Proposal for a Modified Jaw Opening Exercise for Dysphagia: A Randomized, Controlled Trial.
Tokai J Exp Clin Med
; 42(2): 71-78, 2017 Jul 20.
Article
en En
| MEDLINE
| ID: mdl-28681366
ABSTRACT
OBJECTIVE:
To verify the feasibility and effectiveness of a newly developed modified jaw opening exercise (MJOE) in post-stroke patients with pharyngeal residue who completed a sixweek exercise regimen.DESIGN:
Double-blind, randomized, controlled trial.PARTICIPANTS:
16 patients with stroke-related dysphagia.INTERVENTIONS:
Participants were allocated to an intervention group (MJOE one set of five repetitions at 80% maximum voluntary contraction (MVC) for 6 seconds) or a control group (isometric jaw closing exercise one set of five repetitions at 20% MVC for 6 seconds). Each group performed four sets a day, five times a week, for a total of six weeks. MAIN OUTCOMEMEASURES:
A videofluorographic swallowing study was performed before and after exercise. The distance between the mental spine and the hyoid bone (DMH) and hyoid displacement (HD) were measured.RESULTS:
Twelve participants completed the study. No pain in the temporomandibular joint and/or anterior region of the neck occurred during the exercise period. In the intervention group (N=6), a decrease in DMH where anterior HD ended and an increase in anterior HD were seen. In the control group (N=6), no changes were seen.CONCLUSIONS:
MJOE is feasible without any adverse events in poststroke patients, and it promotes anterior HD during swallowing.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ejercicio Físico
/
Trastornos de Deglución
/
Maxilares
Tipo de estudio:
Clinical_trials
/
Etiology_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Tokai J Exp Clin Med
Año:
2017
Tipo del documento:
Article
País de afiliación:
Japón