Effects of Strengthening Exercises on Swallowing Musculature and Function in Senior Healthy Subjects: a Prospective Effectiveness and Feasibility Study

Kraaijenga, Sophie A. C.; Molen, Lisette van der; Stuiver, Martijn M.; Teertstra, Hendrik J.; Hilgers, Frans J. M.; Brekel, Michiel W. M. van den

doi:10.1007/s00455-015-9611-8

Cited by 42 publications

(73 citation statements)

References 42 publications

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“…This study used electromyography and tongue pressure measurements to assess the changes in musculature strength as a result of resistive JOE. The results in this study showed a similar trend to earlier studies on strengthening the suprahyoid muscles by JOE with or without external resistance to improve swallowing function [8, 9]. …”

Section: Discussionsupporting

confidence: 79%

“…Although the results of these earlier studies suggest that JOE could be effective for enhancing suprahyoid muscle strength, the physiologic change after JOE has not been identified. The increased anterior tongue strength identified in the study by Kraaijenga et al [9] was the result of the combination of 3 different strengthening exercises. As such, the isolated effect of resistive JOE was difficult to ascertain.…”

Section: Introductionmentioning

confidence: 99%

“…For this reason, the application of resistance to this exercise seems necessary for long-term strengthening. Although being a particular device, which can provide some resistance during jaw opening introduced in the study by Kraaijenga et al [9], this apparatus is expensive and needs special remodeling.…”

Section: Introductionmentioning

confidence: 99%

“…After a 4-week training period, the amount of upward movement of the hyoid bone and opening of the UES had significantly increased. Kraaijenga et al [9] investigated the effects of 3 resistance exercises (opening the jaw against resistance, chin tuck against resistance, and an effortful swallow) using a mouth-opening device commonly used for patients with trismus (Therabite, Atosmedical, WI, USA). This device was originally developed to restore mobility in patients with trismus and mandibular hypomobility.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Resistive Jaw-Opening Exercise with Elastic Bands on Suprahyoid Muscle Activation in Normal Subjects

Oh¹,

Kwon²

2018

Folia Phoniatr Logop

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Objective: The effect of a resistive jaw-opening exercise using an elastic band on suprahyoid muscle activity and tongue strength was examined in healthy volunteers. Methods: Twenty-one adults wore an elastic loop around their head and mandible. To prescribe the appropriate elastic band resistance, the 10-repetition maximum (10 RM) was measured among 4 bands at baseline. Band loops, starting with the highest resistance value band, were sequentially applied to determine the suitability for 10 RM. During the exercise, the participants were required to open their jaw maximally and maintain the position for 10 s; then, they rested for 10 s. This procedure was repeated for 20 min, 3 days per week for 8 weeks to test suprahyoid muscle activation during effortful swallowing; isometric tongue pressures of the tongue tip and base at baseline, after 4, and after 8 weeks of training were measured. Results: Peak suprahyoid muscle activation amplitudes during effortful swallow and isometric pressures at the tongue tip significantly increased after 8 weeks. Conclusion: The 8-week resistive jaw-opening exercise significantly improved strength of the suprahyoid muscle and tongue pressures in healthy subjects. These positive results warrant further investigation of the therapeutic effects and feasibility of this resistive exercise.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Resistive Jaw-Opening Exercise with Elastic Bands on Suprahyoid Muscle Activation in Normal Subjects

Oh¹,

Kwon²

2018

Folia Phoniatr Logop

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“…The application of exercises provides not only muscular strengthening in the suprahyoid and pharyngeal regions, but also allows swallowing functional improvement (17) , presenting better performance with different food consistencies.…”

Section: Introductionmentioning

confidence: 99%

Mudança funcional no padrão de deglutição por meio da realização de exercícios orofaciais

Alves

Andrade

2017

CoDAS

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RESUMO Objetivo O objetivo desta pesquisa foi verificar se há melhora funcional do padrão de deglutição em indivíduos identificados com risco para disfagia orofaríngea após quatro semanas da realização de exercícios orofaríngeos específicos com intensidade e duração pré-determinados. Método Esta pesquisa é de caráter longitudinal de efeito funcional, determinado por medidas comparativas inicial e final. A população-alvo foi constituída de indivíduos adultos e idosos selecionados por 24 meses. Foi incluído para esta pesquisa um total de 68 indivíduos. Foi realizada avalição clínica da deglutição e observados sinais clínicos para disfagia. Os indivíduos foram divididos em dois grupos de acordo com o nivelamento inicial na escala ASHA NOMS. No Grupo 1 (G1) – ASHA NOMS, inicial de níveis 1 e 2; Grupo 2 (G2) – ASHA NOMS, inicial de níveis 3, 4 e 5. Todos os indivíduos realizaram um protocolo de exercícios por quatro semanas. O protocolo conta com sessões presenciais e continuidade das atividades em ambiente domiciliar. Ao final, foi realizada nova mensuração do desempenho de deglutição. Resultados Para o grupo G2 houve melhora estatisticamente significante. Para o G1, a relação não foi significante, apesar de mudança intensa na escala ASHA NOMS, porém, neste grupo, temos um número reduzido de indivíduos devido à gravidade do perfil. Conclusão O programa se mostrou efetivo, pois, após as quatro sessões de exercícios, houve melhora importante no padrão de deglutição, demonstrada pela escala funcional.

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Effects of oral screen exercise on orofacial and pharyngeal activity: An exploratory study using videofluoroscopy and surface electromyography in healthy adults

Bengtsson

Dotevall

Sjögreen

et al. 2022

Clinical & Exp Dental Res

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Objective The oral screen is a device commonly used for treatment of orofacial disorders. The objective of this exploratory study was to examine the effect of oral screen exercise on the muscle activity in the lips, submental complex, masseter muscle, and kinematic activity of the tongue base, soft palate, pharynx, and larynx in healthy adults. This was compared with the kinematic activity during a dry swallow. It was hypothesized that not only the lip musculature but also other structures in the oral and pharyngeal cavities are activated while using an oral screen device. Method Ten healthy subjects used an oral screen during examination with videofluoroscopy and surface electromyography (EMG). Three different instructions for oral screen application and a dry swallow were examined. Results The lip muscles showed the highest activity during oral screen exercise. The other muscle groups were activated to a lesser degree. The pattern of activation differed between individuals. Compared with a dry swallow, the range of motion of the tongue base, posterior pharyngeal wall, and the larynx was significantly smaller during oral screen activation. No major differences were found between three different instructions. Conclusion This study indicates that the lips and submental complex and, to a lesser degree, oral, pharyngeal, and laryngeal structures are activated with the oral screen, but the pattern of activation varied between individuals. In comparison to the activity during a dry swallow, range of motion during oral screen exercise is small.

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Effects of Strengthening Exercises on Swallowing Musculature and Function in Senior Healthy Subjects: a Prospective Effectiveness and Feasibility Study

Cited by 42 publications

References 42 publications

Effects of Resistive Jaw-Opening Exercise with Elastic Bands on Suprahyoid Muscle Activation in Normal Subjects

Effects of Resistive Jaw-Opening Exercise with Elastic Bands on Suprahyoid Muscle Activation in Normal Subjects

Mudança funcional no padrão de deglutição por meio da realização de exercícios orofaciais

Effects of oral screen exercise on orofacial and pharyngeal activity: An exploratory study using videofluoroscopy and surface electromyography in healthy adults

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