Is the proprioceptive neuromuscular facilitation technique superior to Shaker exercises in swallowing rehabilitation?

Sayaca, Çetin; Arslan, Selen Serel; Sayaca, Nurhan; Demir, Numan; Somay, Göksel; Kaya, Defne; Karaduman, Ayşe

doi:10.1007/s00405-019-05772-3

Cited by 20 publications

(12 citation statements)

References 30 publications

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“…So, it needs to be individualization. Some rehabilitation techniques have been supported for PSD including Shaker exercise, [ 10 ] proprioceptive neuromuscular facilitation, [ 11 ] electrical pharyngeal stimulation whereas some have been evidenced ineffective. [ 12 ] Overall, the treatment methods for PSD are limited.…”

Section: Introductionmentioning

confidence: 99%

How demographic and clinical characteristics contribute to the recovery of post-stroke dysphagia?

Xiao

Wang

et al. 2021

Medicine

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According to the analysis to find out how demographic and clinical characteristics influent the dysphagia outcome after stroke, furthermore, giving some insights to clinical treatment. One hundred eighty post-stroke dysphagia (PSD) patients were enrolled in this retrospective study at the stroke rehabilitation department. The outcome measurements are beside water swallow test at discharge and length of stay at hospital. Twenty-five demographic and clinical variables were collected for this study. Logistic regression and multilinear regression were utilized to estimate models to identify the risk and protect predictors of PSD outcome. Mouth-opening degree, drooling severity scale (DSS) level, mini-mental state exam (MMSE) level, Barthel index and Berg balance scale were significant different between recovered and unrecovered group. Type of stroke, MMSE degree, DSS and hemoglobin level shown significant predictive value for PSD outcome in logistic regression. In addition, obstructive sleep apnea (OSA) and DSS degree were important risk factors for PSD outcome. Gender, body mass index, drinking, hypertension, recurrent stroke, water swallow test level on admission, Berg balance scale, DSS and days between onset to admission shown significant predictive value for length of stay of PSD patients. PSD outcome was influenced by type of stroke, MMSE degree, DSS and hemoglobin level significantly and obstructive sleep apnea act as an important risk role for PSD recovery.

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Section: Introductionmentioning

confidence: 99%

How demographic and clinical characteristics contribute to the recovery of post-stroke dysphagia?

Xiao

Wang

et al. 2021

Medicine

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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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“…The influence of water volume was also investigated in this study. Sayaca et al noted that exercise that involves swallowing different volumes of water prevented pulmonary complications due to aspiration and improved the quality of life in older individuals [25]. The current study further investigated which parameters are affected by the volumes of water.…”

Section: Discussionmentioning

confidence: 80%

Noninvasive Measurement of Tongue Pressure and Its Correlation with Swallowing and Respiration

Wang

Cheng

Imbang

2021

Sensors

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Tongue pressure plays a critical role in the oral and pharyngeal stages of swallowing, contributing considerably to bolus formation and manipulation as well as to safe transporting of food from the mouth to the stomach. Smooth swallowing relies not only on effective coordination of respiration and pharynx motions but also on sufficient tongue pressure. Conventional methods of measuring tongue pressure involve attaching a pressure sheet to the hard palate to monitor the force exerted by the tongue tip against the hard palate. In this study, an air bulb was inserted in the anterior oral cavity to monitor the pressure exerted by the extrinsic and intrinsic muscles of the tongue. The air bulb was integrated into a noninvasive, multisensor approach to evaluate the correlation of the tongue pressure with other swallowing responses, such as respiratory nasal flow, submental muscle movement, and thyroid cartilage excursion. An autodetection program was implemented for the automatic identification of swallowing patterns and parameters from each sensor. The experimental results indicated that the proposed method is sensitive in measuring the tongue pressure, and the tongue pressure was found to have a strong positive correlation with the submental muscle movement during swallowing.

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Is the proprioceptive neuromuscular facilitation technique superior to Shaker exercises in swallowing rehabilitation?

Cited by 20 publications

References 30 publications

How demographic and clinical characteristics contribute to the recovery of post-stroke dysphagia?

How demographic and clinical characteristics contribute to the recovery of post-stroke dysphagia?

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

Noninvasive Measurement of Tongue Pressure and Its Correlation with Swallowing and Respiration

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