: Effortful swallow with progressive resistance has a potential clinical implication in improving the oro-muscular strength, swallow safety, and efficiency in elderly individuals. But to date, no studies have explored its benefits in training individuals with post-stroke dysphagia. The present study investigated the long- term effect of effortful swallow with progressive resistance on swallow safety, efficiency and quality of life in persons with dysphagia following stroke. : The study consisted of 5 males (mean age: 41.80yrs ± 9.6yrs) diagnosed with dysphagia post-stroke.  The participants underwent 20 sessions (5 days/week) of intensive effortful swallow with progressive training spread across four weeks. In the first two weeks, the participants performed 10 × 3 sets of effortful swallows with a 50% of resistance load, which was further increased to 15 × 3 sets with a 70% resistance load. : DIGEST-FEES and overall swallow quality of life significantly improved post-therapy, whereas DIGEST-FEES and overall swallow grades showed no significant changes. Inter-rater reliability of DIGEST-FEES revealed substantial agreement between judges. : The results are promising as the technique improved swallow safety, and swallow quality of life in persons with dysphagia following stroke.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10645793PMC
http://dx.doi.org/10.1007/s12070-023-03846-7DOI Listing

Publication Analysis

Top Keywords

effortful swallow
16
swallow progressive
16
swallow safety
16
quality life
16
progressive resistance
12
safety efficiency
12
swallow
11
resistance swallow
8
efficiency quality
8
individuals post-stroke
8

Similar Publications

The Influence of Strength and Skill Parameters on the Evolution of Dysphagia Post Stroke: A Prospective Study.

Dysphagia

December 2024

University of Canterbury Rose Centre for Stroke Recovery and Research, St George's Medical Centre, Level One, Leinster Chambers, 249 Papanui Road, Merivale, Christchurch, 8014, New Zealand.

Article Synopsis
  • The study investigated how swallowing difficulties (dysphagia) evolve in stroke patients by examining the relationship between muscle strength and swallowing outcomes over six months.
  • Researchers tracked various data points, including diet level and swallowing quality, through multiple assessments after participants suffered their first stroke.
  • Findings revealed that while muscle strength improved in the first month, swallowing precision was critical for overall quality of life and function at six months, suggesting a need for early diagnosis in at-risk patients.
View Article and Find Full Text PDF

Dysphagia leads to poor swallowing function and high risk of aspiration; swallowing rehabilitative therapies including jaw exercises, tongue exercises, chin tuck against resistance (CTAR), Shaker exercises, effortful swallow training (EST), traditional dysphagia therapy (TDT), and respiratory muscle training (RMT) including inspiratory muscle strength training (IMST) and expiratory muscle strength training (EMST) are a crucial part of dysphagia rehabilitation. However, limited evidence exists on the comparative efficacy of swallowing rehabilitative therapies in adults with dysphagia. This is the first network meta-analysis (NMA) to investigate the comparative efficacy of swallowing rehabilitative therapies for adults with dysphagia.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess if tongue-hold swallow (THS) training improves laryngeal elevation in healthy older men and if its muscle activity is similar to the known Mendelsohn maneuver (MM).
  • Involved 10 healthy older men who underwent THS training for six weeks, evaluating maximum tongue pressure and laryngeal elevation under different swallowing conditions.
  • Results indicated increased maximum tongue pressure and laryngeal elevation distance, with THS showing higher muscle activity in submental muscles compared to normal swallow, while MM demonstrated greater activity in the thyrohyoid region.
View Article and Find Full Text PDF

Background: Various trainings focus on the submental muscles (SMs) for dysphagia rehabilitation because of their importance for swallowing safety and efficiency. According to the current literature, swallow-specific tasks may be optimal exercises for dysphagia. The effortful swallow (ES) and the Masako maneuver (MM) are the most commonly used swallow-specific tasks in the clinical settings for dysphagia for years, but long-term effects for these trainings is insufficient.

View Article and Find Full Text PDF

Evidence supporting the prescription of effortful swallowing (ES) as a rehabilitation exercise remains lacking. This study aimed to evaluate the effect of rest interval length between sets on oral swallowing pressure during ES exercises in healthy adults. This study was a randomized trial of participants using a crossover design.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!