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Dysphagia

, Volume 28, Issue 2, pp 159–166 | Cite as

The Influence of Age, Sex, Bulb Position, Visual Feedback, and the Order of Testing on Maximum Anterior and Posterior Tongue Strength and Endurance in Healthy Belgian Adults

  • Jan Vanderwegen
  • Cindy Guns
  • Gwen Van Nuffelen
  • Rik Elen
  • Marc De Bodt
Original Article

Abstract

This study collected data on the maximum anterior and posterior tongue strength and endurance in 420 healthy Belgians across the adult life span to explore the influence of age, sex, bulb position, visual feedback, and order of testing. Measures were obtained using the Iowa Oral Performance Instrument (IOPI). Older participants (more than 70 years old) demonstrated significantly lower strength than younger persons at the anterior and the posterior tongue. Endurance remains stable throughout the major part of life. Gender influence remains significant but minor throughout life, with males showing higher pressures and longer endurance. The anterior part of the tongue has both higher strength and longer endurance than the posterior part. Mean maximum tongue pressures in this European population seem to be lower than American values and are closer to Asian results. The normative data can be used for objective assessment of tongue weakness and subsequent therapy planning of dysphagic patients.

Keywords

Tongue Strength assessment Age-related changes Endurance Deglutition Deglutition disorders 

Notes

Acknowledgments

The authors thank Joke Buelens and Kim Lambeir for their invaluable help in collecting the data.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Jan Vanderwegen
    • 1
    • 2
    • 4
  • Cindy Guns
    • 2
  • Gwen Van Nuffelen
    • 2
  • Rik Elen
    • 3
  • Marc De Bodt
    • 2
  1. 1.Department of Otolaryngology, Head and Neck SurgerySaint-Pierre University HospitalBrusselsBelgium
  2. 2.Department of Otolaryngology and Communication DisordersAntwerp University HospitalAntwerpBelgium
  3. 3.Lessius University CollegeAntwerpBelgium
  4. 4.HaachtBelgium

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