Measurement of force applied by infant tongue to the nipple during sucking and investigation of the mechanism of tongue movement.

In order to clarify the dynamic mechanisms involved in sucking by infants, we developed an artificial nipple with built-in force sensors and have measured the contact force between the tongue and the artificial nipple in infants including healthy, premature and low birth weight. In this study, we measured the force applied by the tongue on the artificial nipple in 10 healthy infants and in 10 infants who were also tube-fed and investigated the differences in dynamic actions between the two groups to extract factors involved in satisfactory sucking. The results showed that differences in the maximum force applied and in the time to reach the maximum force were found between infants with and without established oral feeding. For an infant to suck satisfactorily, 1) the time for the force to propagate from the tongue tip to the tongue root needs to constitute at least 8 % of the sucking period and 2) the force applied at the tongue tip needs to be at least 50% of the force at the tongue root.