The Effects of Lingual Exercise in Stroke Patients With Dysphagia

Robbins, JoAnne; Kays, Stephanie A.; Gangnon, Ronald E.; Hind, Jacqueline A.; Hewitt, Angela L.; Gentry, Lindell R.; Taylor, Andrew J.

doi:10.1016/j.apmr.2006.11.002

Cited by 523Dysphagia Assessment and ManagementVoice and Speech DisordersStroke Rehabilitation and Recovery

The Effects of Lingual Exercise in Stroke Patients With Dysphagia

Robbins, JoAnne, Kays, Stephanie A., Gangnon, Ronald E., Hind, Jacqueline A., Hewitt, Angela L., Gentry, Lindell R., Taylor, Andrew J.·2007·Archives of Physical Medicine and Rehabilitation

DOI 10.1016/j.apmr.2006.11.002

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Abstract

Objective To examine the effects of lingual exercise on swallowing recovery poststroke.Design Prospective cohort intervention study, with 4- and 8-week follow-ups.Setting Dysphagia clinic, tertiary care center.Participants Ten stroke patients (n=6, acute: < or =3mo poststroke; n=4, chronic: >3mo poststroke), age 51 to 90 years (mean, 69.7y).Intervention Subjects performed an 8-week isometric lingual exercise program by compressing an air-filled bulb between the tongue and the hard palate.Main outcome measures Isometric and swallowing lingual pressures, bolus flow parameters, diet, and a dysphagia-specific quality of life questionnaire were collected at baseline, week 4, and week 8. Three of the 10 subjects underwent magnetic resonance imaging at each time interval to measure lingual volume.Results All subjects significantly increased isometric and swallowing pressures. Airway invasion was reduced for liquids. Two subjects increased lingual volume.Conclusions The findings indicate that lingual exercise enables acute and chronic dysphagic stroke patients to increase lingual strength with associated improvements in swallowing pressures, airway protection, and lingual volume.

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The tongue plays a critical role in bolus propulsion, and tongue strengthening exercises can improve swallowing function.
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The Effects of Lingual Exercise on Swallowing in Older Adults
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Effects of Lingual Exercises, Swallowing Maneuvers Along With Conventional Therapy on Improving Swallowing Function and Quality of Life in Stroke Patients with Dysphagia
Sonawane, A. P., & Singaravelan, R. M. (2019) · International Journal of Health Sciences and Research

Authors: Robbins, J., Kays, S. A., Gangnon, R. E., Hind, J. A., Hewitt, A. L., Gentry, L. R., & Taylor, A. J.
Affiliations: University of Wisconsin–Madison (US)
Corresponding author: Robbins, JoAnne
ORCID: Gangnon, Ronald E.
Hewitt, Angela L.
Taylor, Andrew J.
Venue: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier BV
Published: 2007-02
Volume: 88
Issue: 2
Pages: 150-158
ISSN: 0003-9993 (ISSN-L)
DOI: 10.1016/j.apmr.2006.11.002
OpenAlex: W2020724812
Cited by: 523
References: 36
Citations by year: 2026: 16 · 2025: 13 · 2024: 27 · 2023: 26 · 2022: 30 · 2021: 33 · 2020: 33 · 2019: 37 · 2018: 38 · 2017: 35 · 2016: 28 · 2015: 41 · 2014: 38 · 2013: 32 · 2012: 31
FWCI: 43.66
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Archives of Physical Medicine and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Funders: Berlin-Brandenburg School for Regenerative Therapies
Topics: Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
Health Sciences › Medicine › Physiology › Voice and Speech Disorders
Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Keywords: stroke, dysphagia, swallowing recovery, tongue pressure, airway protection, bolus flow, quality of life, acute stroke, chronic stroke
MeSH terms: Aged, Aged, 80 and over, Deglutition Disorders, Diet, Exercise Therapy, Female, Follow-Up Studies, Humans, Isometric Contraction, Magnetic Resonance Imaging, Male, Manometry, Middle Aged, Prospective Studies, Quality of Life, Surveys and Questionnaires, Tongue, Treatment Outcome, Stroke

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The Effects of Lingual Exercise in Stroke Patients With Dysphagia

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