Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury

Steele, Catriona M.; Bailey, Gemma L.; Polacco, Rebecca E. Cliffe; Hori, Sarah F.; Molfenter, Sonja M.; Oshalla, Mohamed; Yeates, Erin M.

doi:10.3109/17549507.2012.752864

Cited by 101 publications

(118 citation statements)

References 36 publications

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“…In addition to the use of electromyography, other biofeedback strategies have been described in the literature for swallowing rehabilitation, such as the use of endoscopy. It allows and directs visualization of the oropharyngeal mechanism of swallowing (26) , and the use of equipment, such as the Iowa Oral Performance Instrument (IOPI), can show the amplitude of pressure during tongue resistance exercise (27) . As for studies addressing the function of speech, 40% of them conducted treatment for TBI (9,11) , 20% for CVA (9) , 20% for SCP (13) and 20% for trigeminal neuralgia (10) .…”

Section: Discussionmentioning

confidence: 99%

Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Freitas

Mituuti

Furkim

et al. 2016

Audiol., Commun. Res.

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Purpose:To determine whether the use of electromyographic biofeedback in the therapy of orofacial functions (facial expression, chewing, swallowing, phonation and speech) will result in beneficial effects for individuals with neurological diseases. Research strategy: A keyword search was conducted in the MEDLINE, LILACS and SciELO databases, using the terms "electromyographic biofeedback", "swallowing", "speech", "chewing", "phonation", and "facial expression". The database search and the selection of papers were conducted independently by two researchers. In case of any disagreement, there was a discussion based on the inclusion and exclusion criteria, so that they could reach a common ground. Selection criteria: This work has included experimental studies in humans, in English and Portuguese, which described and discussed the use of electromyographic biofeedback in the treatment of orofacial function diseases resulting from neurological illness. Results: A total of 175 papers were found, wherein only 10 fitted the inclusion criteria. Most works were case studies, followed by case series, case control, and only one randomized controlled trial. Most of studies addressed the therapy with electromyographic biofeedback in the swallowing function, followed by speech function, and only one study addressed the use of electromyographic biofeedback in therapy to improve facial expression. No studies addressing speech therapy using electromyographic biofeedback in patients with neurological diseases in the functions of phonation and chewing were found. Conclusion: The use of electromyographic biofeedback in the therapy for orofacial functions can result in beneficial effects for individuals with neurological diseases in the swallowing, speech, and facial expression functions.Keywords: Electromyography; Deglutition; Speech; Mastication; Phonation; Facial expression RESUMO Objetivo: Investigar se o uso do biofeedback eletromiográfico na terapia voltada às funções orofaciais (expressão facial, mastigação, deglutição, fonação e fala) produz efeitos benéficos para os indivíduos com doenças neurológicas. Estratégia de pesquisa: Foi realizada busca nas bases de dados MEDLINE, LILACS e SciELO, por meio dos descritores "electromyographic biofeedback", "swallowing", "speech" "chewing", "phonation", e "facial expression". A busca nas bases de dados e a seleção dos artigos foram realizadas independentemente, por duas pesquisadoras e, nos casos de não concordância, houve discussão fundamentada nos critérios de inclusão e exclusão para que chegassem a um consenso. Critérios de seleção: Foram incluídos estudos experimentais em seres humanos, em inglês e português, que descreveram e discutiram a utilização do biofeedback eletromiográfico no tratamento das alterações das funções orofaciais provenientes de doenças neurológicas. Resultados: Foram encontrados 175 artigos, sendo que somente 10 se adequaram aos critérios de inclusão. A maioria dos trabalhos relacionou-se a estudo de caso, seguido por estudos de série de casos, caso c...

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Section: Discussionmentioning

confidence: 99%

Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Freitas

Mituuti

Furkim

et al. 2016

Audiol., Commun. Res.

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“…It consists of an air bulb connected to a pressure transducer and has been increasingly used in several countries in research and clinical practice 7 Researchers have used IOPI to measure the tongue of adults 8 , children and adolescents 9 , individuals with dysphagia 10 , cleft lip and palate 11 , obstructive sleep apnea 12 , head and neck cancer 13 , muscular dystrophy 14 , Parkinson's disease 15 , individuals who suffered head injury 16 and other changes. Besides, data provided by the IOPI were used to prove the efficacy of Speech-Language Pathologyto increasethe tongue strength 17,18 .…”

Section: Introductionmentioning

confidence: 99%

Correlation between tongue pressure and electrical activity of the suprahyoid muscles

et al. 2017

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Objective: to investigate the correlation between the tongue pressure and the electrical activity of the suprahyoid muscles. Methods: a across-sectional, observational and analytical study conducted with 15 men and 22 women. Each participant underwent simultaneous assessment of maximal tongue pressure through the Iowa Oral Performance Instrument (IOPI) and the surface electromyography of the suprahyoid muscles. They were asked to press the tongue against the hard palate in the anterior and posterior region, with and without IOPI. The adopted significance level of the performed analyses was 5%.Results: there was a moderate and significant correlation only between suprahyoid electrical activity and tongue pressure in the posterior region. It was verified that the measured electrical potentials, when using the IOPI, were greater in the tasks of anterior pressure than in the tasks of the posterior one, bilaterally. Without using the IOPI, the electrical potentials were greater in the posterior pressure than in the anterior one, bilaterally. Finally, the values of lingual pressure were compared with the bulb positioned in the anterior and posterior parts, and the anterior tongue pressure was higher. Conclusion: there was a moderate correlation between tongue pressure and electrical potential of the suprahyoid muscles, researched by the surface electromyography, only when performing activities with the posterior portion of the tongue.

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“…Research shows that dysphagic individuals may have weakness in the musculature of the tongue (2,3) and that the strength training through isometric exercises improves performance in the swallowing (4,5) . The suprahyoid muscles also participate in the swallowing.…”

Section: Introductionmentioning

confidence: 99%

Comparação da atividade elétrica dos músculos supra-hióideos durante a realização de diferentes exercícios linguais

Furlan

Rezende

Motta

2015

Audiol., Commun. Res.

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o repouso e realização dos exercícios isométricos: sucção de língua no palato; pressão de língua no palato; pressão de ápice de língua contra o palato; pressão de ápice de língua contra a papila palatina; retração exagerada de língua; lateralização de língua e protrusão de língua. A ordem de realização dos exercícios foi randomizada entre os participantes. Os dados coletados foram analisados, utilizando-se os testes Kruskal Wallis e Mann-Whitney. Adotou-se como nível de significância em todas as análises, valor de p≤0,05. Resultados: A atividade elétrica encontrada para todos os exercícios diferiu apenas daquela medida durante o repouso lingual, não apresentando diferença com significância estatística quando os exercícios foram comparados entre si. Conclusão: Não houve diferença na ativação elétrica da musculatura supra-hióidea nos diversos tipos de exercícios realizados. Portanto, nenhum destes exercícios foi mais apropriado, em relação aos demais, para normalização dos dados.

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Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury

Cited by 101 publications

References 36 publications

Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Biofeedback eletromiográfico no tratamento das disfunções orofaciais neurogênicas: revisão sistemática de literatura

Correlation between tongue pressure and electrical activity of the suprahyoid muscles

Comparação da atividade elétrica dos músculos supra-hióideos durante a realização de diferentes exercícios linguais

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