Browse > Article
http://dx.doi.org/10.15268/ksim.2019.7.1.027

Effects of Biofeedback Training on the Suprahyoid Muscle Activity of Stroke with Swallowing Disorder  

Shin, Yoona (Dept. of Occupational Therapy, Gumi University)
Kwon, Hyakcheol (Dept. of Occupational Therapy, Daegu University)
Lee, Sunmin (Dept. of Occupational Therapy, Daegu University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.7, no.1, 2019 , pp. 27-36 More about this Journal
Abstract
Purpose : The purpose of this study figures out how the biofeedback exercise combined with a Shaker exercise and a jaw-opening exercise affects the suprahyoid muscle activation of stroke with a swallowing disorder. Methods : The study period was from June, 2018 to September, 2018, to 45 patients who were suitable for selection criteria. Participants were divided into three groups: a visuoauditory biofeedback group (VABG), and a visual biofeedback group (VBG), and a self-exercise group (SG). The three groups were divided into the Shaker exercise and the jaw-opening exercise, and the biofeedback training by themselves. Three groups performed an intervention three times a day, five times a week, and four weeks long. Also, suprahyoid muscle activity was measured with a pre-test, a post-test and a follow-up test. Results : To know the suprahyoid muscle activity after the intervention, there were statistically significant differences between the pre-test and the post-intervention (p< .01). All three groups showed the improvement with the mean comparing followed by VABG, VBG and SG. Comparing between the post- test and the follow-up test, all three groups showed the reduction of suprahyoid muscle activity with the mean comparing, followed VABG, VBG and SG. Conclusion : It found that it was more effective when providing a double-sensory biofeedback than when training with a single-sensory biofeedback. Therefore, it is necessary to provide a multi-sensory input when applying the biofeedback in rehabilitation of the swallowing disorder.
Keywords
biofeedback training; suprahyoid muscle; swallowing disorder;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Moon JH, Kim GY, Won YS(2017). Effects of swallowing training with biofeedback on swallowing function and satisfaction in acute stroke patients with dysphagia. Journal of Korea Contents Society, 17(4), 63-71.
2 Moon JH, Won YS(2017). Difference of suprahyoid, masseter, orbicularis oris muscles activity in normal swallow and effortful swallow of healthy adults. Journal of Korea Entertainment Industry Association, 11(1), 231-239.   DOI
3 Peck CL, Kraft GH(1997). Electromyographic biofeedback for pain related to muscle tension: A study of tension headache, back, and jaw pain. Arch Surg, 112(7), 889-895.   DOI
4 Portney LG, Roy SH, Echternach J(2006). Electromyography and nerve conduction velocity tests. In O'Sullivan SB, Schmitz TJ, eds. Physical rehabilitation: assessment and treatment. 2nd ed, Philadelphia, FA, Davis, pp.273-315.
5 Shaker R, Kern M, Bardan E, et al(1997). Augmentation of deglutitive upper esophageal sphincter opening in the elderly by exercise. Am J Physiol Gastrointest Liver Physiol, 272(6), 1518-1522.   DOI
6 Shaker R, Easterling C, Kern M, et al(2002). Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology, 122(5), 1314-1321.   DOI
7 Song YJ, Lee HS, Jung WM(2007). Swallowing disorder. Seoul, Gyechuk Munwhasa.
8 Song YJ, Woo HS, Pack EJ, et al(2014). Swallowing disorder. Seoul, Gyechuk Munwhasa.
9 Teasell R, Foley N, Martino R, et al(2018). Dysphagia and aspiration following stroke. Evidence-Based Review of Stroke Rehabilitation, Chaper, 1-71.
10 Yoshida M, Groher ME, Crary MA, et al(2007). Comparison of surface electromyographic(sEMG) activity of submental muscles between the head lift and tougue press exercises as thrapeutic exercise for pharyngeal dysphagia. Gerodontology, 24(2), 111-116.   DOI
11 Crary M, Carnaby-Mann G, Groher M, et al(2004). Functional benefits of dysphagia therapy using adjunctive sEMG biofeedback. Dysphagia, 19, 160-164.   DOI
12 Crary M, Carnaby GD, Groher ME(2006). Biomechanical correlates of surface electromyography signals obtained during swallowing by adult. J Speech Lang Hear Res, 49, 186-193.   DOI
13 Daniels SK, Ballo LA, Mahoney MC, et al(2000). Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke patients. Arch Phys Med Rehabil, 81(8), 1030-1033.   DOI
14 Hwang WS, Ha SH, Hwang SJ(2011). Displacement of the hyoid bone among normal, aspirated, and penetrated swallows in post-stroke patients with dysphagia. Communication Sciences and Disorders, 16(3), 327-387.
15 Wada S, Tohara H, Iida T, et al(2012). Jaw-opening exercise for insufficient opening upper esophageal sphincter. Arch Phys Med Rehabil, 93(11), 1995-1999.   DOI
16 Watts CR(2013). Measurement of hyolaryngeal muscle activation using surface electromyography for comparison of two rehabilitative dysphagia exercises. Arch Phys Med Rehabil, 94(12), 2542-2548.   DOI
17 White KT, Easterling C, Roberts N, et al(2008). Fatigue analysis before and after shaker exercise: Physiologic tool for exercise design. Dysphagia, 23(4), 385-391.   DOI
18 Woo HS, Jang GY, Chen SC(2009). The effects of different head angles on suprahyoid muscle activation. J Korean Soc Occup Ther, 17(4), 71-79.
19 Carnaby GD, Harenberg L(2013). What is "usual care" in dysphagia rehabilitation: A survey of USA dysphagia practice patterns. Dysphagia, 28(4), 567-574.   DOI
20 Carrau RL, Murry T(1999). Comprehensive management of swallowing disorders. San Diego, Singular Publishing Group.
21 Cheng FT, Wu SH, Liaw MY, et al(2001). Summetrical body-weight distribution training in stroke patient and its effect on fall prevention. Arch Phys Med Rehabil, 82(12), 1650-1654.   DOI
22 Huang H, Wolf SL, He J(2006). Recent development in biofeedback for neuromotor rehabilitation. J NeuroEng Rehabil, 21(3), 11.   DOI
23 Hughes TD(2015). The effects of two rehabilitation exercise on submental hyolaryngeal muscular activity. University of Texas Christian, USA, Unpublished Doctoral dissertation.
24 Lee HS(2013). Swallowing disorder. Seoul, Gyechuk Munwhasa.
25 Lee HY, Kim H, Kwon HC, et al(2016). Effects of the distant action-observation training program on function restorations of stroke patients. J Korean Soc Occup Ther, 24(1), 1-13.
26 Jung SH, Lee KJ, Hong JB, et al(2005). Validation of clinical dysphagia scale: Based on videofluoroscopic swallowing study. J Korean Acad Rehabil Med, 29(4), 343-350.
27 Kang SH, Hur JG, Kim HS(2013). The effects of EMG biofeedback on swallowing function for the acute stroke patients. J Korean Acad Ther, 5(1), 5-12.
28 Kendell FP, McCreary EK, Provance PG, et al(2005). Muscles; testing and function with posture and pain. 5th ed, Baltimore, Lippincott William & Wilkins, pp.400.
29 Kim BY, Lee S, Moon JH, et al(2016). Comparison of chin tuck against resistance and shaker exercise on suprahyoid and sternocleidomastoid muscle activity in stroke older patients with dysphagia. J Rehabil Res, 20(3), 175-182.
30 Logemann JA, Shanathan T, Rademaker A, et al(1993). Oropharyngeal swallowing after stroke in the left basal ganglion/internal capsule. Dysphagia, 8(3), 230-234.   DOI