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http://dx.doi.org/10.22683/tsnr.2018.7.4.043

Effects of a Tongue Self-Resistance Exercise on the Swallowing Function of Patients With Stroke: Case Report  

Nam, Kyung-Wan (Dept. of Occupational Therapy, Rehabilitation Medicine, Seoul National University Bundang Hospital)
Publication Information
Therapeutic Science for Rehabilitation / v.7, no.4, 2018 , pp. 43-55 More about this Journal
Abstract
Objective: This study aims to discover how tongue self-resistance exercise affects the swallowing function of patients with stroke. Method: The subjects of this study were two patients who were treated at the Y hospital in Gyeonggido. Data were gathered by VFSS regarding the degree of swallowing disability and oral intake before and after intervention. This study analyzed case studies of two patients. One patient's intervention was applied in September 2012 for three weeks. The other's intervention was applied in February 2014 for three weeks. At the first session, the VFSS examination was administered. Then, intervention began after the patients gave their consent for participation. Each session was practiced 10 times per set, but one session had 3 sets. Intervention frequency consisted of five sessions per week, and it was conducted for three weeks. Tongue self-resistance exercise included tongue protrusion, tongue lateralization, and tongue elevation on the hard palate. Results: The first tongue self-resistance exercise had a positive effect on swallowing function because of the decrease in VFS score. The second tongue self-resistance exercise showed improved oral intake based on FOIS scores. Conclusion: This study's results suggest that there are many benefits of tongue self-resistance exercise on the swallowing function when it is applied to patients with stroke.
Keywords
Case Report; Dysphagia; Stroke; Swallowing rehabilitation; Tongue-resistance exercise;
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1 김혜원(2009). 뇌졸중 후 연하곤란 환자의 재활치료. 대한임상노인의학회지, 10, 82-86.
2 신수정(2007). 삼킴 장애가 있는 뇌졸중 환자의 목 근육 전기 자극 치료의 효과. 석사학위 논문, 연세대학교 대학원.
3 전준석, 신승엽, & 김규태. (2005). 자기통제 피드백제시에 따른 운동학습 효과. 한국체육과학회지, 14(2), 291-300.
4 권미선, 김종성 역. (2007). 삼킴장애의 평가와 치료. 서울:학지사.
5 Carnaby G, Hankey G. J., & Pizzi J.(2006). Behaviroural intervention for dysphagia in acute stroke: A randomized controlled trial. The Lancet Neurology, 5(1), 31-37. doi:10.1016/s1474-4422(05) 70252-0   DOI
6 Clark, H. M., O'Brien, K., Calleja, A., & Corrie, S. N. (2009). Effects of directional exercise on lingual strength. Journal of Speech, Language, Hearing Research, 52(4), 1034-1047. doi:10.1044/1092-4388(2009/08-0062)   DOI
7 Crary, M. A., Mann, G. D., & Groher, M. E. (2005). Initial psychometric assessment of a functional or al intake scale for dysphagia in stroke patients. Archives of Physical Medicine and Rehabilitation, 86(8), 1516-1520. doi:10.1016/j.apmr.2004.11.049   DOI
8 Flansbjer, U. B., Miller, M., Downham, D., & Lexell, J. (2008). Progressive resistance training after stroke: Effects on muscle strength, muscle tone, gaitperformance and perceived participation. Journal of Rehabilitation Medicine, 40(1), 42-48. doi:10.2340/16501977-0129   DOI
9 Groher M. E., & Crary M. A. (2010). Dysphagia: Clinical Management in Adults and Children. Mosby. 1st, Maryland Heights.
10 Han, T. R., Paik, N. J., & Park, J. W. (1999). The functional dysphagia scale using videofluoroscopic swallowing study in stroke patients. Journal of the Korean Academy of Rehabilitation Medicine, 23(6), 1118-1126.
11 Hori, K., Taniguchi, H., Hayashi, H., Magara, J., Minagi, Y., Li, Q., ... & Inoue, M. (2013). Role of tongue pressure production in oropharyngeal swallow biomechanics. Physiological reports, 1(6). doi:10.1002/phy2.167
12 Horner, J., Buoyer, F. G., Alberts, M. J., & Helms, M. J. (1991). Dysphagia following brain-stem stroke: Clinical correlates and outcome. Archives of Neurology, 48(11), 1170-1173.   DOI
13 Janelle, C. M., Kim, J., & Singer, R. N. (1995). Subject-controlled performance feedback and learning of a closed motor skill. Perceptual and Motor Skills, 81(2), 627-634.   DOI
14 Kim, I. S., & Han, T. R. (2006). Evaluation and management of dysphagia. Korean Journal of Stroke, 8(8), 40-48
15 Lazarus, C., Logemann, J. A., Huang, C. F., & Rademaker, A. W. (2003). Effects of two types of tongue strengthening exercises in young normals. Folia Phoniatr Logop, 55(4), 199-205. doi:10.1159/000071019   DOI
16 Morris, S. L., Dodd, K. J., & Morris, M. E. (2004). Outcomes of progressive resistance strength training following stroke: A systematic review. Clinical rehabilitation, 18(1), 27-39. doi:10.1191/0269215504cr699oa   DOI
17 Lazarus, C. (2006). Tongue strength and exercise in healthy individuals and in head and neck cancer patients. Seminars in Speech and Language, 27(4), 260-267. doi:10.1055/s-2006-955116   DOI
18 Logemann, J. A. (1998). Evaulation and Treatment of Swallowing Disorders, 2/E.
19 Martino, R., Foley, N., Bhogal, S., Diamant, N., Speechley, M., & Teasell, R. (2005). Dysphagia after stroke: Incidence, diagnosis, and pulmonary complications. Stroke, 36(12), 2756-2763.doi: 10.1161/01.str.0000190056. 76543.eb   DOI
20 Ono, T., Hori, K., & Nokubi, T. (2004). Pattern of tongue pressure on hard palate during swallowing. Dysphagia, 19(4), 259-264. doi:10.1007/s00455-004-0010-9   DOI
21 Permsirivanich, W., Tipchatyotin, S., Wongchai, M., Leelamanit, V., Setthawatcharawanich, S., Sathirapanya, P., & Boonmeeprakob, A. (2009). Comparing the effects of rehabilitation swallowing therapy vs. neuromuscular electrical stimulation therapy among stroke patients with persistent pharyngeal dysphagia: A randomized controlled study. Medical Journal of the Medical Association of Thailand, 92(2), 259.
22 Robbins, J., Gangnon, R. E., Theis, S. M., Kays, S. A., Hewitt, A. L., & Hind, J. A. (2005). The effects of lingual exercise on swallowing in older adults. Journal of the American Geriatrics Society, 53(9), 1483-1489. doi:10. 1111/j.1532-5415.2005.53467.x   DOI
23 Robbins, J., Kays, S. A., Gangnon, R. E., Hind, J. A., Hewitt, A. L., Gentry, L. R., & Taylor, A. J. (2007). The effects of lingual exercise in stroke patients with dysphagia. Archives of Physical Medicine and Rehabilitation, 88(2), 150-158. doi:10.1016/j.apmr.2006.11.002   DOI
24 Youmans, S. R., & Stierwalt, J. A. (2006). Measures of tongue function related to normal swallowing. Dysphagia, 21(2), 102-111. doi:10. 1007/s00455-006-9013-z   DOI
25 Robbins, J., Levine, R., Wood, J., Roecker, E. B., & Luschei, E. (1995). Age effects on lingual pressure generation as a risk factor for dysphagia. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 50(5), 257-262.
26 Singh, S. A., & Hamdy, S. (2006). Dysphagia in stroke patients. Postgraduate Medical Journal, 82(968), 383-391.   DOI