Effects of Effortful Swallowing Exercise with Progressive Anterior Tongue Press Using Iowa Oral Performance Instrument (IOPI) on the Strength of Swallowing-Related Muscles in the Elderly: A Preliminary Study
The purpose of this study was to confirm the effect of effortful swallowing (ES) exercise programs applied to increase the swallowing-related muscle strength in the elderly. In this study, 20 healthy elderly people (76.65 ± 5.87 years; 10 women and 10 men) participated and exercised for 7 weeks. The...
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| description | The purpose of this study was to confirm the effect of effortful swallowing (ES) exercise programs applied to increase the swallowing-related muscle strength in the elderly. In this study, 20 healthy elderly people (76.65 ± 5.87 years; 10 women and 10 men) participated and exercised for 7 weeks. The experimental group performed ES exercise combined with external resistance using Iowa Oral Performance Instrument (IOPI), and the control group performed pure ES without external resistance. The exercises were performed for 20 min a day, 2 days a week for 7 weeks in both groups. ES was repeated 60 times in weeks 1 and 2, 80 times in week 3 and 4, and 120 times in weeks 5–7. In the experimental group, the isometric and swallowing tongue pressures at week 8 were significantly improved compared to baseline. At week 8, the anterior and swallowing tongue pressures and anterior tongue endurance were significantly higher than those of the control group. In the control group, no significant change in tongue pressure-related variables was observed after 7 weeks of exercise. ES exercise combined with IOPI resistance for 7 weeks tended to increase the suprahyoid muscle activation level without statistical significance. For clinical application of this exercise protocol, further studies including more elderly people and patients with dysphagia are required. |
| doi_str_mv | 10.1007/s00455-021-10259-7 |
| format | Article |
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In this study, 20 healthy elderly people (76.65 ± 5.87 years; 10 women and 10 men) participated and exercised for 7 weeks. The experimental group performed ES exercise combined with external resistance using Iowa Oral Performance Instrument (IOPI), and the control group performed pure ES without external resistance. The exercises were performed for 20 min a day, 2 days a week for 7 weeks in both groups. ES was repeated 60 times in weeks 1 and 2, 80 times in week 3 and 4, and 120 times in weeks 5–7. In the experimental group, the isometric and swallowing tongue pressures at week 8 were significantly improved compared to baseline. At week 8, the anterior and swallowing tongue pressures and anterior tongue endurance were significantly higher than those of the control group. In the control group, no significant change in tongue pressure-related variables was observed after 7 weeks of exercise. ES exercise combined with IOPI resistance for 7 weeks tended to increase the suprahyoid muscle activation level without statistical significance. For clinical application of this exercise protocol, further studies including more elderly people and patients with dysphagia are required.</description><identifier>ISSN: 0179-051X</identifier><identifier>EISSN: 1432-0460</identifier><identifier>DOI: 10.1007/s00455-021-10259-7</identifier><identifier>PMID: 33566219</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aged ; Analysis ; Deglutition - physiology ; Deglutition Disorders - therapy ; Dysphagia ; Exercise ; Female ; Gastroenterology ; Healthy Volunteers ; Hepatology ; Humans ; Imaging ; Iowa ; Male ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Muscle contraction ; Muscle strength ; Muscle Strength - physiology ; Muscles ; Neck Muscles ; Older people ; Original Article ; Otorhinolaryngology ; Physical therapy ; Pressure ; Radiology ; Swallowing ; Tongue ; Tongue - physiology</subject><ispartof>Dysphagia, 2022-02, Vol.37 (1), p.158-167</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-77c42ec4df2a21d88e79bb8c4101efcd1ef11b4d2209dde630da08aac08531be3</citedby><cites>FETCH-LOGICAL-c442t-77c42ec4df2a21d88e79bb8c4101efcd1ef11b4d2209dde630da08aac08531be3</cites><orcidid>0000-0002-3469-9257</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00455-021-10259-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00455-021-10259-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33566219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Jong-Chi</creatorcontrib><title>Effects of Effortful Swallowing Exercise with Progressive Anterior Tongue Press Using Iowa Oral Performance Instrument (IOPI) on the Strength of Swallowing-Related Muscles in the Elderly: A Preliminary Study</title><title>Dysphagia</title><addtitle>Dysphagia</addtitle><addtitle>Dysphagia</addtitle><description>The purpose of this study was to confirm the effect of effortful swallowing (ES) exercise programs applied to increase the swallowing-related muscle strength in the elderly. In this study, 20 healthy elderly people (76.65 ± 5.87 years; 10 women and 10 men) participated and exercised for 7 weeks. The experimental group performed ES exercise combined with external resistance using Iowa Oral Performance Instrument (IOPI), and the control group performed pure ES without external resistance. The exercises were performed for 20 min a day, 2 days a week for 7 weeks in both groups. ES was repeated 60 times in weeks 1 and 2, 80 times in week 3 and 4, and 120 times in weeks 5–7. In the experimental group, the isometric and swallowing tongue pressures at week 8 were significantly improved compared to baseline. At week 8, the anterior and swallowing tongue pressures and anterior tongue endurance were significantly higher than those of the control group. In the control group, no significant change in tongue pressure-related variables was observed after 7 weeks of exercise. ES exercise combined with IOPI resistance for 7 weeks tended to increase the suprahyoid muscle activation level without statistical significance. For clinical application of this exercise protocol, further studies including more elderly people and patients with dysphagia are required.</description><subject>Aged</subject><subject>Analysis</subject><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - therapy</subject><subject>Dysphagia</subject><subject>Exercise</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Healthy Volunteers</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Iowa</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Muscle contraction</subject><subject>Muscle strength</subject><subject>Muscle Strength - physiology</subject><subject>Muscles</subject><subject>Neck Muscles</subject><subject>Older people</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Physical therapy</subject><subject>Pressure</subject><subject>Radiology</subject><subject>Swallowing</subject><subject>Tongue</subject><subject>Tongue - 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physiology</topic><topic>Deglutition Disorders - therapy</topic><topic>Dysphagia</topic><topic>Exercise</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Healthy Volunteers</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Iowa</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Muscle contraction</topic><topic>Muscle strength</topic><topic>Muscle Strength - physiology</topic><topic>Muscles</topic><topic>Neck Muscles</topic><topic>Older people</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Physical therapy</topic><topic>Pressure</topic><topic>Radiology</topic><topic>Swallowing</topic><topic>Tongue</topic><topic>Tongue - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Jong-Chi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Dysphagia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Jong-Chi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Effortful Swallowing Exercise with Progressive Anterior Tongue Press Using Iowa Oral Performance Instrument (IOPI) on the Strength of Swallowing-Related Muscles in the Elderly: A Preliminary Study</atitle><jtitle>Dysphagia</jtitle><stitle>Dysphagia</stitle><addtitle>Dysphagia</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>37</volume><issue>1</issue><spage>158</spage><epage>167</epage><pages>158-167</pages><issn>0179-051X</issn><eissn>1432-0460</eissn><abstract>The purpose of this study was to confirm the effect of effortful swallowing (ES) exercise programs applied to increase the swallowing-related muscle strength in the elderly. In this study, 20 healthy elderly people (76.65 ± 5.87 years; 10 women and 10 men) participated and exercised for 7 weeks. The experimental group performed ES exercise combined with external resistance using Iowa Oral Performance Instrument (IOPI), and the control group performed pure ES without external resistance. The exercises were performed for 20 min a day, 2 days a week for 7 weeks in both groups. ES was repeated 60 times in weeks 1 and 2, 80 times in week 3 and 4, and 120 times in weeks 5–7. In the experimental group, the isometric and swallowing tongue pressures at week 8 were significantly improved compared to baseline. At week 8, the anterior and swallowing tongue pressures and anterior tongue endurance were significantly higher than those of the control group. In the control group, no significant change in tongue pressure-related variables was observed after 7 weeks of exercise. ES exercise combined with IOPI resistance for 7 weeks tended to increase the suprahyoid muscle activation level without statistical significance. For clinical application of this exercise protocol, further studies including more elderly people and patients with dysphagia are required.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33566219</pmid><doi>10.1007/s00455-021-10259-7</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3469-9257</orcidid></addata></record> |
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| ispartof | Dysphagia, 2022-02, Vol.37 (1), p.158-167 |
| issn | 0179-051X 1432-0460 |
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| subjects | Aged Analysis Deglutition - physiology Deglutition Disorders - therapy Dysphagia Exercise Female Gastroenterology Healthy Volunteers Hepatology Humans Imaging Iowa Male Medical research Medicine Medicine & Public Health Medicine, Experimental Muscle contraction Muscle strength Muscle Strength - physiology Muscles Neck Muscles Older people Original Article Otorhinolaryngology Physical therapy Pressure Radiology Swallowing Tongue Tongue - physiology |
| title | Effects of Effortful Swallowing Exercise with Progressive Anterior Tongue Press Using Iowa Oral Performance Instrument (IOPI) on the Strength of Swallowing-Related Muscles in the Elderly: A Preliminary Study |
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