ significantly at each time point. There was no significant difference in the [pa] and [ka] sounds in the 10 second group at each time point. However, the [ta] sound in the 10 second group increased significantly from the first appointment by 6 and 8 weeks. Our findings suggest that sustained training may increase tongue pressure and tongue skill more effectively than instantaneous training.; 2018年度
• 国立国会図書館永続的識別子: info:ndljp/pid/12071540; https://dl.ndl.go.jp/pid/12071540
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2022-02-06T04:33:19+09:00
• 作成日（W3CDTF）: 2019-05-17
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://id.nii.ac.jp/1392/00000200/
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp