Document Detail


Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury.
MedLine Citation:
PMID:  23336825     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The purpose of this study was to measure treatment outcomes in a group of six adults with chronic dysphagia following acquired brain injury, who each completed 24 sessions of tongue-pressure resistance training, over a total of 11-12 weeks. The treatment protocol emphasized both strength and accuracy. Biofeedback was provided using the Iowa Oral Performance Instrument. Amplitude accuracy targets were set between 20-90% of the patient's maximum isometric pressure capacity. Single subject methods were used to track changes in tongue strength (maximum isometric pressures), with functional swallowing outcomes measured using blinded ratings of a standard pre- and post-treatment videofluoroscopy protocol. Improvements were seen in post-treatment measures of tongue pressure and penetration-aspiration. No improvements were seen in pharyngeal residues, indeed worsening residue was seen in some patients.
Authors:
Catriona M Steele; Gemma L Bailey; Rebecca E Cliffe Polacco; Sarah F Hori; Sonja M Molfenter; Mohamed Oshalla; Erin M Yeates
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-22
Journal Detail:
Title:  International journal of speech-language pathology     Volume:  -     ISSN:  1754-9515     ISO Abbreviation:  Int J Speech Lang Pathol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101320232     Medline TA:  Int J Speech Lang Pathol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Toronto Rehabilitation Institute-University Health Network , Toronto, Ontario , Canada.
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