The effect of craniocervical flexors endurance training on suprahyoid muscle activation in healthy adults: A randomised controlled trial
Background Cervical posture affects swallowing function through contractile and non‐contractile structures. Craniocervical flexor endurance training (CCFET), which focuses on the activation of deep cervical muscles, is used to ensure cervical posture stability. Objective The aim of this study was to...
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| Veröffentlicht in: | Journal of oral rehabilitation 2024-08, Vol.51 (8), p.1379-1389 |
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| creator | Toksal Uçar, Arzucan Yalçın, Ali Imran Cetin, Hatice Bostan, Geylan Bilgin, Sevil |
| description | Background
Cervical posture affects swallowing function through contractile and non‐contractile structures. Craniocervical flexor endurance training (CCFET), which focuses on the activation of deep cervical muscles, is used to ensure cervical posture stability.
Objective
The aim of this study was to investigate the effect of CCFET on the suprahyoid muscles (SH), which play an important role in swallowing function.
Methods
Eighty healthy individuals (52 female and 28 male, mean age 21.77 ± 1.81 years) were recruited and randomly assigned to groups that underwent either deep cervical flexor (DCF) training with a pressure biofeedback unit (CCFET group, n = 41) or no intervention (control group, n = 39). The intervention was applied for 4 weeks (five sessions per week). Static endurance and activation of DCF muscles (Craniocervical Flexion Test, CCFT), tragus–wall distance (TWD) for forward head posture and surface electromyographic (sEMG) activation of suprahyoid muscles were evaluated.
Results
The endurance and activation of the DCF muscles were significantly increased in the CCFET group (p = |
| doi_str_mv | 10.1111/joor.13703 |
| format | Article |
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Cervical posture affects swallowing function through contractile and non‐contractile structures. Craniocervical flexor endurance training (CCFET), which focuses on the activation of deep cervical muscles, is used to ensure cervical posture stability.
Objective
The aim of this study was to investigate the effect of CCFET on the suprahyoid muscles (SH), which play an important role in swallowing function.
Methods
Eighty healthy individuals (52 female and 28 male, mean age 21.77 ± 1.81 years) were recruited and randomly assigned to groups that underwent either deep cervical flexor (DCF) training with a pressure biofeedback unit (CCFET group, n = 41) or no intervention (control group, n = 39). The intervention was applied for 4 weeks (five sessions per week). Static endurance and activation of DCF muscles (Craniocervical Flexion Test, CCFT), tragus–wall distance (TWD) for forward head posture and surface electromyographic (sEMG) activation of suprahyoid muscles were evaluated.
Results
The endurance and activation of the DCF muscles were significantly increased in the CCFET group (p = <.001). In the CCFET group, TWD significantly lower than the control group (p = <.001) Peak SH amplitude and mean SH amplitude were lower in the CCFET group compared to the control group (p = .013, p = .003).
Conclusion
The study shows that 4 weeks of CCFET reduced SH muscle activation, allowing the same work to be done with fewer motor units. CCFET can be included in rehabilitation programs as an additional method that has an effect on the muscles involved in swallowing by providing cervical motor control.
Cervical posture affects swallowing function through contractile and non‐contractile structures and craniocervical flexor endurance training (CCFET) is used to provide cervical posture stability. The study showed that 4 weeks of CCFET reduced suprahyoid muscle activation. CCFET can be included in rehabilitation programs as an additional method that affects the muscles involved in swallowing.</description><identifier>ISSN: 0305-182X</identifier><identifier>ISSN: 1365-2842</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.13703</identifier><identifier>PMID: 38661347</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Biofeedback, Psychology - methods ; Biofeedback, Psychology - physiology ; cervical vertebrae ; craniocervical flexion ; Deglutition - physiology ; Electromyography ; Endurance Training - methods ; exercise ; Feedback ; Female ; Healthy Volunteers ; Humans ; Male ; Motor task performance ; Motor units ; Muscle contraction ; Muscle Contraction - physiology ; Muscles ; Neck Muscles - physiology ; Posture ; Posture - physiology ; suprahyoid muscle ; Swallowing ; Young Adult</subject><ispartof>Journal of oral rehabilitation, 2024-08, Vol.51 (8), p.1379-1389</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2024 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3523-189f440b58668fa524ecf6de5fbfc05f7a4bfc98e01214e58bf2fcde1369310b3</cites><orcidid>0000-0003-1597-1312 ; 0000-0002-8386-8248 ; 0000-0002-7361-4535 ; 0000-0002-9320-7064 ; 0000-0001-8488-5763</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjoor.13703$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoor.13703$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38661347$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toksal Uçar, Arzucan</creatorcontrib><creatorcontrib>Yalçın, Ali Imran</creatorcontrib><creatorcontrib>Cetin, Hatice</creatorcontrib><creatorcontrib>Bostan, Geylan</creatorcontrib><creatorcontrib>Bilgin, Sevil</creatorcontrib><title>The effect of craniocervical flexors endurance training on suprahyoid muscle activation in healthy adults: A randomised controlled trial</title><title>Journal of oral rehabilitation</title><addtitle>J Oral Rehabil</addtitle><description>Background
Cervical posture affects swallowing function through contractile and non‐contractile structures. Craniocervical flexor endurance training (CCFET), which focuses on the activation of deep cervical muscles, is used to ensure cervical posture stability.
Objective
The aim of this study was to investigate the effect of CCFET on the suprahyoid muscles (SH), which play an important role in swallowing function.
Methods
Eighty healthy individuals (52 female and 28 male, mean age 21.77 ± 1.81 years) were recruited and randomly assigned to groups that underwent either deep cervical flexor (DCF) training with a pressure biofeedback unit (CCFET group, n = 41) or no intervention (control group, n = 39). The intervention was applied for 4 weeks (five sessions per week). Static endurance and activation of DCF muscles (Craniocervical Flexion Test, CCFT), tragus–wall distance (TWD) for forward head posture and surface electromyographic (sEMG) activation of suprahyoid muscles were evaluated.
Results
The endurance and activation of the DCF muscles were significantly increased in the CCFET group (p = <.001). In the CCFET group, TWD significantly lower than the control group (p = <.001) Peak SH amplitude and mean SH amplitude were lower in the CCFET group compared to the control group (p = .013, p = .003).
Conclusion
The study shows that 4 weeks of CCFET reduced SH muscle activation, allowing the same work to be done with fewer motor units. CCFET can be included in rehabilitation programs as an additional method that has an effect on the muscles involved in swallowing by providing cervical motor control.
Cervical posture affects swallowing function through contractile and non‐contractile structures and craniocervical flexor endurance training (CCFET) is used to provide cervical posture stability. The study showed that 4 weeks of CCFET reduced suprahyoid muscle activation. CCFET can be included in rehabilitation programs as an additional method that affects the muscles involved in swallowing.</description><subject>Adult</subject><subject>Biofeedback, Psychology - methods</subject><subject>Biofeedback, Psychology - physiology</subject><subject>cervical vertebrae</subject><subject>craniocervical flexion</subject><subject>Deglutition - physiology</subject><subject>Electromyography</subject><subject>Endurance Training - methods</subject><subject>exercise</subject><subject>Feedback</subject><subject>Female</subject><subject>Healthy Volunteers</subject><subject>Humans</subject><subject>Male</subject><subject>Motor task performance</subject><subject>Motor units</subject><subject>Muscle contraction</subject><subject>Muscle Contraction - physiology</subject><subject>Muscles</subject><subject>Neck Muscles - physiology</subject><subject>Posture</subject><subject>Posture - physiology</subject><subject>suprahyoid muscle</subject><subject>Swallowing</subject><subject>Young Adult</subject><issn>0305-182X</issn><issn>1365-2842</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp9kUFrVDEQx4Modlu9-AFKwIsUtiYvyXvZ3kqxVSksSAVvj7y8iZslm2yTvNb9Bn5sp93qoQdzycD8-DEzf0LecXbK8X1cp5RPueiYeEFmXLRq3mjZvCQzJpiac938OCCHpawZY1qo7jU5ELptuZDdjPy-WQEF58BWmhy12USfLOQ7b02gLsCvlAuFOE7YsUBrNj76-JOmSMu0zWa1S36km6nYANTY6u9M9dj0ka7AhLraUTNOoZYzek7RMaaNLzBSm2LNKQQsa_YmvCGvnAkF3j79R-T75aebi8_z6-XVl4vz67kVqhG4zcJJyQaFG2hnVCPBunYE5QZnmXKdkVgsNDDecAlKD65xdgQ8y0JwNogj8mHv3eZ0O0GpPc5jIQQTIU2lF0y2ikvdKUTfP0PXacoRp0OqW6BQS47UyZ6yOZWSwfXb7Dcm73rO-od8-od8-sd8ED5-Uk7DBsZ_6N9AEOB74N4H2P1H1X9dLr_tpX8Ailyd0g</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Toksal Uçar, Arzucan</creator><creator>Yalçın, Ali Imran</creator><creator>Cetin, Hatice</creator><creator>Bostan, Geylan</creator><creator>Bilgin, Sevil</creator><general>Wiley Subscription Services, Inc</general><scope>24P</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>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1597-1312</orcidid><orcidid>https://orcid.org/0000-0002-8386-8248</orcidid><orcidid>https://orcid.org/0000-0002-7361-4535</orcidid><orcidid>https://orcid.org/0000-0002-9320-7064</orcidid><orcidid>https://orcid.org/0000-0001-8488-5763</orcidid></search><sort><creationdate>202408</creationdate><title>The effect of craniocervical flexors endurance training on suprahyoid muscle activation in healthy adults: A randomised controlled trial</title><author>Toksal Uçar, Arzucan ; Yalçın, Ali Imran ; Cetin, Hatice ; Bostan, Geylan ; Bilgin, Sevil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3523-189f440b58668fa524ecf6de5fbfc05f7a4bfc98e01214e58bf2fcde1369310b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Biofeedback, Psychology - methods</topic><topic>Biofeedback, Psychology - physiology</topic><topic>cervical vertebrae</topic><topic>craniocervical flexion</topic><topic>Deglutition - physiology</topic><topic>Electromyography</topic><topic>Endurance Training - methods</topic><topic>exercise</topic><topic>Feedback</topic><topic>Female</topic><topic>Healthy Volunteers</topic><topic>Humans</topic><topic>Male</topic><topic>Motor task performance</topic><topic>Motor units</topic><topic>Muscle contraction</topic><topic>Muscle Contraction - physiology</topic><topic>Muscles</topic><topic>Neck Muscles - physiology</topic><topic>Posture</topic><topic>Posture - physiology</topic><topic>suprahyoid muscle</topic><topic>Swallowing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toksal Uçar, Arzucan</creatorcontrib><creatorcontrib>Yalçın, Ali Imran</creatorcontrib><creatorcontrib>Cetin, Hatice</creatorcontrib><creatorcontrib>Bostan, Geylan</creatorcontrib><creatorcontrib>Bilgin, Sevil</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Toksal Uçar, Arzucan</au><au>Yalçın, Ali Imran</au><au>Cetin, Hatice</au><au>Bostan, Geylan</au><au>Bilgin, Sevil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of craniocervical flexors endurance training on suprahyoid muscle activation in healthy adults: A randomised controlled trial</atitle><jtitle>Journal of oral rehabilitation</jtitle><addtitle>J Oral Rehabil</addtitle><date>2024-08</date><risdate>2024</risdate><volume>51</volume><issue>8</issue><spage>1379</spage><epage>1389</epage><pages>1379-1389</pages><issn>0305-182X</issn><issn>1365-2842</issn><eissn>1365-2842</eissn><abstract>Background
Cervical posture affects swallowing function through contractile and non‐contractile structures. Craniocervical flexor endurance training (CCFET), which focuses on the activation of deep cervical muscles, is used to ensure cervical posture stability.
Objective
The aim of this study was to investigate the effect of CCFET on the suprahyoid muscles (SH), which play an important role in swallowing function.
Methods
Eighty healthy individuals (52 female and 28 male, mean age 21.77 ± 1.81 years) were recruited and randomly assigned to groups that underwent either deep cervical flexor (DCF) training with a pressure biofeedback unit (CCFET group, n = 41) or no intervention (control group, n = 39). The intervention was applied for 4 weeks (five sessions per week). Static endurance and activation of DCF muscles (Craniocervical Flexion Test, CCFT), tragus–wall distance (TWD) for forward head posture and surface electromyographic (sEMG) activation of suprahyoid muscles were evaluated.
Results
The endurance and activation of the DCF muscles were significantly increased in the CCFET group (p = <.001). In the CCFET group, TWD significantly lower than the control group (p = <.001) Peak SH amplitude and mean SH amplitude were lower in the CCFET group compared to the control group (p = .013, p = .003).
Conclusion
The study shows that 4 weeks of CCFET reduced SH muscle activation, allowing the same work to be done with fewer motor units. CCFET can be included in rehabilitation programs as an additional method that has an effect on the muscles involved in swallowing by providing cervical motor control.
Cervical posture affects swallowing function through contractile and non‐contractile structures and craniocervical flexor endurance training (CCFET) is used to provide cervical posture stability. The study showed that 4 weeks of CCFET reduced suprahyoid muscle activation. CCFET can be included in rehabilitation programs as an additional method that affects the muscles involved in swallowing.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38661347</pmid><doi>10.1111/joor.13703</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-1597-1312</orcidid><orcidid>https://orcid.org/0000-0002-8386-8248</orcidid><orcidid>https://orcid.org/0000-0002-7361-4535</orcidid><orcidid>https://orcid.org/0000-0002-9320-7064</orcidid><orcidid>https://orcid.org/0000-0001-8488-5763</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Biofeedback, Psychology - methods Biofeedback, Psychology - physiology cervical vertebrae craniocervical flexion Deglutition - physiology Electromyography Endurance Training - methods exercise Feedback Female Healthy Volunteers Humans Male Motor task performance Motor units Muscle contraction Muscle Contraction - physiology Muscles Neck Muscles - physiology Posture Posture - physiology suprahyoid muscle Swallowing Young Adult |
| title | The effect of craniocervical flexors endurance training on suprahyoid muscle activation in healthy adults: A randomised controlled trial |
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