Skip to main content

Advertisement

SpringerLink
Log in

The efficacy of myofunctional therapy in patients with atypical swallowing

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

The myofunctional treatment (MFT) is a conventional therapy in the treatment of oral disease like atypical swallowing (AS). Functional (standardized surface electromyographic analysis—ssEMG) and clinical (“orofacial muscular evaluation with score” protocol—OMES) analyses were conducted to detect the effects of MFT (10 weeks session) in a group of patients with AS.

Methods

ssEMG was performed to analyze the activity of masseter (MM), temporalis (TA), and submental (SM) muscles before (T1) and after (T2) the MFT in a group of 15 patients. OMES was completed at the same timepoints. A Student-t test was carried out to detect differences between T1 and T2 for ssEMG data, and a signed RANK test was used for OMES ones. One-way ANOVA variance test was performed to detect any differences between the different couples of muscles at each timepoint.

Results

After MFT, patients showed a shorter duration of the whole act of swallowing (p < .0001), higher intensity of the SM activity (p < .01) than at T1. At T2 masticatory muscles showed lower values for the activation index (ANOVA, p < .0001) and for the spike position (ANOVA, p < .01) than SM. The OMES protocol showed a significant increase for the total evaluation score (p < .01), appearance-posture (p < .01) and functions (p < .001).

Conclusions

MFT permits a shortening of the muscular activation pattern and an increase in SM activity.

The improvement of oral functionalities is possible and identifiable thanks to the use of standardized protocols.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Proffit WR, Fields HF, Sarver DM (2008) Contemporary orthodontics. Elsevier/Mosby. In: The etiology of orthodontic problems, 3rd edn. Elsevier, Milan, pp 155–160

  2. Garliner D (1974) Myofunctional therapy in dental practice abnormal swallowing habits: diagnosis, treatment. A course of study for the dental practitioner and speech pathologist, Enlarged 2nd edn. Bartel Dental Book Co

  3. Ciavarella D, Mastrovincenzo M, Sabatucci A, Parziale V, Chimenti C (2010) Effect of the Enveloppe Linguale Nocturne on atypical swallowing: surface electromyography and computerised postural test evaluation. Eur J Paediatr Dent 11(3):141–145

    CAS  PubMed  Google Scholar 

  4. Garliner D (1970) Myofunctional therapy. J Maxillofac Orthop 3(4):7–12

    CAS  PubMed  Google Scholar 

  5. Scarponi L et al (2018) Reliability and validity of the italian version of the protocol of orofacial myofunctional evaluation with scores (I-OMES). Folia Phoniatr Logop 70(1):8–12

    Article  PubMed  Google Scholar 

  6. Bakke M, Bergendal B, McAllister A, Sjogreen L, Asten P (2007) Development and evaluation of a comprehensive screening for orofacial dysfunction. Swed Dent J 31(2):75–84

    PubMed  Google Scholar 

  7. de Felicio CM, Ferreira CLP (2008) Protocol of orofacial myofunctional evaluation with scores. Int J Pediatr Otorhinolaryngol 72(3):367–375

    Article  PubMed  Google Scholar 

  8. de Felicio CM, Folha GA, Ferreira CLP, Medeiros APM (2010) Expanded protocol of orofacial myofunctional evaluation with scores: validity and reliability. Int J Pediatr Otorhinolaryngol 74(11):1230–1239

    Article  PubMed  Google Scholar 

  9. Van Dyck C et al (2016) The effect of orofacial myofunctional treatment in children with anterior open bite and tongue dysfunction: a pilot study. Eur J Orthod 38(3):227–234

    Article  PubMed  Google Scholar 

  10. Cayley AS, Tindall AP, Sampson WJ, Butcher AR (2000) Electropalatographic and cephalometric assessment of tongue function in open bite and non-open bite subjects. Eur J Orthod 22(5):463–474

    Article  CAS  PubMed  Google Scholar 

  11. Stormer K, Pancherz H (1999) Electromyography of the perioral and masticatory muscles in orthodontic patients with atypical swallowing. J Orofac Orthop 60(1):13–23

    Article  CAS  PubMed  Google Scholar 

  12. Ferrario VF, Sforza C, Colombo A, Ciusa V (2000) An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects. J Oral Rehabil 27(1):33–40

    Article  CAS  PubMed  Google Scholar 

  13. Musto F, Rosati R, Sforza C, Toma M, Dellavia C (2017) Standardised surface electromyography allows effective submental muscles assessment. J Electromyogr Kinesiol 34:1–5

    Article  PubMed  Google Scholar 

  14. Suvinen TI, Malmberg J, Forster C, Kemppainen P (2009) Postural and dynamic masseter and anterior temporalis muscle EMG repeatability in serial assessments. J Oral Rehabil 36(11):814–820

    Article  CAS  PubMed  Google Scholar 

  15. Dellavia C, Rosati R, Musto F, Pellegrini G, Begnoni G, Ferrario VF (2018) Preliminary approach for the surface electromyographical evaluation of the oral phase of swallowing. J Oral Rehabil 45(7):518–525

    Article  CAS  PubMed  Google Scholar 

  16. Sforza C, Rosati R, De Menezes M, Musto F, Toma M (2011) EMG analysis of trapezius and masticatory muscles: experimental protocol and data reproducibility. J Oral Rehabil 38(9):648–654

    Article  CAS  PubMed  Google Scholar 

  17. Begnoni G, Cadenas de Llano-Perula M, Willems G, Pellegrini G, Musto F, Dellavia C (2019) Electromyographic analysis of the oral phase of swallowing in subjects with and without atypical swallowing: a case-control study. J Oral Rehabil 46(10):927–935

    Article  PubMed  Google Scholar 

  18. Ferrario VF, Tartaglia GM, Maglione M, Simion M, Sforza C (2004) Neuromuscular coordination of masticatory muscles in subjects with two types of implant-supported prostheses. Clin Oral Implants Res 15(2):219–225

    Article  PubMed  Google Scholar 

  19. de Felicio CM et al (2016) Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy. Int J Pediatr Otorhinolaryngol 90:5–11

    Article  PubMed  Google Scholar 

  20. De Felicio CM, Ferreira CLP, Medeiros APM, Rodrigues Da Silva MAM, Tartaglia GM, Sforza C (2012) Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity: A correlation study. J Electromyogr Kinesiol 22(2):266–272

    Article  PubMed  Google Scholar 

  21. Eslamian L, Leilazpour AP (2006) Tongue to palate contact during speech in subjects with and without a tongue thrust. Eur J Orthod 28(5):475–479

    Article  PubMed  Google Scholar 

  22. Homem MA, Vieira-Andrade RG, Falci SGM, Ramos-Jorge ML, Marques LS (2014) Effectiveness of orofacial myofunctional therapy in orthodontic patients: a systematic review. Dental Press J Orthod 19(4):94–99

    Article  PubMed  PubMed Central  Google Scholar 

  23. Christensen M, Hanson M (1981) An investigation of the efficacy of oral myofunctional therapy as a precursor to articulation therapy for pre-first grade children. J Speech Hear Disord 46(2):160–165

    Article  CAS  PubMed  Google Scholar 

  24. Maspero C, Prevedello C, Giannini L, Galbiati G, Farronato G (2014) Atypical swallowing: a review. Minerva Stomatol 63(6):217–227

    CAS  PubMed  Google Scholar 

  25. Mason RM, Role EB (2009) Did you know? A question and answer dialogue for the orofacial myologist. Int J Orofacial Myology 35:5–17

    PubMed  Google Scholar 

  26. Smithpeter J, Covell DJ (2010) Relapse of anterior open bites treated with orthodontic appliances with and without orofacial myofunctional therapy. Am J Orthod Dentofacial Orthop 137(5):605–614

    Article  PubMed  Google Scholar 

  27. Seemann J, Kundt G, Stahl de Castrillon F (2011) Relationship between occlusal findings and orofacial myofunctional status in primary and mixed dentition: part IV: interrelation between space conditions and orofacial dysfunctions. J Orofac Orthop 72(1):21–32

    Article  PubMed  Google Scholar 

  28. Premkumar S, Avathvadi Venkatesan S, Rangachari S (2011) Altered oral sensory perception in tongue thrusters with an anterior open bite. Eur. J. Orthod. 33(2):139–142

    Article  PubMed  Google Scholar 

  29. Koczorowski M, Gedrange T, Koczorowski R (2012) Changes of oral sensibility in subjects with partial anterior open bite and the incorrect position of the tongue. Ann Anat 194(2):220–223

    Article  PubMed  Google Scholar 

  30. Meyer-Marcotty P, Hartmann J, Stellzig-Eisenhauer A (2007) Dentoalveolar open bite treatment with spur appliances. J Orofac Orthop / Fortschritte der Kieferorthopädie 68(6):510–521

    Article  PubMed  Google Scholar 

  31. Hanson ML, Andrianopoulos MV (1982) Tongue thrust and malocclusion: a longitudinal study. Int J Orthod 20(2):9–18

    CAS  PubMed  Google Scholar 

  32. Takahashi O, Iwasawa T, Takahashi M (1995) Integrating orthodontics and oral myofunctional therapy for patients with oral myofunctional disorders. Int J Orofac Myol 21:66–72

    CAS  Google Scholar 

Download references

Acknowledgements

The authors would like to acknowledge Giorgia Crimi and Monica Vanoncini for their valuable work in data collection.

Funding

The work was supported by the Department of Biomedical Surgical and Oral Sciences and the Department of Clinical and Biomedical Sciences “L. Sacco” of the University of Milan.

Author information

Authors and Affiliations

  1. Department of Biomedical, Surgical and Dental Sciences, University of Milan, via Luigi Mangiagalli 31, 20136, Milan, Italy

    G. Begnoni, C. Dellavia & G. Pellegrini

  2. Department of Biomedical and Clinical Sciences, Luigi Sacco”, University of Milan, Via Gian Battista Grassi 57, Milan, Italy

    L. Scarponi, A. Schindler & N. Pizzorni

Authors
  1. G. Begnoni
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. Dellavia
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Pellegrini
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. L. Scarponi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Schindler
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. N. Pizzorni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to G. Begnoni.

Ethics declarations

Conflict of interest

The Author declare they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

All patients enrolled to this study were invited to sign an informant consent and the study protocol was approved by the local ethic committee of University of Milan (Code: DG-EMG-2016).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Begnoni, G., Dellavia, C., Pellegrini, G. et al. The efficacy of myofunctional therapy in patients with atypical swallowing. Eur Arch Otorhinolaryngol 277, 2501–2511 (2020). https://doi.org/10.1007/s00405-020-05994-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-020-05994-w

Keywords

Search

Navigation