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The development of a tongue assessment tool to assist with tongue-tie identification.
Arch Dis Child Fetal Neonatal Ed 2015; 100(4):F344-8AD

Abstract

AIM

To produce a simple tool with good transferability to provide a consistent assessment of tongue appearance and function in infants with tongue-tie.

METHODS

The Bristol Tongue Assessment Tool (BTAT) was developed based on clinical practice and with reference to the Hazelbaker Assessment Tool for Lingual Frenulum Function (ATLFF). This paper documents 224 tongue assessments using the BTAT. There were 126 tongue assessments recorded using the BTAT and ATLFF tools to facilitate comparisons between them. Paired BTAT assessments were obtained from eight midwives who were using the new assessment tool.

RESULTS

There was acceptable internal reliability for the four-item BTAT (Cronbach's α=0.708) and the eight midwives who used it showed good correlation in the consistency of its use (ICC=0.760). The BTAT showed a strong and significant correlation (0.89) with the ATLFF, indicating that the simpler BTAT could be used in place of the more detailed assessment tool to score the extent of a tongue-tie. Midwives found it quick and easy to use and felt that it would be easy to teach to others.

CONCLUSIONS

The BTAT provides an objective, clear and simple measure of the severity of a tongue-tie, to inform selection of infants for frenotomy and to monitor the effect of the procedure.

Authors+Show Affiliations

School of Social and Community Medicine, University of Bristol, Bristol, UK.School of Social and Community Medicine, University of Bristol, Bristol, UK.Midwifery, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.Neonatal Intensive Care Unit, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.R&I, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.School of Social and Community Medicine, University of Bristol, Bristol, UK.

Pub Type(s)

Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25877288

Citation

Ingram, Jenny, et al. "The Development of a Tongue Assessment Tool to Assist With Tongue-tie Identification." Archives of Disease in Childhood. Fetal and Neonatal Edition, vol. 100, no. 4, 2015, pp. F344-8.
Ingram J, Johnson D, Copeland M, et al. The development of a tongue assessment tool to assist with tongue-tie identification. Arch Dis Child Fetal Neonatal Ed. 2015;100(4):F344-8.
Ingram, J., Johnson, D., Copeland, M., Churchill, C., Taylor, H., & Emond, A. (2015). The development of a tongue assessment tool to assist with tongue-tie identification. Archives of Disease in Childhood. Fetal and Neonatal Edition, 100(4), pp. F344-8. doi:10.1136/archdischild-2014-307503.
Ingram J, et al. The Development of a Tongue Assessment Tool to Assist With Tongue-tie Identification. Arch Dis Child Fetal Neonatal Ed. 2015;100(4):F344-8. PubMed PMID: 25877288.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The development of a tongue assessment tool to assist with tongue-tie identification. AU - Ingram,Jenny, AU - Johnson,Debbie, AU - Copeland,Marion, AU - Churchill,Cathy, AU - Taylor,Hazel, AU - Emond,Alan, Y1 - 2015/04/15/ PY - 2014/09/12/received PY - 2015/03/22/accepted PY - 2015/4/17/entrez PY - 2015/4/17/pubmed PY - 2015/9/1/medline KW - breastfeeding KW - frenotomy SP - F344 EP - 8 JF - Archives of disease in childhood. Fetal and neonatal edition JO - Arch. Dis. Child. Fetal Neonatal Ed. VL - 100 IS - 4 N2 - AIM: To produce a simple tool with good transferability to provide a consistent assessment of tongue appearance and function in infants with tongue-tie. METHODS: The Bristol Tongue Assessment Tool (BTAT) was developed based on clinical practice and with reference to the Hazelbaker Assessment Tool for Lingual Frenulum Function (ATLFF). This paper documents 224 tongue assessments using the BTAT. There were 126 tongue assessments recorded using the BTAT and ATLFF tools to facilitate comparisons between them. Paired BTAT assessments were obtained from eight midwives who were using the new assessment tool. RESULTS: There was acceptable internal reliability for the four-item BTAT (Cronbach's α=0.708) and the eight midwives who used it showed good correlation in the consistency of its use (ICC=0.760). The BTAT showed a strong and significant correlation (0.89) with the ATLFF, indicating that the simpler BTAT could be used in place of the more detailed assessment tool to score the extent of a tongue-tie. Midwives found it quick and easy to use and felt that it would be easy to teach to others. CONCLUSIONS: The BTAT provides an objective, clear and simple measure of the severity of a tongue-tie, to inform selection of infants for frenotomy and to monitor the effect of the procedure. SN - 1468-2052 UR - https://www.unboundmedicine.com/medline/citation/25877288/The_development_of_a_tongue_assessment_tool_to_assist_with_tongue_tie_identification_ L2 - http://fn.bmj.com/cgi/pmidlookup?view=long&pmid=25877288 DB - PRIME DP - Unbound Medicine ER -