Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter

Abstract Wada S, Tohara H, Iida T, Inoue M, Sato M, Ueda K. Jaw-opening exercise for insufficient opening of upper esophageal sphincter. Objective To investigate the effects of the jaw-opening exercise on decreased upper esophageal sphincter (UES) opening while swallowing. Design Intervention study:...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2012-11, Vol.93 (11), p.1995-1999
Hauptverfasser: Wada, Satoko, DDS, Tohara, Haruka, DDS, PhD, Iida, Takatoshi, DDS, Inoue, Motoharu, DDS, Sato, Mitsuyasu, DDS, Ueda, Koichiro, DDS, PhD
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container_end_page 1999
container_issue 11
container_start_page 1995
container_title Archives of physical medicine and rehabilitation
container_volume 93
creator Wada, Satoko, DDS
Tohara, Haruka, DDS, PhD
Iida, Takatoshi, DDS
Inoue, Motoharu, DDS
Sato, Mitsuyasu, DDS
Ueda, Koichiro, DDS, PhD
description Abstract Wada S, Tohara H, Iida T, Inoue M, Sato M, Ueda K. Jaw-opening exercise for insufficient opening of upper esophageal sphincter. Objective To investigate the effects of the jaw-opening exercise on decreased upper esophageal sphincter (UES) opening while swallowing. Design Intervention study: before-after trial with 4-week follow-up evaluation. Setting A university school of dentistry dental hospital. Participants Patients with dysphagia (N=8; 7 men, 1 woman; average age ± SD, 70.5±11.3y; age range, 54–86y). Interventions All patients performed a jaw-opening exercise to strengthen the suprahyoid muscles. The exercise involved opening the jaw to its maximum and maintaining this position for 10 seconds. Each exercise set consisted of 5 repetitions, and 2 sets were carried out daily for 4 weeks. The effectiveness of the exercise was evaluated by a videofluorographic swallowing study (VFSS). Main Outcome Measures Hyoid elevation, UES opening, pharynx passage time, and pharyngeal residue after swallowing at preexercise and postexercise were compared by VFSS. Results Compared with before starting the exercise, significant improvements were observed in the extent of upward movement of the hyoid bone ( P
doi_str_mv 10.1016/j.apmr.2012.04.025
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Jaw-opening exercise for insufficient opening of upper esophageal sphincter. Objective To investigate the effects of the jaw-opening exercise on decreased upper esophageal sphincter (UES) opening while swallowing. Design Intervention study: before-after trial with 4-week follow-up evaluation. Setting A university school of dentistry dental hospital. Participants Patients with dysphagia (N=8; 7 men, 1 woman; average age ± SD, 70.5±11.3y; age range, 54–86y). Interventions All patients performed a jaw-opening exercise to strengthen the suprahyoid muscles. The exercise involved opening the jaw to its maximum and maintaining this position for 10 seconds. Each exercise set consisted of 5 repetitions, and 2 sets were carried out daily for 4 weeks. The effectiveness of the exercise was evaluated by a videofluorographic swallowing study (VFSS). Main Outcome Measures Hyoid elevation, UES opening, pharynx passage time, and pharyngeal residue after swallowing at preexercise and postexercise were compared by VFSS. Results Compared with before starting the exercise, significant improvements were observed in the extent of upward movement of the hyoid bone ( P &lt;.05), the amount of UES opening ( P &lt;.05), and the time for pharynx passage ( P &lt;.05) 4 weeks after initiating the exercise. Pharyngeal residue decreased in some subjects, and no increases were noted in any subjects. Conclusions The jaw-opening exercise is an effective treatment for dysphagia caused by dysfunction of hyoid elevation and UES opening.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2012.04.025</identifier><identifier>PMID: 22579648</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Deglutition - physiology ; Deglutition disorders ; Deglutition Disorders - rehabilitation ; Diseases of the osteoarticular system ; Esophageal sphincter ; Esophageal Sphincter, Upper - physiopathology ; Esophagus ; Exercise ; Exercise Therapy - methods ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Hospitals, University ; Humans ; Jaw ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Other diseases. Semiology ; Physical Medicine and Rehabilitation ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; upper</subject><ispartof>Archives of physical medicine and rehabilitation, 2012-11, Vol.93 (11), p.1995-1999</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2012 American Congress of Rehabilitation Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-27f8d100a33cca1ce5af58ce02ba35531a8b059d9fa7933aa1f4b3a4ca263c413</citedby><cites>FETCH-LOGICAL-c540t-27f8d100a33cca1ce5af58ce02ba35531a8b059d9fa7933aa1f4b3a4ca263c413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2012.04.025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26619289$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22579648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wada, Satoko, DDS</creatorcontrib><creatorcontrib>Tohara, Haruka, DDS, PhD</creatorcontrib><creatorcontrib>Iida, Takatoshi, DDS</creatorcontrib><creatorcontrib>Inoue, Motoharu, DDS</creatorcontrib><creatorcontrib>Sato, Mitsuyasu, DDS</creatorcontrib><creatorcontrib>Ueda, Koichiro, DDS, PhD</creatorcontrib><title>Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Wada S, Tohara H, Iida T, Inoue M, Sato M, Ueda K. Jaw-opening exercise for insufficient opening of upper esophageal sphincter. Objective To investigate the effects of the jaw-opening exercise on decreased upper esophageal sphincter (UES) opening while swallowing. Design Intervention study: before-after trial with 4-week follow-up evaluation. Setting A university school of dentistry dental hospital. Participants Patients with dysphagia (N=8; 7 men, 1 woman; average age ± SD, 70.5±11.3y; age range, 54–86y). Interventions All patients performed a jaw-opening exercise to strengthen the suprahyoid muscles. The exercise involved opening the jaw to its maximum and maintaining this position for 10 seconds. Each exercise set consisted of 5 repetitions, and 2 sets were carried out daily for 4 weeks. The effectiveness of the exercise was evaluated by a videofluorographic swallowing study (VFSS). Main Outcome Measures Hyoid elevation, UES opening, pharynx passage time, and pharyngeal residue after swallowing at preexercise and postexercise were compared by VFSS. Results Compared with before starting the exercise, significant improvements were observed in the extent of upward movement of the hyoid bone ( P &lt;.05), the amount of UES opening ( P &lt;.05), and the time for pharynx passage ( P &lt;.05) 4 weeks after initiating the exercise. Pharyngeal residue decreased in some subjects, and no increases were noted in any subjects. Conclusions The jaw-opening exercise is an effective treatment for dysphagia caused by dysfunction of hyoid elevation and UES opening.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Deglutition - physiology</subject><subject>Deglutition disorders</subject><subject>Deglutition Disorders - rehabilitation</subject><subject>Diseases of the osteoarticular system</subject><subject>Esophageal sphincter</subject><subject>Esophageal Sphincter, Upper - physiopathology</subject><subject>Esophagus</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Jaw</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Other diseases. Semiology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>upper</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks9rFDEUx4Modlv9BzzIXAQvM-bHZCYBEaRstVrooRZ6C28zL23W2cyYzKj9782wWwUPeghJ4PN9eXzyCHnBaMUoa95sKxh3seKU8YrWFeXyEVkxKXipOLt5TFaUUlFqrcUROU5pm6-NFOwpOeJctrqp1Yp8_gQ_yssRgw-3xfonRusTFm6IxXlIs3PeegxT8UAMrrgeR4zFOg3jHdwi9MXVeOeDnTA-I08c9AmfH_YTcn22_nL6sby4_HB--v6itLKmU8lbpzpGKQhhLTCLEpxUFinfgJC5QVAbKnWnHbRaCADm6o2A2gJvhK2ZOCGv93XHOHybMU1m55PFvoeAw5wMU6IVtFWt-j_KOG-YyiujfI_aOKQU0Zkx-h3Ee8OoWXybrVl8m8W3obXJvnPo5aH-vNlh9zvyIDgDrw4AJAu9ixCy4T9c0zDNlc7c2z2HWdx3j9GkxbzFzke0k-kG_-8-3v0Vt70PPr_4Fe8xbYc5hvwlhpmUM-ZqmYxlMBjPB85vxC-bo7Jo</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Wada, Satoko, DDS</creator><creator>Tohara, Haruka, DDS, PhD</creator><creator>Iida, Takatoshi, DDS</creator><creator>Inoue, Motoharu, DDS</creator><creator>Sato, Mitsuyasu, DDS</creator><creator>Ueda, Koichiro, DDS, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</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>7X8</scope><scope>7TS</scope></search><sort><creationdate>20121101</creationdate><title>Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter</title><author>Wada, Satoko, DDS ; Tohara, Haruka, DDS, PhD ; Iida, Takatoshi, DDS ; Inoue, Motoharu, DDS ; Sato, Mitsuyasu, DDS ; Ueda, Koichiro, DDS, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-27f8d100a33cca1ce5af58ce02ba35531a8b059d9fa7933aa1f4b3a4ca263c413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Deglutition - physiology</topic><topic>Deglutition disorders</topic><topic>Deglutition Disorders - rehabilitation</topic><topic>Diseases of the osteoarticular system</topic><topic>Esophageal sphincter</topic><topic>Esophageal Sphincter, Upper - physiopathology</topic><topic>Esophagus</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Jaw</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Other diseases. Semiology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>upper</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wada, Satoko, DDS</creatorcontrib><creatorcontrib>Tohara, Haruka, DDS, PhD</creatorcontrib><creatorcontrib>Iida, Takatoshi, DDS</creatorcontrib><creatorcontrib>Inoue, Motoharu, DDS</creatorcontrib><creatorcontrib>Sato, Mitsuyasu, DDS</creatorcontrib><creatorcontrib>Ueda, Koichiro, DDS, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wada, Satoko, DDS</au><au>Tohara, Haruka, DDS, PhD</au><au>Iida, Takatoshi, DDS</au><au>Inoue, Motoharu, DDS</au><au>Sato, Mitsuyasu, DDS</au><au>Ueda, Koichiro, DDS, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>93</volume><issue>11</issue><spage>1995</spage><epage>1999</epage><pages>1995-1999</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Wada S, Tohara H, Iida T, Inoue M, Sato M, Ueda K. Jaw-opening exercise for insufficient opening of upper esophageal sphincter. Objective To investigate the effects of the jaw-opening exercise on decreased upper esophageal sphincter (UES) opening while swallowing. Design Intervention study: before-after trial with 4-week follow-up evaluation. Setting A university school of dentistry dental hospital. Participants Patients with dysphagia (N=8; 7 men, 1 woman; average age ± SD, 70.5±11.3y; age range, 54–86y). Interventions All patients performed a jaw-opening exercise to strengthen the suprahyoid muscles. The exercise involved opening the jaw to its maximum and maintaining this position for 10 seconds. Each exercise set consisted of 5 repetitions, and 2 sets were carried out daily for 4 weeks. The effectiveness of the exercise was evaluated by a videofluorographic swallowing study (VFSS). Main Outcome Measures Hyoid elevation, UES opening, pharynx passage time, and pharyngeal residue after swallowing at preexercise and postexercise were compared by VFSS. Results Compared with before starting the exercise, significant improvements were observed in the extent of upward movement of the hyoid bone ( P &lt;.05), the amount of UES opening ( P &lt;.05), and the time for pharynx passage ( P &lt;.05) 4 weeks after initiating the exercise. Pharyngeal residue decreased in some subjects, and no increases were noted in any subjects. Conclusions The jaw-opening exercise is an effective treatment for dysphagia caused by dysfunction of hyoid elevation and UES opening.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22579648</pmid><doi>10.1016/j.apmr.2012.04.025</doi><tpages>5</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Deglutition - physiology
Deglutition disorders
Deglutition Disorders - rehabilitation
Diseases of the osteoarticular system
Esophageal sphincter
Esophageal Sphincter, Upper - physiopathology
Esophagus
Exercise
Exercise Therapy - methods
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hospitals, University
Humans
Jaw
Male
Medical sciences
Middle Aged
Miscellaneous
Other diseases. Semiology
Physical Medicine and Rehabilitation
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rehabilitation
upper
title Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter
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