Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter

Wada, Shun‐ichi; Tohara, Haruka; Iida, Takatoshi; Inoue, Motoharu; Sato, Mitsumasa; Ueda, Kôichiro

doi:10.1016/j.apmr.2012.04.025

Cited by 80 publications

(86 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, healthcare providers often modify the viscosity of the food and liquid to reduce pharyngeal post-swallow residue when the residue was detected. Moreover, some types of swallowing exercises are reported to be effective for reducing the amount of pharyngeal post-swallow residue [19,20]. The type of the swallowing exercise for reducing the amount of pharyngeal post-swallow residue is different from that of the exercise for reducing the amount of aspiration.…”

Section: Discussionmentioning

confidence: 99%

“…The type of the swallowing exercise for reducing the amount of pharyngeal post-swallow residue is different from that of the exercise for reducing the amount of aspiration. The exercises for reducing the amount of pharyngeal postswallow residue focus on the movement of the pharyngeal constrictor [19,20]. On the other hand, the reduction of the amount of aspiration focuses on the glottal closure [21].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Detecting pharyngeal post-swallow residue by ultrasound examination: a case series.

et al. 2016

Self Cite

View full text Add to dashboard Cite

Aims: Prevention of aspiration pneumonia is a great concern in the era of global aging. The assessment of pharyngeal post-swallow residue is important because remaining food and liquid in the pharyngeal area has a possibility of flowing into the lower airway which can cause aspiration pneumonia. Ultrasound examination has been recently used to assess swallowing disorders because of its noninvasiveness. The aim of this study was to investigate the performance for detecting pharyngeal post-swallow residue using an ultrasound examination by comparing with those using a fiberoptic endoscopic evaluation of a swallowing study as a reference. Material and methods: A linear array transducer attached to the thyroid cartilage to visualize the vocal folds in the sagittal plane. The pharyngeal post-swallow residue in the ultrasound movie was interpreted as a misty hyperechoic area above the vocal folds that remained after swallowing. Nineteen ultrasound images simultaneously obtained with fiberoptic endoscopic evaluation of swallowing study images from nine participants (eight men) with a median age of 70 years at a dysphagia outpatient clinic were analyzed by the montage of swallowing examinations. Results: Misty hyperechoic areas above the vocal folds that remained after swallowing were detected in 10 ultrasound images. Eight ultrasound images out of ten correctly detected pharyngeal post-swallow residue. The sensitivity for detecting pharyngeal post-swallow residue of 19 images from nine participants by ultrasound examination was 62%, and the specificity was 67%. Conclusions: The proposed detection method of pharyngeal post-swallow residue by ultrasound examination enabled the real-time assessment for swallowing of people with dysphagia. Ultrasound assessment-based daily swallowing care which detects pharyngeal residue will be useful for preventing aspiration pneumonia.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Detecting pharyngeal post-swallow residue by ultrasound examination: a case series.

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is suggested that they may be easier than the Shaker exercise for clients to complete. For the jaw opening exercise, individuals complete four repetitions of holding the jaw in the maximally opened position for 10 s, with 10 s of rest in between repetitions [62]. Two sets of five repetitions are completed daily for 4 weeks.…”

Section: Variations On the Shaker Exercisementioning

confidence: 99%

“…Two new exercises, jaw opening [62] and chin tuck against resistance (CTAR) [63], have been introduced, which are similar to the Shaker exercise in that they are designed to facilitate opening of the UES by targeting suprahyoid contraction. It is suggested that they may be easier than the Shaker exercise for clients to complete.…”

Section: Variations On the Shaker Exercisementioning

confidence: 99%

Dysphagia Management in Stroke Rehabilitation

Johnson

Herring

Daniels

2014

Curr Phys Med Rehabil Rep

View full text Add to dashboard Cite

Oropharyngeal dysphagia is a frequent occurrence following stroke. The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge. It is imperative that the swallowing therapist have a thorough understanding of evidence-based compensatory and exercise management strategies at all stages of recovery for patients with dysphagia following stroke.

show abstract

“…As a treatment for dysphagia, rehabilitation professionals may provide exercises to strengthen the suprahyoid muscles and/or coach patients to improve swallowing posture [7][8][9]. On the other hand, occupational therapists recommended chin-down posture is recommended for swallowing [10].…”

Section: Introductionmentioning

confidence: 99%

The effect of a wheelchair designed to prevent forward head posture on swallowing duration and integrated electromyography of suprahyoid muscles

Okuno¹,

Hatta²,

Kishigami³

et al. 2017

Integr Mol Med

View full text Add to dashboard Cite

Aspiration is a severe problem for elderly patients with disabilities. The causes of aspiration include forward head posture and muscle weakness. Forward Head Posture leads to a chin-up posture and affects the activity of the suprahyoid muscles. This study aimed to assess the utility of a wheelchair incorporating an increased seat to back support angle to improve swallowing. The study cohort included 21 healthy individuals (9 males and 12 females; mean age = 20.8 ± 0.9 years). Two wheelchairs were used in this study: model RX-1 and model RX_ABS Lo, which is a modification of RX-1 with a different back support system. Subjects were instructed to sit in each wheelchair and swallow 15 mL of water. Suprahyoid muscle activity was measured in a resting position and during swallowing, while posture in the sagittal plane was recorded using a digital video camera. We also measured buttock and back support pressure distribution. Swallowing duration, integrated electromyography, posture and pressure distribution between the two wheelchairs were compared using paired-samples t-tests. After the exclusion of five subjects, 16 were included for analysis. Swallowing duration and integrated electromyography significantly were decreased with RX_ABS Lo compared to RX-1. Head and neck alignment were more erect and trunk alignment more inclined in RX_ABS Lo compared to RX-1. RX_ABS Lo led to decreased buttock pressure and increased back support pressure; further, the improved forward head posture observed with RX_ABS Lo facilitated better chin alignment. In conclusion, use of RX_ABS Lo resulted in decreased swallowing duration and integrated electromyography due to improvement in forward head posture.

show abstract

Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter

Cited by 80 publications

References 16 publications

Detecting pharyngeal post-swallow residue by ultrasound examination: a case series.

Detecting pharyngeal post-swallow residue by ultrasound examination: a case series.

Dysphagia Management in Stroke Rehabilitation

The effect of a wheelchair designed to prevent forward head posture on swallowing duration and integrated electromyography of suprahyoid muscles

Contact Info

Product

Resources

About