期刊
CLINICAL INTERVENTIONS IN AGING
卷 3, 期 4, 页码 735-747出版社
DOVE MEDICAL PRESS LTD
DOI: 10.2147/CIA.S3825
关键词
speech-language pathology; dysphagia; rehabilitation; aging; strength; accuracy
资金
- Canadian Institutes of Health Research [MOP-84534, SIC-83888]
- Canada Foundation for Innovation
- Province of Ontario
- Toronto Rehabilitation Institute under Ministry of Health and Long-term Care in Ontario
Dysphagia, or difficulty swallowing, often occurs secondary to conditions such as stroke, head injury or progressive disease, many of which increase in frequency with advancing age. Sarcopenia, the gradual loss of muscle bulk and strength, can place older individuals at greater risk for dysphagia. Data are reported for three older participants in a pilot trial of a tongue-pressure training therapy. During the experimental therapy protocol, participants performed isometric strength exercises for the tongue as well as tongue pressure accuracy tasks. Biofeedback was provided using the Iowa Oral Performance Instrument (IOPI), an instrument that measures tongue pressure. Treatment outcome measures show increased isometric tongue strength, improved tongue pressure generation accuracy, improved bolus control on videofluoroscopy, and improved functional dietary intake by mouth. These preliminary results indicate that, for these three adults with dysphagia, tongue-pressure training was beneficial for improving both instrumental and functional aspects of swallowing. The experimental treatment protocol holds promise as a rehabilitative tool for various dysphagia populations.
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