Arquivo da tag: therapy

Effects of neck exercises on swallowing function of patients with stroke.

J Phys Ther Sci. 2015 Apr;27(4):1005-8. doi: 10.1589/jpts.27.1005. Epub 2015 Apr 30.

Abstract

[Purpose] This study examined the effects of neck exercises using PNF on the swallowing function of stroke patients with dysphasia. [Subjects and Methods] A total of 26 study subjects were selected and randomly divided into an experimental group of 13 subjects, who received the PNF-based short neck flexion exercises, and a control group of 13 subjects, who received the Shaker exercise. [Results] The experimental group showed statistically significant improvements in premature bolus loss, residue in the valleculae, laryngeal elevation, epiglottic closure, residue in the pyriform sinuses, and coating of the pharyngeal wall after swallowing, and improvements in pharyngeal transit time, and aspiration on both the new VFSS scale and the ASHA NOMS scale. [Conclusion] PNF-based short neck flexion exercises appear to be effective at improving swallowing function of stroke patients with dysphagia.

Pretreatment, Preoperative Swallowing Exercises May Improve Dysphagia Quality of Life

Brian Daniel Kulbersh, Eben L. Rosenthal, Benjamin M. McGrew, Ryan D. Duncan, Nancy L. McColloch, William R. Carroll and J S. Magnuson

The Laryngoscope, Volume 116, Issue 6, June 2006, Pages: 883–886

Article first published online : 2 JAN 2009, DOI: 10.1097/01.mlg.0000217278.96901.fc

Abstract

Objectives: Dysphagia is commonly associated with head and neck cancer treatment. Traditional dysphagia management strategies focus on post-treatment therapy. This study evaluated the utility of pretreatment swallowing exercises in improving post-treatment swallowing quality of life (QOL).

Study Design: Prospective cohort study and cross-sectional QOL analysis.

Methods: This study includes 37 patients who underwent primary radiation or combined chemoradiation treatment for newly diagnosed hypopharyngeal, laryngeal, or oropharyngeal primary tumors at the University of Alabama at Birmingham. Of the 37, 25 patients underwent swallowing exercises beginning 2 weeks prior to the start of radiation. The M.D. Anderson Dysphagia Inventory (MDADI) was administered an average of 14 months after treatment to assess the success of the protocol. Analysis of QOL scores related to gender, primary site, stage, and race were obtained.

Results: Patients who performed pretreatment swallowing exercises (n = 25) showed improvement in the overall MDADI score (P = .0002) compared to the control population (n = 12) who underwent post-treatment therapy. Furthermore, a separate analysis of individual domains of the MDADI (global, emotional, functional, and physical) demonstrated improved quality of life.

Conclusions: Implementation of pretreatment swallowing education and exercise may improve dysphagia-specific QOL in head and neck cancer patients undergoing radiation and/or chemoradiation therapy.

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