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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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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container_title Nutrition (Burbank, Los Angeles County, Calif.)
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creator Wakabayashi, Hidetaka
Matsushima, Masato
Momosaki, Ryo
Yoshida, Shuhei
Mutai, Rieko
Yodoshi, Toshifumi
Murayama, Shinichi
Hayashi, Tetsuro
Horiguchi, Ryoko
Ichikawa, Hiroko
description •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
doi_str_mv 10.1016/j.nut.2017.11.009
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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 &lt;3 was not statistically significantly different between the two groups (intervention group, 23% versus control group, 19%, P = 0.598). Postintervention median EAT-10 scores were 6 (interquartile range, 3–10) in each group (P = 0.665) and mean tongue pressure was 23.9 ± 10.0 versus 25.9 ± 10.9 kPa (P = 0.376). The intervention did not significantly affect the EAT-10 score or tongue pressure in a mixed effects random intercept model. The Mini Nutritional Assessment Short Form score correlated significantly with the postintervention EAT-10 score. Resistance training of swallowing muscles did not improve dysphagia in this study. Better nutritional status correlated independently with improved swallowing function.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2017.11.009</identifier><identifier>PMID: 29469011</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2018-04, Vol.48, p.111-116</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. 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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 &lt;3 was not statistically significantly different between the two groups (intervention group, 23% versus control group, 19%, P = 0.598). Postintervention median EAT-10 scores were 6 (interquartile range, 3–10) in each group (P = 0.665) and mean tongue pressure was 23.9 ± 10.0 versus 25.9 ± 10.9 kPa (P = 0.376). The intervention did not significantly affect the EAT-10 score or tongue pressure in a mixed effects random intercept model. The Mini Nutritional Assessment Short Form score correlated significantly with the postintervention EAT-10 score. Resistance training of swallowing muscles did not improve dysphagia in this study. Better nutritional status correlated independently with improved swallowing function.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29469011</pmid><doi>10.1016/j.nut.2017.11.009</doi><tpages>6</tpages></addata></record>
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ispartof Nutrition (Burbank, Los Angeles County, Calif.), 2018-04, Vol.48, p.111-116
issn 0899-9007
1873-1244
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recordid cdi_proquest_miscellaneous_2007421753
source ScienceDirect Journals
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
title The effects of resistance training of swallowing muscles on dysphagia in older people: A cluster, randomized, controlled trial
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