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Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study

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Abstract
Objectives: We aimed to determine the usefulness and effectiveness of a submandibular push exercise with visual feedback from a pressure sensor in patients with dysphagia through continuous exercise sessions. Methods: Twelve patients with dysphagia of various etiologies were included. A total of five exercise sessions (every 3 or 4 days) over three weeks were conducted. During the submandibular push exercise, patients were instructed to maintain a maximum force for 3 s, repeated for 1 min to measure the number of exercises, the maximum pressure, and the area of the pressure-time graph. We statistically compared the values of each exercise trial. Results: Among the 12 patients, eight completed the exercise sessions. As the number of exercise trials increased, the maximum pressure and the area in the pressure-time graph showed a significant increase compared to the previous attempt (p < 0.05). The maximum pressure and the area of the pressure-time graph improved from the first to the fourth session (p < 0.05). The values were maintained after the fourth session, and there was no significant difference between the fourth and the fifth exercise (p > 0.05). There was no significant difference between successful and non-successful groups, except for the Modified Barthel Index (p < 0.05). Conclusion: Through repetitive exercise training, the submandibular push exercise using visual feedback from a pressure sensor can be applied as an exercise method to strengthen swallowing related muscles, such as the suprahyoid and infrahyoid muscles. However, additional studies including more patients and a long-term study period are warranted to evaluate the effects of the exercise for improvement of dysphagia.
Author(s)
김애령김철현박동휘이명환이양수정현우황수연황종문
Issued Date
2021
Type
Article
Keyword
CTARDysphagiaFeedbackinfrahyoidLarynxPatientsSensorsShaker exerciseSpinal cordStatistical analysisStrokesubmandibular push exerciseSuccesssuprahyoidTongue
DOI
10.3390/healthcare9040407
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7995
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_21797ca3b490408ba7deb08b80d430d2&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Submandibular%20Push%20Exercise%20Using%20Visual%20Feedback%20from%20a%20Pressure%20Sensor%20in%20Patients%20with%20Swallowing%20Difficulties:%20A%20Pilot%20Study&amp;offset=0&amp;pcAvailability=true
Publisher
Healthcare
Location
영국
Language
영어
ISSN
2227-9032
Citation Volume
9
Citation Number
4
Citation Start Page
407
Citation End Page
407
Appears in Collections:
Medicine > Medicine
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