Effects of lingual strength training on lingual strength and articulator function in stroke patients with dysarthria

Moon, Jong Hoon; Hong, Deok Gi; Kim, Kye Ho; Park, Yo An; Hahm, Suk-Chan; Kim, Sungjin; Won, Young Sik; Cho, Hwi-Young

doi:10.1589/jpts.29.1201

Cited by 12 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 1 summarizes the available literature on the efficacy of TSE, with the majority of studies reporting significant increases in TS following TSE. [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] However, only half of the available research was executed in pathological groups. 19,22,24,25,[27][28][29][30][31] Concerning swallowing, half of the reported studies reported effects of TSE on swallowing function.…”

Section: Introductionmentioning

confidence: 99%

“…[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] However, only half of the available research was executed in pathological groups. 19,22,24,25,[27][28][29][30][31] Concerning swallowing, half of the reported studies reported effects of TSE on swallowing function. 19,21,22,24,25,[27][28][29]31 Results were inconclusive, with three studies reporting an increased swallowing efficiency, for example, a decrease of oropharyngeal residue, in stroke patients.…”

Section: Introductionmentioning

confidence: 99%

“…Tongue‐strengthening exercises (TSE) have been shown to have a positive impact on TS, swallowing, and QoL. Table 1 summarizes the available literature on the efficacy of TSE, with the majority of studies reporting significant increases in TS following TSE 19‐35 . However, only half of the available research was executed in pathological groups 19,22,24,25,27‐31 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of tongue‐strengthening exercises on tongue strength and swallowing‐related parameters in chronic radiation‐associated dysphagia

et al. 2020

View full text Add to dashboard Cite

Background Radiation‐associated dysphagia (RAD) is highly prevalent in head and neck cancer (HNC) patients, with insufficient tongue strength (TS) as a characteristic of this disabling complication. The effects of tongue‐strengthening exercises (TSE) on TS, swallowing, and quality of life (QoL) have not been studied in this population. Methods A prospective phase 2 study using an 8 weeks during TSE protocol was carried out in 15 patients with chronic RAD. Outcome parameters were maximal isometric pressure (MIP), TS during swallowing (Pswal), swallowing function, and QoL. All parameters were evaluated at baseline, after 4 and 8 weeks of training, and 4 weeks after the last training session. Results MIP increased significantly, without detraining effects. Pswal did not increase significantly, but relevant effect sizes were measured. Swallowing function ameliorated, but did not result in increased functional oral intake, self‐reported outcome or QoL. Conclusion TSE in patients with RAD results in increased strength and swallowing function.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of tongue‐strengthening exercises on tongue strength and swallowing‐related parameters in chronic radiation‐associated dysphagia

et al. 2020

View full text Add to dashboard Cite

show abstract

“…44,53 In addition, execution variability, whether in assessment and training programs, may interfere with study results, and a fixed protocol of sessions provides a better understanding of the effect of the programs, 56 as observed in four of the five studies involving the IOPI therapy. 43,44,47,57 Despite the variability in the proposed tongue strength training programs, 43,44,46 it was observed that most participants in the reviewed studies received training programs ranging from 6 to 8 weeks and the sessions were held at 3 to 5 days a week, which meets recent literature recommendations for tongue training program. 57 Protocols for training using the IOPI 43,44,47,57 reflect much of what the first studies proposed by Robbins in 2005, and because of their reliability most of them remain almost unchanged.…”

Section: Discussionmentioning

confidence: 63%

Tongue strength as a clinical feature of oral health in neurological patients: A Systematic Review.

Plaza¹,

Dornelles-Bilheri²,

Mancopes³

et al. 2021

J Oral Res

View full text Add to dashboard Cite

Objective: Current oral health assessment has a compre-hensive view of the relationship between hard and soft tissues of the mouth as seen by orthodontics and prosthodontics in a healthy population. Despite knowing the influence this relationship has on functional outcomes such as swallowing and mastication, motor evaluation of soft tissue such as the tongue is still scarce. This lack of knowledge is even greater in individuals with a neurological condition. In this sense, the measurement of lingual strength has been addressed by some research as a key element accompanying oral rehabilitation in healthy populations. Acknowledging the importance of tongue strength in oral biomechanics, the Iowa Oral Performance Instrument (IOPI) has become a gold standard instrument. The purpose of this article was to search for scientific studies on tongue strength using the IOPI as a research tool in populations with neurological conditions, to know about its inclusion in the clinical practice and comprehensive oral health rehabilitation in this population. Material and Methods: A systematic search in five major databases was carried out based on the PRISMA Protocol. Searches were conducted in the PubMed, Medline, Lilacs, Web of Science and MedCarib databases including articles from 2007 to 2020. To generate the search in each database, three main constructs were developed: (1) "tongue strength IOPI"; (2) "Swallowing Disorders"; (3) "Neurological Diseases". Results: 152 studies were identified, 14 were included in the final review. The PEDro scale showed great heterogeneity in the level of evidence between the studies with only 5 RCTs and only two of them on lingual strength training. Conclusion: The IOPI was used mainly to measure tongue strength and only 36% as a clinical training device, which could contribute to improving oral health. The stroke was the most represented (79%).IIIISU.

show abstract

“…We are not aware of previous studies exploring the impact of TSE exercise frequency in outcomes. Reported training frequencies for TSE vary from 1 to 7 times per week [6,7,[17][18][19][20][21][22][23][24][25][26][27][28][29][30] with the majority exercising at 3 [6,7,18,20,21,30] or 5 times per week [17,[25][26][27]29]. Detraining effects have been reported at 4 [24] and 8 weeks [30] after treatment, both in young healthy adults.…”

Section: Introductionmentioning

confidence: 99%

Tongue-Strengthening Exercises in Healthy Older Adults: Effect of Exercise Frequency – A Randomized Trial

Steen

Bodt

Guns

et al. 2020

Folia Phoniatr Logop

View full text Add to dashboard Cite

Introduction: Positive effects from tongue-strengthening exercises (TSE) are widely described, but dose-dependent studies concerning exercise frequency have not yet been reported. This study aimed to determine the training and detraining effects of TSE with exercise frequencies of respectively 3 and 5 times per week on maximum isometric anterior and posterior tongue pressures (MIP_A and MIP_P) and on anterior and posterior tongue strength during an effortful saliva swallow (Pswal_A and Pswal_P). Method: Twenty healthy adults were randomly assigned to two exercise groups, training 3 (EX3, n = 10) or 5 (EX5, n = 10) times per week with the Iowa Oral Performance Instrument. MIP_A, MIP_P, Pswal_A, and Pswal_P were measured at baseline, after 4 and 8 weeks of training and 4 and 8 weeks after the last training session to document detraining effects. Descriptive statistics, linear mixed model effects, and post hoc analyses were calculated. Results: Significant increases in MIP_A, MIP_P, Pswal_A, and Pswal_P were measured for training both 3 and 5 times per week. No significant differences on any parameter were found between EX3 and EX5 groups. No significant detraining effects were found after 4 or 8 weeks in any treatment arm either for MIPs or for effortful swallow pressures. Conclusion: This randomized study demonstrated a positive effect of TSE on MIP and Pswal in healthy older adults, without detraining effects. No superiority of exercise frequency was identified based on significance testing, although some trends are discussed.

show abstract

Effects of lingual strength training on lingual strength and articulator function in stroke patients with dysarthria

Cited by 12 publications

References 17 publications

Effect of tongue‐strengthening exercises on tongue strength and swallowing‐related parameters in chronic radiation‐associated dysphagia

Effect of tongue‐strengthening exercises on tongue strength and swallowing‐related parameters in chronic radiation‐associated dysphagia

Tongue strength as a clinical feature of oral health in neurological patients: A Systematic Review.

Tongue-Strengthening Exercises in Healthy Older Adults: Effect of Exercise Frequency – A Randomized Trial

Contact Info

Product

Resources

About