The effects of resistance training of swallowing muscles on dysphagia in older people: A cluster, randomized, controlled trial
| Autor: | Hidetaka Wakabayashi, Shuhei Yoshida, Hiroko Ichikawa, Rieko Mutai, Ryo Momosaki, Masato Matsushima, Shinichi Murayama, Ryoko Horiguchi, Tetsuro Hayashi, Toshifumi Yodoshi |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Strength training Endocrinology Diabetes and Metabolism medicine.medical_treatment Nutritional Status Severity of Illness Index law.invention Eating 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Tongue Swallowing Randomized controlled trial Interquartile range law Pressure otorhinolaryngologic diseases medicine Clinical endpoint Cluster Analysis Humans 030212 general & internal medicine Aged Aged 80 and over Nutrition and Dietetics Rehabilitation business.industry Resistance Training 030206 dentistry Dysphagia Deglutition Nutrition Assessment Treatment Outcome medicine.anatomical_structure Physical therapy Female Independent Living medicine.symptom Deglutition Disorders business |
| Zdroj: | Nutrition. 48:111-116 |
| ISSN: | 0899-9007 |
| DOI: | 10.1016/j.nut.2017.11.009 |
| Popis: | This study examined the effects of resistance training of swallowing muscles in community-dwelling older individuals with dysphagia.A cluster randomized controlled trial was performed in day-service and day-care facilities. The participants were older (≥65 y) community-dwelling individuals with dysphagia. The intervention group performed a tongue resistance exercise and a head flexion exercise against manual resistance. Both groups received a brochure on dysphagia rehabilitation. The primary endpoint was an improvement in dysphagia assessed by the Eating Assessment Tool (EAT-10) score. Tongue pressure was the secondary endpoint.Participants included 47 men and 57 women, with a mean age ± standard deviation of 80 ± 7 y. At baseline, the median EAT-10 score was 7 (interquartile range, 5-12). A total of 91 patients, 43 in the intervention group (8 clusters) versus 48 in the control group (11 clusters), were assessed postintervention. The percentage of participants with EAT-10 scores3 was not statistically significantly different between the two groups (intervention group, 23% versus control group, 19%, P = 0.598). Postintervention median EAT-10 scores were 6 (interquartile range, 3-10) in each group (P = 0.665) and mean tongue pressure was 23.9 ± 10.0 versus 25.9 ± 10.9 kPa (P = 0.376). The intervention did not significantly affect the EAT-10 score or tongue pressure in a mixed effects random intercept model. The Mini Nutritional Assessment Short Form score correlated significantly with the postintervention EAT-10 score.Resistance training of swallowing muscles did not improve dysphagia in this study. Better nutritional status correlated independently with improved swallowing function. |
| Databáze: | OpenAIRE |
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