{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T21:42:17Z","timestamp":1778103737612,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["2022R1C1C2004058"],"award-info":[{"award-number":["2022R1C1C2004058"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early identification of penetration\/aspiration (P\/A) risk in older adults with sarcopenia is crucial to prevent complications and maintain quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the diagnostic utility of orofacial muscle strength measurements for predicting the risk of P\/A in older adults with sarcopenia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this observational and prospective study, we collated consecutive data from community\u2010dwelling older adults diagnosed with sarcopenia at a musculoskeletal disorder clinic. Altogether, 54 participants underwent orofacial muscle strength measurements (the index test) using the Iowa Oral Performance Instrument and a videofluoroscopic swallowing study (VFSS) (the reference test) to evaluate for the presence of P\/A. Receiver operating characteristic (ROC) curve analysis was performed to determine orofacial muscle strength based on P\/A.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 34 patients showed penetration in the VFSS, although none of the patients showed signs of aspiration. The cut\u2010off for tongue strength to identify the risk of P\/A was \u2264\u200920.5\u2009kPa, with a sensitivity and specificity of 0.75 and 0.74, respectively; the area under the curve (AUC) was 0.88. The cut\u2010off for buccinator strength was \u2264\u200919.5\u2009kPa, with a sensitivity and specificity of 0.65 and 0.68, respectively, with an AUC of 0.69. The cut\u2010off for lip muscle strength was \u2264\u200918.5\u2009kPa, with a sensitivity and specificity of 0.65 and 0.71, respectively, with an AUC of 0.69.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The evaluation of buccinator and lip muscle strength did not demonstrate sufficient diagnostic utility for detecting the risk of P\/A in older patients with sarcopenia; however, tongue strength showed reliable diagnostic utility for identifying the risk of P\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13933","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T01:06:09Z","timestamp":1737075969000},"page":"817-824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Application of Orofacial Muscle Strength Measurement to Screen for Penetration\/Aspiration Risk in Older Adults With Sarcopenia: A Diagnostic Accuracy Study"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8105-8252","authenticated-orcid":false,"given":"Na\u2010Kyoung","family":"Hwang","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy Seoul North Municipal Hospital  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1130-8636","authenticated-orcid":false,"given":"Tae\u2010Hyung","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Dongseo University  Busan Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7113-4792","authenticated-orcid":false,"given":"Ji\u2010Su","family":"Park","sequence":"additional","affiliation":[{"name":"Research Institute for Korean Medicine Pusan National University  Yangsan Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq034"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50216.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12147"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.11.007"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.393"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S107750"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-018-1117-2"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-005-9011-6"},{"key":"e_1_2_10_10_1","first-page":"31","article-title":"Screening Tests in Evaluating Swallowing Function","volume":"54","author":"Horiguchi S.","year":"2011","journal-title":"Japan Medical Association Journal"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000533884"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-014-9516-y"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2003\/051)"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glq234"},{"key":"e_1_2_10_15_1","article-title":"Factors Associated With Tongue Pressure in Post\u2010Stroke Patients","volume":"22","author":"Oliveira G. 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