Document Detail


The effects of lingual exercise on swallowing in older adults.
MedLine Citation:
PMID:  16137276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the effects of an 8-week progressive lingual resistance exercise program on swallowing in older individuals, the most "at risk" group for dysphagia. DESIGN: Prospective cohort intervention study. SETTING: Subjects were recruited from the community at large. PARTICIPANTS: Ten healthy men and women aged 70 to 89. INTERVENTION: Each subject performed an 8-week lingual resistance exercise program consisting of compressing an air-filled bulb between the tongue and hard palate. MEASUREMENTS: At baseline and Week 8, each subject completed a videofluoroscopic swallowing evaluation for kinematic and bolus flow assessment of swallowing. Swallowing pressures and isometric pressures were collected at baseline and Weeks 2, 4, and 6. Four of the subjects also underwent oral magnetic resonance imaging (MRI) to measure lingual volume. RESULTS: All subjects significantly increased their isometric and swallowing pressures. All subjects who had the MRI demonstrated increased lingual volume of an average of 5.1%. CONCLUSION: The findings indicate that lingual resistance exercise is promising not only for preventing dysphagia due to sarcopenia, but also as a treatment strategy for patients with lingual weakness and swallowing disability due to frailty or other age-related conditions. The potential effect of lingual exercise on reducing dysphagia-related comorbidities (pneumonia, malnutrition, and dehydration) and healthcare costs while improving quality of life is encouraging.
Authors:
JoAnne Robbins; Ronald E Gangnon; Shannon M Theis; Stephanie A Kays; Angela L Hewitt; Jacqueline A Hind
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  53     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-02     Completed Date:  2005-11-07     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1483-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA. jrobbin2@wisc.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cohort Studies
Comorbidity
Deglutition / physiology*
Deglutition Disorders / prevention & control
Exercise*
Female
Humans
Magnetic Resonance Imaging
Male
Pressure
Prospective Studies
Tongue / anatomy & histology,  physiology*
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