The Effects of Different Exercise Trainings on Suprahyoid Muscle Activation, Tongue Pressure Force and Dysphagia Limit in Healthy Subjects

Kılınç, Hasan Erkan; Arslan, Selen Serel; Demir, Numan; Karaduman, Ayşe

doi:10.1007/s00455-019-10079-w

Cited by 30 publications

(40 citation statements)

References 33 publications

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“…Cervical auscultation assesses the pharyngeal sounds produced during swallowing and uses the information to differentiate abnormal from normal swallows. Kılınç et al 14 determined the dysphagia limit by observing piecemeal deglutition or signs of airway aspiration, including cough and wet voice, while the participants swallowed various amounts of water (Table 4).…”

Section: Resultsmentioning

confidence: 99%

Chin tuck against resistance exercise for dysphagia rehabilitation: A systematic review

Park

Hwang

2021

J of Oral Rehabilitation

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Background Chin tuck against resistance (CTAR) exercise has been recently reported to be a new therapeutic exercise method that can help improve swallowing function in patients with dysphagia. However, due to the differences in exercise protocols, methods and the tools used across studies of CTAR exercise, an overall systematic review of these studies is necessary. Objective The present study investigated the exercise protocols, methods and tools used in various studies of CTAR exercise and summarised their findings. Methods We searched for studies related to CTAR exercise using electronic databases and selected nine articles for review. The articles were categorised on the basis of four criteria: study design and quality, training protocol, outcome measures and clinical effect. Results Four articles reported that CTAR exercise not only helped activate the suprahyoid muscle in healthy adults, but also activated the sternocleidomastoid muscle less than Shaker exercise. In addition, five articles reported that CTAR exercise was effective in improving swallowing function and oral diet stage in the pharyngeal phase, including reduction of airway aspiration in patients with dysphagia after stroke. Conclusions CTAR exercise more selectively activates the suprahyoid muscle and is an effective therapeutic exercise for improving swallowing function in patients with dysphagia. Because it is less strenuous than Shaker exercise, it requires less physical burden and effort, allowing greater compliance.

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Section: Resultsmentioning

confidence: 99%

Chin tuck against resistance exercise for dysphagia rehabilitation: A systematic review

Park

Hwang

2021

J of Oral Rehabilitation

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“…This indicates that the discharge rate in motor units was increased, or the number of recruited motor units was increased [23,24]. Therefore, it is possible that repeated performance may cause muscle physiological changes such as muscle strength or thickness increase, and previous studies have also reported that resistance exercise, which can induce high muscle activity, contributes to the improvement of muscle strength and muscle thickness of the skeletal muscle [12,21,22,28]. The results of these previous studies support the results of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…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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“…There has been a lack of evidence for sarcopenic dysphagia interventions [ 6 , 23 ]. Training methods that directly focus on the swallowing muscles such as head lifting exercises or tongue strength training are reported to be effective to improve tongue strength and swallowing function [ 24 , 25 , 26 , 27 , 28 ]. Wakabayashi et al [ 29 ] have also reported that resistance training of the swallowing muscles tends to improve dysphagia in subjects with sarcopenic dysphagia compared with that in subjects with dysphagia that is caused by other factors such as stroke.…”

Section: Introductionmentioning

confidence: 99%

“…Tongue strength is one of the important factors in swallowing. Thus, improvements in tongue strength could be associated with improvements in swallowing function [ 25 , 28 ]. However, the effectiveness of physical and nutritional interventions for sarcopenic dysphagia has not been clarified.…”

Section: Introductionmentioning

confidence: 99%

Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients

et al. 2020

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The study aimed to investigate the impact of physical intervention and the amount of nutritional intake on the increase in tongue strength and swallowing function in older adults with sarcopenia. From November 2018 and May 2019, older patients with sarcopenia who were admitted for rehabilitation were analyzed. The intervention employed in the study was the usual physical and occupational therapy for two months. Tongue strength was measured before and after two months of treatment. Data on tongue strength, the amount of energy and protein intake, intervention time, and swallowing function were examined. A total of 95 sarcopenic older patients were included (mean age 83.4 ± 6.5 years). The mean tongue strength after the intervention was significantly increased from 25.4 ± 8.9 kPa to 30.5 ± 7.6 kPa as a result of the treatment (p < 0.001). After adjusting the confounding factors in the multivariable models, an energy intake of ≥30 kcal/kg/day and a protein intake of ≥1.2 g/kg/day based on the ideal body weight had a significant impact on the increase in tongue strength after the treatment (p = 0.011 and p = 0.020, respectively). Swallowing function assessed using the Mann Assessment of Swallowing Ability was significantly increased after the treatment (mean difference between pairs: 1.12 [0.53–1.70]; p < 0.001). Physical intervention and strict nutritional management for older inpatients with sarcopenia could be effective to improve tongue strength and swallowing function.

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The Effects of Different Exercise Trainings on Suprahyoid Muscle Activation, Tongue Pressure Force and Dysphagia Limit in Healthy Subjects

Cited by 30 publications

References 33 publications

Chin tuck against resistance exercise for dysphagia rehabilitation: A systematic review

Chin tuck against resistance exercise for dysphagia rehabilitation: A systematic review

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

Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients

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