Systematic Effortful Swallowing Exercise Without External Resistance Does Not Increase Swallowing-Related Muscle Strength in the Elderly.
Deglutition
Deglutition disorders
Electromyography
Exercise
Tongue
Journal
Dysphagia
ISSN: 1432-0460
Titre abrégé: Dysphagia
Pays: United States
ID NLM: 8610856
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
20
01
2020
accepted:
20
07
2020
pubmed:
29
7
2020
medline:
25
11
2021
entrez:
29
7
2020
Statut:
ppublish
Résumé
Effortful swallow (ES) is a maneuver intended to increase pressure on a bolus by swallowing and pushing with sufficient force to facilitate clearance. Although ES is mainly known for its immediate effects, the long-term effects of applying ES as an exercise program remain unclear. This study investigated the effects of a 7-week systematic ES exercise regime on swallowing-related muscle strength in individuals aged 65 years and over. In total, 30 healthy older adults participated in this study (16 women and 14 men, aged 67-90 years). The subjects participated in the exercise program for 20 min a day, twice a week, for 7 weeks. To gradually increase exercise intensity, the number of exercises per session was increased from the initial 60 repetitions (weeks 1-2) to 120 repetitions (weeks 5-7). To measure the effect of the strengthening exercise program, the activation level of suprahyoid muscles was measured using surface electromyography, and a tongue pressure measurement system was used to measure variables related to tongue strength (isometric tongue pressure, swallowing tongue pressure, and tongue endurance). Although the effect of ES exercise on muscle strength through gradual adjustment of exercise frequency was not confirmed, ES remains valuable as an exercise for strengthening the muscles involved in swallowing. Future studies are warranted to determine the effects of ES exercise after adjusting for other variables of exercise intensity.
Identifiants
pubmed: 32720053
doi: 10.1007/s00455-020-10163-6
pii: 10.1007/s00455-020-10163-6
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
465-473Références
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