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 |
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container_title | Archives of physical medicine and rehabilitation |
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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 |
format | Article |
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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 <.05), the amount of UES opening ( P <.05), and the time for pharynx passage ( P <.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>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26619289$$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 <.05), the amount of UES opening ( P <.05), and the time for pharynx passage ( P <.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 <.05), the amount of UES opening ( P <.05), and the time for pharynx passage ( P <.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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