Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Improvements In Tongue Strength And Pressure-generation Precision Following A Tongue-pressure Training Protocol In Older Individuals With Dysphagia: Three Case Reports

Erin M. Yeates, S. Molfenter, C. Steele
Published 2008 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
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.
This paper references
The effects of lingual exercise in stroke patients with dysphagia.
J. Robbins (2007)
Neurophysiology of swallowing in the aged
S. Jaradeh (2004)
Prevalence of Perceived Dysphagia and Quality-of-Life Impairment in a Geriatric Population
P. Chen (2008)
What is sarcopenia?
W. Evans (1995)
Lingual action in normal sequential swallowing.
G. Chi-Fishman (1998)
Effect of aging on the deglutitive oral, pharyngeal, and esophageal motor function
R. Shaker (2004)
The Effects of Lingual Exercise on Swallowing in Older Adults
J. Robbins (2005)
Mechanisms Involved in Postdeglutition Retention in the Elderly
E. Dejaeger (1997)
Preliminary observations on the effects of age on oropharyngeal deglutition
J. F. Tracy (2006)
Clinical Interventions in Aging
S. Roth
Tongue-pressure therapy in older adults
Social and Psychological Burden of Dysphagia: Its Impact on Diagnosis and Treatment
O. Ekberg (2002)
Mealtime Difficulties in a Home for the Aged: Not Just Dysphagia
C. Steele (1997)
Mealtime diffi
Gerodontology elderly (1997)
Sudden death in the dysphagic stroke patient--a case of airway obstruction caused by a food bolus: a brief report.
H. Finestone (1998)
culties in a home for the aged: not just dysphagia. Dysphagia
JF Tracy (1989)
Oropharyngeal swallowing in normal adults of different ages.
J. Robbins (1992)
Tongue movements in feeding and speech.
K. Hiiemae (2003)
Speech and swallowing in the elderly.
B. Sonies (1984)
Oropharyngeal dysphagia in the elderly.
B. Sonies (1992)
Tongue-pressure therapy in older
J Robbins (2007)
Deglutitive laryngeal closure in stroke patients
M. Power (2006)
Evaluation and treatment of swallowing impairments.
J. Palmer (2000)
: its impact on diagnosis and treatment
WJ Evans (1995)
Effects of aging on neuromotor processes of swallowing.
A. Caruso (1997)
Speech and swallowing
BC Sonies (1984)
Food for Thought: The Impact of Dysphagia on Quality of Life
J. W. Bennett (2005)
Malnutrition in stroke patients on the rehabilitation service and at follow-up: prevalence and predictors.
H. Finestone (1995)
Common Medical Conditions in the Elderly:Impact on Pharyngeal Bolus Transit
K. Kendall (2003)
Prolonged length of stay and reduced functional improvement rate in malnourished stroke rehabilitation patients.
H. Finestone (1996)
Age effects on the temporal evolution of isometric and swallowing pressure.
M. Nicosia (2000)
Social and psychological burden of
O Ekberg (2002)
Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men.
J. Logemann (2000)
Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia.
L. Pikus (2003)

This paper is referenced by
The influence of training variables on lingual strength and swallowing in adults with and without dysphagia
T. Abe (2020)
Lingual pressure generation in relation to saliva and water swallowing in healthy young adults
Anna Joerger (2016)
Speech and myofunctional exercise physiology: a critical review of the literature.
T. Ferreira (2011)
Effects of palatal augmentation prosthesis in oropharyngeal dysphagia in Chilean patients with tongue cancer: Cases report
A. Contreras (2017)
Tongue Force Training Induces Plasticity of the Lingual Motor Cortex in Young Adult and Aged Rats
Miranda J Cullins (2019)
A comparative study: tongue muscle performance in weightlifters and runners
Heidi A. VanRavenhorst‐Bell (2018)
Biomechanical Biomarkers of Tongue Impairment During Swallowing in Persons Diagnosed with Amyotrophic Lateral Sclerosis
Bridget J. Perry (2020)
The effects of tongue pressure strength and accuracy training on tongue pressure strength, swallowing function, and quality of life in subacute stroke patients with dysphagia: a preliminary randomized clinical trial
Jong-Hoon Moon (2018)
Neuromuscular Electrical Stimulation and Electromyographic Biofeedback as Adjunctive Modalities in the Treatment of Oropharyngeal Dysphagia in Stroke
C. T. Mituuti (2019)
Effects of tongue pressing effortful swallow in older healthy individuals.
Taeok Park (2016)
Deglutitive oral pressure phenomena
R. Siwiec (2013)
Effects of Tongue Strength Training and Detraining on Tongue Pressures in Healthy Adults
Jong-Chi Oh (2015)
Tongue pressure : a key limiting aspect in bolus swallowing
W. A. Alsanei (2015)
Condiciones y lesiones orales en una población anciana institucionalizada de Castellón (España)
S. Rosales (2011)
Tongue Thickness Relates to Nutritional Status in the Elderly
F. Tamura (2012)
Exercise-based approaches to dysphagia rehabilitation.
C. Steele (2012)
Tongue pressure measurement in children with mouth‐breathing behaviour
N. D. Azevedo (2018)
Exploiting Experience-Dependent Plasticity in Dysphagia Rehabilitation: Current Evidence and Future Directions
P. Macrae (2013)
Comparison of Maximal Lingual Pressure Generation During Isometric Gross and Fine Sensorimotor Tasks in Healthy Adults.
N. Rogus-Pulia (2015)
Effect of Tongue Pressure Resistance Training on Tongue Strength, Swallowing Function and Dietary Stage of Chronic Stroke Patients With Dysphagia
J. Park (2014)
Fisiologia do exercício fonoaudiológico: uma revisão crítica da literatura
T. Ferreira (2011)
Tongue-Strengthening Exercises in Healthy Older Adults: Specificity of Bulb Position and Detraining Effects
Leen Van den Steen (2017)
Effects of Tongue Strength and Accuracy Training on Tongue Strength, Swallowing Function, and Quality of Life in Chronic Stroke Patients with Dysphagia
Jong-Hoon Moon (2016)
The Utility of High-Resolution Pharyngeal Manometry in Dysphagia Treatment
K. Davidson (2019)
A Randomized Trial Comparing Two Tongue-Pressure Resistance Training Protocols for Post-Stroke Dysphagia
C. Steele (2016)
A Systematic Review of Isometric Lingual Strength-Training Programs in Adults With and Without Dysphagia.
Victoria S McKenna (2017)
A review of the multiple treatment approaches for oropharyngeal dysphagia and the effectiveness of intervention
K. W. Prather (2010)
Correlation between tongue pressure and electrical activity of the suprahyoid muscles
Vanessa Santiago dos Reis (2017)
Changes in tongue strength and endurance after a typical meal in healthy older adults in a continuing care community
Van Ravenhorst-Bell (2012)
Poor Oral Health as a Determinant of Malnutrition and Sarcopenia
D. Azzolino (2019)
Effects of Proprioceptive Neuromuscular Facilitation on Swallowing Function of the Stroke Patients
Hyeon-Jeong Noh (2014)
Effect of Mucosal Brushing on the Serum Levels of C-Reactive Protein for Patients Hospitalized with Acute Symptoms
Naoko Nakahodo (2020)
See more
Semantic Scholar Logo Some data provided by SemanticScholar