Loading…
Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double‐blind, randomized controlled trial
Background Effortful swallowing training (EST) is a remedial method for the training of swallowing‐related muscles in the oropharyngeal phase. However, clinical evidence of its effectiveness is insufficient. Aims To investigate the effects of EST on tongue strength and swallowing function in patient...
Saved in:
| Published in: | International journal of language & communication disorders 2019-05, Vol.54 (3), p.479-484 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c3943-9e645ea0dc76ceae7afaf5e527469ca1bbb9e42449ae80de51093a1521a565b13 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c3943-9e645ea0dc76ceae7afaf5e527469ca1bbb9e42449ae80de51093a1521a565b13 |
| container_end_page | 484 |
| container_issue | 3 |
| container_start_page | 479 |
| container_title | International journal of language & communication disorders |
| container_volume | 54 |
| creator | Park, Hee‐Su Oh, Dong‐Hwan Yoon, Taehyung Park, Ji‐Su |
| description | Background
Effortful swallowing training (EST) is a remedial method for the training of swallowing‐related muscles in the oropharyngeal phase. However, clinical evidence of its effectiveness is insufficient.
Aims
To investigate the effects of EST on tongue strength and swallowing function in patients with stroke.
Methods & Procedures
Stroke patients with dysphagia were randomly assigned to one of two groups: an experimental group (n = 12) and a control group (n = 12). The experimental group underwent EST, while the control group performed saliva swallowing. Training was conducted 5 days per week for 4 weeks. Both groups underwent conventional dysphagia treatment for 30 min/day, 5 days/week for 4 weeks.
Outcomes & Results
Tongue strength was assessed using the Iowa Oral Performance Instrument. The Videofluoroscopic Dysphagia Scale (VDS), based on a videofluoroscopic swallowing study, was used to analyze oropharyngeal swallowing function. The experimental group showed greater improvements in anterior and posterior tongue strength compared with the control group (p = 0.046 and 0.042, respectively), and greater improvement in the oral phases of the VDS (p = 0.017).
Conclusions & Implications
We recommend EST as a remedial strategy for improving tongue strength and oral swallowing function in patients with stroke. |
| doi_str_mv | 10.1111/1460-6984.12453 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179451194</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ1213526</ericid><sourcerecordid>2179451194</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3943-9e645ea0dc76ceae7afaf5e527469ca1bbb9e42449ae80de51093a1521a565b13</originalsourceid><addsrcrecordid>eNqFkb2O1DAUhSMEYpeBmgpkiYaC7MaO7SR0aBh-ViPRQG05znXWi8cebEejoeIReBVeiSfBIctI0ODGV_ee71zLpyge4-oC53OJKa9K3rX0AhPK6jvF-alzN9c1b0vSEnJWPIjxpqoqghm-X5zVFe9qTprz4sdGa1AJeY1Aax-SniyKB2mtPxg3ohSkcXPhHUrejROgmAK4MV0j6Qbkg99fy3B0I8i_QD05lUymjJsJ_xnQXiYDLkV0MJkejjGTo5EvkUSDn3oLP799761xwwsUsrffma8wIOVdxq3NZQpG2ofFPS1thEe396r49Gbzcf2u3H54-379aluquqN12QGnDGQ1qIYrkNBILTUDRhrKOyVx3_cdUEJpJ6GtBmC46mqJGcGScdbjelU8X3z3wX-ZICaxM1GBtdKBn6IguOkowzgvWxXP_pHe-Cm4_DpBCKYtI4zVWXW5qFTwMQbQYh_MLv-dwJWY0xRzdmLOTvxOMxNPb32nfgfDSf8nvix4sgggGHUab64wwTUjPM_5Mj8YC8f_7RNX2_XrZfMvwwC4nA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2214852553</pqid></control><display><type>article</type><title>Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double‐blind, randomized controlled trial</title><source>Wiley-Blackwell Read & Publish Collection</source><source>ERIC</source><source>Linguistics and Language Behavior Abstracts (LLBA)</source><creator>Park, Hee‐Su ; Oh, Dong‐Hwan ; Yoon, Taehyung ; Park, Ji‐Su</creator><creatorcontrib>Park, Hee‐Su ; Oh, Dong‐Hwan ; Yoon, Taehyung ; Park, Ji‐Su</creatorcontrib><description>Background
Effortful swallowing training (EST) is a remedial method for the training of swallowing‐related muscles in the oropharyngeal phase. However, clinical evidence of its effectiveness is insufficient.
Aims
To investigate the effects of EST on tongue strength and swallowing function in patients with stroke.
Methods & Procedures
Stroke patients with dysphagia were randomly assigned to one of two groups: an experimental group (n = 12) and a control group (n = 12). The experimental group underwent EST, while the control group performed saliva swallowing. Training was conducted 5 days per week for 4 weeks. Both groups underwent conventional dysphagia treatment for 30 min/day, 5 days/week for 4 weeks.
Outcomes & Results
Tongue strength was assessed using the Iowa Oral Performance Instrument. The Videofluoroscopic Dysphagia Scale (VDS), based on a videofluoroscopic swallowing study, was used to analyze oropharyngeal swallowing function. The experimental group showed greater improvements in anterior and posterior tongue strength compared with the control group (p = 0.046 and 0.042, respectively), and greater improvement in the oral phases of the VDS (p = 0.017).
Conclusions & Implications
We recommend EST as a remedial strategy for improving tongue strength and oral swallowing function in patients with stroke.</description><identifier>ISSN: 1368-2822</identifier><identifier>EISSN: 1460-6984</identifier><identifier>DOI: 10.1111/1460-6984.12453</identifier><identifier>PMID: 30693627</identifier><language>eng</language><publisher>United States: Wiley-Blackwell</publisher><subject>Aged ; Aged, 80 and over ; Clinical trials ; Control Groups ; Deglutition - physiology ; Deglutition Disorders - etiology ; Deglutition Disorders - physiopathology ; Deglutition Disorders - rehabilitation ; Double-Blind Method ; Double-blind studies ; Dysphagia ; effortful swallowing ; Evidence-based medicine ; Experimental Groups ; Female ; Human Body ; Humans ; Male ; Middle Aged ; Motor Reactions ; Muscle Strength - physiology ; Neurological Impairments ; Oropharynx - physiopathology ; Outcomes of Treatment ; Patients ; Pharyngeal Muscles - physiopathology ; Psychomotor Skills ; randomized control trial ; Resistance Training - methods ; Speech Language Pathology ; Stroke ; Stroke - complications ; Stroke - physiopathology ; Stroke Rehabilitation - methods ; Swallowing ; Therapy ; Tongue ; Tongue - physiopathology ; Training ; Treatment Outcome</subject><ispartof>International journal of language & communication disorders, 2019-05, Vol.54 (3), p.479-484</ispartof><rights>2019 Royal College of Speech and Language Therapists</rights><rights>2019 Royal College of Speech and Language Therapists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3943-9e645ea0dc76ceae7afaf5e527469ca1bbb9e42449ae80de51093a1521a565b13</citedby><cites>FETCH-LOGICAL-c3943-9e645ea0dc76ceae7afaf5e527469ca1bbb9e42449ae80de51093a1521a565b13</cites><orcidid>0000-0001-7113-4792</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,31269</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1213526$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30693627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Hee‐Su</creatorcontrib><creatorcontrib>Oh, Dong‐Hwan</creatorcontrib><creatorcontrib>Yoon, Taehyung</creatorcontrib><creatorcontrib>Park, Ji‐Su</creatorcontrib><title>Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double‐blind, randomized controlled trial</title><title>International journal of language & communication disorders</title><addtitle>Int J Lang Commun Disord</addtitle><description>Background
Effortful swallowing training (EST) is a remedial method for the training of swallowing‐related muscles in the oropharyngeal phase. However, clinical evidence of its effectiveness is insufficient.
Aims
To investigate the effects of EST on tongue strength and swallowing function in patients with stroke.
Methods & Procedures
Stroke patients with dysphagia were randomly assigned to one of two groups: an experimental group (n = 12) and a control group (n = 12). The experimental group underwent EST, while the control group performed saliva swallowing. Training was conducted 5 days per week for 4 weeks. Both groups underwent conventional dysphagia treatment for 30 min/day, 5 days/week for 4 weeks.
Outcomes & Results
Tongue strength was assessed using the Iowa Oral Performance Instrument. The Videofluoroscopic Dysphagia Scale (VDS), based on a videofluoroscopic swallowing study, was used to analyze oropharyngeal swallowing function. The experimental group showed greater improvements in anterior and posterior tongue strength compared with the control group (p = 0.046 and 0.042, respectively), and greater improvement in the oral phases of the VDS (p = 0.017).
Conclusions & Implications
We recommend EST as a remedial strategy for improving tongue strength and oral swallowing function in patients with stroke.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Clinical trials</subject><subject>Control Groups</subject><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - physiopathology</subject><subject>Deglutition Disorders - rehabilitation</subject><subject>Double-Blind Method</subject><subject>Double-blind studies</subject><subject>Dysphagia</subject><subject>effortful swallowing</subject><subject>Evidence-based medicine</subject><subject>Experimental Groups</subject><subject>Female</subject><subject>Human Body</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motor Reactions</subject><subject>Muscle Strength - physiology</subject><subject>Neurological Impairments</subject><subject>Oropharynx - physiopathology</subject><subject>Outcomes of Treatment</subject><subject>Patients</subject><subject>Pharyngeal Muscles - physiopathology</subject><subject>Psychomotor Skills</subject><subject>randomized control trial</subject><subject>Resistance Training - methods</subject><subject>Speech Language Pathology</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation - methods</subject><subject>Swallowing</subject><subject>Therapy</subject><subject>Tongue</subject><subject>Tongue - physiopathology</subject><subject>Training</subject><subject>Treatment Outcome</subject><issn>1368-2822</issn><issn>1460-6984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><sourceid>7T9</sourceid><recordid>eNqFkb2O1DAUhSMEYpeBmgpkiYaC7MaO7SR0aBh-ViPRQG05znXWi8cebEejoeIReBVeiSfBIctI0ODGV_ee71zLpyge4-oC53OJKa9K3rX0AhPK6jvF-alzN9c1b0vSEnJWPIjxpqoqghm-X5zVFe9qTprz4sdGa1AJeY1Aax-SniyKB2mtPxg3ohSkcXPhHUrejROgmAK4MV0j6Qbkg99fy3B0I8i_QD05lUymjJsJ_xnQXiYDLkV0MJkejjGTo5EvkUSDn3oLP799761xwwsUsrffma8wIOVdxq3NZQpG2ofFPS1thEe396r49Gbzcf2u3H54-379aluquqN12QGnDGQ1qIYrkNBILTUDRhrKOyVx3_cdUEJpJ6GtBmC46mqJGcGScdbjelU8X3z3wX-ZICaxM1GBtdKBn6IguOkowzgvWxXP_pHe-Cm4_DpBCKYtI4zVWXW5qFTwMQbQYh_MLv-dwJWY0xRzdmLOTvxOMxNPb32nfgfDSf8nvix4sgggGHUab64wwTUjPM_5Mj8YC8f_7RNX2_XrZfMvwwC4nA</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Park, Hee‐Su</creator><creator>Oh, Dong‐Hwan</creator><creator>Yoon, Taehyung</creator><creator>Park, Ji‐Su</creator><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T9</scope><scope>8BM</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7113-4792</orcidid></search><sort><creationdate>201905</creationdate><title>Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double‐blind, randomized controlled trial</title><author>Park, Hee‐Su ; Oh, Dong‐Hwan ; Yoon, Taehyung ; Park, Ji‐Su</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3943-9e645ea0dc76ceae7afaf5e527469ca1bbb9e42449ae80de51093a1521a565b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Clinical trials</topic><topic>Control Groups</topic><topic>Deglutition - physiology</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - physiopathology</topic><topic>Deglutition Disorders - rehabilitation</topic><topic>Double-Blind Method</topic><topic>Double-blind studies</topic><topic>Dysphagia</topic><topic>effortful swallowing</topic><topic>Evidence-based medicine</topic><topic>Experimental Groups</topic><topic>Female</topic><topic>Human Body</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motor Reactions</topic><topic>Muscle Strength - physiology</topic><topic>Neurological Impairments</topic><topic>Oropharynx - physiopathology</topic><topic>Outcomes of Treatment</topic><topic>Patients</topic><topic>Pharyngeal Muscles - physiopathology</topic><topic>Psychomotor Skills</topic><topic>randomized control trial</topic><topic>Resistance Training - methods</topic><topic>Speech Language Pathology</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation - methods</topic><topic>Swallowing</topic><topic>Therapy</topic><topic>Tongue</topic><topic>Tongue - physiopathology</topic><topic>Training</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Hee‐Su</creatorcontrib><creatorcontrib>Oh, Dong‐Hwan</creatorcontrib><creatorcontrib>Yoon, Taehyung</creatorcontrib><creatorcontrib>Park, Ji‐Su</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>ComDisDome</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of language & communication disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Hee‐Su</au><au>Oh, Dong‐Hwan</au><au>Yoon, Taehyung</au><au>Park, Ji‐Su</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1213526</ericid><atitle>Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double‐blind, randomized controlled trial</atitle><jtitle>International journal of language & communication disorders</jtitle><addtitle>Int J Lang Commun Disord</addtitle><date>2019-05</date><risdate>2019</risdate><volume>54</volume><issue>3</issue><spage>479</spage><epage>484</epage><pages>479-484</pages><issn>1368-2822</issn><eissn>1460-6984</eissn><abstract>Background
Effortful swallowing training (EST) is a remedial method for the training of swallowing‐related muscles in the oropharyngeal phase. However, clinical evidence of its effectiveness is insufficient.
Aims
To investigate the effects of EST on tongue strength and swallowing function in patients with stroke.
Methods & Procedures
Stroke patients with dysphagia were randomly assigned to one of two groups: an experimental group (n = 12) and a control group (n = 12). The experimental group underwent EST, while the control group performed saliva swallowing. Training was conducted 5 days per week for 4 weeks. Both groups underwent conventional dysphagia treatment for 30 min/day, 5 days/week for 4 weeks.
Outcomes & Results
Tongue strength was assessed using the Iowa Oral Performance Instrument. The Videofluoroscopic Dysphagia Scale (VDS), based on a videofluoroscopic swallowing study, was used to analyze oropharyngeal swallowing function. The experimental group showed greater improvements in anterior and posterior tongue strength compared with the control group (p = 0.046 and 0.042, respectively), and greater improvement in the oral phases of the VDS (p = 0.017).
Conclusions & Implications
We recommend EST as a remedial strategy for improving tongue strength and oral swallowing function in patients with stroke.</abstract><cop>United States</cop><pub>Wiley-Blackwell</pub><pmid>30693627</pmid><doi>10.1111/1460-6984.12453</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-7113-4792</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1368-2822 |
| ispartof | International journal of language & communication disorders, 2019-05, Vol.54 (3), p.479-484 |
| issn | 1368-2822 1460-6984 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2179451194 |
| source | Wiley-Blackwell Read & Publish Collection; ERIC; Linguistics and Language Behavior Abstracts (LLBA) |
| subjects | Aged Aged, 80 and over Clinical trials Control Groups Deglutition - physiology Deglutition Disorders - etiology Deglutition Disorders - physiopathology Deglutition Disorders - rehabilitation Double-Blind Method Double-blind studies Dysphagia effortful swallowing Evidence-based medicine Experimental Groups Female Human Body Humans Male Middle Aged Motor Reactions Muscle Strength - physiology Neurological Impairments Oropharynx - physiopathology Outcomes of Treatment Patients Pharyngeal Muscles - physiopathology Psychomotor Skills randomized control trial Resistance Training - methods Speech Language Pathology Stroke Stroke - complications Stroke - physiopathology Stroke Rehabilitation - methods Swallowing Therapy Tongue Tongue - physiopathology Training Treatment Outcome |
| title | Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double‐blind, randomized controlled trial |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T21%3A55%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20effortful%20swallowing%20training%20on%20tongue%20strength%20and%20oropharyngeal%20swallowing%20function%20in%20stroke%20patients%20with%20dysphagia:%20a%20double%E2%80%90blind,%20randomized%20controlled%20trial&rft.jtitle=International%20journal%20of%20language%20&%20communication%20disorders&rft.au=Park,%20Hee%E2%80%90Su&rft.date=2019-05&rft.volume=54&rft.issue=3&rft.spage=479&rft.epage=484&rft.pages=479-484&rft.issn=1368-2822&rft.eissn=1460-6984&rft_id=info:doi/10.1111/1460-6984.12453&rft_dat=%3Cproquest_cross%3E2179451194%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3943-9e645ea0dc76ceae7afaf5e527469ca1bbb9e42449ae80de51093a1521a565b13%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2214852553&rft_id=info:pmid/30693627&rft_ericid=EJ1213526&rfr_iscdi=true |