Effects of Device-Facilitated Lingual Strengthening Therapy on Dysphagia Related Outcomes in Patients Post-Stroke: A Randomized Controlled Trial

Krekeler, Brittany N.; Yee, Joanne; Kurosu, Atsuko; Osman, Fauzia; Peña-Chávez, Rodolfo E.; Leverson, Glen; Young, Brittany M.; Sattin, Justin A.; Knigge, Molly A.; Thibeault, Susan L.; Rogus-Pulia, Nicole

doi:10.1007/s00455-023-10583-0

Cited by 3 publications

(1 citation statement)

References 30 publications

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“…Nonetheless, the patient described the discomfort as transient, and no other adverse effects were reported. According to a numerical rating self-report scale, the experimental group scored higher than the control group on the items related to motivation and interest/enjoyment, but considerably lower on the items related to physical effort required and muscle fatigue 40) .…”

Section: Discussionmentioning

confidence: 88%

Physiotherapy Intervention in Dysphagia Among Post Stroke Patients-a Narrative Review

Varadi Kalyan Ram,

Dr. S. Senthil Kumar,

Dr Natasha Verma

2024

EPRA

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The available data supporting the use of physiotherapy as an intervention for dysphagia in post-stroke patients is the main topic of this studys literature review. A computerized database related to studies including physiotherapy among stroke patients was used in the investigation. There were fifteen articles that demonstrated the effects of physiotherapy on oropharyngeal dysphagia, the Masako technique, Mendelsons procedures, and the shakers maneuver on post-stroke patients. Among the top factors contributing to stroke patients incapacity and demise is oropharyngeal dysphagia (OD). Patients with OD who go undiagnosed and untreated have a higher chance of dying, spending a lengthy time in the hospital, contracting pneumonia, respiratory infections, malnutrition, and dehydration. Early detection of post-stroke oropharyngeal dysphagia (PSOD) is essential for lowering hospital admission and post-discharge morbidity and mortality rates. Key words: Oropharyngeal dysphagia, stroke, physiotherapy

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Section: Discussionmentioning

confidence: 88%

Physiotherapy Intervention in Dysphagia Among Post Stroke Patients-a Narrative Review

Varadi Kalyan Ram,

Dr. S. Senthil Kumar,

Dr Natasha Verma

2024

EPRA

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Biofeedback and Exercise Load Affect Accuracy of Tongue Strength Exercise Performance

Kamarunas,

Murray,

Drulia

et al. 2024

Dysphagia

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Rehabilitative exercises require precise movement coordination and target accuracy for optimal effectiveness. This paper explores the impact of tongue strength exercises (TSE) performance accuracy on exercise outcomes, adherence, and participant confidence and motivation. An 8-week randomized clinical trial included 84 typically aging participants divided into four groups defined by access to biofeedback (present/absent) and TSE intensity dosing (maximal/submaximal) during a home exercise program (HEP). Retention, training, and HEP accuracy were tracked at biweekly visits and during HEP for participants with access to a biofeedback device. Associations with tongue strength outcomes, participant factors, biofeedback, and intensity dosing were analyzed. Exercise accuracy measures did not contribute to tongue strength outcomes at the end of 8 weeks. Increased training accuracy (less practice required to achieve competency) was associated with higher participant confidence and better adherence to the HEP. The presence of biofeedback was associated with reduced adherence but better retention accuracy, while maximal intensity was associated with improvements in all accuracy measures compared to submaximal intensity exercise. These findings in typically aging participants suggest the need for tailored approaches in swallowing-related exercise programs, given the effects of biofeedback and exercise intensity on motor learning and exercise retention. Accuracy performance and its effect on clinical outcomes warrants study in clinical populations with dysphagia and with various rehabilitative approaches.Trial Registration Clincialtrials.gov: NCT04809558

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Dysphagia after stroke: research advances in treatment interventions

Labeit,

Michou,

Trapl-Grundschober

et al. 2024

The Lancet Neurology

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Effects of Device-Facilitated Lingual Strengthening Therapy on Dysphagia Related Outcomes in Patients Post-Stroke: A Randomized Controlled Trial

Cited by 3 publications

References 30 publications

Physiotherapy Intervention in Dysphagia Among Post Stroke Patients-a Narrative Review

Physiotherapy Intervention in Dysphagia Among Post Stroke Patients-a Narrative Review

Biofeedback and Exercise Load Affect Accuracy of Tongue Strength Exercise Performance

Dysphagia after stroke: research advances in treatment interventions

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