Tongue and Lip Comparisons between Healthy and Nondysphagic Poststroke Individuals

2021 ◽  
pp. 1-8
Author(s):  
Kristine Galek ◽  
Ed M. Bice ◽  
Giselle Marquez

<b><i>Background:</i></b> The lips and tongue play a substantial role in efficient clearance of food from the mouth and pharynx into the esophagus. No study has compared oral pressures between healthy individuals and poststoke individuals who report functional swallow abilities. <b><i>Aim:</i></b> The current study aimed to investigate the presence of differences in oral pressures between healthy individuals and poststroke individuals who report functional swallowing abilities. <b><i>Design:</i></b> This is a controlled matched pair study. <b><i>Population:</i></b> Eighteen control participants (CG) and 18 nondysphagic poststroke participants (NDSG) were enrolled into this study. <b><i>Methods:</i></b> The Iowa Oral Performance Instrument (IOPI) was used to measure and compare tongue strength, endurance, and functional lingual and labial pressures between sex and age-matched pairs. <b><i>Results:</i></b> Six paired, two-tailed <i>t</i> tests revealed that tongue and lip pressures were different between the 2 groups. Maximum anterior tongue pressures and posterior tongue pressures were also different, i.e., <i>t</i>(17) = –2.89 (<i>p</i> = 0.010) and <i>t</i>(17) = –2.85 (<i>p</i> = 0.011), with the CG presenting higher pressures. Right lip pressures were significantly lower in the NDSG compared to the CG, i.e., <i>t</i>(17) = 2.45 (<i>p</i> = 0.0001). Left lip pressures were significantly lower in the NDSG compared to the CG, i.e., <i>t</i>(17) = –5.43 (<i>p</i> = 0.0001). Tongue endurance, i.e., <i>t</i>(17) = 0.092 (<i>p</i> = 0.928) and saliva swallow pressures, i.e., <i>t</i>(17) = –0.490 (<i>p</i> = 0.63) were not different. <b><i>Conclusion:</i></b> Although poststroke participants reported functional swallowing abilities, there were differences in tongue and lip pressures but not in endurance or saliva swallow pressures. <b><i>Clinical Rehabilitation Impact:</i></b> Poststroke individuals without complaints of dysphagia who are not assessed may experience subclinical dysphagia that could negatively impact their nutrition and quality of life.

2014 ◽  
Vol 23 (01) ◽  
pp. 49-55
Author(s):  
L. C. Hofbauer ◽  
D. Felsenberg ◽  
M. Amling ◽  
A. Kurth ◽  
P. Hadji

SummaryIt is important to understand compliance and persistence with medication use in the clinical practice of osteoporosis treatment. The purpose of this work is to describe the “intravenous ibandronate versus oral alendronate” (VIVA) study, a non-interventional trial to assess the compliance and persistence of osteopenic postmenopausal women with treatment via weekly oral alendronate or intravenous ibandronate (Bonviva®) every three months.4477 patients receiving ibandronate 3 mg i. v. quarterly and 1491 patients receiving alendronate 70 mg orally weekly were included in the study. Matched pairs of 901 subjects in each group were also generated. Matching was performed on the basis of age, body mass index, fracture history at study inclusion, prior treatment with bisphosphonates and the number of concomitant disorders. Secondary outcome measures of osteoporosis related fractures, mobility restriction and pain, analgesia, quality of life questionnaires as well as attitudes to medications were assessed. The primary outcome parameters of compliance and persistence will be tracked in these subjects.At baseline, the entire collectives differed significantly on body weight (less in ibandronate group), duration since osteo - porosis diagnosis (longer in ibandronate), and incidence of prior osteoporotic fracture (higher in ibandronate group). The matched-pairs differed only on mobility restriction and quality of life (both worse in ibandronate group).The results from the VIVA study trial will provide scientific rationale for clinical recommendations in the pharmacological treatment of postmenopausal osteoporosis.


Author(s):  
Yu. L. Bandrivskyi ◽  
O. O. Bandrivska

<span lang="EN-US">The article presented and evaluated by an index OHIP - 14, the level of psychological comfort in patients with generalized periodontitis in people without periodontal tissue diseases. It is proved that the «quality of life», according to testing in patients with generalized periodontitis is significantly lower than in healthy individuals. Thus, the carriers O (I) blood groups of both studies psychological comfort level was lower and is seen as «bad» in patients with generalized periodontitis and «poor» people without lesions periodontal tissues.</span>


Author(s):  
I.M. Fushtey ◽  
Ye.A. Solovyuk ◽  
A.O. Solovyuk

The purpose of this work was to study the general characteristics of quality of life (QoL), the effect of overweight on QoL, the nature of eating behaviour in patients with diabetes mellitus (DM) type 2 and   concomitant overweight (OW) and obesity, as well as to establish the correlation with indicators of functional state of the arterial vessels. 64 people (34 women and 30 men) with DM and concomitant  overweight and obesity (average age 56.3 ± 10.23 years) formed the 1 group, 34 people (19 women and 15 men), whose average age was 55.6 ± 11.92 years constituted the 2 group, and  28 healthy individuals formed the control group. SF-36v2 questionnaires were used to evaluate QoL. The effect of overweight on QoL was analyzed according to the IWQOL-Lite questionnaire data, the patterns of eating behaviour were determined by the COEQ4 for 7 days using FPRS questionnaire. The functional state of the arterial vessels was assessed by estimating the pulse wave velocity using the automated rheographic complex ReoCom (KhAI Medika (Ukraine)). The patients with DM and concomitant overweight and obesity were found to experience some changes in QoL according to the SF-36v2 questionnaire. The changes were primarily characterized by a decrease in physical activity, as well as in social and emotional status. These changes differed not only from the QoL assessment by healthy individuals, but also from those of patients with DM and normal body weight. The nature of eating behaviour in overweight or obese patients with DM was characterized by an increased hunger in parallel with a worsened emotional state and an increased desire to eat certain types of foods that can contribute to weight gain. Structural changes in arterial vessels that typically are indicative of arterial stiffness correlate with indicators of emotional state and physical activity in patients with DM and comorbid overweight and obesity.


2019 ◽  
Vol 53 (4) ◽  
pp. e142-e149 ◽  
Author(s):  
Raymond Addante ◽  
Bruce Naliboff ◽  
Wendy Shih ◽  
Angela P. Presson ◽  
Kirsten Tillisch ◽  
...  

2018 ◽  
Vol 32 (5) ◽  
pp. 424-431 ◽  
Author(s):  
Kimia G. Ganjaei ◽  
Zachary M. Soler ◽  
Kristina A. Storck ◽  
Nicholas R. Rowan ◽  
Florence A. Othieno ◽  
...  

Background Retronasal olfaction is important in flavor detection and enjoyment. The ability to identify specific individual retronasal odors may play a role in quality of life for patients with chronic rhinosinusitis (CRS). Objective To identify patterns and improve understanding of retronasal identification of individual odors in CRS patients. Methods Patients diagnosed with CRS underwent retronasal and orthonasal (Sniffin’ Sticks) olfactory testing and taste testing (taste strips). Retronasal identification was tested with presentation of flavored powders on the posterior tongue. Retronasal identification for individual odors was compared with results of orthonasal and taste testing. Results Seventy participants were evaluated. Retronasal identification correlated with orthonasal identification and discrimination for most individual odors. Among all patients, cinnamon and apple were identified better retronasally and banana better orthonasally ( P < .05). Anosmics identified retronasal orange, cinnamon, mushroom, coffee, smoked ham, peach, ginger, grape, and cheese more than would be expected by chance for a forced-choice paradigm with 3 distractor items ( P < .05), and this was independent of objective taste function for most odors. Conclusion Retronasal and orthonasal identification of most odors correlate in CRS patients; however, patients with anosmia can still identify certain retronasal odors more often than expected. These odors do not appear to stimulate gustatory pathways and may involve trigeminal stimulation. Understanding preserved retronasal neural stimuli may allow providers to improve eating-related quality of life in these patients.


2019 ◽  
Vol 58 (6) ◽  
pp. 916-925 ◽  
Author(s):  
Almut Dutz ◽  
Linda Agolli ◽  
Michael Baumann ◽  
Esther G. C. Troost ◽  
Mechthild Krause ◽  
...  

2013 ◽  
Vol 23 (1) ◽  
pp. 67-74 ◽  
Author(s):  
Päivi E. Korhonen ◽  
Tellervo Seppälä ◽  
Salme Järvenpää ◽  
Hannu Kautiainen

Sign in / Sign up

Export Citation Format

Share Document