{"id":"https://openalex.org/W832393826","doi":"https://doi.org/10.1620/tjem.236.241","title":"Tongue Protrusion Strength in Arousal State Is Predictive of the Airway Patency in Obstructive Sleep Apnea","display_name":"Tongue Protrusion Strength in Arousal State Is Predictive of the Airway Patency in Obstructive Sleep Apnea","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W832393826","doi":"https://doi.org/10.1620/tjem.236.241","mag":"832393826","pmid":"https://pubmed.ncbi.nlm.nih.gov/26118759"},"language":"en","primary_location":{"id":"doi:10.1620/tjem.236.241","doi":"https://doi.org/10.1620/tjem.236.241","is_oa":true,"landing_page_url":"https://doi.org/10.1620/tjem.236.241","pdf_url":"https://www.jstage.jst.go.jp/article/tjem/236/4/236_241/_pdf","source":{"id":"https://openalex.org/S189069745","display_name":"The Tohoku Journal of Experimental Medicine","issn_l":"0040-8727","issn":["0040-8727","1349-3329"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310313307","host_organization_name":"Tohoku University","host_organization_lineage":["https://openalex.org/P4310313307"],"host_organization_lineage_names":["Tohoku University"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Tohoku Journal of Experimental Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jstage.jst.go.jp/article/tjem/236/4/236_241/_pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030361696","display_name":"Masashi Kanezaki","orcid":"https://orcid.org/0000-0002-2151-6183","observed_orcids":["https://orcid.org/0000-0002-2151-6183"]},"institutions":[{"id":"https://openalex.org/I149146724","display_name":"Himeji Dokkyo University","ror":"https://ror.org/011xca688","country_code":"JP","type":"education","lineage":["https://openalex.org/I149146724"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masashi Kanezaki","raw_affiliation_strings":["Department of Physical Therapy, Faculty of Health Care Sciences, Himeji Dokkyo University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Physical Therapy, Faculty of Health Care Sciences, Himeji Dokkyo University","institution_ids":["https://openalex.org/I149146724"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044853054","display_name":"Teruhiro Ogawa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405282875","display_name":"Himeji St. Mary's Hospital","ror":"https://ror.org/00kg1t678","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405282875"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Teruhiro Ogawa","raw_affiliation_strings":["Division of Otolaryngology, Himeji St. Mary\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Otolaryngology, Himeji St. Mary\u2019s Hospital","institution_ids":["https://openalex.org/I4405282875"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100866636","display_name":"Tadafumi Izumi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I163793406","display_name":"Health Sciences University of Hokkaido","ror":"https://ror.org/04tqcn816","country_code":"JP","type":"education","lineage":["https://openalex.org/I163793406"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tadafumi Izumi","raw_affiliation_strings":["Graduate School of Rehabilitation Sciences, Health Sciences University of Hokkaido"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Rehabilitation Sciences, Health Sciences University of Hokkaido","institution_ids":["https://openalex.org/I163793406"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.2899,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.76568755,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"236","issue":"4","first_page":"241","last_page":"245"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10234","display_name":"Obstructive Sleep Apnea Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10234","display_name":"Obstructive Sleep Apnea Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10852","display_name":"Temporomandibular Joint Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11358","display_name":"Dysphagia Assessment and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstructive-sleep-apnea","display_name":"obstructive sleep apnea","score":0.9300000071525574},{"id":"https://openalex.org/keywords/genioglossus-muscle","display_name":"genioglossus muscle","score":0.9359999895095825},{"id":"https://openalex.org/keywords/airway-patency","display_name":"airway patency","score":0.828000009059906},{"id":"https://openalex.org/keywords/arousal","display_name":"arousal","score":0.871999979019165},{"id":"https://openalex.org/keywords/apnea-index","display_name":"apnea index","score":0.6970000267028809},{"id":"https://openalex.org/keywords/stage-2-sleep","display_name":"stage 2 sleep","score":0.8159999847412109},{"id":"https://openalex.org/keywords/polysomnography","display_name":"polysomnography","score":0.7239999771118164},{"id":"https://openalex.org/keywords/strain-gauge-dynamometer","display_name":"strain gauge dynamometer","score":0.7229999899864197},{"id":"https://openalex.org/keywords/upper-airway-collapse","display_name":"upper airway collapse","score":0.6140000224113464}],"concepts":[{"id":"https://openalex.org/C2778670693","wikidata":"https://www.wikidata.org/wiki/Q580326","display_name":"Genioglossus","level":3,"score":0.8724395036697388},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8229324817657471},{"id":"https://openalex.org/C2779744641","wikidata":"https://www.wikidata.org/wiki/Q9614","display_name":"Tongue","level":2,"score":0.8058656454086304},{"id":"https://openalex.org/C2778205975","wikidata":"https://www.wikidata.org/wiki/Q1754874","display_name":"Polysomnography","level":3,"score":0.741498589515686},{"id":"https://openalex.org/C2776006263","wikidata":"https://www.wikidata.org/wiki/Q16606552","display_name":"Obstructive sleep apnea","level":2,"score":0.6524271965026855},{"id":"https://openalex.org/C105922876","wikidata":"https://www.wikidata.org/wiki/Q1423981","display_name":"Airway","level":2,"score":0.6369970440864563},{"id":"https://openalex.org/C2777935920","wikidata":"https://www.wikidata.org/wiki/Q213600","display_name":"Sleep apnea","level":2,"score":0.5255799889564514},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4822712540626526},{"id":"https://openalex.org/C2779547634","wikidata":"https://www.wikidata.org/wiki/Q5165502","display_name":"Continuous positive airway pressure","level":3,"score":0.4423605501651764},{"id":"https://openalex.org/C2781326671","wikidata":"https://www.wikidata.org/wiki/Q754424","display_name":"Apnea","level":2,"score":0.39813241362571716},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.07722550630569458}],"mesh":[{"descriptor_ui":"D000402","descriptor_name":"Airway Obstruction","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007564","descriptor_name":"Japan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011237","descriptor_name":"Predictive Value of Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014059","descriptor_name":"Tongue","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D017286","descriptor_name":"Polysomnography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020181","descriptor_name":"Sleep Apnea, Obstructive","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D053580","descriptor_name":"Muscle Strength","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D053581","descriptor_name":"Muscle Strength Dynamometer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1620/tjem.236.241","doi":"https://doi.org/10.1620/tjem.236.241","is_oa":true,"landing_page_url":"https://doi.org/10.1620/tjem.236.241","pdf_url":"https://www.jstage.jst.go.jp/article/tjem/236/4/236_241/_pdf","source":{"id":"https://openalex.org/S189069745","display_name":"The Tohoku Journal of Experimental Medicine","issn_l":"0040-8727","issn":["0040-8727","1349-3329"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310313307","host_organization_name":"Tohoku University","host_organization_lineage":["https://openalex.org/P4310313307"],"host_organization_lineage_names":["Tohoku University"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Tohoku Journal of Experimental Medicine","raw_type":"journal-article"},{"id":"pmid:26118759","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26118759","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Tohoku journal of experimental medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1620/tjem.236.241","doi":"https://doi.org/10.1620/tjem.236.241","is_oa":true,"landing_page_url":"https://doi.org/10.1620/tjem.236.241","pdf_url":"https://www.jstage.jst.go.jp/article/tjem/236/4/236_241/_pdf","source":{"id":"https://openalex.org/S189069745","display_name":"The Tohoku Journal of Experimental Medicine","issn_l":"0040-8727","issn":["0040-8727","1349-3329"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310313307","host_organization_name":"Tohoku University","host_organization_lineage":["https://openalex.org/P4310313307"],"host_organization_lineage_names":["Tohoku University"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Tohoku Journal of Experimental Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G3672017277","display_name":"The developement for effectiveness of rehabilitation in obstructive sleep apnea","funder_award_id":"26870760","funder_id":"https://openalex.org/F4320334764","funder_display_name":"Japan Society for the Promotion of Science"},{"id":"https://openalex.org/G5737648026","display_name":null,"funder_award_id":"26870760","funder_id":"https://openalex.org/F4320320912","funder_display_name":"Ministry of Education, Culture, Sports, Science and Technology"}],"funders":[{"id":"https://openalex.org/F4320320912","display_name":"Ministry of Education, Culture, Sports, Science and Technology","ror":"https://ror.org/048rj2z13"},{"id":"https://openalex.org/F4320334764","display_name":"Japan Society for the Promotion of Science","ror":"https://ror.org/00hhkn466"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W832393826.pdf","grobid_xml":"https://content.openalex.org/works/W832393826.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W1972862048","https://openalex.org/W1976821799","https://openalex.org/W1986499586","https://openalex.org/W1989627282","https://openalex.org/W2082209128","https://openalex.org/W2085820895","https://openalex.org/W2086527416","https://openalex.org/W2099399795","https://openalex.org/W2104274405","https://openalex.org/W2140422152","https://openalex.org/W2166375627"],"related_works":["https://openalex.org/W2130139403","https://openalex.org/W7160637929","https://openalex.org/W7123600058","https://openalex.org/W7130511121","https://openalex.org/W4389332191","https://openalex.org/W2605519043","https://openalex.org/W2801140280","https://openalex.org/W1986499586","https://openalex.org/W1949144940","https://openalex.org/W4416638003"],"abstract_inverted_index":{"Contraction":[0],"of":[1,12,37,60,88,148,163,200,234],"the":[2,13,58,67,74,103,126,146,174,198,229,235],"genioglossus":[3,43,52],"affects":[4],"either":[5],"tongue":[6,48,70,89,127,149,164,175,184],"protrusion":[7,49,71,90,128,150,165,185,225],"strength":[8,50,72,91,129,166,186,226],"or":[9],"dilating":[10],"forces":[11],"upper":[14,17],"airway.":[15],"The":[16,161,183],"airway":[18,61,236],"in":[19,34,42,63,73,97,228,240],"patients":[20,64],"with":[21,65,102,141,154,178,190],"obstructive":[22,78,191],"sleep":[23,39,55,79,201,239],"apnea":[24,80,192,194],"(OSA)":[25],"is":[26,232],"thought":[27],"to":[28,57,95],"collapse":[29],"during":[30,54,238],"sleep,":[31],"at":[32],"least":[33],"part":[35],"because":[36],"a":[38,111,120,179],"related":[40],"reduction":[41],"muscle":[44],"activity.":[45],"Thus,":[46],"although":[47],"by":[51,158,169],"activity":[53],"contributes":[56],"maintenance":[59],"patency":[62,237],"OSA,":[66],"relationship":[68],"between":[69,125],"arousal":[75,230],"state":[76,231],"and":[77,130,138,197,216],"has":[81],"not":[82,117],"been":[83],"fully":[84],"elucidated.":[85],"Conventional":[86],"method":[87,114],"cannot":[92],"be":[93],"used":[94],"evaluate":[96],"edentulous":[98],"subjects":[99,101,137,140,144],"and/or":[100],"decreased":[104],"biting":[105,119],"force.":[106],"In":[107],"this":[108],"study,":[109],"employing":[110],"novel":[112],"measurement":[113,147],"that":[115],"does":[116],"require":[118],"transducer,":[121],"we":[122],"investigated":[123],"relationships":[124],"polysomnographic":[131],"findings.":[132],"We":[133],"enrolled":[134],"twenty":[135],"normal":[136],"26":[139],"OSA.":[142,241],"All":[143],"completed":[145],"strength.":[151],"Each":[152],"subject":[153],"OSA":[155],"was":[156,167,187],"evaluated":[157],"full":[159],"polysomnography.":[160],"degree":[162],"assessed":[168],"maximum":[170],"voluntary":[171],"contraction":[172],"against":[173],"depressor":[176],"connected":[177],"strain":[180],"gauge":[181],"dynamometer.":[182],"negatively":[188],"correlated":[189],"time,":[193],"index":[195],"(AI)":[196],"percent":[199],"stage":[202],"2":[203],"(r":[204],"=":[205,211,214,218,221],"-0.61,":[206],"p":[207,213,220],"<":[208],"0.0001,":[209],"r":[210,217],"-0.41":[212],"0.03":[215],"-0.39":[219],"0.04,":[222],"respectively).":[223],"Tongue":[224],"measured":[227],"predictive":[233]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}