Mary Hägg1, Matti Anniko. 1. Speech & Swallowing Centre, Department of Otorhinolaryngology, Hudiksvall Hospital, Sweden. mary.hagg@lg.se
Abstract
CONCLUSION: In spite of no clinical signs of facial paresis, a pathological lip force (LF) will strongly influence swallowing capacity (SC). Stroke patients with impaired SC suffer a subclinical facial paresis. The results support earlier findings that LF training can be used to treat dysphagia. OBJECTIVES: Lip muscle training with an oral screen can improve both LF and SC in stroke patients, irrespective of the presence or absence of facial palsy. The aim was therefore to study the influence of LF on SC. METHODS: This prospective study included 22 stroke patients, aged 38–90 years, with dysphagia, 12 with initial unilateral facial paresis and 45 healthy subjects, aged 25–87 years. All were investigated with a Lip Force Meter (LF100), and with an SC test. RESULTS: A significant correlation was found between LF/SC (p = 0.012) in stroke patients but not in healthy subjects. LF/SC was not age-related in stroke patients. LF was not age-dependent in healthy subjects, but SC decreased with increasing age (p < 0.0001). However, SC did not reach a pathological value and a regression analysis showed that 73% of the variation in SC is attributable to LF and age.
CONCLUSION: In spite of no clinical signs of facial paresis, a pathological lip force (LF) will strongly influence swallowing capacity (SC). Strokepatients with impaired SC suffer a subclinical facial paresis. The results support earlier findings that LF training can be used to treat dysphagia. OBJECTIVES:Lip muscle training with an oral screen can improve both LF and SC in strokepatients, irrespective of the presence or absence of facial palsy. The aim was therefore to study the influence of LF on SC. METHODS: This prospective study included 22 strokepatients, aged 38–90 years, with dysphagia, 12 with initial unilateral facial paresis and 45 healthy subjects, aged 25–87 years. All were investigated with a Lip Force Meter (LF100), and with an SC test. RESULTS: A significant correlation was found between LF/SC (p = 0.012) in strokepatients but not in healthy subjects. LF/SC was not age-related in strokepatients. LF was not age-dependent in healthy subjects, but SC decreased with increasing age (p < 0.0001). However, SC did not reach a pathological value and a regression analysis showed that 73% of the variation in SC is attributable to LF and age.
Authors: Ana Railka de Souza Oliveira; Alice Gabrielle de Sousa Costa; Huana Carolina Cândido Morais; Tahissa Frota Cavalcante; Marcos Venícios de Oliveira Lopes; Thelma Leite de Araujo Journal: Rev Lat Am Enfermagem Date: 2015-04-14
Authors: Jong Ha Lee; Hee-Sang Kim; Dong Hwan Yun; Jinmann Chon; Yoo Jin Han; Seung Don Yoo; Dong Hwan Kim; Seung Ah Lee; Hye In Joo; Ji-Su Park; Jin Chul Kim; Yunsoo Soh Journal: Ann Rehabil Med Date: 2016-08-24
Authors: Ana Railka de Souza Oliveira; Thelma Leite de Araujo; Emilia Campos de Carvalho; Alice Gabrielle de Sousa Costa; Tahissa Frota Cavalcante; Marcos Venícios de Oliveira Lopes Journal: Rev Lat Am Enfermagem Date: 2015-07-03