A Novel Three-Dimensional Analysis of Tongue Movement During Water and Saliva Deglutition: A Preliminary Study on Swallowing Patterns
Journal
Dysphagia
Date Issued
2018
Author(s)
Giannina Álvarez
Fernando José Dias
María Florencia Lezcano
Alain Arias-betancur
Ramón Fuentes
DOI
10.1007/s00455-018-9953-0
Abstract
Deglutition is a complex oral function, and the study of the whole process requires a precise analysis of the elements
involved, especially of the tongue biomechanics. We described a three-dimensional analysis of tongue movements during
both saliva and water deglutition in participants with normal occlusion. Fourteen participants (25.36 ± 4.85 years) were
evaluated, and the movements of anterior, middle, and posterior portions of the tongue were recorded using AG501 3Delectromagnetic
articulograph. An average volume (AVS) for water deglutition was determined for each participant. Saliva
deglutition was classified according to Bourdiol et al. 35.71% was type I, 14.29% type II, and 50% type III. The greatest
displacement on the inferior–superior axis was in the posterior portion, followed by the middle and anterior portions. In the
posterior–anterior axis, smallest movement was in the anterior portion. During water deglutition, on the inferior–superior
axis, there were statistical differences for 1-AVS between the anterior/middle and anterior/posterior portions of the tongue.
There were statistical differences for both -AVS and -AVS between the anterior/posterior portions of the tongue. On
the posterior–anterior axis, there were no statistical differences among any volume–portion relations. On the medial–lateral
axis, there was statistical difference for the -AVS between middle and posterior portions. The movement of the tongue
portions was influenced by the volume and the element to be swallowed. The amplitude of the movement was directly
proportional to the volume of water swallowed.
involved, especially of the tongue biomechanics. We described a three-dimensional analysis of tongue movements during
both saliva and water deglutition in participants with normal occlusion. Fourteen participants (25.36 ± 4.85 years) were
evaluated, and the movements of anterior, middle, and posterior portions of the tongue were recorded using AG501 3Delectromagnetic
articulograph. An average volume (AVS) for water deglutition was determined for each participant. Saliva
deglutition was classified according to Bourdiol et al. 35.71% was type I, 14.29% type II, and 50% type III. The greatest
displacement on the inferior–superior axis was in the posterior portion, followed by the middle and anterior portions. In the
posterior–anterior axis, smallest movement was in the anterior portion. During water deglutition, on the inferior–superior
axis, there were statistical differences for 1-AVS between the anterior/middle and anterior/posterior portions of the tongue.
There were statistical differences for both -AVS and -AVS between the anterior/posterior portions of the tongue. On
the posterior–anterior axis, there were no statistical differences among any volume–portion relations. On the medial–lateral
axis, there was statistical difference for the -AVS between middle and posterior portions. The movement of the tongue
portions was influenced by the volume and the element to be swallowed. The amplitude of the movement was directly
proportional to the volume of water swallowed.
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