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The Effects of Lingual Exercise in Stroke Patients With Dysphagia
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 propulsion22 and tongue strengthening exercises can be of benefit in improving swallowing function;23”
From Classification of high-resolution manometry data according to videofluoroscopic parameters using pattern recognition (2013) · cites this paper as [23]
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Metadata
- 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
- 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)
- 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
- 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 › Health Professions › Speech and Hearing › 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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