Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia

doi:10.1589/jpts.29.609

. 2017 Apr;29(4):609-612.

doi: 10.1589/jpts.29.609. Epub 2017 Apr 20.

Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia

Jong Hoon Moon^{1

2}, Jin-Hwa Jung³, Young Sik Won⁴, Hwi-Young Cho⁵, KiHun Cho⁶

Affiliations

¹ Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea.
² Department of Occupational Therapy, Incheon Sarang Hospital, Republic of Korea.
³ Department of Occupational Therapy, Semyung University, Republic of Korea.
⁴ Department of Occupational Therapy, Shinsung University, Republic of Korea.
⁵ Department of Physical Therapy, Gachon University, Republic of Korea.
⁶ Department of Physical Therapy, Uiduk University, Republic of Korea.

PMID: 28533594
PMCID: PMC5430257
DOI: 10.1589/jpts.29.609

Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia

Jong Hoon Moon et al. J Phys Ther Sci. 2017 Apr.

. 2017 Apr;29(4):609-612.

doi: 10.1589/jpts.29.609. Epub 2017 Apr 20.

Authors

Jong Hoon Moon^{1

2}, Jin-Hwa Jung³, Young Sik Won⁴, Hwi-Young Cho⁵, KiHun Cho⁶

Affiliations

¹ Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea.
² Department of Occupational Therapy, Incheon Sarang Hospital, Republic of Korea.
³ Department of Occupational Therapy, Semyung University, Republic of Korea.
⁴ Department of Occupational Therapy, Shinsung University, Republic of Korea.
⁵ Department of Physical Therapy, Gachon University, Republic of Korea.
⁶ Department of Physical Therapy, Uiduk University, Republic of Korea.

PMID: 28533594
PMCID: PMC5430257
DOI: 10.1589/jpts.29.609

Abstract

[Purpose] This study was conducted to identify the effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia. [Subjects and Methods] A total of 18 stroke patients with dysphagia were enrolled in the study. All participants were randomly assigned to either an experimental group (n=9) or a control group (n=9). All participants performed traditional-swallowing rehabilitation therapy in 30-minute sessions five times a week for four weeks; however, only the experimental group received expiratory muscle strength training. [Results] Both groups showed significant improvements after mediation. When compared with the control group, the functional dysphagia scale, vallecular residue, and penetration-aspiration scale were significantly improved in the experimental group. [Conclusion] Expiratory muscle strength training is an effective intervention for impaired swallowing function in acute strike patients with dysphagia.

Keywords: Dysphagia; Expiratory muscle strength training; Stroke.

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References

1. Kidd D, Lawson J, Nesbitt R, et al. : Aspiration in acute stroke: a clinical study with videofluoroscopy. Q J Med, 1993, 86: 825–829. - PubMed
1. Mann G, Hankey GJ, Cameron D: Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke, 1999, 30: 744–748. - PubMed
1. Smithard DG, O’Neill PA, Parks C, et al. : Complications and outcome after acute stroke. Does dysphagia matter? Stroke, 1996, 27: 1200–1204. - PubMed
1. Ramsey DJ, Smithard DG, Kalra L: Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke, 2003, 34: 1252–1257. - PubMed
1. Pitts T, Morris K, Lindsey B, et al. : Co-ordination of cough and swallow in vivo and in silico. Exp Physiol, 2012, 97: 469–473. - PMC - PubMed

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[1] Kidd D, Lawson J, Nesbitt R, et al. : Aspiration in acute stroke: a clinical study with videofluoroscopy. Q J Med, 1993, 86: 825–829. - PubMed

[2] Kidd D, Lawson J, Nesbitt R, et al. : Aspiration in acute stroke: a clinical study with videofluoroscopy. Q J Med, 1993, 86: 825–829. - PubMed

[3] Mann G, Hankey GJ, Cameron D: Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke, 1999, 30: 744–748. - PubMed

[4] Mann G, Hankey GJ, Cameron D: Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke, 1999, 30: 744–748. - PubMed

[5] Smithard DG, O’Neill PA, Parks C, et al. : Complications and outcome after acute stroke. Does dysphagia matter? Stroke, 1996, 27: 1200–1204. - PubMed

[6] Smithard DG, O’Neill PA, Parks C, et al. : Complications and outcome after acute stroke. Does dysphagia matter? Stroke, 1996, 27: 1200–1204. - PubMed

[7] Ramsey DJ, Smithard DG, Kalra L: Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke, 2003, 34: 1252–1257. - PubMed

[8] Ramsey DJ, Smithard DG, Kalra L: Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke, 2003, 34: 1252–1257. - PubMed

[9] Pitts T, Morris K, Lindsey B, et al. : Co-ordination of cough and swallow in vivo and in silico. Exp Physiol, 2012, 97: 469–473. - PMC - PubMed

[10] Pitts T, Morris K, Lindsey B, et al. : Co-ordination of cough and swallow in vivo and in silico. Exp Physiol, 2012, 97: 469–473. - PMC - PubMed

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Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia

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Effects of expiratory muscle strength training on swallowing function in acute stroke patients with dysphagia

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