Tongue strengthening exercise as a form of swallowing rehabilitation Digestive System
Conditions
Interventions
Participants were randomly assigned to two different treatment arms. Subjects are assigned to one of the two therapy groups based on a sequence generated by the online randomization tool at www.random
Sponsors
University Hospital of Antwerp
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Minimum age 70 years 2. Living in nursing home 3. Belgian origin 4. Dutch native speaker 5. MIPP and MIPP within normative data
Exclusion criteria
Exclusion criteria: 1. Cognitive deficit (MMSE-score > 24) 2. Dysphagia (Yale Swallowing Protocol)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gain in isolated tongue strength represented by MIP (Maximal Isometric Pressure) measured anteriorly (MIPA) and posteriorly (MIPP) in both treatment arms. For all strength measurements, the instruction was given to press (MIP) as hard as possible. The highest pressure obtained over 3 trials for maximum tongue strength was used for MIP. A 3-second time frame per attempt was used to reach maximum values. MIPA and MIPP were performed at baseline (BL), after 4 and 8 weeks training (4wT and 8wT) and 4 and 8 weeks after the last training session (4wDT and 8wDT) to document possible detraining effects. A margin of 48 hours was tolerated for all described time points to accommodate for rescheduling. | — |
Secondary
| Measure | Time frame |
|---|---|
| Gain in tongue strength during swallowing represented by Pswal measured anteriorly (PswalA) and posteriorly (PswalP) in both treatment arms. For all strength measurements, the instruction was given to swallow (saliva) as hard as possible. The highest pressure obtained over 3 trials for maximum tongue strength was used for Pswal. A 3-second time frame per attempt was used to reach maximum values. PswalA and PswalP were performed at baseline (BL), after 4 and 8 weeks training (4wT and 8wT) and 4 and 8 weeks after the last training session (4wDT and 8wDT) to document possible detraining effects. A margin of 48 hours was tolerated for all described time points to accommodate for rescheduling. | — |
Countries
Belgium
Contacts
Public ContactLeen Van den Steen
Outcome results
None listed