The effects of resistance training of swallowing muscles on dysphagia in older people: A cluster, randomized, controlled trial

•We examined the effects of resistance training of swallowing muscles on dysphagia.•Interventions included tongue resistance and head flexion exercises.•Resistance training did not affect dysphagia or tongue pressure.•Better nutritional status correlated significantly with improved swallowing functi...

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Bibliographic Details
Published in:Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2018-04, Vol.48, p.111-116
Main Authors: Wakabayashi, Hidetaka, Matsushima, Masato, Momosaki, Ryo, Yoshida, Shuhei, Mutai, Rieko, Yodoshi, Toshifumi, Murayama, Shinichi, Hayashi, Tetsuro, Horiguchi, Ryoko, Ichikawa, Hiroko
Format: Article
Language:English
Subjects:
Activities of daily living
Brochures
Clinical trials
Clusters
Communities
Control methods
Correlation analysis
Deglutition disorders
Dementia
Dysphagia
Intervention
Long term health care
Malnutrition
Muscles
Nutrition
Nutrition assessment
Nutritional status
Older people
Physical training
Pneumonia
Pressure
Pressure effects
Randomization
Rehabilitation
Resistance training
Sarcopenia
Sports training
Strength training
Stroke
Swallowing
Systematic review
Therapists
Tongue
Validity
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Summary:•We examined the effects of resistance training of swallowing muscles on dysphagia.•Interventions included tongue resistance and head flexion exercises.•Resistance training did not affect dysphagia or tongue pressure.•Better nutritional status correlated significantly with improved swallowing function. This study examined the effects of resistance training of swallowing muscles in community-dwelling older individuals with dysphagia. A cluster randomized controlled trial was performed in day-service and day-care facilities. The participants were older (≥65 y) community-dwelling individuals with dysphagia. The intervention group performed a tongue resistance exercise and a head flexion exercise against manual resistance. Both groups received a brochure on dysphagia rehabilitation. The primary endpoint was an improvement in dysphagia assessed by the Eating Assessment Tool (EAT-10) score. Tongue pressure was the secondary endpoint. Participants included 47 men and 57 women, with a mean age ± standard deviation of 80 ± 7 y. At baseline, the median EAT-10 score was 7 (interquartile range, 5–12). A total of 91 patients, 43 in the intervention group (8 clusters) versus 48 in the control group (11 clusters), were assessed postintervention. The percentage of participants with EAT-10 scores
ISSN:0899-9007
1873-1244
DOI:10.1016/j.nut.2017.11.009