Impaired Tongue Motor Control After Temporomandibular Disorder: A Proof-of-concept Case-control Study of Tongue Print

Overview

Journal Clin Exp Dent Res

Publisher Wiley

Specialty Dentistry

Date 2022 Feb 27

PMID 35220688

Authors

Caroline Alvarado

Audrey Arminjon

Clovis Damieux-Verdeaux

Claire Lhotte

Chloe Condemine

Anne-Sabine Cousin

Nicolas Sigaux

Pierre Bouletreau

Sebastien Mateo

Affiliations

Soon will be listed here.

Abstract

Background: Temporomandibular disorder (TMD) perturbs the tongue motor control and consequently impairs oral function, but strength training reduces this impairment. However, tongue motor control is widely reduced to a matter of strength.

Objectives: To investigate the accuracy of the tongue placement as a measure of tongue motor control in patients with TMD compared with age- and sex-matched healthy participants.

Material And Methods: This proof-of-concept case-control study was prospective, observational, and part of the TMIQ study (NCT04102306). After pointing against a wood stick while maintaining the tongue as sharp as possible, the examinator drew the contour of the tongue print on the wood stick, which was then scanned for image analyses to compute the area for each participant using ImageJ.

Results: A total of 94 participants were included, all patients with TMD (n = 47) diagnosed with myalgia, 61% with intra-articular joint disorder accordingly to the DC/TMD. The median (IQR) tongue print area was 117 (111) mm for the TMD group and 93.5 (76.2) mm for the control group (V = 352, p = .04) and the median [95% confidence interval] difference was 25.4 [1.3; 51.0] mm². Overlapping of the 95% confidence intervals of the area evidenced no significant difference between the categories of the DC/TMD. The corrected each area-total correlation (r = .24) suggests a reasonably homogenous thus valid measure.

Conclusion: The results suggest that TMD impairs the motor control of the tongue. Therefore, the sharpest tongue pointing test may constitute a simple and accessible clinical tool to assess the accuracy of tongue placement in TMD patients. The study was registered on ClinicalTrial.gov with identification number NCT04102306.

Citing Articles

Impaired tongue motor control after temporomandibular disorder: A proof-of-concept case-control study of tongue print.

Alvarado C, Arminjon A, Damieux-Verdeaux C, Lhotte C, Condemine C, Cousin A Clin Exp Dent Res. 2022; 8(2):529-536.

PMID: 35220688 PMC: 9033548. DOI: 10.1002/cre2.549.

References

Marim G, Machado B, Trawitzki L, de Felicio C . Tongue strength, masticatory and swallowing dysfunction in patients with chronic temporomandibular disorder. Physiol Behav. 2019; 210:112616. DOI: 10.1016/j.physbeh.2019.112616. View

Stone M . A guide to analysing tongue motion from ultrasound images. Clin Linguist Phon. 2005; 19(6-7):455-501. DOI: 10.1080/02699200500113558. View

Gaige T, Benner T, Wang R, Wedeen V, Gilbert R . Three dimensional myoarchitecture of the human tongue determined in vivo by diffusion tensor imaging with tractography. J Magn Reson Imaging. 2007; 26(3):654-61. DOI: 10.1002/jmri.21022. View

Adams V, Mathisen B, Baines S, Lazarus C, Callister R . Reliability of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument with healthy adults. Dysphagia. 2013; 29(1):83-95. DOI: 10.1007/s00455-013-9486-5. View

Adams V, Mathisen B, Baines S, Lazarus C, Callister R . A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia. 2013; 28(3):350-69. DOI: 10.1007/s00455-013-9451-3. View

Hiiemae K, Palmer J . Tongue movements in feeding and speech. Crit Rev Oral Biol Med. 2003; 14(6):413-29. DOI: 10.1177/154411130301400604. View

Takemoto H . Morphological analyses of the human tongue musculature for three-dimensional modeling. J Speech Lang Hear Res. 2001; 44(1):95-107. DOI: 10.1044/1092-4388(2001/009). View

Marchesan I . Lingual frenulum: quantitative evaluation proposal. Int J Orofacial Myology. 2006; 31:39-48. View

Best N, Best S, Loudovici-Krug D, Smolenski U . Measurement of mandible movements using a vernier caliper--an evaluation of the intrasession-, intersession- and interobserver reliability. Cranio. 2013; 31(3):176-80. DOI: 10.1179/crn.2013.028. View

10.

Corfield D, Murphy K, Josephs O, Fink G, Frackowiak R, Guz A . Cortical and subcortical control of tongue movement in humans: a functional neuroimaging study using fMRI. J Appl Physiol (1985). 1999; 86(5):1468-77. DOI: 10.1152/jappl.1999.86.5.1468. View

11.

Jouannaud B, Bregeon F, Tardieu C, Tardieu G . [Development of imitative lingual praxis in normal children. Application to their evaluation in language disorders of cerebral palsy]. Rev Neuropsychiatr Infant. 1972; 20(8):673-80. View

12.

Yoshikawa M, Yoshida M, Tsuga K, Akagawa Y, Groher M . Comparison of three types of tongue pressure measurement devices. Dysphagia. 2010; 26(3):232-7. DOI: 10.1007/s00455-010-9291-3. View

13.

Cheng S, Butler J, Gandevia S, Bilston L . Movement of the tongue during normal breathing in awake healthy humans. J Physiol. 2008; 586(17):4283-94. PMC: 2652195. DOI: 10.1113/jphysiol.2008.156430. View

14.

Hochster H . The power of "p": on overpowered clinical trials and "positive" results. Gastrointest Cancer Res. 2009; 2(2):108-9. PMC: 2630828. View

15.

Adams V, Mathisen B, Baines S, Lazarus C, Callister R . Reliability of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument with elderly adults. Disabil Rehabil. 2014; 37(5):389-95. DOI: 10.3109/09638288.2014.921245. View

16.

Leonard G, Lapierre Y, Chen J, Wardini R, Crane J, Ptito A . Noninvasive tongue stimulation combined with intensive cognitive and physical rehabilitation induces neuroplastic changes in patients with multiple sclerosis: A multimodal neuroimaging study. Mult Scler J Exp Transl Clin. 2017; 3(1):2055217317690561. PMC: 5466147. DOI: 10.1177/2055217317690561. View

17.

Alvarado C, Arminjon A, Damieux-Verdeaux C, Lhotte C, Condemine C, Cousin A . Impaired tongue motor control after temporomandibular disorder: A proof-of-concept case-control study of tongue print. Clin Exp Dent Res. 2022; 8(2):529-536. PMC: 9033548. DOI: 10.1002/cre2.549. View

18.

La Touche R, Herranz-Gomez A, Destenay L, Gey-Seedorf I, Cuenca-Martinez F, Paris-Alemany A . Effect of brain training through visual mirror feedback, action observation and motor imagery on orofacial sensorimotor variables: A single-blind randomized controlled trial. J Oral Rehabil. 2020; 47(5):620-635. DOI: 10.1111/joor.12942. View

19.

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007; 335(7624):806-8. PMC: 2034723. DOI: 10.1136/bmj.39335.541782.AD. View

20.

Ferreira C, Machado B, Borges C, Da Silva M, Sforza C, de Felicio C . Impaired orofacial motor functions on chronic temporomandibular disorders. J Electromyogr Kinesiol. 2014; 24(4):565-71. DOI: 10.1016/j.jelekin.2014.04.005. View