An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia

Clinical Interventions in Aging
Matina BalouSonja M Molfenter

Abstract

The aim of this study was to investigate improvements in swallowing function and physiology in a series of healthy older adults with radiographically confirmed dysphagia, following completion of an exercise-based swallowing intervention. Nine otherwise healthy older adults (six females, mean age =75.3, SD =5.3) had confirmed impairments in swallowing safety and/or efficiency on a modified barium swallow study. Each participant completed an 8-week swallowing treatment protocol including effortful swallows, Mendelsohn maneuvers, tongue-hold swallows, supraglottic swallows, Shaker exercises and effortful pitch glides. Treatment sessions were conducted once per week with additional daily home practice. Penetration-Aspiration Scale and the Modified Barium Swallowing Impairment Profile (MBSImP) were scored in a blind and randomized fashion to examine changes to swallowing function and physiology from baseline to post-treatment. There were significant improvements in swallowing physiology as represented by improved oral and pharyngeal composite scores of the MBSImP. Specific components to demonstrate statistical improvement included initiation of the pharyngeal swallow, laryngeal elevation and pharyngeal residue. There was a nonsignif...Continue Reading

Citations

Jul 31, 2020·Auris, Nasus, Larynx·Chun-Hao LinYueh-Juen Hwu
Nov 1, 2020·International Journal of Environmental Research and Public Health·Shang-Jung WuYueh-Juen Hwu
May 5, 2021·Neurological Research and Practice·Rainer DziewasChristina Pflug
May 16, 2021·The Journal of International Medical Research·Jianrong ZhangQingping Huang
Aug 12, 2021·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Yea-Tzy ChenHung-Ming Chang
Nov 4, 2021·American Journal of Speech-language Pathology·Phyllis M Palmer, Aaron H Padilla

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