Muscle Strengthening Approaches to Dysphagia Rehabilitation

Rogus-Pulia, Nicole; Connor, Nadine P.

doi:10.1007/s40141-016-0136-3

Cited by 5 publications

(4 citation statements)

References 112 publications

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“…Sever strokes usually characterized by decreased alertness and disturbed conscious level which in turn increase dysphagia symptoms [10,26,27].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Dysphagia in Acute Stroke Patients: Cross Section Study

Wael,

Darwish,

El-Tamawy

et al. 2024

Bulletin of Physical Therapy Research and Studies

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“…Sever strokes usually characterized by decreased alertness and disturbed conscious level which in turn increase dysphagia symptoms [10,26,27].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Dysphagia in Acute Stroke Patients: Cross Section Study

Wael,

Darwish,

El-Tamawy

et al. 2024

Bulletin of Physical Therapy Research and Studies

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“…Even after 9 months without training, the gains in functional performance observed directly after training were maintained (Zieschang et al, 2013). While it remains unclear whether the positive effects found in studies focused on the limbs would translate to the bulbar-innervated musculature of the head and neck, these results remain promising (Rogus-Pulia & Connor, 2019).…”

Section: Dementia As a Case Examplementioning

confidence: 99%

“…Swallowing has been shown to be a "submaximal" task in that the full capacity of the muscles involved is not necessary for a functional swallow to be achieved (Rogus-Pulia & Connor, 2019). As an example, the amount of pressure produced by the tongue against the hard palate during a swallow is less than the amount produced when an individual is pressing maximally with their tongue during an isometric task (Nicosia et al, 2000).…”

Section: Historical Approaches To Dysphagia Management In Neurodegenerative Populationsmentioning

confidence: 99%

Shifting Tides Toward a Proactive Patient-Centered Approach in Dysphagia Management of Neurodegenerative Disease

Rogus-Pulia

Plowman

2020

Am J Speech Lang Pathol

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Purpose Persons with neurodegenerative disease frequently develop comorbid dysphagia as part of their disease process. Current “reactive” approaches to dysphagia management address dysphagia once it manifests clinically and consist of compensatory approaches. The purpose of this article is to propose a paradigm shift in dysphagia management of patients with neurodegenerative disease from a “reactive to proactive” approach by highlighting amyotrophic lateral sclerosis (ALS) and dementia as case examples. Method The authors present several areas of special consideration for speech-language pathologists (SLPs) treating dysphagia in patients with neurodegenerative disease. The drawbacks of historical “reactive” approaches to dysphagia management are described. Concepts of functional reserve for swallowing and homeostenosis are discussed. A “proactive” patient-centered paradigm of care for these patients is proposed with evidence to support its importance. A rationale for use of this approach in patients with ALS and dementia is provided with strategies for implementation. Results When treating dysphagia in patients with neurodegenerative disease, SLPs must balance a variety of factors in their decision making, including disease severity and expected progression, cultural considerations, goals of care, patient empowerment, and caregiver support. Reactive approaches to dysphagia management in these populations are problematic in that they disempower patients by focusing on use of compensatory techniques (e.g., diet modification, postural changes, feeding tube placement). Proactive approaches that employ rehabilitative interventions to increase functional reserve, such as resistance training, may result in improvement or maintenance of swallowing function longer into disease progression. An interdisciplinary team with early SLP involvement is necessary. Conclusions SLPs play a critical role in the management of dysphagia in patients with neurodegenerative disease and should be integrated early in the care of these patients. By focusing on a proactive patient-centered approach, patients with neurodegenerative conditions, such as ALS and dementia, will experience improved quality of life and health outcomes for a longer time.

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“…Given the importance of tongue muscles for speech and eating it is surprising that more studies of the regeneration of the lingual muscles and their response to exercise injury or aging have not been performed. Tongue muscle renewal is important in the context of recovery of tongue cancer patients and in the maintenance of tongue muscle integrity and strength in aging to preserve the masticatory capacity to preserve nutritional intake ( 213 , 214 ).…”

Section: Tongue Renewalmentioning

confidence: 99%

Physiology of the tongue with emphasis on taste transduction

Doyle

Premathilake

Yao

et al. 2023

Physiological Reviews

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The tongue is a complex multifunctional organ that interacts and senses both interoceptively and exteroceptively. Although it is easily visible to almost all of us it is relatively understudied and what is in the literature as regards taste mechanisms is often contradictory or is not comprehensively reported. The tongue is both a motor and a sensory organ: motor in that it is required for speech and mastication, and sensory in that it receives information to be relayed to the central nervous system pertaining to the safety and quality of the contents of the oral cavity. Additionally, the tongue and its taste apparatus form part of an innate immune surveillance system. For example, loss or alteration in taste perception can be an early indication of infection as became evident during the present global SARS-CoV-2 pandemic. Here we particularly emphasize the latest updates in the mechanisms of taste perception, taste bud formation and adult taste bud renewal, the presence, and effects of hormones on taste perception, review the understudied lingual immune system with specific reference to SARS-CoV-2, discuss nascent work on tongue microbiome, as well as addressing the effect of systemic disease on tongue structure and function, especially in relation to taste.

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Muscle Strengthening Approaches to Dysphagia Rehabilitation

Cited by 5 publications

References 112 publications

Prevalence of Dysphagia in Acute Stroke Patients: Cross Section Study

Prevalence of Dysphagia in Acute Stroke Patients: Cross Section Study

Shifting Tides Toward a Proactive Patient-Centered Approach in Dysphagia Management of Neurodegenerative Disease

Physiology of the tongue with emphasis on taste transduction

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