Jong-Bae Choi1, Sun-Hwa Shim2, Jong-Eun Yang3, Hyun-Dong Kim4, Doo-Ho Lee5, Ji-Su Park5. 1. Department of Occupational Therapy, Kyung Hee Medical Center, Republic of Korea. 2. Department of Occupational Therapy, Korea Children's Developmental Center, Republic of Korea. 3. Department of Occupational Therapy, Bethesda Hospital, Republic of Korea. 4. Department of Physical Medicine and Rehabilitation, Busan Paik Hospital of Inje University, Busan, Republic of Korea. 5. Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea.
Abstract
BACKGROUND: Dysphagia after stroke can cause a variety of complications, especially aspiration pneumonia, which can be life-threatening. Therefore, rehabilitation methods to reduce aspiration in patients with dysphagia are important. OBJECTIVE: In the present study, we aimed to investigate the effects of Shaker exercise on aspiration and oral diet level in stroke survivors with dysphagia. METHODS: Participants were randomly assigned to an experimental group (n = 16) or a control group (n = 16). Participants in the experimental group performed Shaker exercise and conventional dysphagia therapy, whereas those in the control group performed only conventional dysphagia therapy. All participants performed training 5 days a week for 4 weeks. Degree of aspiration was assessed using the Penetration-Aspiration Scale (PAS) based on videofluoroscopic swallowing study, while oral diet level was assessed using the Functional Oral Intake Scale (FOIS). RESULTS: The experimental group showed greater improvement on both the PAS (p < 0.05) and FOIS (p < 0.05) compared with the control group. CONCLUSIONS: The results of this study suggest that Shaker exercise is a effective exercise for recovery of swallowing function in stroke survivors with dysphagia.
RCT Entities:
BACKGROUND:Dysphagia after stroke can cause a variety of complications, especially aspiration pneumonia, which can be life-threatening. Therefore, rehabilitation methods to reduce aspiration in patients with dysphagia are important. OBJECTIVE: In the present study, we aimed to investigate the effects of Shaker exercise on aspiration and oral diet level in stroke survivors with dysphagia. METHODS:Participants were randomly assigned to an experimental group (n = 16) or a control group (n = 16). Participants in the experimental group performed Shaker exercise and conventional dysphagia therapy, whereas those in the control group performed only conventional dysphagia therapy. All participants performed training 5 days a week for 4 weeks. Degree of aspiration was assessed using the Penetration-Aspiration Scale (PAS) based on videofluoroscopic swallowing study, while oral diet level was assessed using the Functional Oral Intake Scale (FOIS). RESULTS: The experimental group showed greater improvement on both the PAS (p < 0.05) and FOIS (p < 0.05) compared with the control group. CONCLUSIONS: The results of this study suggest that Shaker exercise is a effective exercise for recovery of swallowing function in stroke survivors with dysphagia.
Authors: Klayne Cunha Matos; Vanessa Fernandes de Oliveira; Paula Luanna Carvalho de Oliveira; Fabíola Aureliano Carvalho; Maria Renata Matos de Mesquita; Camila Gabriella da Silva Queiroz; Levi Mota Marques; Débora Lilian Nascimento Lima; Fernanda Martins Maia Carvalho; Pedro Braga-Neto Journal: BMC Neurol Date: 2022-06-22 Impact factor: 2.903
Authors: Andressa Silva de Freitas; Guilherme Maia Zica; Emilson Queiroz Freitas; Ana Catarina Alves E Silva; Fernando Luiz Dias; Izabella Costa Santos Journal: Einstein (Sao Paulo) Date: 2022-03-14