Effects of Shaker exercise in stroke survivors with oropharyngeal dysphagia

Choi, Jong‐Bae; Shim, Sang-Min; Yang, Jong-Eun; Kim, Hyun Dong; Lee, Doo-Ho; Park, Jisu

doi:10.3233/nre-172145

Cited by 29 publications

(39 citation statements)

References 13 publications

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“…Tongue resistance training improves tongue pressure and swallowing function in stroke patients (66,68). Other effective treatment options include jaw opening exercise (69), self-exercise of oral function (70), and Shaker exercise (71,72), which are reported to improve swallowing function and reduce aspiration pneumonia.…”

Section: Intervention For Oral Problemsmentioning

confidence: 99%

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

Shiraishi¹,

Wakabayashi

Yoshimura³

2020

The Journal of nutrition, health and aging

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Oral health is a crucial but often neglected aspect of rehabilitation medicine. Approximately 71% of hospitalized rehabilitation patients and 91% of hospitalized acute care patients have impaired oral health. Poor oral condition in hospitalized patients can be attributed to factors such as age, physical dependency, cognitive decline, malnutrition, low skeletal muscle mass and strength, and multimorbidity. Another major factor is a lack of knowledge and interest in oral problems among health care workers. Recently, new concepts have been proposed, such as oral frailty, oral sarcopenia, and hospital-associated oral problems. Oral frailty, the accumulation of a slightly poor status of oral conditions and function, strongly predicts physical frailty, dysphagia, malnutrition, need for long-term care, and mortality in community-dwelling older adults. Oral sarcopenia refers to sarcopenia associated with oral conditions and function, although its definition has not yet been fully discussed. Hospital-associated oral problems are caused by disease, disease treatment, surgery, endotracheal intubation, poor self-care abilities, lack of care by medical staff, drugs, and iatrogenic factors during hospitalization. Furthermore, oral problems have negative impacts on rehabilitation outcomes, which include functional recovery, length of hospital stay, discharge home, and in-hospital mortality. Oral health management provided by dental hygienists improves not only oral status and function, swallowing function, and nutritional status but also activities of daily living, discharge home, and in-hospital mortality in post-acute rehabilitation. Oral rehabilitation, promotion, education, and medical-dental collaboration can be effective interventions for oral problems and therefore are necessary to improve rehabilitation outcomes.

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Section: Intervention For Oral Problemsmentioning

confidence: 99%

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

Shiraishi¹,

Wakabayashi

Yoshimura³

2020

The Journal of nutrition, health and aging

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“…All included studies evaluated patients diagnosed with stroke. A total of 12 different therapies have been studied with a variety of study designs: [1] electrical stimulation (n = 14; 36.8% of the total) [7][8][9][10][11][12][13][14][15][16][17][18][19][20] , [2] transcranial magnetic stimulation techniques (n = 3; 7.9%) [21][22][23] , [3] active pharyngeal electrostimulation (n = 3; 7.9%) [24][25][26] , [4] exercises with Mendelsohn maneuver (n = 2; 5.3%) 27,28 , [5] transcranial direct current stimulation (n = 3; 7.9%) [29][30][31] , [6] CTAR exercise (n = 5; 13.6%) [32][33][34][35][36] , [7] Shaker exercise (n = 2; 5.3%) 33,37 , [8] acupuncture (n = 3; 7.9%) [38][39][40] , [9] resistance to tongue pressure (n = 2; 5.3%) 41,42 , [10] modified jaw opening exercise (n = 1; 2.6%) 43 and [11] ce...…”

Section: Resultsmentioning

confidence: 99%

An overview of dysphagia rehabilitation for stroke patients

Matos

Oliveira

et al. 2022

Arq. Neuro-Psiquiatr.

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Background: Dysphagia is characterized by difficulty in the swallowing pattern at any stage of this neuromuscular process. It is a frequent symptom after stroke. Objective: This study aimed to investigate the most commonly used phonoaudiological interventions as therapy for the treatment of swallowing disorders in patients with dysphagia after stroke. Methods: We performed a review of studies indexed in MEDLINE-PubMed, LILACS, Cochrane, and Clinical trials.gov focusing on speech-language interventions for adult dysphagic patients after stroke between January 2008 and January 2021. Results: Thirty-six articles of clinical trials were selected. Eleven different types of therapies have been studied. Studies on the efficacy of therapeutic interventions for the rehabilitation of adult patients with dysphagia after stroke are still scarce. Most techniques are combined with conventional therapy, so the effectiveness of the other techniques alone cannot be assessed. Conclusions: Therapeutic interventions should be selected in accordance with the possibilities and limitations of the patients, and especially with the findings of the clinical evaluation and with its objective.

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“…Shaker corresponde a un ejercicio isométrico e isocinético diseñado para mejorar la fuerza de los músculos suprahioideos, aumentando la apertura del esfinter esofágico superior (EES) [18]. En el estudio realizado por Choi et al [19] se investigaron sus efectos sobre la aspiración y el nivel de dieta oral en usuarios con ACV y disfagia. En dicho estudio, el grupo experimental y el grupo control que no realizaron el ejercicio Shaker, mostraron mejores puntajes tanto en PAS como en FOIS (p <0.05).…”

Section: Ejercicio De Shakerunclassified

Efectividad de ejercicios para rehabilitar la disfagia orofaríngea posterior a un accidente cerebrovascular: una revisión integradora

Sepúlveda-Contreras

Jarpa-Muñoz

2022

Rev. Investig. Innov. Cienc. Salud

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Introducción. La selección del tratamiento para pacientes con disfagia debe basarse en evidencia con la mejor calidad posible. Este tratamiento puede involucrar estrategias reactivadoras con el objetivo de modificar la fisiología de la deglución y promover cambios a largo plazo. Objetivo. Explorar los efectos de ejercicios y maniobras destinadas a la reactivación de la función de deglución en personas con disfagia orofaríngea posterior a un accidente cerebrovascular, a través de publicaciones científicas existentes en los últimos diez años. Metodología. Se realizó una revisión de la literatura en las bases de datos PubMed con los términos MeSH “Deglutition Disorders” y “Exercise Therapy”, y con los términos libres “Dysphagia” y “Swallowing Therapy”, combinados con el booleano de intersección “AND”. Resultados. Los ejercicios con entrenamiento de resistencia de lengua al paladar, entrenamiento de la fuerza muscular espiratoria (EMST), Chin tuck contra resistencia (CTAR), Shaker y apertura mandibular fueron los que mostraron, con mayor respaldo bibliográfico, efectos positivos en el tratamiento de la disfagia. Conclusiones. La información recopilada podría ser de utilidad clínica para guiar la selección de uno u otro procedimiento terapéutico. Se debe continuar generando evidencia relacionada con la efectividad de los ejercicios deglutorios en la disfagia orofaríngea posterior a un ACV.

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Effects of Shaker exercise in stroke survivors with oropharyngeal dysphagia

Abstract: The results of this study suggest that Shaker exercise is a effective exercise for recovery of swallowing function in stroke survivors with dysphagia.

Cited by 29 publications

References 13 publications

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

An overview of dysphagia rehabilitation for stroke patients

Efectividad de ejercicios para rehabilitar la disfagia orofaríngea posterior a un accidente cerebrovascular: una revisión integradora

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