A Randomized Controlled Trial Comparing Physical and Mental Lingual Exercise for Healthy Older Adults

Szynkiewicz, Sarah H.; Kamarunas, Erin; Drulia, Teresa; Nobriga, Christina V.; Griffin, Lindsay; O'Donoghue, Cynthia R.

doi:10.1007/s00455-020-10164-5

Cited by 12 publications

(27 citation statements)

References 47 publications

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“…Twelve healthy subjects (six males and six females) with ages ranging from 21 years to 26 years (mean = 23.17 years, standard deviation = 1.67 years) were recruited in our study, with an average number of years of education of 16.33 ± 1.60 years. The inclusion criteria were: (i) right handedness; (ii) the average score of the modified KVIQ-10 ≥ 2.5 [ 14 ] and the swallowing imagery score ≥ 3; (iii) the score of mini-mental state examination (MMSE) > 24 [ 15 ]. Exclusion criteria were: subjects with (i) visual and visuospatial disorders; (ii) hearing disorders; (iii) cognitive impairment or mental dysfunction; iv) contraindications for magnetic resonance imaging (MRI), or cannot tolerate 30 min MEG or 10 min MRI examinations.…”

Section: Methodsmentioning

confidence: 99%

Activation Patterns of Functional Brain Network in Response to Action Observation-Induced and Non-Induced Motor Imagery of Swallowing: A Pilot Study

et al. 2022

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Action observation (AO) combined with motor imagery (MI) was verified as more effective in improving limb function than AO or MI alone, while the underlying mechanism of swallowing was ambiguous. The study aimed at exploring the efficacy of AO combined with MI in swallowing. In this study, twelve subjects performed the motor imagery of swallowing (MI-SW) during magnetoencephalography (MEG) scanning, and trials were divided into three groups: the non-induced group (control group, CG), male AO-induced group (M-AIG), and female AO-induced group (F-AIG). We used event-related spectral perturbations (ERSPs) and phase locking value (PLV) to assess the degree of activation and connectivity of the brain regions during MI-SW in the three groups. The results showed that compared to CG, F-AIG and M-AIG significantly activated more brain regions in the frontoparietal, attention, visual, and cinguloopercular systems. In addition, M-AIG significantly activated the sensorimotor cortex compared to CG and F-AIG. For the brain network, F-AIG and M-AIG increased the diffusion of non-hub hot spots and cold hubs to the bilateral hemispheres which enhanced interhemispheric functional connectivity and information transmission efficiency in the MI-SW task. This study provided supporting evidence that AO induction could enhance the effect of MI-SW and supported the application of AO-induced MI-SW in clinical rehabilitation.

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Section: Methodsmentioning

confidence: 99%

Activation Patterns of Functional Brain Network in Response to Action Observation-Induced and Non-Induced Motor Imagery of Swallowing: A Pilot Study

et al. 2022

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Section: Evidence For Cortical Engagement With the Pharyngeal Responsementioning

confidence: 99%

“…To expand on these findings, Szynkiewicz et al [ 79 ] conducted a randomised controlled trial (RCT) to compare physical and mental lingual exercise for healthy older adults. Twenty-nine participants were assigned to one of four intervention groups: physical lingual exercise, physical/MP lingual exercise, MP lingual exercise, or a control group (placebo exercise) [ 79 ]. The physical lingual exercise condition required participants to push with peak force against a tongue depressor with resistance (10× reps of each set: protrusion, elevation, left and right lateralisation).…”

Section: Evidence For Cortical Engagement With the Pharyngeal Responsementioning

confidence: 99%

“…The MP protocol had participants imagine themselves completing these exercises, without moving muscles of the tongue, face, head, or neck. The control group completed physical jaw exercises and visualised relaxation exercises to account for the time spent completing the MP component [ 79 ]. Each participant completed 3 exercise sessions a day, 3 days per week, for 6 consecutive weeks.…”

Section: Evidence For Cortical Engagement With the Pharyngeal Responsementioning

confidence: 99%

“…Each participant completed 3 exercise sessions a day, 3 days per week, for 6 consecutive weeks. Maximum isometric pressure (MIP) and regular effort saliva swallowing pressure were collected at baseline and weeks 2, 4, and 6 [ 79 ]. Results indicate that the only group to demonstrate treatment effect from baseline to week 6 was the physical/MP lingual exercise group.…”

Section: Evidence For Cortical Engagement With the Pharyngeal Responsementioning

confidence: 99%

See 2 more Smart Citations

Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training

2022

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Over the past four decades, our understanding of swallowing neural control has expanded dramatically. However, until recently, advances in rehabilitation approaches for dysphagia have not kept pace, with a persistent focussing on strengthening peripheral muscle. This approach is no doubt very appropriate for some if not many of our patients. But what if the dysphagia is not due to muscles weakness? The purpose of this clinical manuscript is to reflect on where we have been, where we are now and perhaps where we need to go in terms of our understanding of swallowing motor control and rehabilitation of motor control impairments. This compilation is presented to clinicians in the hope that suggesting approaches “outside the box” will inspire clinicians to focus their attention “inside the box” to ultimately improve rehabilitation and long-term outcomes for patients with dysphagia.

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Identifying Non-Traditional Approaches to Swallowing Rehabilitation: A Scoping Review

Horyacheva,

Boyce,

Badesha

et al. 2023

Dysphagia

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A Randomized Controlled Trial Comparing Physical and Mental Lingual Exercise for Healthy Older Adults

Cited by 12 publications

References 47 publications

Activation Patterns of Functional Brain Network in Response to Action Observation-Induced and Non-Induced Motor Imagery of Swallowing: A Pilot Study

Activation Patterns of Functional Brain Network in Response to Action Observation-Induced and Non-Induced Motor Imagery of Swallowing: A Pilot Study

Expanding Rehabilitation Options for Dysphagia: Skill-Based Swallowing Training

Identifying Non-Traditional Approaches to Swallowing Rehabilitation: A Scoping Review

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