Evaluation of the neuromotor ability of the tongue in pediatric patients using a stereognostic examination.

Sakshi Jajoo, Chaudhary Shweta, Davalbhakta Rucha, Kunte Sanket, Jagtap Chetana, Patil Smita
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Abstract

Background: The term "stereognosis" comes from neurology and describes the capacity to distinguish objects solely by touch.

Aim: The aim of this research study was to compare the neuromotor ability of the tongue in patients with malocclusion and tongue dysfunction with and without superficial anesthesia on the tip of the tongue and hard palate.

Materials and methods: The study included 132 patients aged 6-13 years. Using a spatula for speech therapy and a visual evaluation while swallowing saliva, all individuals were identified as having swallowing dysfunctions and divided into three groups: study group (children with malocclusions and tongue dysfunctions) - 44 patients, comparator group (children with malocclusions and without tongue dysfunctions) - 44 patients, and control group (children without malocclusions or tongue dysfunctions) - 44 patients. The Koczorowski methods were used for the stereognostic tests.

Results: Age, sex, and malocclusion were taken into account during the differential analysis. The study and comparison groups, study and control groups, and the comparator and control groups all showed statistically significant differences from one another. According to the results, tongue dysfunction affects patients' ability to coordinate their movements with their senses at a developing stage.

Conclusion: Patients with malocclusions that are made worse by tongue dysfunctions have poorer oral stereognostic sensibility. Speech therapy and interdisciplinary specialist orthodontic treatment are required for individuals with impaired oral perception who are still in the developmental stage and have abnormal tongue position and function.

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通过立体定向检查评估儿科患者舌头的神经运动能力。
背景:目的:本研究旨在比较在舌尖和硬腭进行表皮麻醉和未进行表皮麻醉的错颌畸形和舌功能障碍患者的舌头神经运动能力:研究对象包括 132 名 6-13 岁的患者。使用用于语言治疗的刮匙和吞咽唾液时的视觉评估,确定所有患者均有吞咽功能障碍,并将其分为三组:研究组(有错颌畸形和舌功能障碍的儿童)--44 名患者,对比组(有错颌畸形但无舌功能障碍的儿童)--44 名患者,对照组(无错颌畸形或舌功能障碍的儿童)--44 名患者。采用 Koczorowski 方法进行立体认知测试:结果:在差异分析中考虑了年龄、性别和错颌畸形。研究组与对比组、研究组与对照组、对比组与对照组在统计学上均存在显著差异。研究结果表明,舌功能障碍会影响患者在发育阶段协调动作与感官的能力:结论:因舌功能障碍而导致咬合不正的患者,其口腔立体感较差。对于仍处于发育阶段、舌头位置和功能异常的口腔感知受损者,需要进行言语治疗和跨学科的专业正畸治疗。
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