Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Comparative Analysis of Orofacial Myofunctional in Adults and Eldery People

성인과 노인의 구강근기능 영향요인 분석

  • 김설희 (건양대학교 치위생학과)
  • Received : 2019.01.19
  • Accepted : 2019.04.05
  • Published : 2019.04.30
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Abstract

The purpose of this study was to compare the oralmyofunctions (occlusal force, tongue pressure, lip force) of adults and elderly people. And analyzed the factors affecting oral health related quality of life and dysphagia. The study was conducted on 73(over 20 years of age) Residing in Daejeon and Nonsan From December 2017 to May 2018. The data was analyzed using one-way ANOVA, pearson's correlation and multiple regression. The masticatory strength of each age group evaluated the right and left posterior occlusal forces. the elderys group (8.93, 10.80) were lower than adults group(12.51, 14.61) and middle age group(11.63, 14.75)(p>0.05). The tongue pressure was statistically significant lower in eldery group(37.43) than the adult group(60.55), middle-aged group(50.61) (p=0.000). In addition lip force was significantly lower in eldery group(8.57) than adult(12.01), middle-aged(11.37)(p= 0.000). The tongue pressure was positively correlated with the number of natural teeth(r=.566, p<.05), and the lip force (r=.497, p<.05). The quality of life quality related to oral health and dysphagia was tongue strength(p<0.05). It is necessary to recognize the risk of declining oral muscle function caused by aging. especially tongue strength is associated with quality of life and dysphagia. In order to improve the quality of life related to oral health in the aged society, the necessity of regular oral administration and oral muscle training was proposed.

본 연구는 성인과 노인의 구강근기능(저작력, 혀근력, 구순력, 협근력)을 비교분석하고 구강건강 관련 삶의 질과 연하 장애에 영향을 미치는 구강근기능을 조사하였다. 2017년 12월부터 2018년 5월까지 대전과 논산시에 거주하는 20세 이상 성인 73명을 조사하였다. 수집된 검사자료는 SPSS 18.0 프로그램을 이용하여 ANOVA, 상관분석, 회귀분석을 하였다. 연령층별 저작력은 우측, 좌측 구치교합력을 평가한 결과 노년층이 (8.93, 10.80) 성인층(12.51, 14.61) 중년층 (11.63, 14.75)에 비해 감소하였다(p>0.05). 혀근력은 성인층(60.55), 중년층(50.61), 노년층(37.43) 집단간 통계적으로 유의한 차이가 있었다(p=0.000). 구순력은 노년층(8.57)이 성인층(12.01), 중년층(11.37) 보다 통계적으로 유의하게 낮았다(p=0.000). 구강건강 관련 삶의 질에 미치는 구강근기능은 혀근력이었고, 연하장애에 영향을 미치는 요인도 혀근력이었다. 혀근력은 자연치아수(r=.566, p<.05), 구순력(r=.497, p<.05)과 유의한 순상관관계가 있었다. 구강건강 관련 삶의 질과 연하장애에 영향을 미치는 요인은 혀근력이었다(p<0.05). 노화에 의한 구강근기능 저하의 위험성 인식이 필요하다. 특히 혀근력은 삶의 질과 연하장애와 관련된다. 연령증가시 치아상실로 인한 구강기능 감소뿐만 아니라 구강근기능 저하로 인한 저작, 연하 구강기능 감소의 위험성을 인식하고 고령사회에서 구강건강 관련 삶의 질 증진을 위해 정기적 구강관리 및 구강근훈련의 필요성이 제안되었다.

Keywords

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Fig. Measure of oroㅣ myofuntion

Table 1. Characterization of the sample according to age, tooth and treatment needs

SHGSCZ_2019_v20n4_303_t0001.png 이미지

Table 2. Force and perception of oral myofunction

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Table 3. Correlations of oral state and oral myofunction (Occlusal force, Tongue force, Lip force)

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Table 4. Factors Influencing Adjustment of oral health impact profie

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Table 5. Factors Influencing Adjustment of swallowing problem

SHGSCZ_2019_v20n4_303_t0005.png 이미지

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