CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20182018099
CoDAS
Original Article

Relationship between mouth breathing etiology and maximum tongue pressure

Relação entre a etiologia da respiração oral e a pressão máxima da língua

Tiago Costa Pereira; Renata Maria Moreira Moraes Furlan; Andréa Rodrigues Motta

Downloads: 0
Views: 1013

Abstract

Purpose: To verify the relationship between maximum tongue pressure and the etiology of oral breathing in oral breathing children attended at the Oral Respiratory Outpatient Clinic. Methods: A descriptive and analytical cross-sectional study was accomplished with 59 mouth breathing children aged 3 to 12 years (mean age 6.5 years and SD: standard deviation= 2.4). To collect tongue pressure, the Iowa Oral Performance Instrument (IOPI) was used and data regarding the etiology of oral breathing and dental occlusion were collected in the records of these patients for analysis. The associations between the maximum tongue pressure and the etiology of oral breathing, age, gender and dental occlusion were verified by the T test, ANOVA, Spearman’s coefficient and Tuckey’s test, using a significance level of 5%. Results: There was a moderate and positive correlation between age and maximum pressure, it was verified that there was a statistically significant difference between the maximum tongue pressure and the variables pharyngeal tonsil hypertrophy and palatine tonsil hypertrophy. There were no statistical differences between the other variables. Conclusion: It was concluded that mechanical obstructions, among them the pharyngeal and palatine tonsil hypertrophy alter the maximum tongue pressure in oral breathing children.

Keywords

Evaluation Studies as Subject; Tongue; Muscle Strength; Mouth Breathing; Child

Resumo

Objetivo: Verificar a existência de relação entre pressão máxima da língua e a etiologia da respiração oral em crianças respiradoras orais atendidas em um Ambulatório do Respirador Oral. Método: Foi conduzido um estudo transversal observacional descritivo e analítico com 59 crianças respiradoras orais com idades entre três e 12 anos (média de 6,5 anos e DP=2,4). Para a coleta da pressão de língua, foi utilizado o Iowa Oral Performance Instrument – (IOPI) e dados sobre a etiologia da respiração oral e oclusão dentária foram coletados nos prontuários desses pacientes para análise. As associações entre a pressão máxima da língua e a etiologia da respiração oral, idade, gênero e oclusão dentária foram verificadas pelo teste T, ANOVA, coeficiente de Spearman e Teste de Tuckey, utilizando-se nível de significância de 5%. Resultados: Houve correlação moderada e positiva entre idade e pressão máxima, verificou-se que houve diferença estatisticamente significativa entre a pressão máxima da língua e as variáveis hipertrofia da tonsila faríngea e hipertrofia das tonsilas palatinas. Não foram verificadas diferenças estatísticas entre as outras variáveis. Conclusão: Conclui-se que as obstruções mecânicas, dentre elas a hipertrofia das tonsilas faríngea e palatinas alteram a pressão máxima de língua em crianças respiradoras orais.

Palavras-chave

Estudos de Avaliação como Assunto; Língua; Força Muscular; Respiração Bucal; Criança

References

1. Hennig TR, Silva AMT, Busanelo AR, Almeida FL, Berwig LC, Boton LM. Swallowing of oral and nose breathers: speech-language and electromyography assessment. Rev CEFAC. 2009;11(4):618-23. http:// dx.doi.org/10.1590/S1516-18462009000800010.

2. Abreu RR, Rocha RL, Lamounier JA, Guerra ÂFM. Etiology, clinical manifestations and concurrent findings in mouth-breathing children. J Pediatr. 2008;84(6):529-35. http://dx.doi.org/10.1590/S0021-75572008000700010. PMid:19060979.

3. Lemos CM, Wilhelmsen NSW, Mion OG, Mello JF Jr. Functional alterations of the stomatognathic system in pacients with allergic rhinitis: case-control study. Arq Int Otorrinolaringol. 2007;11(4):380-6.

4. Marchesan IQ. The speech pathology treatment with alterations of the stomatognathic system. Int J Orofacial Myology. 2000;26:5-12. PMid:11307349.

5. Frasson JMD, Magnani MBBA, Nouer DF, Siqueira VCV, Lunardi N. Comparative cephalometric study between nasal and predominantly mouth breathers. Rev Bras Otorrinolaringol. 2006;72(1):72-81. http://dx.doi. org/10.1590/S0034-72992006000100012. PMid:16917556.

6. Souza JF, Grechi TH, Anselmo-Lima WT, Trawitzki LVV, Valera FCP. Mastication and deglutition changes in children with tonsillar hypertrophy. Rev Bras Otorrinolaringol (Engl Ed). 2013;79(4):424-8. http://dx.doi. org/10.5935/1808-8694.20130076. PMid:23929140.

7. Jardini RSR. Uma outra possibilidade para a adequação/reeducação da forma/função da musculatura da língua [tese de doutorado] Campinas (SP): Universidade Estadual de Campinas - Faculdade de Ciências Médicas; 2007. 150 p.

8. Clark H. Specificity of training in the lingual musculature. J Speech Lang Hear Res. 2012;55(2):657-67. http://dx.doi.org/10.1044/1092-4388(2011/11- 0045). PMid:22215031.

9. Motta AR, César CC, Bommarito S, Chiari BM. Axial force of the tongue in different age groups. J Soc Bras Fonoaudiol. 2011;23(2):201-5. http:// dx.doi.org/10.1590/S2179-64912011000300004. PMid:22012153.

10. Perilo TVC, Motta AR, Las Casas EB, Saffar JME, Costa CG. Objective evaluation of axial forces produced by the tongue of oral breathing children. Rev Soc Bras Fonoaudiol. 2007;12(3):184-90. http://dx.doi.org/10.1590/ S1516-80342007000300005.

11. Rodrigues FV, Monção FRC, Moreira MBR, Motta AR. Variability of orofacial measures. Rev Soc Bras Fonoaudiol. 2008;13(4):332-7. http:// dx.doi.org/10.1590/S1516-80342008000400006.

12. Hitos SF, Arakaki R, Solé D, Weckx LLM. Oral breathing and speech disorders in children. J Pediatr. 2013;89(4):361-5. http://dx.doi.org/10.1016/j. jped.2012.12.007. PMid:23809686.

13. Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. RINA. 2006;29(5):489-97. PMid:16977646.

14. Potter NL, Short R. Tongue strength in children and adolescents. Dysphagia. 2009;24(4):391-7. http://dx.doi.org/10.1007/s00455-009-9215- 2. PMid:19390891.

15. Silva JB, Giglio LD, Regalo SH, Mello-Filho FV, Trawitzki LVV. Effect of dentofacial deformity on maximum isometric tongue strength. J Oral Rehabil. 2013;40(4):247-51. http://dx.doi.org/10.1111/joor.12020. PMid:23216277.

16. Almeida LD, Furlan RMMM, Las Casas EB, Motta AR. Influence of height, weight and body mass index in the axial tongue force. J Soc Bras Fonoaudiol. 2012;24(4):381-5. http://dx.doi.org/10.1590/S2179-64912012000400015. PMid:23306690.

17. Adams V, Mathisen B, Baines S, Lazarus C, Callister R. A systematic review and meta-analysis of measurements of tongue and hand strength and edurance using the Iwoa Oral Performance Instrument. Dysphagia. 2013;28(3):350-69. http://dx.doi.org/10.1007/s00455-013-9451-3. PMid:23468283.

18. IOPI Medical. IOPI User Manual [Internet]. Woodinville: IOPI Medical LLC; 2016 [citado em 2016 Abr 20]. Disponível em: www.iopimedical. com

19. Bradford A, Murdoch B, Thompson E, Stokes P. Lip and tongue function in children with developmental speech disorders: a preliminary investigation. Clin Linguist Phon. 1997;11(5):363-87. http://dx.doi. org/10.1080/02699209708985201.

20. Murdoch BE, Attard MD, Ozanne AE, Stokes PD. Impaired tongue strength and endurance in developmental verbal dyspraxia: a physiological analysis. Eur J Disord Commun. 1995;30(1):51-64. http://dx.doi. org/10.3109/13682829509031322. PMid:7647392.

21. Borges WG, Burns DA, Felizola ML, Oliveira BA, Hamu CS, Freitas VC. Prevalence of allergic rhinitis among adolescentes from Distrito Federal, Brazil: comparison between ISAAC phases Iand III. J Pediatr. 2006;82(2):137-43. http://dx.doi.org/10.2223/JPED.1461. PMid:16614769.

22. Kara CO, Ergin H, Koçak G, Kılıç İ, Yurdakul M. Prevalence of tonsillar hypertrophy and associated oropharyngeal symptoms in primary school children in Denizli, Turkey. Int J Pediatr Otorhinolaryngol. 2002;66(2):175- 9. http://dx.doi.org/10.1016/S0165-5876(02)00247-1. PMid:12393253.

23. Godinho R, Lanza M, Godinho A, Rodriques A, Assiz TML. Frequency of positive skin tests for airborne allergic agents. Rev Bras Otorrinolaringol. 2003;69(6):824-8. http://dx.doi.org/10.1590/S0034-72992003000600016.

24. DiFranceso RC, Passerotii G, Paulucci B, Miniti A. Mouth breathing in children: different repercussions according to the diagnosis. Rev Bras Otorrinolaringol. 2004;70:665-70.

25. Di Francesco RC, Junqueira PA, Frizzarini R, Zerati FE. Weight and height development in children after adenotonsillectomy. Rev Bras Otorrinolaringol. 2003;69:193-6. http://dx.doi.org/10.1590/S0034-72992003000200008.


Submitted date:
05/16/2018

Accepted date:
08/14/2018

5d260b490e8825523798e321 codas Articles

CoDAS

Share this page
Page Sections