Effect of Orofacial Exercise on the Swallowing Function of Stroke Patients (구강안면운동이 뇌졸중 환자의 연하기능과 구강안면근력에 미치는 영향)

강보미; Hyuk-Cheol Kwon (권혁철); KIM HWAN (김환); 조영남

Effect of Orofacial Exercise on the Swallowing Function of Stroke Patients

Korean Journal of Occupational Therapy
Abbr : Korean J of Occup Ther
2013, 21(1), pp.57-69
Publisher : Korean Society Of Occupational Therapy
Research Area : Medicine and Pharmacy > Working Therapeutics

강보미 ¹, Hyuk-Cheol Kwon ², KIM HWAN ², 조영남 ³

¹대구대학교 재활과학대학 작업치료학과
²대구대학교
³경운대학교

Accredited

ABSTRACT

Objective : This research was conducted to determine how orofacial exercises affect the swallowing function of stroke patients. Methods : Based on the standards for subject selection, 10 patients were chosen for this study. Five subjects in the experimental group received orofacial exercises and traditional dysphagia therapy consecutively for 15minutes each. In contrast, five subjects as a control group received traditional dysphagia therapy twice in a row for 15 minutes each during every session. Therapeutic intervention was conducted five times per week for four weeks. To compare the swallowing function before and after each therapeutic intervention, the scale was scored utilizing the New Video Fluoroscopic Swallowing Study (New VFSS) scale. Moreover, the patient's tongue pressure was measured using the Iowa Oral Performance Instrument (IOPI) to compare their orofacial strength before and after the therapy. Results : The swallowing functions in both groups showed a statistically significant difference before and after intervention. All patients in the experimental group had significant differences in tongue elevation, tongue lateralization, tongue protrusion, cheek compression pressure, and lip compression pressure. The control group, however, showed significant differences in only tongue elevation. Conclusion : The orofacial exercises used in this study showed significant improvements in the swallowing functions and orofacial muscle strength of stroke patients suffering from dysphagia.

KEYWORDS

Orofacial exercise, Orofacial strength, Stroke, Swallowing function

Citation status

* References for papers published after 2023 are currently being built.

[journal] 박윤길 / 2011 / 연하장애환자를 위한 연하재활치료 / 대한연하장애학회지 1(1) : 31~38

[journal] 박진홍 / 2010 / Sequential Tongue Pressure and Laryngeal Movement during Swallowing / Annals of Rehabilitation Medicine / 대한재활의학회 34(2) : 134~140

[book] 송영진 / 2007 / 삼킴장애 / 계축문화사

[journal] 윤해숙 / 1990 / 뇌졸중 환자에서의 연하곤란의 임상적 고찰 / 대한재활의학회지 14(2) : 196~202

[journal] 최경효 / 2011 / 연하장애의 역학적 고찰 / 대한연하장애학회지 1(1) : 1~8

[book] 통계청 / 2010 / 2009년 사망원인통계 결과 / 통계청

[journal] Burkhead, L. M. / 2007 / Strength-training exercise in dysphagia rehabilitation : Principles, procedures, and directions for future research / Dysphagia 22(3) : 251~265

[journal] Chigira, A. / 1994 / Lip closing pressure in disabled children : A comparison with normal children / Dysphagia 9(3) : 193~198

[journal] Clark, H. M. / 2003 / Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments / American Journal of Speech-Language Pathology 12(1) : 40~50

[journal] Clark, H. M. / 2009 / Effects of directional exercise on lingual strength / Journal of Speech, Language, and Hearing Research 52 : 1034~1047

[journal] Clark, H. M. / 2012 / Age and sex differences in orofacial strength / Dysphagia 27(1) : 2~9

[journal] Foley, N. / 2008 / Dysphagia treatment post stroke : A systematic review of randomised controlled trials / Age and Ageing 37(3) : 258~264

[journal] Hamidon, B. B. / 2006 / Risk factors and outcome of dysphagia after an acute ischaemic stroke / Medical Journal of Malaysia 61(5) : 553~557

[book] Hardy, E. / 2004 / Swallowing disorders treatment manual(2nd ed. ) / Pro-Ed

[journal] Hewitt, A. / 2008 / Standardized instrument for lingual pressure measurement / Dysphagia 23 : 16~25

[journal] Hori, K. / 2005 / Tongue pressure against hard palate during swallowing in post-stroke patients / Gerodontology (4) : 227~233

[journal] Langmore, S. E. / 1998 / Predictors of aspiration pneumonia: How important is dysphagia? / Dysphagia 13(2) : 69~81

[journal] Lazarus, C. / 2003 / Effects of two types of tongue strengthening exercises in young normals / Folia Phoniatrica et Logopaedica 55(4) : 199~205

[journal] Mann, G. / 1999 / Swallowing function after stroke : Prognosis and prognostic factors at 6 months / Stroke 30 : 744~748

[journal] Mann, G. / 2000 / Swallowing disorders following acute stroke : Prevalence and diagnostic accuracy / Cerebrovascular Disease 10(5) : 380~386

[journal] Martino, R. / 2005 / Dysphagia after stroke : Incidence, diagnosis, and pulmonary complications / Stroke 36 : 2756~2763

[journal] Ono, T. / 2004 / Pattern of tongue pressure on hard palate during swallowing / Dysphagia 19(4) : 259~264

[journal] Ono, T. / 2009 / Evaluation of tongue motor biomechanics during swallowing : From oral feeding models to quantitative sensing methods / Japanese Dental Science Review 45(2) : 65~74

[book] Pedretti, L. W. / 2006 / Occupational therapy practice skills for physical dysfunction(6th ed. ) / Mosby

[journal] Robbins, J. / 2007 / The effects of lingual exercise in stroke patients with dysphagia / Archives of Physical Medicine and Rehabilitation 88(2) : 150~158

[journal] Silva, A. C. / 2008 / A scintigraphic study of oral, pharyngeal, and esophageal transit in patients with stroke / Dysphagia 23(2) : 165~171

[journal] Solomon, N. P. / 2008 / Assessment of orofacial strength in patients with dysarthria / Journal of Medical Speech-Language Pathology 16(4) : 251~258

[book] Trombly, C. A. / 2008 / Occupational therapy for physical dysfunction(6th ed. ) / Lippincott Williams & Wilkins

[journal] Umemoto, G. / 2011 / Impaired food transportation in Parkinson's disease related lingual bradykinesia / Dysphagia 26(3) : 250~255

[journal] White, R. / 2009 / A comparison of the reliability and stability of oro-lingual swallowing pressures in patients with head and neck cancer and healthy adults / Dysphagia 24(2)

[journal] Yeates, E. M. / 2008 / Improvements in tongue strength and pressuregeneration precision following a tonguepressure training protocol in older individuals with dysphagia : Three case reports / Clinical Interventions in Aging 3(4) : 735~747

[journal] Yoshida, M. / 2006 / Decreased tongue pressure reflects symptom of dysphagia / Dysphagia 21(1) : 61~65

[journal] Youmans, S. R. / 2006 / Measures of tongue function related to normal swallowing / Dysphagia 21(2) : 102~111

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Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81