Reprodutibilidade das medidas de pressão da língua utilizando um dispositivo experimental
Reproducibility of tongue pressure measurements using an experimental device
Merly Fernanda Illera Castellanos; Charles Rech; Mathias Verdum de Almeida; Angela Ruviaro Busanello-Stella; Carine Cristina Callegaro
Resumo
Objetivo: Avaliar a reprodutibilidade das medidas de pressão da língua utilizando um dispositivo experimental e de baixo custo em indivíduos adultos. Método: Dez voluntários, adultos de ambos os sexos, participaram do estudo. A pressão da língua foi avaliada em quatro movimentos distintos (elevação, lateralização direita, lateralização esquerda e protrusão), com três repetições de cada movimento, utilizando um dispositivo experimental. Essas medições foram realizadas ao longo de três semanas: a primeira foi destinada à familiarização e as duas semanas seguintes às mensurações da pressão da língua. A confiabilidade foi analisada por meio do coeficiente de correlação intraclasse, erro padrão da medição e diferença mínima detectável. A concordância entre as avaliações foi verificada por meio da análise de Bland-Altman. Resultados: A confiabilidade das medidas de pressão da língua foi excelente para os movimentos de elevação (0,900), lateralização direita (0,960) e protrusão (0,971) e boa para a lateralização esquerda (0,887), conforme demonstrado pelos valores do coeficiente de correlação intraclasse. O menor erro-padrão da medida e a menor diferença mínima detectável foram observados na lateralização direita, indicando menor erro de medição. A análise de Bland-Altman sugere que as medidas em dias diferentes apresentam concordância aceitável. Conclusão: As medidas de pressão da língua, utilizando o dispositivo experimental apresentam reprodutibilidade (confiabilidade e concordância), possibilitando sua aplicação na prática clínica, especialmente no contexto fonoaudiológico.
Palavras-chave
Abstract
Purpose: To evaluate the reproducibility of tongue pressure measurements using a low-cost experimental device in adult individuals. Methods: Ten adult volunteers of both sexes participated in the study. Tongue pressure was assessed during four distinct movements (elevation, right lateralization, left lateralization, and protrusion), with three repetitions per movement, using an experimental device. Assessments were conducted over a three-week period: the first week was dedicated to familiarization, and the subsequent two weeks to tongue pressure measurements. Reliability was analyzed using the intraclass correlation coefficient, the standard error of measurement, and the minimal detectable difference. Agreement between assessments was verified using Bland-Altman analysis. Results: The reliability of tongue pressure measurements was excellent for elevation (0.900), right lateralization (0.960), and protrusion (0.971) movements, and good for left lateralization (0.887), as demonstrated by the intraclass correlation coefficient values. The lowest standard error of measurement and minimal detectable difference were observed for right lateralization, indicating smaller measurement error. Bland–Altman analysis indicated that measurements obtained on different days showed acceptable agreement. Conclusion: Tongue pressure measurements obtained using the experimental device demonstrated reproducibility (reliability and agreement), supporting its use in clinical practice, particularly in the field of speech-language pathology.
Keywords
Referências
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Submetido em:
11/07/2025
Aceito em:
01/10/2025
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