: 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.
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http://dx.doi.org/10.1007/s12070-023-03846-7 | DOI Listing |
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.
Geroscience
October 2024
School of Nursing, College of Nursing, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, 110, Taiwan.
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 PDFCureus
August 2024
Section of Otorhinolaryngology, Department of Medicine, Fukuoka Dental College, Fukuoka, JPN.
J Oral Rehabil
September 2024
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
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 PDFDysphagia
September 2024
Department of Occupational Therapy, CNC Purun Hospital, Cheongju, Chungcheongbuk-do, Republic of Korea.
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.
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