Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81
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pISSN : 1226-0134 / eISSN : 2671-4450
- https://journal.kci.go.kr/kjot
KJCKorea
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Effects of Expiratory Muscle Strength Training on Activation of Suprahyoid Muscles and Swallowing Function of Pharyngeal Dysphagia Patients
- Korean Journal of Occupational Therapy
- Abbr : Korean J of Occup Ther
- 2015, 23(3), pp.97-109
- DOI : 10.14519/jksot.2015.23.3.08
- Publisher : Korean Society Of Occupational Therapy
- Research Area : Medicine and Pharmacy > Working Therapeutics
Ji-Su Park 1, Oh Dong Hwan 2, 장문영 3
1인제대학교부속부산백병원
2경희대학교병원 재활의학과 작업치료실
3인제대학교 의생명공학대학 작업치료학과
Accredited
ABSTRACT
Objective : The purpose of this study was to investigate the effects of Expiratory Muscle Strength Training (EMST) on the suprahyoid muscle activation and swallowing function of stroke patients.
Methods : This study randomly assigned 21 stroke patients to an experimental group and a control group. Four-week EMST was performed at resistance of 70% of the maximum expiratory pressure with the experimental group and at resistance of 20% of that with the control group. Evaluation was conducted using surface Electromyographic (sEMG), Videofluoroscopic Dysphagia Scale (VDS), and Penetration-Aspiration Scale (PAS) based on Videofluoroscopic Swallowing Study (VFSS).
Results : There was a statistically significant difference in the activation of the suprahyoid muscles using sEMG of the experimental group (p<.05) while there was no significant difference in that of the control group. Both group showed significant difference in the pharyngeal phase of VDS and PAS. Also in the comparison of variation in VDS and PAS before and after the intervention, there were statistically.
Conclusion : Finding from this study confirmed that EMST applied 70% maximum expiratory resistance would be a remedial method which could help activate pharyngeal dysphagia patients’ suprahyoid muscles and improve swallowing function.
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[journal]
W. R. Addington
/ 1999
/ Assessing the Laryngeal Cough Reflex and the Risk of Developing Pneumonia After Stroke : An Interhospital Comparison
/ Stroke
/ Ovid Technologies (Wolters Kluwer Health)
30(6)
: 1203~1207
[journal]
Baker, S.
/ 2005
/ Examination of strength training and detraining effects in expiratory muscles
/ Journal of Speech, Language, and Hearing Research
48
: 1325~1333
[journal]
Lori M. Burkhead
/ 2007
/ Strength-Training Exercise in Dysphagia Rehabilitation: Principles, Procedures, and Directions for Future Research
/ Dysphagia
/ Springer Nature
22(3)
: 251~265
[journal]
Deschenes, M. R.
/ 2002
/ Performance and physiologic adaptations to resistance training
/ American Journal of Physical Medicine and Rehabilitation
81(11)
: S3~S16
[journal]
Ertekin, C.
/ 2001
/ The effect of head and neck positions on oropharyngeal swallowing : A clinical and electrophysiologic study
/ Archives of Physical Medicine and Rehabilitation
82
: 1255~1260
[journal]
Tai Ryoon Han
/ 2001
/ Quantifying swallowing function after stroke: A functional dysphagia scale based on videofluoroscopic studies
/ Archives of Physical Medicine and Rehabilitation
/ Elsevier BV
82(5)
: 677~682
[journal]
Maggie Lee Huckabee
/ 1999
/ Outcomes of Swallowing Rehabilitation in Chronic Brainstem Dysphagia: A Retrospective Evaluation
/ Dysphagia
/ Springer Nature
14(2)
: 93~109
[journal]
Dae Ha Kim
/ 2012
/
Inter-rater Reliability of Videofluoroscopic Dysphagia Scale
/ Annals of Rehabilitation Medicine
/ 대한재활의학회
36(6)
: 791~796
[journal]
Jaeock Kim
/ 2009
/ Effect of expiratory muscle strength training on elderly cough function
/ Archives of Gerontology and Geriatrics
/ Elsevier BV
48(3)
: 361~366
[journal]
Helena Laciuga
/ 2014
/ Functional outcomes associated with expiratory muscle strength training: Narrative review
/ Journal of Rehabilitation Research and Development
/ Journal of Rehabilitation Research & Development
51(4)
: 535~546
[journal]
이수정
/ 2012
/
A Comparison of Electrical Stimulation Treatment Effects Between Motor Stimulation Intensity and Sensory Stimulation Intensity in Dysphagia Patients
/ 대한작업치료학회지
/ 대한작업치료학회
20(3)
: 119~133
[journal]
Jeri A. Logemann
/ 2009
/ A Randomized Study Comparing the Shaker Exercise with Traditional Therapy: A Preliminary Study
/ Dysphagia
/ Springer Nature
24(4)
: 403~411
[journal]
McCulloch, T. M.
/ 2010
/ High-resolution manometry of pharyngeal swallow pressure events associated with head turn and chin tuck
/ Annals of Otology, Rhinology, and Laryngology
119
: 369~376
[journal]
Colleen A. McHorney
/ 2002
/ The SWAL-QOL and SWAL-CARE Outcomes Tool for Oropharyngeal Dysphagia in Adults: III. Documentation of Reliability and Validity
/ Dysphagia
/ Springer Nature
17(2)
: 97~114
[journal]
Moritani, T.
/ 1979
/ Neural factors versus hypertrophy in the time course of muscle strength gain
/ American Journal of Physical Medicine and Rehabilitation
58
: 115~130
[journal]
백남종
/ 2005
/
Clinical Validity of the Functional Dysphagia Scale Based on Videofluoroscopic Swallowing Study
/ Annals of Rehabilitation Medicine
/ 대한재활의학회
29(1)
: 43~49
[journal]
박지수
/ 2014
/
Effect of Tongue Pressure Resistance Training on Tongue Strength, Swallowing Function and Dietary Stage of Chronic Stroke Patients With Dysphagia
/ 대한작업치료학회지
/ 대한작업치료학회
22(3)
: 11~24
[journal]
William G. Pearson
/ 2012
/ Structural Analysis of Muscles Elevating the Hyolaryngeal Complex
/ Dysphagia
/ Springer Nature
27(4)
: 445~451
[journal]
Pearson, W. G. Jr.
/ 2011
/ Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid
/ Dysphagia
26
: 345~351
[journal]
Pitts, T.
/ 2009
/ Impact of Expiratory Muscle Strength Training on Voluntary Cough and Swallow Function in Parkinson Disease
/ CHEST Journal
/ Elsevier BV
135(5)
: 1301~1308
[journal]
Teresa Pitts
/ 2012
/ Co-ordination of cough and swallow in vivo and in silico
/ Experimental Physiology
/ Wiley-Blackwell
97(4)
: 469~473
[journal]
Teresa Pitts
/ 2010
/ Using Voluntary Cough To Detect Penetration and Aspiration During Oropharyngeal Swallowing in Patients With Parkinson Disease
/ Chest
/ Elsevier BV
138(6)
: 1426~1431
[journal]
Alvaro Reyes
/ 2014
/ Surface electromyograph activity of submental muscles during swallowing and expiratory muscle training tasks in Huntington’s disease patients
/ Journal of Electromyography and Kinesiology
/ Elsevier BV
24(1)
: 153~158
[journal]
JoAnne Robbins
/ 2005
/ The Effects of Lingual Exercise on Swallowing in Older Adults
/ Journal of the American Geriatrics Society
/ Wiley-Blackwell
53(9)
: 1483~1489
[journal]
JoAnne Robbins
/ 2007
/ The Effects of Lingual Exercise in Stroke Patients With Dysphagia
/ Archives of Physical Medicine and Rehabilitation
/ Elsevier BV
88(2)
: 150~158
[journal]
John C. Rosenbek
/ 1996
/ A penetration-aspiration scale
/ Dysphagia
/ Springer Nature
11(2)
: 93~98
[journal]
Christine M Sapienza
/ 2002
/ Expiratory Muscle Training Increases Pressure Support in High School Band Students
/ Journal of Voice
/ Elsevier BV
16(4)
: 495~501
[journal]
Carol A. Smith Hammond
/ 2009
/ Predicting aspiration in patients with ischemic stroke: Comparison of clinical signs and aerodynamic measures of voluntary cough
/ Chest
/ Elsevier BV
135(3)
: 769~777
[journal]
Silverman, E. P.
/ 2006
/ Tutorial on maximum inspiratory and expiratory mouth pressures in individuals with Idiopathic Parkinson Disease (IPD) and the preliminary results of an expiratory muscle strength training program
/ Neurorehabilitation
21(1)
: 71~79
[journal]
Spiro, J.
/ 1994
/ Activation and coordination patterns of the suprahyoid muscles during swallowing
/ Laryngoscope
104
: 1376~1382
[journal]
M. S. Troche
/ 2010
/ Aspiration and swallowing in Parkinson disease and rehabilitation with EMST: A randomized trial
/ Neurology
/ Ovid Technologies (Wolters Kluwer Health)
75(21)
: 1912~1919
[journal]
Christopher R. Watts
/ 2013
/ Measurement of Hyolaryngeal Muscle Activation Using Surface Electromyography for Comparison of Two Rehabilitative Dysphagia Exercises
/ Archives of Physical Medicine and Rehabilitation
/ Elsevier BV
94(12)
: 2542~2548
[journal]
Wheeler-Hegland, K. M.
/ 2008
/ Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training
/ Journal of Speech, Language, and Hearing Research
51
: 1072~1087
[journal]
Karen M. Wheeler
/ 2007
/ Surface Electromyographic Activity of the Submental Muscles During Swallow and Expiratory Pressure Threshold Training Tasks
/ Dysphagia
/ Springer Nature
22(2)
: 108~116
[journal]
우희순
/ 2014
/
The Effects of Eight-week Tongue-holding Maneuver Program on Activation of Swallowing-related Muscles
/ 대한작업치료학회지
/ 대한작업치료학회
22(1)
: 53~64
[journal]
H.-S. Woo
/ 2012
/ The effects of cranio-cervical flexion on activation of swallowing-related muscles
/ Journal of Oral Rehabilitation
/ Wiley-Blackwell
39(11)
: 805~811
[journal]
H.-S. Woo
/ 2014
/ Comparison of muscle activity between two adult groups according to the number of Shaker exercise
/ Journal of Oral Rehabilitation
/ Wiley-Blackwell
41(6)
: 409~415
[journal]
윤용순
/ 2006
/
The Effect of Functional Electrical Stimulation on Swallowing Function in Stroke Patients with Dysphagia
/ Annals of Rehabilitation Medicine
/ 대한재활의학회
30(5)
: 417~423
[journal]
윤장순
/ 2013
/
Effects of Lower Jaw Muscle Strength Training on the Swallowing Function in Swallowing Disorder of Patients
/ 재활복지
/ 한국장애인재활협회
17(2)
: 393~407