Concurrent Validity of the IOPI and Tongueometer Orofacial Strength Measurement Devices.

Autor: Curtis JA; Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medicine, Sean Parker Institute for the Voice, New York, NY, USA.; Aerodigestive Innovations Research lab (AIR), Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medical College, New York, NY, USA., Mocchetti V; Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medicine, Sean Parker Institute for the Voice, New York, NY, USA., Rameau A; Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medicine, Sean Parker Institute for the Voice, New York, NY, USA.; Laryngology Innovation Lab, Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medical College, New York, NY, USA.
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2023 Nov; Vol. 133 (11), pp. 3123-3131. Date of Electronic Publication: 2023 May 30.
DOI: 10.1002/lary.30782
Abstrakt: Objective(s): This study examined the concurrent validity of two orofacial strength manometers: (1) the Iowa Oral Performance Instrument (IOPI) - the current, gold standard orofacial manometer; and (2) the Tongueometer - a newly-available, lower cost, orofacial manometer.
Methods: This study compared IOPI and Tongueometer pressure readings across three experimental conditions. Experiment 1 compared full setup (manometer + tongue bulb) pressure readings between the IOPI and Tongueometer. Experiment 2 compared IOPI tongue bulb and Tongueometer tongue bulb pressure readings, while controlling for manometer. Experiment 3 compared IOPI manometer and Tongueometer manometer pressure readings, while controlling for tongue bulb. Pressures were applied manually within a laboratory setting. Lin's concordance correlation (ρ c ) was used to calculate level of agreement, with ρ c interpreted as 'poor' if <0.90, 'moderate' if 0.90 to <0.95, 'substantial' if 0.95 to <0.99, and 'excellent' if ≥0.99.
Results: 539 trials were analyzed. There was a median absolute difference of 2.4 kPa in pressure readings between the IOPI and Tongueometer full setups (manometer + tongue bulb). Correlations revealed substantial agreement between IOPI and Tongueometer full setups (experiment 1: n = 292; ρ c  = 0.986), tongue bulbs (experiment 2: n = 146; ρ c  = 0.987-0.992), and manometers (experiment 3: n = 101; ρ c  = 0.970).
Conclusions: Differences in pressures were consistently observed between the Tongueometer and IOPI. Despite these differences, substantial agreement was present. These data suggest the Tongueometer may be a valid, lower cost alternative to the IOPI for objectively assessing orofacial strength in clinical practice.
Level of Evidence: Level 2 Laryngoscope, 133:3123-3131, 2023.
(© 2023 The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze: MEDLINE
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