Effects of Device-Facilitated Isometric Progressive Resistance Oropharyngeal Therapy on Swallowing and Health-Related Outcomes in Older Adults with Dysphagia

Journal of the American Geriatrics Society
Nicole Rogus-PuliaJoAnne Robbins

Abstract

Swallowing disorders (dysphagia) are associated with malnutrition, aspiration pneumonia, and mortality in older adults. Strengthening interventions have shown promising results, but the effectiveness of treating dysphagia in older adults remains to be established. The Swallow STRengthening OropharyNGeal (Swallow STRONG) Program is a multidisciplinary program that employs a specific approach to oropharyngeal strengthening-device-facilitated (D-F) isometric progressive resistance oropharyngeal (I-PRO) therapy-with the goal of reducing health-related sequelae in veterans with dysphagia. Participants completed 8 weeks of D-F I-PRO therapy while receiving nutritional counseling and respiratory status monitoring. Assessments were completed at baseline, 4, and 8 weeks. At each visit, videofluoroscopic swallowing studies were performed. Dietary and swallowing-related quality of life questionnaires were administered. Long-term monitoring for 6-17 months after enrollment allowed for comparison of pneumonia incidence and hospitalizations to the 6-17 months before the program. Veterans with dysphagia confirmed with videofluoroscopy (N = 56; 55 male, 1 female; mean age 70) were enrolled. Lingual pressures increased at anterior (effect estim...Continue Reading

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Citations

Feb 10, 2017·Muscle & Nerve·Miranda J Cullins, Nadine P Connor
Feb 6, 2018·Journal of Materials Science. Materials in Medicine·Rita López-CebralRui L Reis
Oct 2, 2017·Dysphagia·Brittany N KrekelerNicole Rogus-Pulia
Dec 16, 2017·The Laryngoscope·Miranda J CullinsNadine P Connor
Jun 12, 2018·Journal of Oral Rehabilitation·L P ValarelliF C P Valera
Nov 9, 2017·Journal of Speech, Language, and Hearing Research : JSLHR·Melanie Peladeau-Pigeon, Catriona M Steele
Oct 31, 2017·American Journal of Speech-language Pathology·Ashwini M Namasivayam-MacDonaldCatriona M Steele
Aug 21, 2019·Journal of the American Geriatrics Society·Colleen Christmas, Nicole Rogus-Pulia
Oct 31, 2018·The Cochrane Database of Systematic Reviews·Philip M BathLisa F Everton
Jan 11, 2020·Frontiers in Neuroscience·Miranda J CullinsNadine P Connor
Jul 12, 2020·American Journal of Speech-language Pathology·Nicole M Rogus-Pulia, Emily K Plowman
Jul 9, 2017·Dysphagia·Laura L PittsLeonard L LaPointe
Sep 21, 2019·Dysphagia·James C Borders, Danielle Brates
Nov 1, 2018·The Journal of Nutrition, Health & Aging·E R Oommen, Y Kim
Aug 28, 2020·Geriatrics·Ting-Fen Lin, Samantha Shune
Mar 7, 2020·Dysphagia·Brittany N KrekelerNadine P Connor
Feb 19, 2021·Journal of Applied Physiology·Miranda J CullinsNadine P Connor
Apr 13, 2021·Journal of Speech, Language, and Hearing Research : JSLHR·Brittany N KrekelerNicole Rogus-Pulia
Oct 6, 2020·Experimental Gerontology·Heidi KletzienNadine P Connor
Oct 20, 2019·Journal of Voice : Official Journal of the Voice Foundation·Aaron M Johnson, Mary J Sandage
May 29, 2021·Journal of Nutrition in Gerontology and Geriatrics·Seth M CohenSudha Raman
Jul 10, 2021·Journal of Voice : Official Journal of the Voice Foundation·Aaron M Johnson, Mary J Sandage
Sep 16, 2021·Journal of Speech, Language, and Hearing Research : JSLHR·Corinne A Jones, Christina M Colletti
Feb 6, 2020·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Leen Van den SteenGwen Van Nuffelen
Nov 9, 2021·Frontiers in Physiology·Tiffany J GlassNadine P Connor

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