MRI Assessment of Swallow Muscle Activation with the Swallow Exercise Aid and with Conventional Exercises in Healthy Volunteers: An Explorative Biomechanical Study

Karsten, Rebecca T.; Beek, Leon C. ter; Jasperse, Bas; Alphen, M.J.A. van; Peeters, Johannes M.; Molen, Lisette van der; Hilgers, Frans J. M.; Stuiver, Martijn M.; Smeele, Ludi E.

doi:10.1007/s00455-020-10108-z

Cited by 5 publications

(10 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, only a few participants reported fatigue of the muscles following the exercise, especially at the beginning of the treatment period. It could possibly be beneficial to increase the resistance gradually by, for example, increasing the number of repetitions and time in isometric exercise, or, as previously suggested, perform the CTAR 69 …”

Section: Discussionmentioning

confidence: 91%

“…In a normal swallow, the infra‐ and suprahyoidal muscles are activated 66–68 . The Shaker HLE has been evaluated in several studies regarding which muscles are involved the exercise, where the infra‐, suprahyoidal, and the sternocleidomastoid muscles have been shown to be activated during the HLE, 69,70 indicating that the exercise should have a positive impact on swallowing function. However, several studies investigating the effects of the HLE compared to the chin tuck against resistance (CTAR) found that the HLE did not increase maximal suprahyoid muscle activation 71–73 .…”

Section: Discussionmentioning

confidence: 99%

“…It could possibly be beneficial to increase the resistance gradually by, for example, increasing the number of repetitions and time in isometric exercise, or, as previously suggested, perform the CTAR. 69 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of the Shaker head‐lift exercise on swallowing function following treatment for head and neck cancer: Results from a randomized, controlled trial with videofluoroscopic evaluation

et al. 2022

View full text Add to dashboard Cite

Background Dysphagia is common following treatment for head and neck cancer (HNC) and intervention to improve swallowing function is warranted. This study aimed to evaluate the efficacy of the Shaker head‐lift exercise (HLE) to improve dysphagia in HNC patients. Methods Patients treated for HNC with radiochemotherapy and with subsequent dysphagia were randomly assigned to intervention (HLE, n = 25) and control (standard dysphagia management, n = 27) groups. Videofluoroscopic evaluation of penetration‐aspiration, initiation, residue, movement of selected structures, and self‐perceived swallowing function, before and after 8 weeks of treatment, were compared. Results Although adherence to training was high, no statistically significant differences in objectively measured swallowing function between the groups or within‐group changes were found. Self‐perceived swallowing function improved in the intervention group. Conclusions In this HNC population, neither HLE nor standard dysphagia management improved objectively measured swallowing function as evaluated after 8 weeks. Future research focusing on finding effective interventions for dysphagia is warranted.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of the Shaker head‐lift exercise on swallowing function following treatment for head and neck cancer: Results from a randomized, controlled trial with videofluoroscopic evaluation

et al. 2022

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

“…Also, devices, such as the Swallow Exercise Aid (SEA) have been developed to be able to perform multiple exercises more efficiently. The SEA device allows adaptation to individual subjects' capacity, and thus the application of progressive overload during the training program, and has shown to activate important swallowing structures [29][30][31]. Nevertheless, in some cases severe, therapy-refractory dysphagia may still exist.…”

Section: (Preventive) Swallowing Protocolsmentioning

confidence: 99%

Lipofilling in Post-Treatment Oral Dysfunction in Head and Neck Cancer Patients

Neijman¹,

Karsten²,

Molen³

et al. 2022

Dysphagia - New Advances

View full text Add to dashboard Cite

Lipofilling is a new treatment option for head- and neck cancer patients who suffer from chronic and severe (chemo-) radiation or surgery-related swallowing problems. Lipofilling is a technique of autologous grafting in which living fat cells are transplanted from one location to another in the same patient. In the case of head and neck cancer patients, volume loss or muscle atrophy of the tongue or pharyngeal musculature caused by the treatment may result in oropharyngeal dysfunction. Firstly, intensive swallowing therapy will be given, but if that offers no further improvement and the functional problems persist, lipofilling can be considered. By transplantation of autologous adipose tissue, the functional outcomes might improve by compensating the existing tissue defects or tissue loss. Only a few studies have been published which evaluated the effectiveness of this new treatment option. The results of those studies show that the lipofilling technique seems safe and of potential value for improving swallowing function in some of the included patients with chronic and severe dysphagia after surgery and/or (chemo-) radiation therapy for head and neck cancer. The lipofilling procedure will be described in detail as well as the clinical implications.

show abstract

MRI Assessment of Swallow Muscle Activation with the Swallow Exercise Aid and with Conventional Exercises in Healthy Volunteers: An Explorative Biomechanical Study

Cited by 5 publications

References 42 publications

The effect of the Shaker head‐lift exercise on swallowing function following treatment for head and neck cancer: Results from a randomized, controlled trial with videofluoroscopic evaluation

The effect of the Shaker head‐lift exercise on swallowing function following treatment for head and neck cancer: Results from a randomized, controlled trial with videofluoroscopic evaluation

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

Lipofilling in Post-Treatment Oral Dysfunction in Head and Neck Cancer Patients

Contact Info

Product

Resources

About