Impact of Expiratory Muscle Strength Training on Voluntary Cough and Swallow Function in Parkinson Disease

Pitts, Teresa; Bolser, Donald C.; Rosenbek, John C.; Troche, Michelle S.; Okun, Michael S.; Sapienza, Christine M.

doi:10.1378/chest.08-1389

Cited by 286 publications

(268 citation statements)

References 47 publications

Supporting

Mentioning

248

Contrasting

Unclassified

Order By: Relevance

“…Specific motor exercises that include the swallow and have been shown clinically to improve behavioral aspects of the swallow are the Mendelsohn Maneuver, the effortful swallow, and the Masako Maneuver (5,8,62). However, motor exercises that do not include a swallow such as progressive resistance tongue exercise with the Iowa Oral Pressure Instrument, expiratory muscle strength training, and the Shaker Head Lift have also led to improvements in strength and swallowing function (5,8,53,62,65,79). Therefore, we included aspects of learning and specificity in our study to further investigate their effects on the tongue musculature.…”

Section: Discussionmentioning

confidence: 99%

Differential effects of targeted tongue exercise and treadmill running on aging tongue muscle structure and contractile properties

Kletzien

Russell

Leverson

et al. 2013

Journal of Applied Physiology

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Differential effects of targeted tongue exercise and treadmill running on aging tongue muscle structure and contractile properties

Kletzien

Russell

Leverson

et al. 2013

Journal of Applied Physiology

View full text Add to dashboard Cite

show abstract

“…at the dysphagia clinic measured the degree of penetration aspiration scale (P/A) from VFG. This scale is one of the most standard scales for the degree of dysphagia (Table 1) [9].…”

Section: Degree Of Penetration Aspiration Scale Of Spdsmentioning

confidence: 99%

Differences in the Peak Cough Flow among Stroke Patients With and Without Dysphagia

Kimura

Takahashi

Wada

et al. 2013

J UOEH

View full text Add to dashboard Cite

: Coughing is an important protective mechanism for keeping the airway clear, and adequate voluntary coughing reduces the risk of aspiration in patients with deglutition disorders. The purpose of this study was to compare the peak cough f low (PCF) of stroke patients with and without dysphagia and to identify the physical and respiratory determinants of PCF. Using a spirometer, we measured and compared the PCFs of 10 stroke patients with dysphagia (SPD), 20 stroke patients without dysphagia (SP) and 10 gender and age matched healthy controls (HC) recruited by using a notice at a clinic and in newspapers. The PCF of the SPD (mean ± SD, 160.1 ± 68.7 l/min) was significantly lower than that of the SP and HC (297.2 ± 114.2 l/min and 462.0 ± 84.4 l/min, respectively; one-way ANOVA, Scheffe's test, P < 0.05). The vital capacity (VC) and inspiratory reserve volume (IRV) of the SPD were lower than those of the HC. Stepwise multivariate regression analysis revealed that IRV and ambulation function (Functional Ambulation Categories, FAC) contributed 50% and 17% to the variance of PCF (P < 0.05), respectively. It is suggested that respiratory function, especially IRV, is important for maintaining PCF in SPD.

show abstract

“…5 Also expiratory muscle strength training can reduce the incidence of aspiration. 6 Nurse specialists have a positive effect on self-reported perception of general health. 7 Evidence for the effectiveness of occupational therapy is scanty but supported by expert opinion and by NICE guidelines.…”

Section: The Evidence For Rehabilitation Therapiesmentioning

confidence: 99%

Multidisciplinary care of patients with Parkinson's disease

Skelly¹,

Lindop²,

Johnson³

2012

Prog Neurol Psychiatry

View full text Add to dashboard Cite

show abstract

Impact of Expiratory Muscle Strength Training on Voluntary Cough and Swallow Function in Parkinson Disease

Abstract: 2016-10-17T18:53:41

Cited by 286 publications

References 47 publications

Differential effects of targeted tongue exercise and treadmill running on aging tongue muscle structure and contractile properties

Differential effects of targeted tongue exercise and treadmill running on aging tongue muscle structure and contractile properties

Differences in the Peak Cough Flow among Stroke Patients With and Without Dysphagia

Multidisciplinary care of patients with Parkinson's disease

Contact Info

Product

Resources

About