The purpose of this study was to observe and investigate the coordination among tongue and jaw movement, perioral muscle activity and sucking pressure during bottle feeding in infants.
Twenty-five healthy infants, born normally at full term and with a mean age was 13.0±4.5 weeks after birth, were selected as subjects for this study. A feeding bottle equipped with a CCD videocamera and pressure sensor was devised to show the tongue movement in infant and record the sucking pressure. Muscle activity was examined by unilateral surface electromyography from the temporalis (TM), masseter (MM), orbicularis oris (OM) and suprahyoid muscles (SM) .
The results are as follows:
1) The tongue movement was peristaltic. When the infant began to suck, the apex of the tongue rose, then the medial part of the tongue became a bell shaped bulge which moved backwards to the root of the tongue. At the final stage the tongue receded quickly and reversed forwards; i.e. the suckling cycle.
2) High correlation was recognized among tongue movement, suckling pressure and jaw movement. While the mandible pulled up until the bell shape appeared in the tongue and the nipple diameter was reduced, and sucking pressure was positive. After mouth closure the bell shape on the tongue moved backwards, and the pressure became negative, then the jaw also moved backwards and the mouth opened.
3) The TM and MM were most active when the sucking pressure became positive and the mandible was closing. The OM and SM were active in both positive and negative sucking phases, with the OM activity being most intense in the positive pressure phase and the SM showing its highest activity in the negative pressure phase.
It was concluded that tongue movement, perioral muscle activity and sucking pressure are highly coordinated during suckling in infants.
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