An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia
An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia
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DOI：
10.2147/cia.s194723
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发表时间：
2019-01-01
影响因子：
3.6
通讯作者：
Molfenter, Sonja M.
中科院分区：
文献类型：
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作者：
Balou, Matina;Herzberg, Erica G.;Molfenter, Sonja M.
目的：本研究的目的是调查改善吞咽功能和生理在一系列的健康老年人与放射学证实的吞咽困难，完成后的锻炼bawd吞咽intervention.Patients和方法：9个其他健康的老年人（6名女性，平均年龄= 75.3，SD = 5.3）已确认损害吞咽安全性和/或效率的改良钡吞咽研究。每位参与者完成了为期8周的吞咽治疗方案，包括努力吞咽，门德尔松演习，舌头举行吞咽，声门上吞咽，振动练习和努力俯仰滑行。每周进行一次治疗，并增加每日家庭练习。渗透抽吸量表和改良钡吞咽损伤配置文件（MBSIMP）进行了评分，在一个盲目的和随机的方式检查吞咽功能和生理的变化，从基线到posttreatment.Results：有吞咽生理学的改善所代表的改善口腔和咽部综合评分的MBSIMP的显着改善。用于证明统计学改善的特定组分包括咽部吞咽开始、喉部抬高和咽部残留。中位PAS scores.Conclusion：吞咽生理可以改善使用这种标准化的高强度运动方案在健康成人吞咽困难的证据。未来的研究需要单独检查每种运动的个体潜力，并确定理想的剂量和频率。对各种病因组的研究是必要的。
Purpose: The aim of this study was to investigate improvements in swallowing function and physiology in a series of healthy older adults with radiographically confirmed dysphagia, following completion of an exercise-bawd swallowing intervention.Patients and methods: Nine otherwise healthy older adults (six females, mean age =75.3, SD =5.3) had confirmed impairments in swallowing safety and/or efficiency on a modified barium swallow study. Each participant completed an 8-week swallowing treatment protocol including effortful swallows, Mendelsohn maneuvers, tongue-hold swallows, supraglottic swallows, Shaker exercises and effortful pitch glides. Treatment sessions were conducted once per week with additional daily home practice. Penetration-Aspiration Scale and the Modified Barium Swallowing Impairment Profile (MBSImP) were scored in a blind and randomized fashion to examine changes to swallowing function and physiology from baseline to post-treatment.Results: There were significant improvements in swallowing physiology as represented by improved oral and pharyngeal composite scores of the MBSImP. Specific components to demonstrate statistical improvement included initiation of the pharyngeal swallow, laryngeal elevation and pharyngeal residue. There was a nonsignificant reduction in median PAS scores.Conclusion: Swallowing physiology can be improved using this standardized high-intensity exercise protocol in healthy adults with evidence of dysphagia. Future research is needed to examine the individual potential of each exercise in isolation and to determine ideal dose and frequency. Studies on various etiological groups are warranted.