Effectiveness of exercises to rehabilitate oropharyngeal dysphagia after stroke: an integrative review

Efectividad de ejercicios para rehabilitar la disfagia orofaríngea posterior a un accidente cerebrovascular: una revisión integradora

Published 2022-02-05

Open | Download
PDF Icon Flip Icon XML Icon
Issue
Vol. 4 No. 1 (2022)
Section
Review Articles
How to Cite
1.
Effectiveness of exercises to rehabilitate oropharyngeal dysphagia after stroke: an integrative review. Rev. Investig. Innov. Cienc. Salud [Internet]. 2022 Feb. 5 [cited 2024 Dec. 22];4(1):73-91. Available from: https://riics.info/index.php/RCMC/article/view/81
DOI

https://doi.org/10.46634/riics.81
Dimensions
PlumX
license
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Jorge Sepúlveda-Contreras
Departamento de Fonoaudiología; Facultad de Ciencias de la Salud; Universidad San Sebastián, Sede Valdivia; Valdivia; Chile.
    https://orcid.org/0000-0002-7060-2475
    Francisca Jarpa-Muñoz
    Departamento de Fonoaudiología; Facultad de Ciencias de la Salud; Universidad San Sebastián, Sede Valdivia; Valdivia; Chile.
      https://orcid.org/0000-0002-1151-0095
      Show authors biography

      Introduction. The treatment selection for patients with dysphagia should be based on the best possible quality evidence. This treatment may involve rehabilitative exercises with the aim of modifying swallowing physiology and promoting long-term changes.

      Objective. To explore the effects of exercises and maneuvers aimed at reactivating swallowing function in people with oropharyngeal dysphagia after a stroke, through existing scientific publications from the last ten years.

      Methodology. A literature review was carried out in the PubMed databases with the MeSH terms “Deglutition Disorders” and “Exercise Therapy”, and with the free terms “Dysphagia” and “Swallowing Therapy”, combined with the Boolean intersection "AND".

      Results. The tongue-to-palate resistance training exercises, expiratory muscle strength training (EMST), chin tuck against resistance (CTAR), Shaker, and jaw opening were those that showed, with greater bibliographic support, positive effects in the treatment of dysphagia.

      Conclusions. The information collected could be of clinical utility to guide the selection of one or another therapeutic procedure. Evidence should continue to be generated regarding the effectiveness of swallowing exercises in oropharyngeal dysphagia after stroke.

      Article visits 2765 | PDF visits 2243

      1. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005;36(12):2756–2763. doi: https://doi.org/10.1161/01.STR.0000190056.76543.eb
      2. González-Fernández M, Ottenstein L, Atanelov L, Christian AB. Dysphagia after Stroke: an Overview. Current physical medicine and rehabilitation reports. 2013;1(3):187–196. doi: https://doi.org/10.1007/s40141-013-0017-y
      3. Arnold M, Liesirova K, Broeg-Morvay A, Meisterernst J, Schlager M, Mono ML, et al. Dysphagia in Acute Stroke: Incidence, Burden and Impact on Clinical Outcome. PloS one. 2016;11(2):e0148424. doi: https://doi.org/10.1371/journal.pone.0148424
      4. Terré R, Mearin F. Oropharyngeal dysphagia after the acute phase of stroke: predictors of aspiration. Neurogastroenterology and motility: the official journal of the European Gastrointestinal Motility Society. 2006;18(3):200–205. doi: https://doi.org/10.1111/j.1365-2982.2005.00729
      5. Kim DY, Park HS, Park SW, Kim JH. The impact of dysphagia on quality of life in stroke patients. Medicine. 2020;99(34):e21795. doi: https://doi.org/10.1097/MD.0000000000021795
      6. Vose A, Nonnenmacher J, Singer ML, González-Fernández M. Dysphagia Management in Acute and Sub-acute Stroke. Current physical medicine and rehabilitation reports. 2014;2(4):197–206. doi: https://doi.org/10.1007/s40141-014-0061-2
      7. Bath PM, Lee HS, Everton LF. Swallowing therapy for dysphagia in acute and subacute stroke. The Cochrane database of systematic reviews. 2018;10(10):CD000323. doi: https://doi.org/10.1002/14651858.CD000323.pub3
      8. Terré R. Disfagia orofaríngea en el ictus: aspectos diagnósticos y terapéuticos [Oropharyngeal dysphagia in stroke: diagnostic and therapeutic aspects]. Revista de neurologia. 2020;70(12):444–452. doi: https://doi.org/10.33588/rn.7012.2019447
      9. Logemann JA. Swallowing disorders. Best practice & research. Clinical gastroenterology. 2007;21(4):563–573. doi: https://doi.org/10.1016/j.bpg.2007.03.006
      10. Langmore SE, Pisegna JM. Efficacy of exercises to rehabilitate dysphagia: A critique of the literature. International Journal of Speech-Language. Pathology. 2015;17(3):222–229. doi: https://doi.org/10.3109/17549507.2015.1024171
      11. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 2009;6(7): e1000097. doi: https://doi.org/10.1371/journal.pmed.1000097
      12. Kim HD, Choi JB, Yoo SJ, Chang MY, Lee SW, Park JS. Tongue-to-palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia. Journal of Oral Rehabilitation, 2017;44(1):59-64. doi: https://doi.org/10.1111/joor.12461
      13. Moon JH, Hahm SC, Won YS, Cho, HY. The effects of tongue pressure strength and accuracy training on tongue pressure strength, swallowing function, and quality of life in subacute stroke patients with dysphagia. International Journal of Rehabilitation Research. 2018;41(3):204-210. doi: https://doi.org/10.1097/mrr.0000000000000282
      14. Steele CM, Bayley MT, Peladeau-Pigeon M, Nagy A, Namasivayam AM, Stokely SL, Wolkin T. A Randomized Trial Comparing Two Tongue-Pressure Resistance Training Protocols for Post-Stroke Dysphagia. Dysphagia. 2016;31(3):452–461. doi: https://doi.org/10.1007/s00455-016-9699-5
      15. Hegland KW, Davenport PW, Brandimore AE, Singletary FF, Troche MS. Rehabilitation of Swallowing and Cough Functions Following Stroke: An Expiratory Muscle Strength Training Trial. Archives of Physical Medicine and Rehabilitation. 2016;97(8):1345–1351. doi: https://doi.org/10.1016/j.apmr.2016.03.027
      16. Eom MJ, Chang MY, Oh DH, Kim HD, Han NM, Park JS. Effects of resistance expiratory muscle strength training in elderly patients with dysphagic stroke. NeuroRehabilitation. 2017;41(4):747-752. doi: https://doi.org/10.3233/NRE-172192
      17. Park JS, Oh DH, Chang MY, Kim KM. Effects of expiratory muscle strength training on oropharyngeal dysphagia in subacute stroke patients: a randomised controlled trial. Journal of Oral Rehabilitation. 2016;43(5):364–372. doi: https://doi.org/10.1111/joor.12382
      18. Easterling C, Grande B, Kern M, Sears K, Shaker R. Attaining and Maintaining Isometric and Isokinetic Goals of the Shaker Exercise. Dysphagia. 2005;20(2):133–138. doi: https://doi.org/10.1007/s00455-005-0004-2
      19. Choi JB, Shim SH, Yang JE, Kim HD, Lee DH, Park JS. Effects of Shaker exercise in stroke survivors with oropharyngeal dysphagia. NeuroRehabilitation. 2017;41(4):753–757. doi: https://doi.org/10.3233/nre-172145
      20. Gao J, Zhang H. Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction. European Journal of Physical and Rehabilitation Medicine. 2017;53(3):426-432. doi: https://doi.org/10.23736/S1973-9087.16.04346-X.
      21. Park JS, Hwang NK, Oh DH, Chang MY. Effect of head lift exercise on kinematic motion of the hyolaryngeal complex and aspiration in patients with dysphagic stroke. Journal of Oral Rehabilitation. 2017;44(5):385–391. doi: https://doi.org/10.1111/joor.12492
      22. Choi JB, Jung YJ, Park JS. Comparison of 2 types of therapeutic exercise: jaw opening exercise and head lift exercise for dysphagic stroke: A pilot study. Medicine. 2020;99(38):e22136. doi: https://doi.org/10.1097/MD.0000000000022136
      23. Hara K, Tohara H, Minakuchi S. Treatment and evaluation of dysphagia rehabilitation especially on suprahyoid muscles as jaw-opening muscles. The Japanese dental science review. 2018;54(4):151–159. doi: https://doi.org/10.1016/j.jdsr.2018.06.003
      24. Koyama Y, Sugimoto A, Hamano T, Kasahara T, Toyokura M. Masakado Y. Proposal for a modified jaw opening exercise for dysphagia: a randomized, controlled trial. Tokai Journal of Experimental and Clinical Medicine. 2017;42(2):71‐8. Disponible en: http://mj-med-u-tokai.com/pdf/420203.pdf
      25. Wada S, Tohara H, Iida T, Inoue M, Sato M, Ueda K. Jaw-Opening Exercise for Insufficient Opening of Upper Esophageal Sphincter. Archives of Physical. Medicine and Rehabilitation. 2012;93(11):1995–1999. doi: https://doi.org/10.1016/j.apmr.2012.04.025
      26. Park JS, An DH, Kam KY, Yoon T, Kim T, Chang MY. Effects of resistive jaw opening exercise in stroke patients with dysphagia: A double- blind, randomized controlled study. Journal of Back and Musculoskeletal Rehabilitation. 2020;33(3):507-513. doi: https://doi.org/10.3233/bmr-181477
      27. Yoon WL, Khoo JKP, Rickard Liow SJ. Chin Tuck Against Resistance (CTAR): New Method for Enhancing Suprahyoid Muscle Activity Using a Shaker-type Exercise. Dysphagia. 2013;29(2):243–248. doi: https://doi.org/10.1007/s00455-013-9502-9
      28. Park JS, Lee G, Jung YJ. Effects of game-based chin tuck against resistance exercise vs head-lift exercise in patients with dysphagia after stroke: An assessor-blind, randomized controlled trial. Journal of rehabilitation medicine. 2019;51(10):749–754. doi: https://doi.org/10.2340/16501977-2603
      29. Kim H, Park J. Efficacy of modified chin tuck against resistance exercise using hand‐free device for dysphagia in stroke survivors: A randomised controlled trial. Journal of Oral Rehabilitation. 2019;46(11):1042-1046. doi: https://doi.org/10.1111/joor.12837
      30. Park JS, An DH, Oh DH, Chang MY. Effect of chin tuck against resistance exercise on patients with dysphagia following stroke: A randomized pilot study. NeuroRehabilitation. 2018;42(2):191–197. doi: https://doi.org/10.3233/nre-172250
      31. Logemann JA, Kahrilas PJ. Relearning to swallow after stroke--application of maneuvers and indirect biofeedback: a case study. Neurology. 1990;40(7):1136–1138. doi: https://doi.org/10.1212/wnl.40.7.1136
      32. Logemann JA. Dysphagia: Evaluation and Treatment. Folia Phoniatrica et Logopaedica. 1995;47(3):140–164. doi: https://doi.org/10.1159/000266348
      33. McCullough GH, Kim Y. Effects of the Mendelsohn maneuver on extent of hyoid movement and UES opening post-stroke. Dysphagia. 2013;28(4):511–519. doi: https://doi.org/10.1007/s00455-013-9461-1
      34. McCullough GH, Kamarunas E, Mann GC, Schmidley JW, Robbins JA, Crary MA. Effects of Mendelsohn maneuver on measures of swallowing duration post stroke. Topics in stroke rehabilitation. 2012;19(3):234–243. doi: https://doi.org/10.1310/tsr1903-234
      35. Park HS, Oh DH, Yoon T, Park JS. Effect of effortful swallowing training on tongue strength and oropharyngeal swallowing function in stroke patients with dysphagia: a double-blind, randomized controlled trial. International Journal of Language & Communication Disorders. 2019;54(3):479-484. doi: https://doi.org/10.1111/1460-6984.12453
      36. Rosenbek JC, Robbins J, Willford WO, Kirk G, Schiltz A, Sowell TW, et al. Comparing treatment intensities of tactile-thermal application. Dysphagia. 1998;13(1):1–9. doi: https://doi.org/10.1007/PL00009542
      37. Logemann JA. Manual for the videofluorographic study of swallowing. San Diego: College-Hill Press; 1986.
      38. Nakamura T, Fujishima I. Usefulness of Ice Massage in Triggering the Swallow Reflex. Journal of Stroke and Cerebrovascular Diseases. 2013;22(4):378–382. doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2011.09.016
      39. Hwang NK, Kim HH, Shim JM, Park JS. Tongue stretching exercises improve tongue motility and oromotor function in patients with dysphagia after stroke: A preliminary randomized controlled trial. Archives of oral biology. 2019;108:104521. doi: https://doi.org/10.1016/j.archoralbio.2019.104521
      40. Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Phys Med Rehabil Clin N Am. 2008;19(4):691-vii. doi: https://doi.org/10.1016/j.pmr.2008.06.001
      41. Guevara DE, Avendaño SS, Salazar AA, Alarcón BM, Santelices SM. Contribución de la temperatura fría y el sabor ácido en la intervención fonoaudiológica de la disfagia orofaríngea. Revista Chilena de Fonoaudiología. 2016;15:1-9. doi: https://doi.org/10.5354/0719-4692.2016.44206
      42. Imada M, Kagaya H, Ishiguro Y, Miho K, Yoko I, Takashi T, et al. Effect of visual biofeedback to acquire supraglottic swallow in healthy individuals: a randomized-controlled trial. Journal of Rehabilitation Research, 2016;39(2):181-184. doi: https://doi.org/10.1097/mrr.0000000000000154
      Publish with RIICS

      Scimago

      Most read in the last 30 days

      Sistema OJS 3.4.0.7 - Metabiblioteca |