Effects of Tongue-Hold Swallows on Suprahyoid Muscle Activation According to the Relative Tongue Protrusion Length in the Elderly Individuals

Oh, Jong-Chi

doi:10.1007/s00455-018-9948-x

Cited by 5 publications

(22 citation statements)

References 26 publications

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“…In a previous real‐time MRI swallowing study, a negative sub‐palatal pressure was found to fix the tongue in support of laryngeal elevation 13 . Disabling the support of the tongue using the “Masako maneuver” (protrusion and holding of the tongue) a compensatory increase of suprahyoid muscle activation was described in a recent study 25 . Suprahyoid muscles are regarded as elevators of the larynx 26 .…”

Section: Discussionmentioning

confidence: 92%

“…13 Disabling the support of the tongue using the "Masako maneuver" (protrusion and holding of the tongue) a compensatory increase of suprahyoid muscle activation was described in a recent study. 25 Suprahyoid muscles are regarded as elevators of the larynx. 26 In concert with the pharyngeal constrictor muscles an increased activation might provide deglutition even in impaired tongue strength.…”

Section: Discussionmentioning

confidence: 99%

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Dysphagia in amyotrophic lateral sclerosis: Quantification of bulbar motor dysfunction

Adamske

Heyduck

Weidenmüller

et al. 2021

J of Oral Rehabilitation

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Background Dysphagia as a sequel and possible early sign of amyotrophic lateral sclerosis (ALS) is caused by progressive impaired bulbar motor function. Objective To evaluate bulbar motor dysfunction in patients suffering from ALS compared to a healthy reference group. Methods A clinical study and prospective group comparison was designed. Patients and healthy volunteers were examined in the outpatient clinic of our university medical center. Ten patients with ALS and 20 healthy volunteers were included. All participants underwent a flexible endoscopic evaluation of swallowing (FEES) and a manometric measurement of the maximal sub‐palatal atmospheric pressure generated by suction as well as of the prevalent pressure during swallowing. Additionally, the Sydney Swallow Questionnaire (SSQ) was completed by all participants to score the self‐rated extent of dysphagia. Results Comparing maximal suction pressures, the group of patients showed significantly lower values (p < .001). There was a significant correlation between reduced pressures and the degree of dysphagia (SSQ score) (r = −0.73). Conclusions As the oral cavity is an easily accessible compartment of the upper digestive tract, manometric measurements might serve as a simple instrument in order to detect or to monitor bulbar motor dysfunction. Oral manometry may facilitate early detection and monitoring of dysphagia in ALS. Larger studies are required to confirm our findings.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Dysphagia in amyotrophic lateral sclerosis: Quantification of bulbar motor dysfunction

Adamske

Heyduck

Weidenmüller

et al. 2021

J of Oral Rehabilitation

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“…MTPL was defined as the distance from the tip of the tongue to the upper incisor at complete protrusion [ 17 ] ( Fig. 1A ).…”

Section: Methodsmentioning

confidence: 99%

“…Many studies have revealed the link between PSD and one of the tongue-related indicators [13][14][15]. Studies have reported an increase in tongue pressure and suprahyoid activity with increased maximal tongue protrusion length (MTPL) [13,[16][17][18]. Recent studies suggest a correlation between MTPL and tongue strength and MTPL and suprahyoid activity [16,18,19].…”

mentioning

confidence: 99%

Decreased Maximal Tongue Protrusion Length May Predict the Presence of Dysphagia in Stroke Patients

et al. 2021

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Objective To investigate the relationship between maximal tongue protrusion length (MTPL) and dysphagia in post-stroke patients.Methods Free tongue length (FTL) was measured using the quick tongue-tie assessment tool and MTPL was measured using a transparent plastic ruler in 47 post-stroke patients. The MTPL-to-FTL (RMF) ratio was calculated. Swallowing function in all patients was evaluated via videofluoroscopic swallowing study (VFSS), PenetrationAspiration Scale (PAS), Functional Oral Intake Scale (FOIS), and Videofluoroscopic Dysphagia Scale (VDS).Results The MTPL and RMF values were significantly higher in the non-aspirator group than in the aspirator group (MTPL, p=0.0049; RMF, p<0.001). MTPL and RMF showed significant correlations with PAS, FOIS and VDS scores. The cut-off value in RMF for the prediction of aspiration was 1.56, with a sensitivity of 84% and a specificity of 86%.Conclusion There is a relationship between MTPL and dysphagia in post-stroke patients. MTPL and RMF can be useful for detecting aspiration in post-stroke patients.

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“…Various swallowing strategies to increase the activity of the submental muscles are defined in the existing dysphagia literature 1,3–8 . Some of these strategies are therapeutic techniques, and others are compensatory techniques.…”

Section: Introductionmentioning

confidence: 99%

Surface electromyographic activity of submental muscles during different types of swallow‐specific tasks: A comparative study

Şahan

Arslan

Demir

et al. 2023

J of Oral Rehabilitation

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The submental muscles, namely the anterior belly of the digastric, mylohyoid and geniohyoid are the main muscles responsible for swallowing efficiency and safety. 1,2 The anterior-superior movement of the hyolaryngeal complex occurs with the contraction of this muscles group. This movement is required for laryngeal elevation and also for the opening of the upper oesophageal sphincter. 2,3 Thus, a safe swallowing function is achieved by providing airway protection. Therefore, it is extremely important to maintain or improve the strength of the submental muscles in dysphagia rehabilitation. 3

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Effects of Tongue-Hold Swallows on Suprahyoid Muscle Activation According to the Relative Tongue Protrusion Length in the Elderly Individuals

Cited by 5 publications

References 26 publications

Dysphagia in amyotrophic lateral sclerosis: Quantification of bulbar motor dysfunction

Dysphagia in amyotrophic lateral sclerosis: Quantification of bulbar motor dysfunction

Decreased Maximal Tongue Protrusion Length May Predict the Presence of Dysphagia in Stroke Patients

Surface electromyographic activity of submental muscles during different types of swallow‐specific tasks: A comparative study

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