Swallow strength training exercise for elderly: A health maintenance need

Agrawal, Dilpesh; Kern, Mark; Edeani, Francis O.; Balasubramanian, Gokulakrishnan; Hyngstrom, Allison S.; Sanvanson, Patrick; Shaker, Reza

doi:10.1111/nmo.13382

Cited by 24 publications

(35 citation statements)

References 36 publications

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“…Exercise-based dysphagia rehabilitation (EBDR) has been commonly used in clinical practice for the past three decades by multidisciplinary approach of specialized professionals including rehabilitation physicians, speech-language therapists, and occupational therapists [ 18 , 19 ]. In the past few years, many researchers have reported various methods of EBDR, such as shaker exercise (head lift exercise) [ 4 , 20 ], tongue strengthening exercise [ 12 , 21 , 22 ], expiratory muscle strengthening training [ 23 , 24 ], effortful swallowing [ 25 , 26 ], chin tuck against resistance exercise [ 27 , 28 ], forehead against resistance [ 29 ], chin-to-chest exercise [ 28 , 30 ], Mendelsohn [ 31 , 32 ], jaw opening exercise [ 33 , 34 ], proprioceptive neuromuscular facilitation technique [ 35 ], head extension swallowing exercise [ 36 , 37 ], swallowing against laryngeal restriction [ 38 , 39 ], and swallow exercise aid exercise [ 40 , 41 ] to improve swallowing function. These methods are known to induce high activation of muscles by providing loading to the oropharyngeal muscles, and consequently, contributing to the improvement of oropharyngeal swallowing function, increased hyoid bone movement and myophysiological changes.…”

Section: Introductionmentioning

confidence: 99%

Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial

et al. 2020

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Background: It has recently been shown that suprahyoid muscle exercise using kinesiology taping (KT) increases the activation of the suprahyoid muscle in healthy adults, suggesting a potential therapeutic clinical exercise for dysphagia rehabilitation. This study investigated the effect of dysphagia rehabilitation using KT in stroke patients with dysphagia. Methods: Thirty subjects in South Korea were enrolled in this prospective placebo-controlled double-blind study. Participants were randomly assigned to the experimental and sham groups. In the experimental group, the tape was attached to the hyolaryngeal complex, pulled downward with approximately 70% tension, and then attached to the sternum and the clavicle bilaterally. In the sham group, the tape was applied similarly but without the tension. Both groups performed voluntary swallowing 50 times (10 times swallowing per set, times 5 sets) a day for 4 weeks with KT applied. Outcome measures were assessed using portable ultrasound equipment. The parameter measured was the change in thickness of the tongue muscle, mylohyoid muscle, and the anterior belly of the digastric muscle. Results: The experimental group showed statistically significant changes in the thickness of the tongue muscle, mylohyoid muscle, and anterior belly of the digastric muscle than the sham group (p = 0.007, 0.002, and 0.001). Conclusion: Dysphagia rehabilitation using KT is a technique that may promote oropharyngeal muscle thickness in patients with dysphagia after stroke.

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Section: Introductionmentioning

confidence: 99%

Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial

et al. 2020

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“…44,45 Furthermore, the use of resistancebased approaches, such as those designed to address laryngeal elevation and UES opening, has shown benefit in this population. [46][47][48] In contrast to purely strength-based training, skill-based training relies more on patient education regarding normal swallowing patterns, the patient's uniquely disruptive swallowing pattern, and the opportunity to provide target-based practice to elicit a more normal swallowing. Such training has been shown to improve pharyngeal swallowing parameters, such as pharyngeal residue and aspiration, and improve diet advancement and swallowing-related quality of life.…”

Section: Therapymentioning

confidence: 99%

“…Biofeedback devices, such as the Iowa Oral Performance Instrument and submental electromyogram, may improve patient effectiveness when performing these exercises 44,45 . Furthermore, the use of resistance‐based approaches, such as those designed to address laryngeal elevation and UES opening, has shown benefit in this population 46–48 . In contrast to purely strength‐based training, skill‐based training relies more on patient education regarding normal swallowing patterns, the patient's uniquely disruptive swallowing pattern, and the opportunity to provide target‐based practice to elicit a more normal swallowing.…”

Section: Managementmentioning

confidence: 99%

Aspects of the assessment and management of pharyngoesophageal dysphagia

Allen

Dewan

Herbert

et al. 2020

Annals of the New York Academy of Sciences

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Swallowing complaints are common and may have significant consequences for nutrition and pulmonary health. Etiology varies and different aspects of the deglutitive system may be affected. A thorough assessment from the oral cavity to the stomach will provide physiologic information that enables specific targeted management plans to be devised. Although the swallow trajectory bridges anatomic areas, there has previously been a tendency to compartmentalize assessment and treatment by arbitrary anatomic boundaries. It is now clear that this approach fails to appreciate the complexity of swallow mechanics and that systems (oral, pharyngeal, esophageal, and pulmonary) are intertwined and codependent. Swallowing specialists from different backgrounds and with complementary skill sets form a multidisciplinary team that can provide insight and address multiple areas of management. With the advent of new tools for instrumental evaluation, such as manometry, targeted rehabilitative strategies can be informed by physiology, increased in precision and breadth, and assessed quantitatively. Surgical approaches have evolved toward endoscopic techniques, and food technology is expanding options in dietary management. The multidisciplinary team is core to managing this varied and often neglected patient population. This review is for clinicians treating swallowing disorders and will explore the selected aspects of the assessment and management of pharyngoesophageal swallowing disorders.

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“…Oral cleaning aims to keep the oral cavity clean and lubricated to facilitate smooth swallowing. In addition, interactive oral activities can help to strengthen the swallowing muscles in the elderly, thereby improving their eating ability [22,23].…”

Section: Introductionmentioning

confidence: 99%

Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents

Chen

Chiu

Hwu

et al. 2021

IJERPH

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Oropharyngeal dysphagia is a common problem for nursing home residents that leads to aspiration pneumonia and malnutrition. Musculature surrounding head and neck and tongue strength are crucial for safe and efficient oropharyngeal swallowing. Oral hygiene facilitates the smooth swallowing. The aim of this study was thus to investigate the effects of a multifaceted intervention program which combines the interactive oral activities, tongue strength training and oral cleaning procedure on the eating ability of nursing home residents. A sequential, multiple time series, single-group quasi-experimental research design was used, and 41 residents were recruited to participate in this study. The study was divided into three phases, each lasting two months. In phase 1, the participants were conducting their usual activities, except that the outcome variables were measured on five occasions to obtain baseline data. Phase 2 was a two-month washout period, and phase 3 was the intervention period. Thirty-six residents completed phase 1, and 34 residents completed the phase 3 intervention period. The eight-week phase 3 intervention program comprised three sessions per day, conducted seven days a week, with each session lasting 15–20 min. Outcome variables were measured at weeks 0, 2, 4, 6, and 8 in phases 1 and 3 to evaluate the feasibility of the program. Following the intervention program, controlling for baseline differences, the patients’ tongue strength, food consumption, mealtime duration, oral health, and dysphagia severity were significantly improved in phase 3 relative to phase 1. These improvements lasted through to at least 2 months posttest. The study illustrates that this multifaceted intervention program may be an effective approach for improving the eating ability of nursing home residents.

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Swallow strength training exercise for elderly: A health maintenance need

Cited by 24 publications

References 36 publications

Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial

Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial

Aspects of the assessment and management of pharyngoesophageal dysphagia

Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents

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