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

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 fiv...

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Autores principales: Hwang, Jong-Moon, Jung, Hyunwoo, Kim, Chul-Hyun, Lee, Yang-Soo, Lee, Myunghwan, Hwang, Soo Yeon, Kim, Ae-Ryoung, Park, Donghwi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065833/
https://www.ncbi.nlm.nih.gov/pubmed/33916285
http://dx.doi.org/10.3390/healthcare9040407
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author Hwang, Jong-Moon
Jung, Hyunwoo
Kim, Chul-Hyun
Lee, Yang-Soo
Lee, Myunghwan
Hwang, Soo Yeon
Kim, Ae-Ryoung
Park, Donghwi
author_facet Hwang, Jong-Moon
Jung, Hyunwoo
Kim, Chul-Hyun
Lee, Yang-Soo
Lee, Myunghwan
Hwang, Soo Yeon
Kim, Ae-Ryoung
Park, Donghwi
author_sort Hwang, Jong-Moon
collection PubMed
description 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.
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spelling pubmed-80658332021-04-25 Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study Hwang, Jong-Moon Jung, Hyunwoo Kim, Chul-Hyun Lee, Yang-Soo Lee, Myunghwan Hwang, Soo Yeon Kim, Ae-Ryoung Park, Donghwi Healthcare (Basel) Article 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. MDPI 2021-04-01 /pmc/articles/PMC8065833/ /pubmed/33916285 http://dx.doi.org/10.3390/healthcare9040407 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hwang, Jong-Moon
Jung, Hyunwoo
Kim, Chul-Hyun
Lee, Yang-Soo
Lee, Myunghwan
Hwang, Soo Yeon
Kim, Ae-Ryoung
Park, Donghwi
Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study
title Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study
title_full Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study
title_fullStr Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study
title_full_unstemmed Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study
title_short Submandibular Push Exercise Using Visual Feedback from a Pressure Sensor in Patients with Swallowing Difficulties: A Pilot Study
title_sort submandibular push exercise using visual feedback from a pressure sensor in patients with swallowing difficulties: a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065833/
https://www.ncbi.nlm.nih.gov/pubmed/33916285
http://dx.doi.org/10.3390/healthcare9040407
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