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Tongue Pressure Modulation for Initial Gel Consistency in a Different Oral Strategy

Identifieur interne : 000285 ( Main/Exploration ); précédent : 000284; suivant : 000286

Tongue Pressure Modulation for Initial Gel Consistency in a Different Oral Strategy

Auteurs : Sumiko Yokoyama [Japon] ; Kazuhiro Hori [Japon] ; Ken-Ichi Tamine [Japon] ; Shigehiro Fujiwara [Japon] ; Makoto Inoue [Japon] ; Yoshinobu Maeda [Japon] ; Takahiro Funami [Japon] ; Sayaka Ishihara [Japon] ; Takahiro Ono [Japon]

Source :

RBID : PMC:3958418

Abstract

Background

In the recent hyper-aged societies of developed countries, the market for soft diets for patients with dysphagia has been growing and numerous jelly-type foods have become available. However, interrelationships between the biomechanics of oral strategies and jelly texture remain unclear. The present study investigated the influence of the initial consistency of jelly on tongue motor kinetics in different oral strategies by measuring tongue pressure against the hard palate.

Methods

Jellies created as a mixture of deacylated gellan gum and psyllium seed gum with different initial consistencies (hard, medium or soft) were prepared as test foods. Tongue pressure production while ingesting 5 ml of jelly using different oral strategies (Squeezing or Mastication) was recorded in eight healthy volunteers using an ultra-thin sensor sheet system. Maximal magnitude, duration and total integrated values (tongue work) of tongue pressure for size reduction and swallowing in each strategy were compared among initial consistencies of jelly, and between Squeezing and Mastication.

Results

In Squeezing, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both the magnitude and duration of tongue pressure over a wide area of hard palate, but tongue work for swallowing increased at the posterior-median and circumferential parts by modulating only the magnitude of tongue pressure. Conversely, in Mastication, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both magnitude and duration of tongue pressure mainly at the posterior part of the hard palate, but tongue work as well as other tongue pressure parameters for swallowing showed no differences by type of jelly.

Conclusions

These results reveal fine modulations in tongue-palate contact according to the initial consistency of jelly and oral strategies.


Url:
DOI: 10.1371/journal.pone.0091920
PubMed: 24643054
PubMed Central: 3958418


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<title>Background</title>
<p>In the recent hyper-aged societies of developed countries, the market for soft diets for patients with dysphagia has been growing and numerous jelly-type foods have become available. However, interrelationships between the biomechanics of oral strategies and jelly texture remain unclear. The present study investigated the influence of the initial consistency of jelly on tongue motor kinetics in different oral strategies by measuring tongue pressure against the hard palate.</p>
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<sec>
<title>Methods</title>
<p>Jellies created as a mixture of deacylated gellan gum and psyllium seed gum with different initial consistencies (hard, medium or soft) were prepared as test foods. Tongue pressure production while ingesting 5 ml of jelly using different oral strategies (Squeezing or Mastication) was recorded in eight healthy volunteers using an ultra-thin sensor sheet system. Maximal magnitude, duration and total integrated values (tongue work) of tongue pressure for size reduction and swallowing in each strategy were compared among initial consistencies of jelly, and between Squeezing and Mastication.</p>
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<title>Results</title>
<p>In Squeezing, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both the magnitude and duration of tongue pressure over a wide area of hard palate, but tongue work for swallowing increased at the posterior-median and circumferential parts by modulating only the magnitude of tongue pressure. Conversely, in Mastication, the tongue performed more work for size reduction with increasing initial consistency of jelly by modulating both magnitude and duration of tongue pressure mainly at the posterior part of the hard palate, but tongue work as well as other tongue pressure parameters for swallowing showed no differences by type of jelly.</p>
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<sec>
<title>Conclusions</title>
<p>These results reveal fine modulations in tongue-palate contact according to the initial consistency of jelly and oral strategies.</p>
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<name sortKey="Hori, Kazuhiro" sort="Hori, Kazuhiro" uniqKey="Hori K" first="Kazuhiro" last="Hori">Kazuhiro Hori</name>
<name sortKey="Inoue, Makoto" sort="Inoue, Makoto" uniqKey="Inoue M" first="Makoto" last="Inoue">Makoto Inoue</name>
<name sortKey="Ishihara, Sayaka" sort="Ishihara, Sayaka" uniqKey="Ishihara S" first="Sayaka" last="Ishihara">Sayaka Ishihara</name>
<name sortKey="Maeda, Yoshinobu" sort="Maeda, Yoshinobu" uniqKey="Maeda Y" first="Yoshinobu" last="Maeda">Yoshinobu Maeda</name>
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<name sortKey="Tamine, Ken Ichi" sort="Tamine, Ken Ichi" uniqKey="Tamine K" first="Ken-Ichi" last="Tamine">Ken-Ichi Tamine</name>
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